Fred Rogers Room


Contact Jason Stragand at 724-219-2390 or [email protected]

The School-Based ACCESS Program, or SBAP, allows Pennsylvania’s LEAs to receive federal Medicaid reimbursement for providing Individualized Education Plan (IEP) health-related services to Medical Assistance-eligible children as part of their IEP. 

Key components of SBAP payment include:

  • Direct Services and Special Transportation Claiming;
  • Medicaid Administrative Claiming (MAC);
  • Random Moment Time Study (RMTS); and
  • Annual Cost Reconciliation and Settlement
Participation Requirements
LEAs that participate in the SBAP must do the following:
  • Comply with all applicable state and federal statutes, regulations, and policies which pertain to participation in the Pennsylvania MA Program;
  • Assign a representative of the LEA to participate in SBAP mandatory training;
  • Participate in the Random Moment Time Study (RMTS);
  • Submit compensable direct service claims; and
  • Complete annual cost reconciliation/cost settlement of direct service claiming
Covered Services include:
  • Assistive Technology Devices
  • Audiology Services
  • Hearing-Impaired Services
  • Nursing Services
  • Nurse Practitioner Services
  • Occupational Therapy Services
  • Orientation, Mobility and Vision Services
  • Personal Care Services
  • Physical Therapy Services
  • Physician Services
  • Psychiatric Services
  • Psychology Services
  • Social Work and Counseling Services
  • Special Transportation Services
  • Speech and Language Services
For a workflow service chart, click here.