ACCESS
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.