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PALS March 2017 - School Based Access Program (SBAP)

PALS Meeting Minutes

March 22, 2017 6:30 p.m.

Lauri Ann West Community Library

1212 Main Street Pittsburgh, PA 15211

There is an immense amount of information regarding the School Based Access Program (SBAP). The information is designed to communicate with the organizations seeking funding, not parents. Our discussion focused mostly on how a school district receives funding through a students' Medical Assistance. Below are some key take aways from our conversation and elements of SBAP.

What is SBAP?

The School-Based ACCESS Program (SBAP) is a program where Local Education Agencies (LEA) (schools) can recover federal Medicaid funds for providing certain health-related services to special education students who are enrolled in the Medical Assistance (MA) Program.

Who can gain access to a student's Medical Assistance benefits?

The LEA can be one of the following:

School Districts

Charter Schools

Intermediate Units

Vocational-Technical Schools

Preschool Early Intervention Programs

How do these organizations gain access to a student's Medical Assistance benefits?​

Parents/Caregivers must provide their consent only once allowing a school district to access their child's MA benefits to gain reimbursement through SBAP. The consent form, along with a notice are normally provided to parents/caregivers to sign during the student's initial IEP meeting. Consent can be rescinded by the parent/caregiver at any time with no repercussions to the services the student is receiving. Examples of these documents:

What are the components of SBAP?

Direct Services and Special Transportation Claiming

Medicaid Administrative Claiming (MAC)

Random Moment Time Studies (RMTS)

Annual Cost Reconciliation and Settlement

What health related services can a LEA bill the student's MA for?

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

Psychological Services

Social Work Services

Special Transportation Services

Speech and Language Services

If you are interested in delving further into SBAP, the Public Consulting Group (PCG) offers a number of training opportunities each year.

For further information on SBAP, please visit the Pennsylvania Department of Human Services School Based Access Program website.

Next Meeting: April 26, 2017, 9:30 a.m. Roots of Faith 800 Main Street Pittsburgh, PA 15215

Topic: Open Forum

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