The School-Based ACCESS Program (SBAP) is an avenue for earning federal dollars that can be used by school districts, intermediate units, state-owned schools, approved private schools, or charter schools. These local education agencies (LEAs) can receive partial reimbursement for health-related services that are currently being provided to special education students as part of their Individualized Education Plan (IEP).
SBAP is a public/private partnership with the goal of acquiring partial Medicaid reimbursement for educational agencies. The ACCESS Program provides a streamlined process to gain MA reimbursements for the cost of providing related services to students. SBAP is a cooperative effort between the Pennsylvania Department of Education (PDE), the Pennsylvania Department of Public Welfare (DPW), the federal Centers for Medicare and Medicaid Services (CMS), and PDE’s contractor Public Consulting Group (PCG).
When SBAP began during the 1991-1992 school year, approximately 6 LEAs were billing and receiving federal reimbursement for health-related services provided to their Medical Assistance eligible, special education students. The number of participating LEAs has increased with each school year. By the 2000-2001 school year, Medicaid reimbursement was received for over 500 LEAs, either through direct billing efforts or through IUs billing on behalf of school districts.