MedicaidAdministrativeMedium impact
MAB2024091601
Pennsylvania Medicaid (DHS)·PA · Audiology, Occupational Therapy, Physical Therapy +2 more·Provider Bulletin
Effective date
Sep 16, 2024
We identified it
Jun 20, 2026
Summary
Pennsylvania updated the School-Based ACCESS Program (SBAP) provider handbook with new requirements and billing procedures for Local Education Agencies providing Medicaid-covered school-based services. The updated handbook includes changes to provider qualifications, participation requirements, and billing procedures for services like speech therapy, occupational therapy, and nursing services.
Action Required
By October 16, 2024: Pennsylvania LEAs participating in SBAP must review the updated September 2024 provider handbook available at https://www.pa.gov/en/agencies/dhs/resources/for-providers/ma-for-providers/sbap.html. Update internal billing procedures and staff training to comply with new participation requirements, provider qualifications, and documentation standards. Ensure all providers verify Medical Assistance enrollment revalidation dates in PROMISe system and submit revalidation applications at least 60 days prior to expiration.