When does this change take effect?

This change is effective Sep 22, 2020.

MedicaidAdministrativeMedium impact

MAB2020092201

Q: Who is affected by this change?

This affects Pennsylvania Medicaid (DHS) Audiology, Occupational Therapy, Physical Therapy, Speech Therapy, Psychiatry providers in PA on Medicaid plans.

Pennsylvania Medicaid (DHS)·PA · Audiology, Occupational Therapy, Physical Therapy +2 more·Provider Bulletin

Effective date

Sep 22, 2020

We identified it

Jun 20, 2026

Days to comply

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Summary

Pennsylvania updated the School-Based ACCESS Program (SBAP) provider handbook with clarified provisions and program requirements for Local Education Agencies enrolled in Medical Assistance who provide school-based services. SBAP providers must follow the updated September 2020 handbook for participation requirements and billing procedures.

Action Required

Action needed

Immediately: SBAP providers in Pennsylvania must review and implement the updated September 2020 School-Based ACCESS Program handbook available at https://www.dhs.pa.gov/providers/Providers/Pages/School-Based-ACCESS Program.aspx. Focus on highlighted sections showing updates to participation requirements and billing procedures. Ensure all staff follow the new requirements for Medical Assistance billing of school-based services.

Related policy hubs

Pennsylvania Medicaid (DHS) policies PA policy changes Audiology Occupational Therapy Physical Therapy Speech Therapy Psychiatry