Pennsylvania Medicaid Reimbursement Programs

SBAP-AlignIn Pennsylvania, Leader Services offers SBAP-Align to facilitate Medicaid reimbursement for school-based health services provided to eligible students by Pennsylvania LEAs.

School-Based ACCESS Program, or SBAP

The School-Based ACCESS Program, or SBAP, allows Pennsylvania LEAs to receive federal Medicaid reimbursement for providing IEP health-related services to Medical Assistance-eligible children as part of their Individualized Education Program (IEP). SBAP is a cooperative efforts 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. Leader provides SBAP-Align, a service that captures, validates, and submits data to PDE's contractor.

Reimburseable services include:

  • Assistive Devices
  • Audiology
  • Nursing (RN, LPN)
  • Occupational Therapy
  • Orientation and Mobility
  • Personal Care Assistants
  • Physical Therapy
  • Physician
  • Psychiatry
  • Psychology
  • Social Work
  • Speech/Language/Hearing
  • Teacher of the Hearing Impaired
  • Special Transportation
  • Vision - limited

For Pennsylvania LEAs, Leader offers a number of resources, including web-based data capture and reporting, professional support, and more.

For more information on SBAP-Align, please fill out the form on our contact page.