Transcript School Based ACCESS Program (SBAP)

School Based ACCESS
Program (SBAP)
Welcome CCCS Parents!
Chester Community Charter School
SBAP / ACCESS
 What is the School-Based ACCESS Program, and how does it
involve my child’s school?
 How does it work / what’s involved?
 What type of health-related services are eligible for
reimbursement?
 What does CCCS do with the funds they receive?
 As a parent, what do I need to do with regard to the program?
 Frequently Asked Questions
 Contact Information
What is the School-Based ACCESS Program,
and how does it involve my child’s school?
The School-Based ACCESS Program (SBAP) allows Local Education
Agencies (LEAs) to receive Medical Assistance (MA) reimbursement for
IEP medically necessary health-related services provided to students
who are eligible for Medical Assistance. The Medicaid program is a joint
federal/state program; however, LEAs only receive the federal Medicaid
share for school-based services.
The Medicare Catastrophic Coverage Act of 1988 clarified the issue of
federal Medicaid funding for Individuals with Disabilities Education Act
(IDEA) services. Through this statute, education entities are eligible to
receive reimbursement for certain health-related services rendered to
students enrolled in the Medicaid Assistance Program.
CCCS began participating in 2008.
How does it work / what’s involved?
Billing Rules
 Students must receive special education services through an IEP.
 Schools must be enrolled as a SBAP in the PA medical assistance
program.
 Students must have Medical Assistance.
 Parent consent must be given before any billing can begin.
 Services must be considered medically necessary and reviewed by
MD, DO or CRNP.
 100% federally funded service providers cannot bill through the SBAP.
 Service providers must meet SBAP licensure / certification
requirements.
What type of health-related services
are eligible for reimbursement?
Eligible services include:
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Audiology
Assistive Devices
IEP development
Nursing (RN and LPN)
Occupational therapy
Orientation and Mobility
Personal Care Assistant
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Physical therapy
Physician
Psychiatric
Speech and language
Teacher of the Hearing Impaired
Special transportation
Vision (limited)
What does CCCS do with the funds
they receive?
SBAP funds must be used within the special education program.
 Salaries/benefits
 Contracted provider services
 First aid/CPR & AED training
 Computers & software
 Assistive Devices
 Books, supplies & specialized learning tools
As a parent, what do I need to do
with regard to the program?
PA Medical Assistance (MA) Billing Parental Consent Form
IDEA and Family Educational Rights
and Privacy Act (FERPA) regulations
require that schools obtain written
parental permission prior to billing MA,
as per the form to the right.
Refusal to allow your child’s school to
bill MA does not relieve the school of its
responsibility to ensure that all required
services are provided to your child at no
cost to parents.
Local Education Agencies (LEAs) are eligible to receive federal Medicaid reimbursement for medically
necessary services provided to their special education students when the services meet the requirements of
the state’s Medicaid program and are provided in accordance with the students’ IEP.
The Individuals with Disabilities Education Improvement Act of 2004 (IDEA) and the Family
Educational Rights and Privacy Act (FERPA) require schools to obtain written parental consent to share
students’ education and health-related records such as IEPs and Evaluation Reports. We are requesting
your permission to share this information with the PA Department of Education, the PA Department of
Public Welfare, and a physician or nurse practitioner in order to bill Medical Assistance.
In addition to the Medicaid-covered services your child receives as part of his/her IEP, MA will continue
to pay for medically necessary, Medicaid-covered services that are provided to your child outside of
school.
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I understand that…
 if I give permission, I may withdraw it for future services at any time. However, it does not
negate an action that has occurred after consent was given and before the consent was
revoked.
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my refusal to give consent will not change the services my child receives under his/her
IEP.
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whether I consent or refuse, I will not have to pay for these services.
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upon request, I may receive copies of my child’s records that are disclosed as a result of
this authorization.
I give my child’s school permission to share my child’s education and health-related
information and bill Medical Assistance.
I do not give my child’s school permission to share my child’s educational and
health-related information and bill Medical Assistance.
Name of School
Student’s Full Name
IEP Meeting Date
Date of Birth
Anticipated Duration of Services
Parent/Guardian Name (print)
Parent/Guardian Signature
Date
Frequently Asked Questions
If I give consent for the school to bill MA, will it affect the services
my child receives outside of school?
No, MA will continue to pay for medically necessary health-related
services your child receives outside of school.
Will allowing the school to bill affect other benefits my child or
family receives, such as cash assistance?
No, allowing the school to bill will not affect a child’s or family’s MA
services, funds, or limits in any way.
If I consent, who else will see my child’s information?
In order to bill, DPW requires that a medical practitioner review your
child’s IEP to determine that the services are medically necessary.
Am I required to give my child’s Social Security Number?
No, your child’s Social Security Number is not required to bill MA.
Frequently Asked Questions
I signed this form at the last IEP meeting. Why am I being asked to
sign it again?
Regulations require LEAs to obtain parental consent every year, or each
time your child’s medically necessary health-related IEP services
increase or new services are added.
If I do not consent, will my child continue to receive IEP services?
Yes. Whether or not you consent, your child will continue to receive all
services as defined in his/her IEP. Your refusal will not have any
negative impact on your child’s services. However, we hope that you
give consent since these funds are important in helping LEAs pay for
many special education services.
Will my child benefit from the funds the school receives?
PDE has strict guidelines that require the reimbursement only be spent
within the special ed program. Because your child is in the special
education program, he/she will benefit from this reimbursement.
Frequently Asked Questions
How can schools use these funds?
LEAs can use the funds for many expenses within the special education
program. These include, but are not limited to: hiring and training staff,
purchasing equipment and materials such as computers, textbooks,
and assistive technology devices.
Will I have to pay a monthly premium if my child receives MA? I
recall receiving a notice to that effect.
No, the state has chosen not to charge a premium for children who qualify
for MA under PH Category 95 (disability category).
Will I have to make any co-payments?
No, there are no co-payments for school-based services.
How does the school know my child is eligible for MA?
Just like any physician or clinic, LEAs must enroll with the PA DPW as an
MA provider. This allows the LEA to access MA eligibility information.
LEAs are required by law to keep personal information confidential.
CCCS School Based ACCESS
Program Contact
East Campus
214 East 5th Street Chester, PA
19013
West Campus
2730 Bethel Rd Chester, PA 19013
Phone
610-447-0400