SBAP Enrollment

• Claiming for Assistive Devices UPDATED 6-28-2017
• Medical Assistance Provider Enrollment Application
• National Provider Identifier Application
• Local Education Agency Agreement to Participate FY2018-2019 UPDATED 6-1-18
• Electronic Signature Verification Statement (EasyTrac™) UPDATED 6-29-17
• EasyTrac™ On Behalf of Permission Agreement

Trainings

• Training Event Calendar
• EasyTrac Admin User Guide
  
• EasyTrac End-User Guide
• RMTS Admin User Guide
• MAC (Quarterly) Financials User Guide

EasyTrac Administrator Training

• Watch Video UPDATED 9-20-18

EasyTrac Provider Training

• Watch Video UPDATED 8-20-18

Authorizations and Consents

• Medical Practitioner Authorization Form for SBAP Services (Word) UPDATED 6-29-17
• Medical Practitioner Authorization Form for SBAP Services (PDF) UPDATED 6-29-17
• Medical Practitioner Authorization Form for Evaluation Services (Word) UPDATED 12-7-16
• Medical Practitioner Authorization Form for Evaluation Services (PDF) UPDATED 12-7-16
• PA Medical Assistance Billing Parental Consent
  
• PA Medical Assistance Billing Parental Notice UPDATED 11-7-17
  

Logging Services

• Service Provider Paper Logs 2018 – 2019
• Claiming for Assistive Devices UPDATED 6-28-2017
• Data Exchange Formats - EasyTrac™ Import - 6/29/2018

Compliance

• Self Audit Review