Pennsylvania School-Based Access Program: SBAP101
Pennsylvania School-Based Access Program
Pennsylvania School-Based Access Program: SBAP101
SBAP Timeline
FY2020-2021 SBAP Recurring Timeline
UPDATED 9-28-2020
SBAP Enrollment and Participation
Claiming for Assistive Devices
UPDATED 2-22-2021
Medical Assistance Provider Enrollment Application
National Provider Identifier Application
Local Education Agency Agreement to Participate FY2020-2021
UPDATED 2-22-21
Electronic Signature Verification Statement (EasyTrac™)
UPDATED 6-29-17
EasyTrac™ On Behalf of Permission Agreement
MA Revalidation
Provider Type 35 MA Revalidation Application
UPDATED 11-13-19
MA Revalidation Application Tutorial and FAQ
UPDATED 11-13-19
Trainings
Training Event Calendar
MAC (Quarterly) Financials User Guide
EasyTrac Administrator Training
Watch Video
UPDATED 9-20-18
EasyTrac Administrator Manual
UPDATED 11-2020
EasyTrac Provider Training
EasyTrac End User Manual
UPDATED 9-2019
EasyTrac Provider Training (Streaming)
UPDATED 10-2020
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 2020 – 2021
Claiming for Assistive Devices
UPDATED 6-28-2017
EasyTrac Importing Template
- 9/1/2020
Compliance
Self Audit Review
SBAP Home
SBAP 101
Training Event Calendar
EasyTrac Links
Login to The Claiming System
Document Library
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