• 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.

    Billable Services

    • Assistive Devices
    • Audiology
    • IEP Development
    • Nursing
    • Occupational Therapy
    • Orientation & Mobility
    • Personal Care Assistant
    • Physical Therapy
    • Physician
    • Psychiatric
    • Social Work
    • Speech, Language, and Hearing
    • Teacher of the Hearing Impaired
    • Special Transportation