SBAP Timeline

• FY2022-2023 SBAP Recurring Timeline UPDATED 9-13-2022

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 FY2022-2023 UPDATED 11-23-22
• 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 8-2022
• 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 2022 – 2023
• Claiming for Assistive Devices UPDATED 6-28-2017
• EasyTrac Importing Template - 9/1/2020

Compliance

• Self Audit Review