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Medicaid Reimbursement

School-based and healthcare funding pathways that reimburse eligible Medicaid-covered clinical, administrative, or support services rather than operating as traditional competitive grants.

Atlas IndexGrant Category Intelligence
Latest verification: August 30, 2026
Verified records1
Active opportunities1
Top opportunity score94/100
States represented1

GeographyPennsylvania

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Active Atlas Opportunity Score 94/100
Verified August 30, 2026

Pennsylvania Department of Human Services (DHS)

Pennsylvania School-Based ACCESS Program (SBAP) — Medicaid Reimbursement Pathway

Pennsylvania LEAs enrolled in Medical Assistance can receive ongoing Medicaid reimbursement for qualifying school-based direct health services and Medicaid-allowable administrative activities. This is a recurring reimbursement pathway rather than a competitive grant.

FundingNo fixed competitive grant pool or per-LEA award cap. Reimbursement depends on eligible Medicaid-covered school-based direct services, allowable administrative claiming, documented costs, and applicable cost-settlement rules.
DeadlineOngoing / rolling participation. Current 2026 operational milestones include September 4 for calendar/work-schedule changes, September 11 for October-December RMTS participant lists, and September 30 for remaining 2025-26 CPE forms.
Required next actionConfirm the LEA is enrolled or revalidated in Pennsylvania Medical Assistance, execute or verify the LEA Agreement to Participate, identify MA-eligible students ages 3-20 whose qualifying services are documented in an IEP or IFSP, establish required parental consent and service documentation, configure direct-service claiming and any applicable RMTS/MAC processes, and meet the current September 2026 program milestones.
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