The Pennsylvania School-Based ACCESS Program A 2008-2009 review for the Pennsylvania Department of Education May 2010 Presented by 2010 Leader Services
SBAP 2008-2009: A Year in Review Reimbursement Claims Rise 10 Percent SBAP continues to provide schools and school districts across the Commonwealth with a much-needed and important source of revenue. The funds allow schools to cover additional costs related to the enhancement of special education programs and services. PA schools received more than $127 million in Medicaid reimbursement during the 2008-2009 school year. This represents an increase of approximately 10 percent over the previous school year. To see a breakdown of the $127 million by school and school district, visit: www.leaderservices.com/sbapdata Attendance Jumps at Regional Trainings Training remains crucial to a successful, efficient, and integrity-driven schoolbased program. We were pleased with the 19 percent increase in attendance at the 2008-2009 regional training sessions. PDE and Leader collaborated with the PA Department of Public Welfare (DPW) staff to develop the content for the regional trainings and all parties played a key role in presenting the material, addressing concerns, and responding to questions. Audits Bring Quality Assurance to Forefront The Centers for Medicare and Medicaid Services (CMS), the federal agency charged with overseeing all Medicaid programs in the U.S., continues to audit state Medicaid programs, including school-based programs. CMS is working closely with states to ensure state Medicaid programs are in compliance with federal policies and regulations. During the 2008-2009 school year, DPW s Bureau of Program Integrity selected a few schools and conducted a review of their school-based Medicaid programs. Although quality assurance has always been a main focus of SBAP, the reviews have brought the importance of program compliance to the forefront. PDE and DPW, in conjunction with Leader Services, will continue to aggressively promote the importance of quality assurance and work closely with schools to ensure their adherence to SBAP policies and regulations. 2
A 2008-2009 review for PDE Growth History The graph below is representative of the SBAP reimbursement funds school entities recovered over the last six years. Thanks to the ongoing support of PDE and DPW, as well as the efforts of participating school entities, reimbursement under this program has continued to grow steadily. Since the inception of SBAP, school entities have recovered more than $931 million in reimbursement (more than $239 million from 1992-2003 alone). $150,000,000 $120,000,000 $90,000,000 $60,000,000 $30,000,000 2003-2004 2004-2005 2005-2006 2006-2007 2007-2008 2008-2009 $0 $79,861,594 $96,280,296 $111,044,450 $109,528,969 $114,965,468 $127,039,571 3
Services Distribution The following chart illustrates the distribution of funds by service specialty for the 2008-2009 school year. Personal Care Assistant $36,287,403 Speech $25,96,301 Occupational Therapy $13,594,029 Transportation $12,398,936 IEP $12,125,632 Other services $8,309,325 Physical Therapy $8,167,298 Psychology $5,647,225 Nursing Services $4,549,422 Other services: Hearing Impaired $3,171,326 Social Work $2,074,052 LPN $1,300,093 Orientation and Mobility $728,622 Physician $632,722 Assistive Devices $181,701 Psychiatry $130,493 Audiology/Hearing $90,316 Since the inception of the PA Administrative Time Study Program in 1994, school entities have recovered more than $108 million in federal Medicaid reimbursement (not reflected in the pie chart). 4
Contact Information Leader Services Mail: 75 Kiwanis Blvd. West Hazleton, PA 18202 Gloria Grego, Director, PA School-Based Services E-mail: ggrego@leaderservices.com Phone: 800.360.8511 Fax: 570.455.5945 George Schneider Executive Vice President E-mail: gschneider@leaderservices.com PDE Mail: 333 Market St. 7th Floor Harrisburg, PA 17126 John J. Tommasini Director, Bureau of Special Education Phone: 717.783.6134 E-mail: jtommasini@state.pa.us Roni Russell Education Consultant, PaTTAN Phone: 717.541.4960 ext. 3314 E-mail: rrussell@pattan.net Tom M. Seben Chief, Division of Compliance Monitoring and Planning - West, Bureau of Special Education Phone: 717.783.6917 E-mail: tseben@state.pa.us Elizabeth Zeisloft Special Education Advisor, Division of Compliance Monitoring and Planning - West, Bureau of Special Education Phone: 717.783.6894 E-mail: ezeisloft@state.pa.us 5