As in Wheelchair Handball, teams play within either junior varsity or varsity division. Junior varsity teams use an 8^½ foot hoop and a NCAA’s women’s basketball and the varsity teams use a standard 10–foot hoop and a NCAA men’s basketball. The AAASP season ends with two state Wheelchair Basketball Championships — one for varsity and one for junior varsity — where the best teams from throughout the state compete for their respective titles.

Although they are able to walk unassisted, with devices, or use manual propelled wheelchairs, all participants must compete in a manual wheelchair. Power wheelchairs are not permitted. The wheelchair is considered part of the body, offensive players are allowed four seconds in the lane and there is no double dribble.