SCHOOL-BASED HEALTH CENTERS IN IOWA
Iowa experienced dramatic growth in the number of school-based health centers between 1995 and 1997, when centers increased from 2 to 18. As of 1999/2000, 26 centers were operating in the state. Most (14) of the centers are located in suburban areas. The state general fund allocates $2.8 million for the centers. Iowa still uses a variety of educational program dollars to support centers, such as the School-Based Youth Service Program, the Family Resource Centers program, and the Drop-Out Prevention Program.

Descriptive Data
 
SBHCs with primary care providers Location of SBHCs
 


State Policies
Table I: Third Party Payments for SBHC Services

SBHCs are eligible for services under fee-for-service Medicaid Yes
SBHCs are eligible for services under fee-for-service SCHIP Yes
State specifically prohibits SBHCs from billing Medicaid No
State requires through law, managed care contracts or regulations that Medicaid managed care provider networks include SBHCs No
State encourages through law, managed care contracts or regulations that Medicaid managed care provider networks include SBHCs No
State prohibits SBHCs from being paid for care provided to Medicaid managed care beneficiaries No
State requires through law, managed care contracts or regulations that SCHIP managed care provider networks include SBHCs No
State requires through law, managed care contracts or regulations that SCHIP managed care provider networks include SBHCs No

 

Table II: Programs and Policies that Support SBHCs

Is there a program unit that is responsible for providing technical assistance to communities interested in SBHCs? No
Does the state have targeting guidelines for state-funded SBHCs? Yes
Has the state established operating standards for SBHCs? Yes
Are SBHCs licensed by state health licensing authority? No

*Operating standards in Iowa are recommended.

 
Table III: SBHCs and Managed Care Experience

Do any SBHCs in the state have contracts with managed care plans? No
Do any SBHCs participate in commercial plans? No
Does state law permit nurse practitioners to participate in managed care provider networks as primary care providers? Yes

 

Table IV: SBHCs and Community Support

Has the state health department or education agency sponsored polls or organized focus groups to identify public interest and concerns regarding SBHCs? No
Has the state agency been asked to provide information on how to start, operate or fund a SBHC? Yes
Has the agency been contacted by persons who were worried about the opening of SBHCs in their community? Yes
Has the agency been contacted by persons opposed to the opening of SBHCs in the state? Yes
Do SBHCs assess parent and/or student satisfaction with their services? Yes

 

 

State Funds for SBHCs for School Year 1999/2000

 

State General Fund $2,300,000

 

Source: National Survey of School-Based Health Centers 2000,
Making the Grade


Contact Information:

Raymond Morley
Office of Educational Services for
Children, Families, and Communities
Iowa Department of Education
Grimes State Office Building
Des Moines, IA 50319-0146
Phone: 515/281-3966
Fax: 515/242-6025
Email: RMorley@max.state.ia.us

Related Links:

Iowa Department of Public Health
http://www.idph.state.ia.us