SCHOOL-BASED HEALTH CENTERS IN MAINE
In In fall 2000, 17 school-based health centers were providing services to students in Maine. State support for the centers totaled $263,000 in school year 1999/2000, all from the state general fund. While Medicaid managed care is relatively small in Maine with few health plans expressing interest in serving this rural state, state health officials report that Medicaid managed care regulations will require managed care plans to contract with centers as providers.. The school-based health center data below are drawn from the Making the Grade survey for 1999/2000.

Descriptive Data
SBHCs with primary care providers Types of schools housing SBHCs 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 Yes
State encourages through law, managed care contracts or regulations that Medicaid managed care provider networks include SBHCs Yes
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 Yes
State requires through law, managed care contracts or regulations that SCHIP managed care provider networks include SBHCs Yes

 


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? Yes
Does this office administer a grant program that supports SBHCs? Yes
Does the state have targeting guidelines for state-funded SBHCs? No
Has the state established operating standards for SBHCs? No
Are SBHCs licensed by state health licensing authority? No

 
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? No
Has the agency been contacted by persons opposed to the opening of SBHCs in the state? No
Do SBHCs assess parent and/or student satisfaction with their services? Yes

 

State Funds for SBHCs for School Year 1999/2000

 

State General Fund $263,376

 

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


Contact Information:

Nancy Birkhimer
Director
Teens & Young Adult Health Program
DMCH, Maine Department of Human Services
151 Capitol Street
Augusta, ME 04333
Phone: 207/287-5361
Fax: 207/287-3993
Email: nancy.birkhimer@dhs.state.me.us

Lisa Belanger
President, Maine Chapter of the
National Assembly on School-Based
Health Care
c/o Portland Public Health
Munjoy Health Station
134 Congress St.
Portland, ME 04101
Phone: 207/874/8988
Fax: 207/874/8920
Email: lisamole@netscape.net

Related Links:

Maine Department of Human Services
Bureau of Health

http://www.state.me.us/dhs/boh/boh001.htm