SCHOOL-BASED HEALTH CENTERS IN MARYLAND
In school year 1999/2000 Maryland was home to 59 school-based health centers, increased from 43 since school year 1997/1998. The state general fund was the greatest monetary contributor to these centers. The Title V Maternal and Child Health Block Grant provided additional funding. Centers are also allowed to receive Medicaid and SCHIP payments for services. Most of the centers (29) are located in elementary schools. The centers are far more evenly distributed in terms of geographic location compared to most other states, with 22 in urban areas, 21 in suburban, and 16 in rural areas.

Descriptive Data Results of the Making the Grade 2000 Survey of SBHC Initiatives

Primary Care Providers
on Site

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 policy specifically prohibits SBHCs from billing Medicaid No
State requires through law, managed care contracts or regulations that Medicaid managed care provider networks inlcudes SBHC No
State encourages through law, managed care contracts or regulations that Medicaid managed care provider networks inlcudes SBHC 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 inlcudes SBHC No
State encourages through law, managed care contracts or regulations that SCHIP managed care provider networks inlcudes SBHC Yes

Table II: Programs and Policies that Support SBHCs

Is there a program unit which 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?* Yes
Are SBHCs licensed by state health licensing authority Yes

 

*Operating standards for SBHCs in Maryland are recommended.

 

Table III: SBHCs and Managed Care Experience

Do any SBHCs in the state have contracts with managed care plans? Yes
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*

*Medicaid managed care only.

Table IV: SBHCs and Community Support

Has the state health department or education agency sponsored polls or organized focus groups to tidentify public interests or concerns regarding SBHCs? No
Has the agency been asked to porvide 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 a SBHC 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

 

Title V MCH Grant (state directed dollars) $115,818
Title V MCH Grant (local directed dollars) $220,161
State General Fund $3,669,000
Special Education Funds $500,000
Total $4,504,979

 

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


Contact Information:

Donna Behrens, MPH, RN
Governor’s OCYF
301 West Preston Street
Suite 1502
Baltimore, MD 21201
Phone: 410/225-6207
Fax: 410/333-5248
Donna@mail.ocyf.state.md.us

Penny Weinhold
President
Maryland Assembly on
School-Based Health Care
PO Box 42211
Baltimore, Maryland 21286
Phone: 410/823-6091
Fax:410/828/1657
lpwin@aol.com

Related Links:
Highlights of Maryland’s Annual Report 1997-98
Maryland School-Based Health Centers BrochureMaryland Community and Public Health Administration

Maryland Department of Health and Mental Hygiene

Maryland Department of the Environment

Maryland School-Based Health Center Initiative. Annual report, 1998-1999