SCHOOL-BASED HEALTH CENTERS IN MICHIGAN
In school year 1999/2000 Michigan had 41 school-based health centers. While the number of centers has grown by 8 since 1995, state funding has held steady at about $2.9 million — all from the state’s general fund. This money helps to support about half of Michigan’s centers. The largest number of centers are concentrated in elementary schools (16), followed by high schools (14) and middle schools (12). School-based health centers in Michigan are eligible to receive Medicaid and CHIP payments; some SBHCs have negotiated contracts with managed care plans. It is one of eight states that requires centers to use operating standards designed by the state.

Descriptive Data
Types of schools housing SBHCs
Location of SBHCs


State Policies
Table I: Policies Regarding 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 Yes
State encourages through law, mangaed 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 Yes
State requires through law, managed care contracts or regulations that SCHIP managed care provider networks inlcude SBHCs Yes
State encourages through law, mangaed 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 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? Yes
Has the state established operating standards for SBHCs?* Yes
Are SBHCs licensed by state health licensing authority? No

*Operating standards in Michigan are required.

 
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? Yes
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 intersts or concerns regarding SBHCs? Yes
Has the state agency been asked to provide inforamtion on how to start, operate, or fund a SBHC? Yes
Has the state agency been contacted by persons who were worried about the opening of SBHCs in their communities? 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 $2,892,300

 

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


Contact Information:

Carrie Tarry
Coordinator, Adolescent Health Program
Michigan Department of Health
Division of Family and Community Health
P.O. Box 30195
Lansing, MI 48909
Phone: (517) 335-8906
Fax: (517) 335-8294
Email: tarryc@state.mi.us

Kathleen Conway
President, School-Community Health Alliance
Director, School-Based Health Initiative
c/o Henry Ford Health System
One Ford Place, 4A
Detroit, MI 48202
Phone: (313) 874-5483
Fax: (313) 874-4035
Email: KConway1@hfhs.org

Related Links:

Michigan Department of Community Health
http://www.mdch.state.mi.us