SCHOOL-BASED HEALTH CENTERS IN MISSOURI
Between school year 1995/96 and 1997/98 the number of centers rose from five to 13, and state funds increased from zero to $790,000, all coming from the state general fund. However, the number of centers has remained the same until school year 1999/2000, and state funding has been cut by approximately 50 %. Five of the state’s 13 centers are located in high schools; the remaining eight are in elementary schools. High school centers are completely funded by Medicaid administration case management monies and fee-for-service billing. The state general funds are used to support the elementary SBHCs

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 No
State requires through law, managed care contracts or regulations that Medicaid managed care provider networks inlcude SBHCs No
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 No
State requires through law, managed care contracts or regulations that SCHIP managed care provider networks inlcude SBHCs No
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? No
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? 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

 

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? No
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

 

Caring Communities (pooled funding from state agencies) $435,986

 

 

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


Contact Information:

Nela Beetem
Child and Adolescent Health Coordinator Missouri Department of Health
P.O. Box 570
Jefferson City, MO 65102
Phone: (573) 751-6213
Fax: (573) 526-5348

Related Links:

Missouri Department of Health
http://www.health.state.mo.us