SCHOOL-BASED HEALTH CENTERS IN NORTH CAROLINA
In school year 1999/2000, most of North Carolina’s 41 school based health centers were located in rural areas. Funding for these centers has almost doubled between school year 1997/98 and 1999/2000, due to an increase in funding through the State General Fund, and a grant awarded by Making the Grade. Centers are eligible to receive Medicaid and SCHIP payment for services, but state law does not require centers to be included in Medicaid and SCHIP managed care provider networks. In addition, some centers have contracts with managed care and commercial plans.


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: Policies Regarding Third Party Payments for SBHC Services

SBHCs are eligiblefor services under fee-for-service Medicaid Yes
SBHCs are eligible for service under fee-for-service SCHIP Yes
State policy specifically prohibits SBHCs from billing Medicaid No
State requires through law, managed care contreacts 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 inclulde 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 No
State encourages through law, managed care contracts or regualtions 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? Yes
Has the state established operating standards for SBHCs?* Yes
Are SBHCs licensed by state health licensing authority? No

*Operating standards for SBHCs in North Carolina are recommended.

Table III: SBHCs and Managed Care Experience

Do any SBHCs in the state have contracts with managed care plans? Yes
Do SBHCs participate in commercial plans? Yes
Does state law permit nurse practitioners to paticipate 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 interests or 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 a SBHC in their community? Yes
Has the 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

 

Sources for State Funds for School Year 1999/2000

State General Fund 1,550,000
Making the Grade Grant 232,750
Total 1,782,750

 

 

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


Contact Information:

Cathy DeMason
President
North Carolina Association on School-Based and School-Linked Health Centers
c/o Morehead Memorial Hospital
117 East Kings Highway
Eden, NC 27288
Phone: 336/623-9711
Fax: 336/623-2434
cdemason@morehead.org

Sandy Allen
Assistant Project Director
Department of Health and Human Services
Post Office Box 29597
Raleigh, NC 27626-0597
Phone: 919/715-3298
Fax: 919/715-3049
Sandy.Allen@ncmail.net

Related Links:

North Carolina Department of Health and Human Services
http://www.dhhs.state.nc.us

North Carolina State Guidelines
states/NC/NC-guidelines.asp

North Carolina Quality Standards
states/NC/NC-quality.asp