SCHOOL-BASED HEALTH CENTERS IN OREGON 2000

The majority of state funding for school-based health centers came from the State General Fund, in school year 1999/2000. Oregon has 44 operating centers, 5 more than in school year 1997/1998. Most of these centers (28) provide services to high school students. Centers are eligible for payment through Medicaid and SCHIP, and state law requires that Medicaid managed care provider networks include SBHCs. The criteria used to determine where SBHCs will be located are percent of children uninsured, and percent of low-income children.

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 eligible for services through fee-for-service Medicaid Yes
SBHCs are eligible for service through fee-for-service SCHIP Yes
State policy specifically prohibits SBHCs from billing Medicaid No
State requires through law, managed care ocntracts, 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 No
State encourages 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 techinical 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 Oregon 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

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? Yes
Has the state agency been asked to provide information 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 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
State General Fund $1,259,000
Making the Grade $207,000
Total $1,466,000

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

Contact Information:
Katie Zeal
Project Coordinator
Child And Adolescent Health
Oregon Health Division
800 NE Oregon Street, #21, Suite 25
Portland, OR 97232
Phone: 503/731-4331
Fax: 503/731-4091

Jackie Rose, President
Oregon School-Based Health Center Network
1425 Beavercreek Rd
Oregon City, OR 97045
Phone: 503/657-2540
Fax: 503/650-5488
washougalrose@aol.com

Related Links:

Oregon School-Based Health Centers Report 2000

Oregon Department of
Human Resources