SCHOOL-BASED HEALTH CENTERS IN RHODE ISLAND

The grant from Making the Grade, along with funds from the State General Fund and the Title V Maternal and Child Health Block Grant have funded Rhode Island school-based health centers for the past two years. In school year 1999/2000, Rhode Island had seven centers, an increase of three since school year 1997/98. All of the centers are located in urban areas, and the majority (4) serve high school students. All of the centers receive at least 50% of their funding through grant funds and/or Medicaid and SCHIP payments.

Descriptive Data

Results of the Making the Grade 2000 Survey of SBHC Initiatives

Primary Care Provider
on Site
Types of Schools
Housing SBHCs

State Policies

Table I: Policies Regarding Third Party Payments for SBHCs

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 prohibts SBHCs from billing Medicaid No
State requires through law, managed care contracts or regulations that Medicaid managed care provider networks include beneficiaries 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 SBHCs managed care provider networks include beneficiaries 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 programa 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? Yes

*Operating standards for SBHCs in Rhode Island 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? 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 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? 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 Block Grant (state directed dollars) $117,000
State General Fund $72,500
Making the Grade $353,853
Total $543,353

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

State Funds for SBHCs for School Year 2001/2002

State General Fund $525,000
Total $525,000

 

Contact Information:

Rosemary Reilly-Chammat
Rhode Island Department Of Health
Three Capitol Hill, Room 302
Providence, RI 02908
Phone: 401/222-5922
Fax: 401/277-1442
email: rosemary@doh.state.ri.us

Resources:

Rhode Island Department of Health

Department of Mental Health

Department of Human Services

Report of the Special Senate Commission on School-Based Health Care, 2000 (PDF)

RI Kids Count reports:
Issue brief 11. School-Based Health Centers in Rhode Island, May 2001

Issue brief 10. Access to Dental Care for Children in Rhode Island, January 2001.