SCHOOL-BASED HEALTH CENTERS IN VERMONT 2000

A grant from Making the Grade has made it possible for Vermont to open its first three school based health centers in school year 1999/2000. Two more centers were scheduled to open in the following school year, 2000/01. The three open centers are located in rural areas, and all have a primary care provider on site for less than twenty five hours per week. All of the centers receive at least 75% of their funding from grant funds and/or Medicaid and SCHIP payments.

Descriptive Data

 

Results of the Making the Grade 2000 Survey of SBHC Initiatives
Types of Schools Housing 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 services through fee-for-service SCHIP Yes
State policy specificall prohibits SBHCs from billing Mediciad No
State requires through law, managed care contracts or regulations that Medicaid managed care provider networks inlcude SBHCs No
State encourages through law, managed care contracts or regulations that Medicaid managed care provider networks inlcude 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 requires through law, managed care contracts or regulations that SCHIP managed care provider networks inlcude SBHCs Yes

Table II: Programs and Policies that Support SBHCs

Is there a program unit 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? No
Has the state established operating standards for SBHCs?* Yes
Are SBHCs licensed by state health licensing authority Yes

*Operating standards for SBHCs in Vermont are recommended.

Table III: SBHCs and Managed Care Experience

Do any SBHCs in the state have contracts with managed care plans? No
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? No

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? Yes
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 to persons opposed to the opening of SBHCs in the state? No
Do SBHCs assess parent and/or student satifaction with their services? Yes


State Funds for SBHCs for School Year 1999-2000

Preventive Health & Health Services Block Grant $500
Making the Grade Grant $31,934
Total $32,434

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


Contact Information:

Dawn Chittenden
Vermont Agency of
Human Services
103 South Main Street
Waterbury, VT 05671
Phone: 802/241-4414
Fax: 802/241-2227

Related Links:

Vermont Agency of Human Services
http://www.ahs.state.vt.us/

Department of Health
www.state.vt.us/health

Department of Prevention, Transition, Assistance, & Health Access
www.dsw.state.vt.us

Departmnet of Developmental and Mental Health Services
www.state.vt.us/dmh

Quality Standards
states/VT/VT-quality.asp