2002 State Survey of School-Based Health Centers Initiatives

1. Number of school-based health centers in state during school year 2001/2002.

Primary CareProvider on Site >25Hours per week Primary CareProvider on Site >25Hours per week
Totals
1999/ 2000 2001/2002 1999/2000 2001/2002 1999/2000 2001/2002
High School
Middle/Junior
Elementary
K-12
Alternative
Other
Total

2. Geographic distribution of school-based health centers in state during school year 2001/2002*

Location

Number 1999/2000

Number
2001/2002

Urban
Suburban
Rural
Total

3. Sources of state funds for school-based health centers for School Year 2001/2002.

 

Number 2001/2002

Number 2001/2002

Title V MCH Block Grant (state-directed dollars)
Title V MCH Block Grant (local- directed dollars)
Title XX Social Services Block Grant
State General Fund
Preventive Health and Health Services Block Grant
Tobacco Tax Dollars
Tobacco Settlement Dollars
Other 1 Plesae List:
Other 2 Please List:
Total

4. State programs and policies to support school-based health centers Please check Yes or No.

a. Is there a program unit which is responsible for providing technical assistance to communities interested in school-based health centers?

____ Yes _____No

b. If yes, how many people share this responsibility?
Please put a check next to the correct number.

___ 1 ___ 2 ____ 3 _____ 4 ______ 5+

c. Does your state sponsor a grant program that supports school-based health centers?

____ Yes _____No

d. If your state funds school-based health centers, which of the following criteria are used to determine where school-based health centers will be located?
(check all that apply)

Number/percent of children uninsured          _____ Yes
Number/percent of low-income children        _____ Yes
Other barriers to care, e.g. transportation     _____ Yes
Number/percent of adolescents                   _____ Yes
Other, please list ____________________________

e. Has the state established operating standards for school-based health centers? (Examples of operating standards include: Colorado: http://www.nasbhc.org/Certification.htm and
New York: http://www.health.state.ny.us/nysdoh/school/sklcont.htm )

____ Yes _____No

If you answer NO to the above question, please go directly to question f

Are they recommended? ____ Yes _____No

OR

Are they required? ____ Yes _____No

f. Are school-based health centers licensed by state health licensing authority? ____ Yes _____No

5. State policies regarding third-party payments for school-based health center services under fee-for service billing arrangements.
Please check Yes or No

a. School-based health centers (or their institutional sponsors) are eligible for reimbursement for services under fee-for-service (FFS) Medicaid

____ Yes _____No

b. Please indicate the providers working within the school-based health centers that are allowed to bill for services under Medicaid FFS (check all that apply) ____ Nurse Practitioner (NP)
____Physician (MD, DO)
____ Physician Assistant (PA)
____ Psychologist
____ Social Worker (MSW, LCSW)
____Other, please list: _____________________

c. School-based health centers (or their institutional sponsors) are eligible for reimbursement for services under fee-for-service State Children’s Health Insurance Program (SCHIP)

____ Yes _____No

d. Please indicate the providers working within the school-based health centers that are allowed to bill for services under FFS SCHIP (check all that apply)

____ Nurse Practitioner (NP)
____ Physician (MD, DO)
____ Physician Assistant (PA)
____ Psychologist
____ Social Worker (MSW, LCSW)
____ Other, please list: _____________________

e. State policy specifically prohibits Medicaid from reimbursing for services provided in school-based health centers.

____ Yes _____No

6. State policies regarding third-party payments for school-based health centers under managed care billing arrangements.

a. State requires through law, managed care contracts or regulations, that Medicaid managed care provider networks include school-based health centers ____ Yes _____No

If you answered yes, please go to question 6c.

b. State encourages through law, managed care contracts or regulations, that Medicaid managed care provider networks include school-based health centers ____ Yes _____No

c. State prohibits school-based health centers from being paid for care provided to Medicaid managed care beneficiaries ____ Yes _____No

d. State requires through law, managed care contracts, or regulations, that SCHIP managed care provider networks include school-based health centers ____ Yes _____No

If you answered yes, please go to question 7.

e. State encourages through law, managed care contracts, or regulations, that SCHIP managed care provider networks include school-based health centers ____ Yes _____No

7. School-based health centers and managed care experience

Please check Yes or No

a. Do any school-based health centers in your state have contracts with managed care plans? ____ Yes _____No

If yes, could you estimate the number of contracts with managed care plans? _____________________

b. Do any school-based health centers participate in commercial plans?
____ Yes _____No

If yes, could you estimate the number of contracts with commercial plans? _______________

c. Does state law permit nurse practitioners to participate as primary care providers in managed care networks?

____ Yes _____No

8. School-based health centers and preventive services

a. Does your state encourage or support school-based health centers?

____ Yes _______NO

If you answered NO to the above question, please go directly to question 9.

b. Please rank the following topics according to their importance for school-based health centers in your state. Please use the scale 1 – 5, with 1 being the highest priority for the school-based health centers in your state and 5 being the lowest priority for school-based health centers in your state.

Alcohol and other drug use 1 2 3 4 5
Tobacco prevention/cessation 1 2 3 4 5
Nutrition 1 2 3 4 5
Physical activity 1 2 3 4 5
HIV/STD prevention 1 2 3 4 5
Pregnancy prevention 1 2 3 4 5
Unintentional injuries 1 2 3 4 5
Violence/conflict resolution 1 2 3 4 5

Please list other priority areas: __________________________

9. School-based health centers and community support.
Please check Yes or No

a. Has the state health department or education agency sponsored polls or organized focus groups to identify public interests or concerns regarding school-based health centers?

____ Yes _____No

b. Has your state agency been asked to provide information on how to start, operate or fund a school-based health center?

____ Yes _____No

c. Has your agency been contacted by persons who were worried about the opening of an SBHC in their community?

____ Yes _____No           If yes, estimated number of contacts: _______

d. Has your agency been contacted by persons who oppose the opening of school-based health centers in the state?

____ Yes _____No

If yes, estimated number of contacts: _______

e. Do school-based health centers assess parent and/or student satisfaction with the quality of care received at the centers?

____ Yes _____No

10. Is there a state membership organization that supports the interests of school-based health centers?

____ Yes _____No