State
Policies
Table I: Policies regarding 3rd Party Payments for SBHC Services
| SBHCs are eligible for services under fee-for-service
Medicaid |
Yes |
| SBHCs are eligible for services under fee-for-service
S-CHIP |
No |
| State policy specifically prohibits
SBHCs from billing Medicaid |
No |
| State requires through law, managed care contracts
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 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 S-CHIP managed care provider networks
include SBHCs |
No |
| State encourages through law, managed care
contracts or regulations that S-CHIP managed care provider
networks include SBHCs |
Yes |
Table II: Programs and Policies that Support SBHCs
| Is there a program unit which 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
guidelines in Colorado are recommended.
Table III: SBHCs and Managed Care Experience
| Do any SBHCs have contracts with managed care
plans? |
Yes |
| Do any SBHCs participate in commercial plans? |
Yes |
| 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 state agency been contacted by persons
who were worried about the opening of a SBHC in their community?
|
Yes |
| Has the state agency 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 of State Funding for School Year 1999/2000:
| Title V MCH Block Grant (state directed dollars): |
$212,000 |
| Title V MCH Block Grant (local directed dollars):
|
$225,000 |
| Making the Grade Grant: |
$652,000 |
| Total: |
$864,000 |
|
