State
Policies
Table I: Policies Regarding Third 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 SCHIP |
N/A |
| State policy specifically prohibits SBHCs
from billing Medicaid |
No |
| State requires through law, managed care
contracts or regulations that Medicaid managed care
provider networks inlcude SBHCs |
No |
| State encourages through law, mangaed
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 SCHIP managed care provider
networks inlcude SBHCs |
No |
| State encourages through law, mangaed
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 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? |
Yes |
**Operating
standards in Massachusetts 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? |
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 intersts or concerns regarding
SBHCs? |
No |
| Has the state agency been asked to
provide inforamtion 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
SBHCs in their communities? |
Yes |
| Has the 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 |
State
Funds for SBHCs for School Year 1999/2000
| Tobacco Tax Dollars |
$1,950,000 |
| Tobacco Settlement Dollars |
$1,752,045 |
| Total |
$3,702,045 |
Source:
National Survey of School-Based Health Centers 2000,
Making the Grade
|
Contact Information:
Ann DeMatteis
Massachusetts Department of
Public Health
150 Tremont Street, 4th Floor
Boston, MA 02111
617.624.5473
617.624.5922 fax
Barbara Farrell
President
Massachusetts Coalition
for School-Based Health Care
759 Chestnut St.
Springfield, MA 01199
413.784.8349
413.794.8426 fax barbara.j.farrell@worldnet.att.net
Deborah Mutschler
Executive Director
Massachusetts Coalition
for School-Based Health Care
95 Berkeley Street, Suite #201
Boston, MA 02116
617.451.0049 ext.214
617.451.0062 fax
dmutschler@tmsnet.org
|
Related Links:
Massachusetts Dept. of Public Health http://www.magnet.state.ma.us/
dph/dphhome.htm
Quality Standards
states/
MA/MA-quality.asp |
|