State
Policies
Table I: 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 |
Yes |
| State policy specifically prohibits SBHCs
from billing Medicaid |
No |
| State requires through law, managed care
contracts or regulations that Medicaid managed care
provider networks inlcudes SBHC |
No |
| State encourages through law, managed
care contracts or regulations that Medicaid managed
care provider networks inlcudes SBHC |
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 inlcudes SBHC |
No |
| State encourages through law, managed
care contracts or regulations that SCHIP managed care
provider networks inlcudes SBHC |
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? |
No |
| Has the state established operating standards
for SBHCs?* |
Yes |
| Are SBHCs licensed by state health licensing
authority |
Yes |
| *Operating
standards for SBHCs in Maryland are recommended.
|
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* |
*Medicaid
managed care only.
Table IV: SBHCs and Community Support
| Has the state health department or education
agency sponsored polls or organized focus groups to
tidentify public interests or concerns regarding SBHCs? |
No |
| Has the agency been asked to porvide
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 Grant (state directed dollars) |
$115,818 |
| Title V MCH Grant (local directed dollars) |
$220,161 |
| State General Fund |
$3,669,000 |
| Special Education Funds |
$500,000 |
| Total |
$4,504,979 |
Source:
National Survey of School-Based Health Centers 2000,
Making the Grade
|
