State
Policies
Table I: Policies Regarding Third Party Payments
for SBHC Services
| SBHCs are eligiblefor services under fee-for-service
Medicaid |
Yes |
| SBHCs are eligible for service under fee-for-service
SCHIP |
Yes |
| State policy specifically prohibits SBHCs
from billing Medicaid |
No |
| State requires through law, managed care
contreacts 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 inclulde 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 include SBHCs |
No |
| State encourages through law, managed
care contracts or regualtions that SCHIP managed care
provider networks include SBHCs |
Yes |
Table II: Programs and Policies that Support SBHCs
| Is there a program unit that 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
standards for SBHCs in North Carolina are recommended.
Table III: SBHCs and Managed Care Experience
| Do any SBHCs in the state have contracts
with managed care plans? |
Yes |
| Do SBHCs participate in commercial plans? |
Yes |
| Does state law permit nurse practitioners
to paticipate 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 interests 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 agency been contacted by persons
who were worried about the opening of a SBHC in their
community? |
Yes |
| Has the 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 for State Funds for School Year 1999/2000
| State General Fund |
1,550,000 |
| Making the Grade Grant |
232,750 |
| Total |
1,782,750 |
Source:
National Survey of School-Based Health Centers 2000,
Making the Grade
|
