|
A grant from Making
the Grade has made it possible for Vermont to open its first three
school based health centers in school year 1999/2000. Two more
centers were scheduled to open in the following school year, 2000/01.
The three open centers are located in rural areas, and all have
a primary care provider on site for less than twenty five hours
per week. All of the centers receive at least 75% of their funding
from grant funds and/or Medicaid and SCHIP payments. |
Descriptive
Data
Results
of the Making the Grade 2000 Survey of SBHC Initiatives
Types
of Schools Housing SBHCs
State
Policies
Table I: Policies Regarding Third Party Payments for SBHC
Services
| SBHCs are eligible for services through
fee-for-service Medicaid |
Yes |
| SBHCs are eligible for services through
fee-for-service SCHIP |
Yes |
| State policy specificall prohibits SBHCs
from billing Mediciad |
No |
| State requires through law, managed care
contracts or regulations that Medicaid managed care provider
networks inlcude SBHCs |
No |
| State encourages through law, managed care
contracts or regulations that Medicaid managed care provider
networks inlcude 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 requires through law, managed care
contracts or regulations that SCHIP managed care provider
networks inlcude SBHCs |
Yes |
Table II: Programs and Policies that Support SBHCs
| Is there a program unit 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 Vermont are recommended.
Table III: SBHCs and Managed Care Experience
| Do any SBHCs in the state have contracts
with managed care plans? |
No |
| 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? |
No |
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? |
Yes |
| 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? |
No |
| Has the agency been contacted to persons
opposed to the opening of SBHCs in the state? |
No |
| Do SBHCs assess parent and/or student satifaction
with their services? |
Yes |
State Funds for SBHCs for School Year 1999-2000
| Preventive Health & Health Services
Block Grant |
$500 |
| Making the Grade Grant |
$31,934 |
| Total |
$32,434 |
Source:
National Survey of School-Based Health Centers, 2000,
Making the Grade
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