State PoliciesTable 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 |
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