In school year 1999/2000, New York had the greatest number of school-based health centers in the United States, with 159 operating centers. A large proportion of these centers (84) serve elementary school children, and most of the centers (134) are located in urban areas. Centers receive almost $10 million in state funds; approximately half of this money comes from the state general fund. New York also has a hospital based grant fund which provides additional funding to centers. New York is one of the few states to require Medicaid, by law, to include SBHCs in their managed care provider networks. However, few if any SBHCs and managed care plans have negotiated contracts. Currently the state is maintaining a carve-out for SBHCs, and the centers are reimbursed by the state on a fee-for-service basis.

Descriptive Data

Results of the Making the Grade 2000 Survey of SBHC Initiatives

Types of Schools
Housing SBHCs

Location of SBHCs

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 No
State policy specifically prohibits SBHCs from billing Medicaid No
State requires through law, managed care contracts or regulations that Medicaid managed care provider networks inculde SBHCs Yes
State policy prohibits SBHCs from being paid for care provided to Medicaid Managed care beneficiaries No
State requires through law, managed care contracts or regualtions the SCHIP managed care provider networks include SBHC Yes

Table II: Programs and Policies to Support SBHCs

Is there a program unit that is responsible for provding 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 for SBHCs in New York 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 interest and 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 abou the opening of a SBHC in their community? No
Has the agency been contacted by persons who opposed the opening of SBHCs in the state? No
Do SBHCs access parent and/or student satisfaction with their services? Yes

State Funds for SBHCs for School Year 1999/2000

Title V MCH Block Grant (state directed dollars) $3,395,000
State General Fund $4,261,000
Hospital Based Grants Account $2,178,000
Total $9,834,000

Source: National Survey of School-Based Health Centers 2000, Making the Grade

Contact Information:

Annette Johnson
Director, School Health Program
Bureau Of Child And Adolescent Health
Corning Tower Building, ESP
Albany, NY 12237
Phone: 518/486/4966
Fax: 518/474/5445

David Appel
School-Based Health Program Director
Montefiore Medical Center
The University Hospital for the Albert Einstein College of Medicine
3544 Jerome Avenue
Bronx, NY 10467
(718) 920-6063
(718) 515-7741 fax

Related Links:

Guidelines for Contracting with Managed CareService, Operating, and Targeting Guidelines

New York Department of Health

NY Partners for Children

Department of Health SBHC Guidelines

NY Department of Health. SBHCs Mental Health Work Group Final Report, Summer 200l: