2000 Survey of School-Based Health Centers Initiatives
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1 2000 Survey of School-Based Health Centers Initiatives 1. Number of SBHCs in state during school year 1999/2000 High School Middle/Junior Elementary K-12 FT Primary Care Provider on Site >25 Hours per week Primary care providers on site <25 Hours per week TOTALS 1997/ / / / / /2000 Alternative xxxxx xxxxxxxx xxxxxxxxxx Other 2. Geographic distribution of SBHCs in state during school year 1999/2000* Location Urban Suburban Rural Number *We do not have a standard definition for geographic terms. 3. Sources of state funds for SBHCs for School Year 1999/2000 Title V MCH Block Grant (state-directed dollars) Title V MCH Block Grant (local-directed dollars) Title XX Social Service Block Grant State General Fund Preventive Health and Health Services Block Grant Tobacco Tax Dollars Tobacco Settlement Dollars Other 1-please list 1997/ /2000 xxxxxxxx xxxxxxxxx
2 Other 2-please list For questions 5 8, please estimate if you do not have exact information. Of school-based health centers receiving either grant funds or Medicaid or SCHIP payments, 5. How many receive up to 25 percent of their operating budgets from these sources: 6. How many receive between 26 percent and 50 percent of their operating budgets from these sources: 7. How many receive between 51 percent and 75 percent of their operating budgets from these sources: 8. How many receive between 76 percent and 100 percent of their operating budgets from these sources: 9. State programs and policies to support school-based health centers Please check Yes or No. a. Is there a program unit which is responsible for providing technical assistance to communities interested in SBHCs? If yes, how many people share this responsibility? Please put a check next to the correct number b. Does this office administer a grant program that supports SBHCs? c. If your state funds SBHCs, which of the following criteria are used to determine where SBHCs will be located? (check all that applies) Number/percent of children uninsured Number/percent of low-income children Other barriers to care, e.g. transportation Number/percent of adolescents Other (if answer is YES, please list) d. Does the state have targeting guidelines for state-funded SBHCs? e. Has the state established operating standards for SBHCs?
3 If you answer NO to the above question, please go directly to question f. Are they recommended? OR Are they required? f. Are SBHCs licensed by state health licensing authority? 10. State policies regarding third-party payments for school-based health center services Please check Yes or No Fee-for-service a. School-based health centers (or their institutional sponsors) are eligible for services under fee-for-service Medicaid b. School-based health centers (or their institutional sponsors) are eligible for services under fee-for-service SCHIP c. State policy specifically prohibits SBHCs from billing Medicaid Managed care d. State requires through law, managed care contracts or regulations, that Medicaid e. State encourages through law, managed care contracts or regulations, that Medicaid f. State prohibits SBHCs from being paid for care provided to Medicaid managed care beneficiaries g. State requires through law, managed care contracts, or regulations, that SCHIP Yes No h. State encourages through law, managed care contracts, or regulations, that SCHIP
4 11. SBHCs and managed care experience Please check Yes or No a. Do any SBHCs in your state have contracts with managed care plans? If yes, could you estimate how many? b. Do any SBHCs participate in commercial plans? If yes, could you estimate the number of contracts with commercial plans? c. Does state law permit nurse practitioners to participate in managed care provider networks as primary care providers? 12. SBHCs and preventive services Does your state encourage or require grantees receiving state funds to provide counseling or other services to address the following issues? Please check Yes or No. Alcohol and other drug use Yes No Nutrition Yes No Physical activity Yes No Sexual behaviors Yes No Unintentional injuries Yes No Violence Yes No 13. School-based health centers and community support. Please check Yes or No. \ a. Has the state health department or education agency sponsored polls or organized focus groups to identify public interests or concerns regarding SBHCs? b. Has your state agency been asked to provide information on how to start, operate or fund a school-based health center? c. Has your agency been contacted by persons who were worried about the opening of an SBHC in their community? If yes, estimated number of contacts: d. Has your agency been contacted by persons who opposed the opening of SBHCs in the state? If yes, estimated number of contacts: e. Do school-based health centers assess parent and/or student satisfaction with their services?
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