Making the Grade - Expanding and Improving School-Based Health Centers in New York

From 1994 to 2001, New York State improved its system of school-based health centers (SBHCs) by:

  • Standardizing practices at existing centers.
  • Stabilizing funding.
  • Launching additional school-based health centers with community partners.

Health Research, a nongovernmental organization in Albany, acted as the fiscal conduit for the state. A Coordinating Council helped with needs assessment and statewide planning.

The project was part of the Robert Wood Johnson Foundation (RWJF) Making the Grade: State and Local Partnerships to Establish School-Based Health Centers national program.

Key Results

During the course of the project:

  • New York Making the Grade formed partnerships with institutional providers in three local communities to launch seven new school-based health centers.
  • The total number of school-based health centers in the state grew from 140 to 160 during the project period.
  • Project staff developed and disseminated standards for school-based health centers services and staffing.
  • The state created a "carve-out" contract that enabled school-based health centers to bill Medicaid on a fee-for-service basis, rather than seek reimbursement through a managed care network.
  • In the final year, the state project office coordinated development of guidelines for school-based health centers mental health services.