32.1-326.2 - Pilot school/community health centers.
§ 32.1-326.2. Pilot school/community health centers.
The Department of Medical Assistance Services, in cooperationwith the Department of Education, shall, consistent with the biennium budgetcycle, examine and may revise the funding and components of the pilot school/communityhealth centers. Any revisions shall be designed to maximize access to healthcare for poor children, and to improve the funding by making use of everypossible, cost-effective means, Medicaid reimbursement or program. Anyrevisions shall be focused on prevention of large costs for acute or medicalcare and may include, but not be limited to:
1. Funding sources and means of distribution for the statematch which will clearly demonstrate that local governments are not funding thestate match for these centers.
2. The benefits and drawbacks of allowing school divisions toprovide services to disabled students as Medicaid providers.
3. The appropriate credentials of the providers of care in theschool health centers, e.g., licensure by the Board of Education and compliancewith federal requirements or licensure by a regulatory board within theDepartment of Health Professions.
4. Utilization of the individualized education plan, whensigned by a physician, as the plan of care authorizing services.
5. Delivery of medically necessary services, such asrehabilitation services, psychiatric and psychological evaluations and therapy,transportation, and nursing.
6. Payment for Early and Periodic Screening, Diagnosis andTreatment (EPSDT) services, with proper medical oversight, in consultation withthe students' primary care physicians.
7. The role of the Medallion and Options programs in regard tothe school health centers and flexibility for school divisions regarding anyrequired referrals.
Any funds necessary to support revisions to the school/communityhealth center projects shall be included in the budget estimates for thedepartments, as appropriate.
(1996, c. 864.)