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How to Find and Develop Funding Streams |
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Third Party Billing: A Manual for California's School Health Centers |
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Funding Opportunities Alerts |
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Financing Links |
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Third Party Billing: A Manual for California’s School Health Centers
This manual is intended to help increase billing revenue and strengthen sustainability, and to aid those starting a school health center to understand potential sources of revenue. It provides tips on how to develop/improve billing practices and effectively submit billing claims. The manual covers billing for primary care services, reproductive health services, and services provided by school districts. Sample forms and effective practices for billing within the managed care system are also provided. The manual was developed jointly by CSHC and LA Care Health Plan. Follow this link to download the Third Party Billing manual (PDF), or fill out the CSHC order form to receive a complementary copy from CSHC.
Funding Opportunities Alerts - California (Members Section )
Monthly updates on potential funding for your school-based and school-linked health programs are now a CSHC membership benefit. To receive this and other CSHC member benefits, please go to our Membership page for more information.
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Financing Links |
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School Health Center Construction and Equipment Funding
We want to alert you to an important upcoming funding opportunity for construction and equipment for school-based health centers resulting from health care reform. The total funding in 2010 will be $50 million, and we are hearing that the guidelines will come out in early June 2010. The process will move quickly and applications will be accepted over the summer. There are still many questions about exactly what and who will be eligible for funding, but we urge you to begin thinking about how you might use these funds and pay close attention to our e-mails announcing the release of the guidelines. Until the guidelines are released, everything we know about this opportunity is captured in the language passed in the bill. Please see "Health Care Reform: Here's What's Passed" on our Policy page.
School-Based Health Center Funding - National
The National Assembly on School-Based Health Care provides a variety of funding resource lists, models, and financing tools on their website. Grant opportunities through the federal government, information about federal programs, such as No Child Left Behind, as well as links to private funding sources are also listed.
Guide to Medi-Cal Programs
This easy-to-use reference tool from the California Health Care Foundation provides an orientation to Medi-Cal with information on immigration, disability, the application process, services covered - and includes an Aid Code Quick Reference Guide. The guide also provides a summary of each program; a description of who is eligible and how many recipients are covered; and a listing of the corresponding aid codes. Specific sections include information on the following Medi-Cal programs: Cash-related programs; 1931(b) Medi-Cal; Programs for children; Pregnancy-related programs; Programs for the medically needy and medically indigent; Transitional and continuing coverage; and Other Medi-Cal and non-Medi-Cal programs, such as Family PACT and Healthy Families.
Overviews of Medi-Cal and Healthy Families Presentations
The California Health Care Foundation has developed two easy-to-use presentations that provide detailed information about Medi-Cal and Healthy Families: "Medi-Cal Facts and Figures: A Look at California's Medicaid Program" and "The Healthy Families Program: An Overview." Both presentations cover the basics on eligibility, enrollment, benefits, service delivery and many other program details. The presentation formats can be used by policy leaders, health care administrators, or others to include localized information.
California's Health Care Market Report
This annual report from the California HealthCare Foundation is a comprehensive data resource on health care organizations' financial results, enrollment trends, market share, and measures of utilization and effectiveness of care. The report is a comprehensive resource for: comparative statistics on health plans, hospital systems, physician organizations, and purchasers; California HMO enrollment and finances; HMO utilization and effectiveness of care measures; and Differences in the way physicians and hospitals in California organize, the role of Medi-Cal and Medicare, the involvement of private purchasers, and how health plans compete with each other.
Educational Support Opportunities
This comprehensive list of state and federal educational grants relevant to school health centers describes the funding programs, eligibility, and available funds.
Grant Alerts for School Health Programs
Current funding opportunities (nationally) for all school-related and childrens' health programs are listed on the website of the Center for Health and Health Care in Schools.
CA Teleconnect Discount
The Pacific Center for Telehealth is funded to assist community based organizations and health care clinics to obtain the 50% Teleconnect discount from their CPUC through the local phone companies.
How to Make a Case for Technology to Funders
TechSoup provides a number of articles on way to fund your technology needs.
School-Based Health Centers - Financing
Nine State Strategies to Support School-Based Health Centers - Executive Summary
School Mental Health Services Funding The Early and Periodic Screening, Diagnosis, and Treatment (EPSDT)
This
program offers reimbursement for Therapeutic Behavioral Services provided to children who qualify for full-scope Medi-Cal. The EPSDT program is administered by local county departments of mental health or behavioral health care. To learn more or find an EPSDT provider, visit the California Department of Mental Health website. Also read a case study on how Alameda County has leveraged funds to grow their EPSDT program in schools.
Consumers Union, Healthy Kids, Healthy Schools Project
This project
works with school districts in California to develop and implement outreach and enrollment strategies for California state-sponsored children's health insurance programs, Healthy Families and Medi-Cal, and other low-cost programs. For more information, visit the Healthy Kids website.
The Health Resources and Services Administration/Center for Health Services Financing and Managed Care (HRSA/HCFA)
HCFA is responsible for assuring that HRSA's programs and the underserved and vulnerable populations they serve are active and knowledgeable participants in managed care systems. Working in conjunction with each of HRSA's bureaus and offices, the Center offers a coordinated program of policy leadership, technical assistance, training, evaluation, and interagency collaboration. For more information, visit the HRSA website.
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