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    Maryland Council on Advancement of School–Based Health Centers

    The Maryland Council on Advancement of School-Based Health Centers has issued its annual report for calendar year 2022.  Key deliverables of the Council during 2022 included:

    • Council recommendations helped to inform a number of activities implemented by the Maryland Department of Health’s Bureau of Maternal and Child Health as the SBHC program was moved to the Bureau.  These include: increased staffing, implementation of a statewide SBHC Needs Assessment, infrastructure grants to SBHCs, support for SBHCs to become COVID-19 vaccination sites, alignment of program activities with asthma-related SIHIS goals, and supporting more robust utilization of the Chesapeake Regional Information System for our Patients (CRISP) by SBHCs.
    •  The Council worked with the Bureau of Maternal and Child Health to update the Maryland SBHC Standards.  Key priorities of the Council include: focusing the Standards on minimum requirements only; developing a series of toolkits and/or appendices to provide supplementary information, recommendations, and helpful resources; clarifying requirements related to mental health and immunization services; clarifying and supporting continuous quality improvement requirements; and eliminating SBHC service “levels.”  The Council also contributed to the SBHC program’s vision and mission in the Standards. 
    •  The Council developed recommendations to increase SBHC revenues generated through billing.  Recommendations that can be implemented in the short-term under the existing reimbursement framework include:  training and technical assistance to improve claims submissions and utilize existing codes more robustly; training and technical assistance to support SBHC utilization of CRISP; and facilitating collaboration between SBHCs and Maryland Medicaid Managed Care Organizations (MCOs).  In the medium term, the Council recommends a regulatory change to permit SBHCs to bill for sports physicals; guidance to direct Maryland Medicaid MCOs not to send adverse benefit determination letters in cases where there is no member liability, development of an alternative model for SBHCs to provide vaccinations, and support for a potential pilot program to study value-based purchasing.  Ultimately, the Council supports an innovative Medicaid reimbursement model in which services performed at SBHCs are reimbursed by Medicaid at a higher rate than similar services performed elsewhere, analogous to the reimbursement structure for Federally Qualified Health Centers (FQHCs); value-based purchasing; and Medicaid reimbursement for care coordination activities.​


    The Maryland Community Health Resources Commission and the Council on Advancement of School-Based Health Centers partnered with Harbage Consulting LLC to develop a white paper​ on demonstrating the value of SBHCs in Maryland. Harbage Consulting found that SBHC stakeholders are committed to providing high quality services to children and reducing barriers to care. SBHCs fill a critical role in the health care system by providing needed acute and ongoing physical and mental health services to children in Maryland schools, particularly in underserved areas.

    The Maryland Council on Advancement of School-Based Health Centers was created in legislation​ approved by the Maryland General Assembly in 2015. The purpose of the Council is to improve the health and educational outcomes of students who receive services from school-based health centers (SBHCs). The Council is responsible for advancing the integration of SBHCs into (1) the health care system at the state and local levels and (2) the educational system at the state and local levels. The Council develops specified policy recommendations to improve the health and educational outcomes of students who receive services from SBHCs.

    In 2017, the Maryland General Assembly approved legislation that transferred the staffing responsibilities of the Council from the Maryland State Department of Education to the Department of Health. Under the legislation, the Maryland Community Health Resources Commission (CHRC) provides staffing support for the Council and is permitted to seek the assistance of organizations with expertise in school-based health care to support the work of the Council. The Council will report specified findings and recommendations to the Department of Health, the Department of Education and the CHRC by December 31 of each year. 

    In addition to staffing the Council, the CHRC has provided a number of grants to support SBHCs and school health programs.  For more information, click here​​.

    ​Membership:

    The Council is led by its Chair, Kate Connor, M.D., MSPH, and its Vice-Chair, Patryce Toye, M.D. The Gubernatorial appointees to the Council are as follows:

    Kate Connor, M.D., MSPH, Chair, representing school-based health care centers

    Patryce Toye, M.D., Vice-Chair, representing Maryland Assembly on School-Based Health Care

    Cathy Mary C. Allen, representing Maryland Association of Boards of Education

    Christina M. Bartz, representing Federally Qualified Health Centers​

    Sean Bulson, Ed.D., representing Public School Superintendents Association of Maryland

    Gabriella Gold, representing commercial health insurance carriers

    Diana Fertsch, M.D., representing Maryland Chapter of American Academy of Pediatrics

    Joan Glick, representing Maryland Assembly on School-Based Health Care

    Jean-Marie Kelly, representing the Maryland Hospital Association

    Arethusa S. Kirk, M.D., representing managed care organizations

    Scott Steffan, representing an elementary school with a SBHC

    Rick Robb, representing a secondary school with a SBHC​

    Maura J. Rossman, M.D., representing the Maryland Association of County Health Officers

    The Council currently has two vacancies:  for the parent of a child served by a SBHC and a representative of the Maryland Assembly on School-Based Health Care.

    Council Workgroups: 

    Systems Integration and Funding Work Group, chaired by Dr. Maura Rossman

    The Priorities of the System Integration and Funding Work Group are to: (1) Understand local and national models for system integration and funding for SBHC; (2) Identify ways that SBHCs are leveraging resources and coordinating care across state and local agencies and service providers; (3) Identify the funding and service linkages between MSDE, DHMH, DHS, and other public agencies; (4) Clarify the roles and improve the coordination across and within agencies (state and local) making sure systems are aligned to make the SBHC initiative sustainable longterm; and (5) Review current SBHC RFP and application process to identify ways to improve the review and approval of SBHC.​

    ​Data Collection and Reporting Work Group, co-chaired by Joy Twesigye and Cathy Allen

    The priorities of the Data Collection and Reporting Work Group are to: (1) Establish performance measures to present the impact of SBHCs on health and education outcomes of students; (2) Identify opportunities to link SBHC utilization data to educational outcomes; (3) Identify opportunities to better capture data for substance abuse and behavioral health services; and (4) Develop a trend analysis to understand the impact of SBHC over time by jurisdiction and population served​.

    Quality and Best Practices Work Group, chaired by Jean-Marie Kelly and Patryce Toye, M.D.

    The priorities of the Quality and Best Practices Work Group are to: (1) Revise the SBHC standards; (2) Study SBHC sponsorship models employed in Maryland and nationally; (3) Understand current approaches to coordination of care and determine gaps in the provision of care (somatic, substance abuse and behavioral health services); and (4) Identify effective, sustainable business models – state and national best practices​.​​​​​

    ​Meeting Dates, Agendas, and Meeting Minutes of Council and its Work Groups

    ​Upcoming Meetings


    Full Council: 
    April 25, 2023 12:00-2:00


    CASBHC | Systems Integration and Funding Workgroup [Standing Meeting]
    Thursday, April 27 · 3:00 – 4:00pm
    Google Meet joining info
    Video call link: https://meet.google.com/xvf-gknv-uzf
    Or dial: ‪(US) +1 484-841-5074‬ PIN: ‪160 687 602‬#
    More phone numbers: https://tel.meet/xvf-gknv-uzf?pin=4634086400586






    For information about the Council, contact

    Lorianne Moss lorianne.moss@maryland.gov 

    410-456-6525 or 

    Mark Luckner mark.luckner@maryland.gov

     410-260-6290 


    Prior Meetings - Full Council

    December 1, 2022

    September 12, 2022

    March 1, 2022

    November 18, 2021

    ​September 27, 2021

    June 8, 2021

    ​​February 8, 2021

    December 7, 2020

    • Agenda​​​​​​​​​​​​​​​

    October 22, 2020

    • Agenda​​​​​​​​​​​​​​

    July 13, 2020

    • Agenda​​​​​​​​​​​​​

    April 14, 2020

    • Agenda​​​​​​​​​​​​

    January 27, 2020

    November 14, 2019

    October 7, 2019

    July 23, 2019

    June 3, 2019

    March 4, 2019

    November 19, 2018

    October 1, 2018

    April 16, 2018 

    February 5, 2018

    November 20, 2017

    ​September 11, 2017

    April 24, 2017

    December 9, 2016

    November 1, 2016

    September 30, 2016

    August 23, 2016


    Prior Work group Meetings - (Scroll)

    ​Ad-Hoc Pandemic Work Group

    June 25, 2020

    May 5, 2020

    April 27, 2020

    Ad-Hoc Vision Statement Work Group

    May 27, 2021

    May 13, 2021

    April 29, 2021

    April 15, 2021

    March 15, 2021

    Data Collection and Reporting Work Group

    July 14, 2021

    June 2, 2020

    May 14, 2020

    April 26, 2019

    February 21, 2019

    August 14, 2018

    April 3, 2018

    December 21, 2017​

    October 23, 2017
    October 13, 2017
    August 14, 2017
    July 31, 2017
    June 28, 2017​


    Systems Integration and Funding Work Group​

    January 17, 2023
    November 15, 2022
    October 18, 2022
    September 20, 2022
    August 16, 2022

    May 17, 2022​​

    April 19, 1:30-2:30 ​ 

    December 14, 2021

    November 2, 2021

    October 5, 2021

    ​September 14, 2021

    August 2, 2021

    July 26, 2021

    February 1, 2021

    January 4, 2021

    November 2, 2020

    October 5, 2020

    September 7, 2020

    June 1, 2020

    April 6, 2020

    March 2, 2020

    February 3, 2020

    May 6, 2019

    April 1, 2019

    February 21, 2019

    September 7, 2018

    May 14, 2018

    April 2, 2018

    January 26, 2018

    October 3, 2017​

    August 14, 2017​
    June 26, 2017

     

    Quality and Best Practices Work Group
    January 20, 2023​

    October 17, 2022

    September 19, 2022
    August 24, 2022
    July 18, 2022
    May 16, 2022​

    April 18, 2022​

    March 21, 2022

    January 24, 2022

    November 22, 2021  

    July 26, 2021

    June 28, 2021

    January 25, 2021

    November 23, 2020

    August 24, 2020

    July 27, 2020

    June 22, 2020

    April 27, 2020

    March 23, 2020

    February 24, 2020

    April 29, 2019

    March 25, 2019

    February 11, 2019

    January 25, 2018​

    October 27, 2017


    ​​​​​​