The district's school health services program shall meet, or have a plan to meet, the following requirements: (Health and Safety Code 124174.6)
1. Strive to provide a comprehensive set of services including medical, oral health, mental health, health education, and related services in response to community needs
2. Provide primary and other health care services, provided or supervised by a licensed professional, which may include all of the following:
a. Physical examinations, immunizations, and other preventive medical services
(cf. 5141.26 - Tuberculosis Testing)
(cf. 5141.3 - Health Examinations)
(cf. 5141.31 - Immunizations)
(cf. 5141.32 - Health Screening for School Entry)
b. Diagnosis and treatment of minor injuries and acute medical conditions
c. Management of chronic medical conditions
(cf. 5141.23 - Asthma Management)
d. Basic laboratory tests
e. Referrals to and follow-up for specialty care
f. Reproductive health services
(cf. 5141.25 - Availability of Condoms)
g. Nutrition services
(cf. 3550 - Food Service/Child Nutrition Program)
(cf. 5030 - Student Wellness)
h. Mental health services, provided or supervised by an appropriately licensed mental health professional, which may include assessments, crisis intervention, counseling, treatment, and referral to a continuum of services including emergency psychiatric care, community support programs, inpatient care, and outpatient programs
The Superintendent or designee shall collaborate with the county mental health department in planning and service delivery.
(cf. 1020 - Youth Services)
(cf. 5131.6 - Alcohol and Other Drugs)
(cf. 5141.52 - Suicide Prevention)
(cf. 6164.2 - Counseling/Guidance Services)
i. Oral health services that may include preventive services, basic restorative services, and referral to specialty services
3. Work in partnership with the school nurse, if one is employed by the school or district, to provide:
a. Individual and family health education
b. School or districtwide health promotion
c. First aid and administration of medications
(cf. 5141.21 - Administering Medication and Monitoring Health Conditions)
d. Facilitation of student enrollment in health insurance programs
e. Screening of students to identify the need for physical, mental, and oral health services
f. Referral and linkage to services not offered on-site
g. Public health and disease surveillance
h. Emergency response procedures
(cf. 5141 - Health Care and Emergencies)
4. Have a written contract or memorandum of understanding between the district and the health care provider or any other community provider that ensures coordination of services, confidentiality of health information consistent with applicable federal and state laws, and integration of services into the school environment
(cf. 3312 - Contracts)
5. Serve all students in the school regardless of ability to pay
6. Be open during all normal school hours, except that services may be provided on a more limited basis if resources are not available or on a more expansive basis if dictated by community needs and resources are available
7. Establish protocols for referring students to outside services when the school health center is closed
8. Facilitate transportation between the school and the health center if the health center is not located on school or district property
Medi-Cal Billing
In order to provide services as a Medi-Cal provider, the district may enter into and maintain a contract with the California Department of Health Care Services (DHCS). (Welfare and Institutions Code 14132.06; 22 CCR 51051, 51270)
The Superintendent or designee shall submit a claim for Medi-Cal reimbursement whenever the district provides a covered preventive, diagnostic, therapeutic, or rehabilitative service specified in 22 CCR 51190.4 or 51360 to a Medi-Cal-eligible student under age 22 and/or a member of his/her family. (Welfare and Institutions Code 14132.06; 22 CCR 51096, 51098, 51190.1, 51190.4, 51309, 51360, 51535.5)
(cf. 5141.24 - Specialized Health Care Services)
(cf. 6159 - Individualized Education Program)
The district shall maintain records including, but not limited to, records of the type and extent of services provided to a Medi-Cal beneficiary in accordance with law. (22 CCR 51270)
(cf. 3580 - District Records)
(cf. 5125 - Student Records)
The Superintendent or designee shall ensure that all practitioners employed by or under contract with the district possess the appropriate license, certification, registration, or credential and provide only those services that are within their scope of practice. (22 CCR 51190.3, 51270, 51491)
Any federal funds received by the district as reimbursement for the costs of services under the Medi-Cal billing option shall be reinvested in services for students and their families as specified in Education Code 8804(g). The Superintendent or designee shall consult with a local school-linked services collaborative group, such as that defined in Education Code 8806, regarding decisions on reinvestment of federal funds. (22 CCR 51270)
Medi-Cal Administrative Activities
Designated school staff shall document, on a time survey form, the amount of time spent on activities identified by DHCS which are related to the administration of the Medi-Cal program. Such activities include, but are not be limited to:
1. Outreach
2. Referral of health and mental health services
3. Translation services
4. Facilitation of applications
5. Scheduling and arranging emergency and medical transportation of eligible individuals
6. Contracting for services
7. Program planning and policy development
8. Claims administration
9. General administration
The Superintendent or designee shall, on a quarterly basis, submit an invoice to the local educational consortium or local governmental agency through which the district has contracted to receive reimbursement.
Staff responsible for completing the time survey shall annually participate in training regarding eligible activities and the time survey methodology, and shall receive additional training whenever there are changes or updates in administrative claiming categories and activities. New or reassigned staff shall receive training before beginning their duties completing time surveys.
The Superintendent or designee shall maintain an audit file containing original time survey documentation and other records specified by DHCS. Such documentation shall be kept for three years after the end of the quarter in which expenditures were incurred or, if an audit is in progress, until the completion of the audit.
Regulation COLLEGE SCHOOL DISTRICT
approved: April 23, 2009 Santa Ynez, California