Billing Practices for SBHCs and SMH programs
Exit this survey 

 
We at the Center for Health and Health Care in Schools are interested in gathering information about current billing practices in school based health programs and learning more about how SBHCs and SMH programs negotiate their compliance with the Center for Medicare and Medicaid Services' (CMS) Free Care rule.

The CMS Free Care rule states that federal Medicaid matching funds are not available for payments to a provider unless the provider charges all patients for the same services being billed to Medicaid and the provider has 1) an establish a fee for each service that is available; 2) collects third party insurance information from all those served (Medicaid and non-Medicaid); and 3) the provider bills other responsible third party insurers.

We would appreciate your time in answering a brief survey. We will be posting the results on our website in a few weeks.

Thanks
Olga, Julia and Donna
1. Which of the following best describes your school based health program?
2. Is your school based health/mental health program currently billing for services?
3. If yes, please indicate who is being billed for services delivered (please check all that apply):
4. Does your program have a sliding scale fee schedule?
5. How was the sliding scale fee schedule developed?
6. Who is the sponsoring agency/organization for your school based program?
7. Does the school based health program bill families of privately insured students whose care in the school health, SBHC or SMH is considered out of network and therefore not covered?
8. If school based program is billing for care not covered/reimbursed by insurance, are families being billed the full amount of service or sliding scale fee schedule rate?
9. If the program is billing families for services not covered by insurance and the family does not pay for the services, what is the protocol?
10. Are you aware of/knowledgeable about CMS Free Care rule?
11. Has your state adopted any legislation or issued waivers that address issues of school health or school based health/mental care and billing related to compliance with the CMS Free Care rule? If so, please describe.
12. Please provide us with any other thoughts, opinions or issues related to billing in school based health setting and application of CMS free care rule.
13. What is your state?
Powered by SurveyMonkey
Check out our sample surveys and create your own now!