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School Based Health Clinics

STAFF:

Celeste Bonds
School Health Coordinator

Kelli Shaw, LADAC
Substance Abuse Preventionist

Paula Reynolds, MSW
Behavioral Health Provider

Kaaren Mahan, PAC
Physical Health Provider

Steven Otero, MD
Physical Health Provider

Marissa Telles
Health Clinic Assistant

Melissa Gebhart
Substance Abuse Preventionist

REC IX
1400 Sudderth Drive
Ruidoso, NM 88345
phone: 505-258-4859
fax: 505-258-3320


The School Based Health Clinics (SBHC) operate at two locations in Lincoln County and provide services to all currently enrolled students. Students may access the clinics on their own or be referred by their school nurse, counselor, teacher, or parent.

Locations and hours are:
Ruidoso High School
Monday-Friday 8:00 a.m. to 4:00 p.m.

Ruidoso Middle School
Wednesday 8:00 a.m. to 1:30 p.m.


Local mid-level health care professionals staff eac
h of the SBHCs. The professionals are licensed to treat acute illness and prescribe some medication. When medication is necessary for a non-confidential issue, the parent or guardian will be contacted.

SBHCs Provide a Variety of Services
SBHCs provide behavioral and primary health care services as well as health education and promotion and prevention services in collaboration with primary care providers and other health care agencies. Services include diagnosis and treatment of illness or injury, health education, nutrition counseling, substance abuse services, sports physicals, immunizations, and some lab work. Confidential services such as behavioral care and family planning are also available. Signed parental consent forms must be on file at the SBHC for the student to receive care. The student's family may be contacted concerning any diagnosis or treatment and the family physician will also be informed. The student may be referred to his or her family physician, or a specialist, for any necessary follow-up care. Confidential services can be provided with the student's consent.
Increased Access to Health Care
One of the goals of the SBHC is to increase access to health care by locating and enrolling eligible students in state-funded health insurance programs such as medicaid. Other goals include decreasing student substance use/abuse and teen pregnancy and increasing school attendance by providing early intervention for health care problems.
The SBHCs are funded by Region IX Education Cooperative, the New Mexico Department of Health/Office of School and Adolesants  Health, Medicaid in the Schools, Tobacco Use Prevention and Control (TUPAC), the U.S. Office of Safe and Drug Free Schools, and the Ruidoso Municipal Schools.
The School Based Health Clinics' School Health Advisory Committee meets at least twice each year to discuss policies, procedures, and issues. The Committee is representative of youth, parents, school administration and staff, local Public Health staff, community members, and health care providers.

Medicaid in the Schools (MITS)
The Region IX Education Cooperative coordinates the use of Medicaid reimbursement funds to improve health related services for all children in the seven member school districts including Capitan, Carrizozo, Cloudcroft, Corona, Hondo, Ruidoso, and Tularosa.

Background
New Mexico schools provide a variety of health-related services to sudents. The Individuals With Disabilities Education Act (IDEA-B) and Section 504 require schools to accomodate students who have a disability and who are in need of services. The expense of these services is managed by the school districts through a combination of federal, state, and local funds.
The Medicare Catastrophic Coverage Act of 1988 (MCCA) and the Omnibus Budget Reconciliation Act of 1989 (OBRA '89) gave state Medicaid programs the authority through the Early and Periodic Screening, Diagnosis and Treatment (EPSDT) initiative to reimburse schools for the expenses of health related services including screening activities and related services provided to Medicaid eligible children as part of an Individual Education Program (IEP) or an Individual Family Service Plan (IFSP).
This program does not affect the Medicaid status of families in any manner.

Reimbursement Provides Health Services for all Children
Schools receive Medicaid reimbursement for providing a broad range of preventative and remedial health care services as described in a plan adopted by the State Human Services Department for the state of New Mexico.
A plan to address regional health care issues was developed by an advisory group of local health care providers, students, parents, and school personnel.
Some of the services/activities funded by Medicaid in the Schools include:
+Increased school nursing services in all districts.
+Behavioral health counselors.
+School social workers.
+Health-related equipment and materials.
+After school child care program.
+Personnel development and training activities for
healthcare providers.
+School Based Health Clinics
Federal Medicaid reimbursements provide the funding for the health-related services described above.


REGION IX