Texas Administrative Code
Title 25 - HEALTH SERVICES
Part 1 - DEPARTMENT OF STATE HEALTH SERVICES
Chapter 37 - MATERNAL AND INFANT HEALTH SERVICES
Subchapter T - SCHOOL-BASED HEALTH CENTERS
Section 37.538 - Standards for School-Based Health Centers
Universal Citation: 25 TX Admin Code ยง 37.538
Current through Reg. 49, No. 38; September 20, 2024
(a) Funded applicants shall comply with the following standards for school-based health centers.
(1) Community-based solutions. The funded
applicant shall facilitate collaboration among families, schools, and members
of the community to assess and meet the health needs of the community's
children and families. The funded applicant shall utilize all the following
strategies for facilitating community-based solutions:
(A) Establish or utilize a local school
health advisory council per Education Code, Title 2, Chapter 28, §28.004
to make recommendations on the establishment and operation of school-based
health centers and to assist the district in ensuring that local community
values are reflected in the operation of each center and in the provision of
health education.
(B) Establish
and/or enhance links between school personnel, school-based health center
personnel, other health/social services providers and agencies in the
community, and other supportive community sectors.
(C) Enable students and families to be
responsible decision-makers in promoting their own health and well-being,
making connections with community systems that help to prevent the social
isolation and alienation of individuals and families, and using the health care
system wisely.
(D) Require parental
involvement in and management of the health care of children receiving services
from the center; encourage parental accompaniment of any child younger than 18
years of age at visits to the center; notify the child's parent at least one
week in advance or as early as possible of the scheduled appointment; and
encourage the parent to attend the appointment.
(2) Administration. The funded applicant
shall plan and administer a school-based health center that meets the health
needs of the community's children and families by use of the following
strategies:
(A) Deliver primary and
preventive health services to children and families in a school-based
setting.
(B) Establish efficient,
client-friendly procedures for utilizing all available sources of funding to
compensate for services provided by the school-based health center, including
reimbursement from the state Medicaid program, a state children's health plan
program, private health insurance or health benefit plans. Funds received
through billing for services shall be used for operations of the school-based
health center.
(C) Contract for
provision of services at the school-based health center if necessary and
appropriate. A school-based health center shall operate under the guidance of a
medical director who is licensed by the Texas Medical Board. The medical
director shall direct medical services of the school-based health center and be
available for consultation, to see referrals, and to review charts.
(D) Develop and present a specific, detailed
plan for funding the school-based health center.
(E) Research, develop, and implement the
forms and administrative procedures necessary to remain in compliance with all
applicable and relevant legislation and regulations. Required procedures
contained in applicable legislation for operation of school-based health
centers include but are not limited to the following:
(i) provision of services to a student only
if the school-based health center has obtained written consent to the services
from the student's parent within the one-year period preceding the date on
which the services are provided, and the consent has not been
revoked;
(ii) joint identification
by school-based health center staff and the student's parent of any
health-related concerns of the student that may affect the student's health
and/or success in school;
(iii)
provision of neither reproductive services, counseling, nor referrals through
the school-based health center receiving grant funds awarded under this
subchapter;
(iv) provision of all
services by only appropriately licensed, certified, or credentialed
professionals as required by law;
(v) referral of a student for mental health
services only upon notification of and with the written consent of the
student's parent, which must be followed by written consent by the student's
parent for each treatment occasion(s) authorized by the provider, including
informed consent when required for specific services;
(vi) a good faith effort by staff of a
school-based health center to identify and coordinate with existing health care
providers;
(vii) provision of
notice by the staff of the school-based health center to the primary care
physician of a student who has received services;
(viii) coordination by the staff of the
school-based health center with the primary care physician concerning the
clinical treatment of any person who has a primary care physician under the
state Medicaid program or another health plan and obtaining authorization
before delivering a service;
(ix)
utilization of all available sources of funding to compensate for services
provided by a school-based health center;
(x) conduct client surveys in school-based
health centers by funded applicants; and
(xi) documentation in the student's medical
record of the school-based health center's efforts to involve the student's
parent in identification of the student's health-related concerns; notification
of the student's parent of scheduled appointments and proposed services;
coordination with the student's primary care physician; and maintenance of
written consent for treatment by the student's parent, including informed
consent when required for specific services.
(3) Emphasis on prevention. A funded
applicant shall provide for primary emphasis on the delivery of primary health
services and secondary emphasis on the implementation of population-based
models that prevent emerging health threats by use of the following strategies:
(A) increasing substantially the number of
children in the community with health-care (medical) homes;
(B) facilitating access to appropriate
primary and preventive care for children;
(C) educating, enabling, and empowering
individuals for healthier lifestyles;
(D) involving the community in identifying
priorities and developing health promotion strategies; and
(E) relying on the evidence of effective
prevention to develop interventions that can demonstrate impact.
(4) Focus on outcomes. A funded
applicant shall focus on the achievement of outcomes that can be documented,
using the following strategies:
(A)
delivering primary health services and disease prevention of emerging health
threats through access to appropriate primary and preventive care for children
through a program designed to achieve the following goals:
(i) a reduction in student absenteeism with
an emphasis on students with chronic conditions that use the school-based
health center and drop-out rates;
(ii) an increase in each student's ability to
meet his or her academic potential; and
(iii) an increase in the health of students
through preventive health measures including immunizations, and routine
physical examinations including checkups conducted in accordance with the Texas
Health Steps program.
(B) A funded applicant shall research,
document, analyze, and evaluate outcomes, including the goals listed in
subparagraph (A) of this paragraph, by activities that include but are not
limited to the following:
(i) gathering data
and statistics, monitoring outcomes, and producing data by use of quantitative
measurement systems to report on project impact as required by the Request For
Proposals;
(ii) providing quarterly
and annual reports as required by the department;
(iii) conducting client surveys and other
qualitative measures of client satisfaction; and
(iv) producing an annual written report that
includes but is not limited to a narrative description of goals accomplished,
numbers of students served, summary and outcomes of performance measures,
results from client satisfaction surveys, any available statistics related to
increased academic success, at least one story from consumers describing the
impact of the school-based health center, and plan for sustaining the center
after the final year of grant funding.
(b) Compliance. A funded applicant shall comply with standards required by Education Code, Chapter 38, Subchapter B, and provide to the department annually a statement signed by a representative of the school district and the local school health advisory council stating that the district and the local school health advisory council have made a good faith effort to meet all requirements of the department.
Disclaimer: These regulations may not be the most recent version. Texas may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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