New York Extends Medicaid Carve-Out for SBHCs

In what is an enormous victory for the largest state school-based health care program in the country, the New York School-Based Health Alliance has successfully secured a 2.5 year extension of its Medicaid Managed Care (MMCP) carve-out for school-based health centers, which was scheduled to take place in July 2018.

Since 1985, SBHCs have been carved-out of the MMCP program, enabling them to receive reimbursement directly from the New York State Department of Health (NYS DOH) on a fee-for-service basis. Without securing this carve-out, SBHCs would have suffered reduced revenue and would have been unable to provide vital health services to the kids and teens who rely on those safety net providers.

“I am so pleased to receive this news just before we break for the holidays. This is the result of tireless committee work by NYSBHA’s policy advisor, leaders and members on behalf of the field, and I am honored to work with them all.” –Sarah Murphy, Executive Director, New York School-Based Health Alliance (NYSBHA)

New York’s 252 SBHCs deliver services to over 200,000 children in medically underserved neighborhoods including primary, dental, mental, and reproductive health care services in schools.

The carve-out is now scheduled to expire in January 2021.

Read NYSBHA’s letter to Governor Cuomo here and view his final signature here.


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