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School Contracts 2014

School Contracts 2014. Sandi Clark- Pediatric Section Supervisor/School Health Consultant. Contract Development. Clearly define specific roles & responsibilities of each agency Dependent upon local resources & policies Provides understanding & gives direction

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School Contracts 2014

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  1. School Contracts2014 Sandi Clark- Pediatric Section Supervisor/School Health Consultant

  2. Contract Development • Clearly define specific roles & responsibilities of each agency • Dependent upon local resources & policies • Provides understanding & gives direction • Meet with key agency personnel to assess needs & services that may be provided • Review, update & renegotiate annually

  3. Correct contract verbiage – “school satellite clinic site” • “School-based health services “are described in 907 KAR 1:175 & are Federal Medicaid Services, under the Disabilities Education Act, required by schools • Services provided at satellite clinic sites are billed through Medicaid coverage under an MCO • Do not use the term “School Health Coordinator” in contract language. This is a mandated position by the state for school districts

  4. Considerations • School districts responsible for writing own health policies & procedures • FERPA governs student education records, including health records • Key stakeholders- School Superintendent, School Health Coordinator, 504 & IEP Coordinator & Special Education Director/Coordinator • KDE is the lead agency of school health services working in conjunction with LHD’s to fulfill requirements

  5. Required Health Records702 KAR 1:160 • Immunization Certificate • New physical form (combined for initial entry & 6th grade, BMI added) • Sports physical form • Vision & Dental exam/screening forms • Screening programs – vision & hearing • Cumulative Health Records include: medication & clinical procedures, health room visits documentation, parent/guardian communication, health exams & screening information

  6. LHD Considerations • Nurse, clerk salaries, fringes, travel & training costs • Schedules , hours & supervision by LHD • Requirement of nursing substitutes • Office equipment, maintenance & repair • Job responsibilities/services to be provided • Attendance on field trips & home visits • Training requirements for nurses

  7. Individual school health policies • FERPA/HIPPA regulation (consent from signed by parents to share health information between agencies) • Maintaining school health records & IC data entry • Adequate facilities • Services provided for faculty & staff • Responsibility for providing & sending out consent form for LHD school health services • Professional liability insurance for nurses provided by LHD

  8. Delegation, training & supervision of unlicensed school personnel • Delegation of Insulin – HB 98 passed which allows for unlicensed school personnel (referred to as an non-licensed health technician) the delegation of administration of insulin, via vial/syringe, pen or pump, and carb counting • Kentucky Board of Nursing (KBN) proposed an amendment to 201 KAR 20:405 – Insulin Administration in School Setting by unlicensed assistive personnel to allow for delegation via pen & pump

  9. FERPA-HIPPA Guidance Document • Joint Guidance on the Application of the Family Educational Rights & Privacy Act (FERPA) & the Health Insurance Portability & Accountability Act of 1996 (HIPPA) for student health records (November 2008)

  10. Individual Education Plan Guidance (IEP) • All IEP service are to be billed through schools, (provider type 21) • LHD role in IEP services to be specifically written: • Will the nurse provide or not provide services • Sharing student IEP list/names • Add LHD school nurse as part of the IEP team- not always necessary, depends on service needed • If LHD provides IEP services, reimbursement mechanism needed for the LHD

  11. Contract Questions • Related to billing & coding, contact: Local Help Operations (LHO) (502) 564-6663, Option 1 LocalHealth.Helpdesk@ky.gov • Related to School Health Services: Sandi Clark (502) 564- 2154, ext. 4409 sandik.clark@ky.gov

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