AR 5141.6 — SCHOOL HEALTH SERVICES

Students AR 5141.6(a)

SCHOOL HEALTH SERVICES

Types of Health Services

In accordance with student and community needs and available resources, school health
services offered by the District may include, but are not limited to:

1. Physical examinations, immunizations, and other preventive medical services

(cf. 5141.26 - Tuberculosis Testing)
(cf. 5141.3 - Health Examinations)
(cf. 5141.31 - Immunizations)
(cf. 5141.32 - Health Screening for School Entry)

2. First aid and administration of medications

(cf. 5141.21 - Administering Medication and Monitoring Health Conditions)

3. Diagnosis and treatment of minor injuries and acute medical conditions

4. Management of chronic medical conditions

(cf. 5141.23 - Asthma Management)

5. Basic laboratory tests

6. Referrals to and follow-up for specialty care

7. Emergency response procedures

(cf. 5141 - Health Care and Emergencies)

8. Nutrition services
(cf. 3550 - Food Service/Child Nutrition Program)
(cf. 5030 - Student Wellness)

9. Oral health services that may include preventive services, basic restorative
services, and referral to specialty services
(cf. 5145.6 - Parental Notifications)

10. Mental health services, provided or supervised by an appropriately licensed mental
health professional, which may include assessments, crisis intervention,
counseling, treatment, and referral to a continuum of services including emergency
psychiatric care, community support programs, inpatient care, and
outpatient programs
 AR 5141.6(b)
SCHOOL HEALTH SERVICES (cont.)

The Superintendent or designee shall collaborate with the county mental health
department in planning and service delivery if the District contracts with the California
Department of Health Care Services (DHCS) in order to provide services as a Medi-Cal
provider.

(cf. 1020 - Youth Services)
(cf. 5131.6 - Alcohol and Other Drugs)
(cf. 5141.52 - Suicide Prevention)
(cf. 6164.2 - Counseling/Guidance Services)

11. Substance abuse prevention and intervention services

(cf. 5131.6 - Alcohol and Other Drugs)
(cf. 5131.62 - Tobacco)
(cf. 5131.63 - Steroids)

12. Vision and audiology services

13. Screening of students to identify the need for physical, mental, and oral health
services

14. Reproductive health services

15. Specialized health care services for students with disabilities

16. Have a written contract or memorandum of understanding between the District
and the health care provider or any other community provider that ensures
coordination of services, confidentiality of health information consistent with
applicable federal and state laws, and integration of services into the school
environment
(cf. 3312 - Contracts)

17. Serve all students in the school regardless of ability to pay

18. Be open during all normal school hours, except that services may be provided on
a more limited basis if resources are not available or on a more expansive basis if
dictated by community needs and resources are available

19. Referrals and linkage to services not offered on-site

20. Establish protocols for referring students to outside services when the school
health center is closed

21. Public health and disease surveillance
 AR 5141.6(c)
SCHOOL HEALTH SERVICES (cont.)

22. Facilitate transportation between the school and the health center if the health
center is not located on school or District property

23. Individual and family health education

24. School or Districtwide health promotion

25. Targeted case management

Medi-Cal Billing

In order to provide services as a Medi-Cal provider, the District shall enter into and
maintain a contract with the California Department of Health Care Services (DHCS).
(Welfare and Institutions Code 14132.06; 22 CCR 51051, 51270)

The Superintendent or designee shall ensure that all practitioners employed by or under
contract with the District possess the appropriate license, certification, registration, or
credential and provide only those services that are within their scope of practice. (22 CCR
51190.3, 51270, 51491)

The Superintendent or designee shall submit a claim for Medi-Cal reimbursement
whenever the District provides a Medi-Cal-eligible student under age 22 and/or a member
of the student’s family, a covered service specified in 22 CCR 51190.4 OR 51360.
(Welfare and Institutions Code 14132.06; 22 CCR 51096, 51098, 51190.1, 51190.4,
51309, 51360, 51535.5)

The District shall maintain records and supporting documentation including, but not
limited to, records of the type and extent of services provided to a Medi-Cal beneficiary in
accordance with law. (22 CCR 51270, 51476)

(cf. 3580 - District Records)
(cf. 5125 - Student Records)

Any federal funds received by the District as reimbursement for the costs of services
under the Medi-Cal billing option shall be reinvested in services for students and their
families as specified in Education Code 8804(g). The Superintendent or designee shall
consult with a local school-linked services collaborative group, such as that defined in
Education Code 8806, regarding decisions on reinvestment of federal funds. (22 CCR
51270)

The Superintendent or designee shall submit an annual report to DHCS to identify
participants in the community collaborative, provide a financial summary including
reinvestment expenditures, and describe service priorities for the future. (22 CCR 51270)
 AR 5141.6(d)
SCHOOL HEALTH SERVICES (cont.)

Medi-Cal Administrative Activities

The District shall apply for reimbursement for activities identified by DHCS which are
related to the administration of the Medi-Cal program. Such activities include, but are not
be limited to, outreach, translation for Medi-Cal services, facilitation of applications,
arrangement of nonemergency and nonmedical transportation of eligible individuals,
program planning and policy development, claims coordination and administration,
training, and general administration.

Appropriate staff receive training in administrative claiming categories and related
activities.

To receive reimbursement for Medi-Cal administrative activities, the Superintendent or
designee shall, on a quarterly basis, submit an invoice to the local educational consortium
or local governmental agency through which the District has contracted.

In addition, the Superintendent or designee shall submit to the local educational
consortium or local governmental agency, and shall update each quarter, a roster of all
employees who perform direct Medi-Cal services or administrative activities. When
notified by the local educational consortium or local governmental agency of the date and
time that a random-moment time survey must be conducted by a particular employee,
the Superintendent or designee shall coordinate the completion and submission of the
survey in accordance with DHCS timelines and procedures.

The Superintendent or designee shall maintain an audit file containing random-moment
time survey documentation and other records specified by DHCS. Such documentation
shall be kept for three years after the end of the quarter in which expenditures were
incurred or, if an audit is in progress, until the completion of the audit.

Chino Valley Unified School District
Regulation approved: August 6, 2009
Revised: March 17, 2016
Revised: March 19, 2020