This report describes school-based health centers and their degree of coordination with managed care providers. Although the investigation focuses on adolescents, many ideas discussed here are germane to elementary school-based health centers as well. Information was gathered through an extensive literature review, relevant legislation, and 88 structured interviews. The inspection revealed: (1) school-based health centers increase access to health care for adolescents; (2) little coordination exists between managed care providers and school-based health centers; (3) coordination efforts demonstrate potential benefits for adolescents, managed care providers, and school-based health centers; and (4) the Department of Health and Human Services (DHHS) has no locus for the coordination of Department programs and activities in these areas. Data analysis formed the basis for policy recommendations including the designation of a DHHS contact to coordinate school-based health center issues. A list of school-based health center and managed care respondents and other contacts, a selected bibliography, a proposed New York State school-based health center standards and operations, school-based health center and managed care protocols for referring and treating patients. Oregon law and implementing procedures requiring Medicaid managed coordination, and Public Health Service (PHS) responses to a draft report are included. (LL)