1. Company LOGO Florida Refugee Health Program

2. Mission To provide culturally sensitive health services for refugees to enhance personal health status and to protect Florida’s public health.

3. Immigration Terms Refugee Asylee Immigrant (not eligible for refugee services) Cuban/Haitian Entrant Voluntary Agency (VOLAG) Quarantine Station Class A and B

4. RH Eligibility Requirements IMMIGRATION STATUS – Refugee – Asylee – Cuban/Haitian Asylum Applicant – Cuban/Haitian Entrant – Amerasian – Victims of Trafficking – Unaccompanied Refugee Minor – Iraqi or Afghan Special Immigrant

5. Program Requirements TIME LIMITS 1.Health Assessments initiated within 90 days of eligibility date 2.Immunizations started within one year from eligibility date DOCUMENTATION 1.I-94 Card or Other Document must show arrival date and immigration status 2.Photo Identification Refugee ADMITTED AS A REFUGEE PURSUANT TO SECTION 207 OF THE INA FOR AN INDEFINITE PERIOD OF TIME. IF YOU DEPART THE UNITED STATES YOU WILL NEED PRIOR PERMISSION TO RETURN. EMPLOYMENT AUTHORIZED PORT______DATE______ OFFICER_________

6. UNHCR Referral DOS Referral Overseas Processing Entity (OPE) USCIS Interview ApprovedDenied MedicalSponsor U.S. Refugee Processing

7. Cuban Lottery-1998 Applicant U.S. Interests Section-Havana DOS-Washington U.S. Interests Section-Havana Denied ApprovedMedical

8. “Irregular Maritime Arrivals”

9. “Border Crossers”

10. Health Screenings Protect public health Assist refugee in successful resettlement Early identification and treatment of disease is more cost effective and improves health outcomes for clients

11. Health Assessments Reimbursement is provided to CHDs for: TB testing and chest x-ray Hepatitis testing Parasitic infections testing Sexually transmitted disease testing Physical assessment Lipids Malaria Lead testing Health education

12. Immunizations MMR Hepatitis B Hepatitis A Hep A & B (combo) Td Tdap Varicella Meningococcal Polio DTaP HIB Pneumococcal Influenza Rotavirus HPV Zoster

13. Telephonic Interpretation Services – DOH Contract-COARD-R3 Interpreter Training – DOH Contract-COARC-R3 Language Line Services – Joe Mathews-1-800-316-5493 Linguistically Appropriate Services

14. Arrivals by County- FFY 2013 Data Source: FL DOH Refugee Domestic Health Assessment System 4/18/2014

15. County Arrivals Contact Alonna W. Hudson at 850-245-4444, ext. 2324 for current County data.

16. National Statistics Source: Office of Refugee Resettlement’s Proposed Two-Year Social Service Formula Allocation – FFY 2013 Number State Number of Arrivals Eligible for Refugee Benefits by State FFY 2011-2012

17. Arrivals by Country of Origin – FFY 2013 Data Source: FL DOH Refugee Domestic Health Assessment System 4/18/2014 New Arrivals Eligible for Refugee Health Services By Country of Origin, FFY 13

18. Arrivals CY 2005 - CY 2012 Data Source: FL DOH Refugee Domestic Health Assessment System 9/17/2013

19. Percent of Refugees Who Received a Health Assessment by Country of Origin, FY 2013 Data Source: FL DOH Refugee Domestic Health Assessment System 4/18/2014

20. Arrival Notifications Quarantine Stations Refugee Health Program County Health Departments Refugee MIA-QS

21. Reimbursement Process CHD-Invoice BFHSRHP DOH Revenue Mgmt DCF Refugee Services BFHSRHP DOH Revenue Mgmt CHD

22. Victims of Trafficking A form of modern-day slavery Involves the exploitation of persons for commercial sex or forced labor Often involves crossing an international border, but does not require moving a victim Traffickers use force, fraud, or coercion to control their victims

23. Adjustment of Status Refugees only need vaccination sign-off from Civil Surgeon Any health department “licensed physician with no less than four years of professional experience” can provide the vaccination sign-off All other immigration statuses need full medical exam by a designated Civil Surgeon Civil Surgeon Locator and information on becoming a Civil Surgeon Technical Instructions for Civil Surgeons

24. Resources See Resources sheet in folder

25. Contacts PROGRAM ANALYST Julie L. Framingham, M.A., M.S.W. 850-245-4444, ext. 2306 (program issues, guidelines, funding) REGISTERED NURSING CONSULTANT Brandi S. Andrews, R.N. 850-245-4444, ext. 2315 (training, technical assistance, quality improvement) PROGRAM ADMINISTRATOR Kelly A. Browne, M.P.A., M.S.W. 850-245-4444, ext. 2306 (program issues, guidelines, funding) DATA MANAGER Alonna W. Hudson 850-245-4444, ext. 2324 (data, reimbursement)

26. 2008 Olympics From Lost Boy of Sudan to U.S. Flag-Bearer Lopez Lomong

27. Questions?