1. Refugee Health An Overview of Health Initiatives by the Office of Refugee Resettlement

2. Presentation Overview Re-organization Affordable Care Act Domestic Medical Screening Guidelines CDC Medical Officer Suicide Prevention and Awareness Refugee Health Together Newsletter Data Collection

3. Re-organization First-Ever Division of Refugee Health

4. Guiding Principles Mission Appropriate Placement & Services Client- Centered Case Management Newly Arriving Refugees Health & Mental Health Services Outreach Data-Informed Decision Making

5. Re-organization DirectorBudget Deputy Director Refugee Services Refugee Assistance Refugee Health Associate Deputy Director Children’s Services Anti- Trafficking

6. Division of Refugee Health One Umbrella Outreach & New Initiatives Navigating Systems Communication with Stakeholders Program Guidance

7. Affordable Care Act Refugees are included to the same extent as U.S. citizens Take health care into your own hands

8. Overview Quality, affordable health care options Essential Health Benefits Children covered under parent’s health plan until 26 years old. Pre-Existing Condition Insurance Plan

9. Healthcare.gov The Health Care Law & You Timeline: What's Changing & When Implementation Resources

10. Benefits of Affordable Care Act Refugees covered to the same extent as U.S. citizens Health coverage beyond eight months One streamlined application

11. Preparing for 2014 Training: – Expanded Medicaid & State Exchange Marketplaces – Under-enrollment in Medicaid Outreach: – Consumer Assistance Programs Consumer Assistance Programs – Navigator Grants

12. Implementing Regulations Medicaid Program; Eligibility Changes Under the Affordable Care Act of 2010 (March 23) Patient Protection and Affordable Care Act; Establishment of Exchanges and Qualified Health Plans; Exchange Standards for Employers (March 27)

13. Domestic Medical Screening Guidelines And Corresponding Reimbursement Rates

14. Process Trigger Policy Review Collaboration Solicitation for Comments Final Guidance

15. Guidelines History & Physical Exam Laboratory Evaluation Preventive Health & Other Services

16. Guidelines: History Review of overseas medical records Pre-departure Medical Screening form Significant Medical Conditions form Medical Assessment form Immunization Records Other

17. Guidelines: Physical Exam Review of All Systems Nutrition Reproductive Health Mental Health Dental Hearing Vision

19. Guidelines: Preventive Health & Other Presumptive Treatment for Schistosomiasis & Strongyloidiasis Tuberculosis Screening Immunizations

20. Reimbursement Rates Medicare Reimbursement Rate Plan(s) Current Procedural Terminology Codes Administrative Calculation: Unit Cost Comparative Tool

21. CDC Medical Officer Onsite Technical Assistance to ORR

22. Dr. Curi Kim, MPH, MD Board Certified: Family Medicine & Preventive Medicine Commission with Public Health Service CDC: Five Years

23. Duties Develop Surveillance Plans Identify Trends in Refugee Health Prepare for Public Health Emergencies Develop Patient Education Materials Train Staff

24. Suicide Prevention & Awareness

25. Suicide Among Refugees Frequency Profile Reporting Mechanism

26. Collaborative Response Community-Based Organizations Federal Partners RHTAC’s Suicide Prevention Tool Kit

27. Scientific Study EpiAid Investigation EpiAid Findings Recommendations

28. Refugee Health Together A New ORR Newsletter

29. Refugee Health Together First Newsletter Dedicated to Refugee Health Quarterly Publication First Issue: June 2012

30. Volume 1, Issue 1 Minority Health Month Affordable Care Act Professional Recertification CDC Medical Officer Domestic Medical Screening Overseas Perspective: Kenya 65 th World Health Assembly

31. Data Collection Painting by Numbers

32. Looking Forward… Better Data Trends in Serious Medical Conditions State’s Organizational Structure Refugee Medical Assistance & Medical Screening State Systems on Refugee Health Data

33. Questions & Discussion

34. Contact Information Essey Workie Refugee Health Team Lead Office of Refugee Resettlement essey.workie@acf.hhs.gov 202-401-5364 http://www.acf.hhs.gov/programs/orr/ http://transition.acf.hhs.gov/programs/orr