1. Avery Slyker, Ph.D. Program Manager Florida Covering Kids & Families Lawton and Rhea Chiles Center for Healthy Mothers and Babies University of South Florida

2. Objectives Introduce and define CHIP and Medicaid in Florida. Inform participants about the issues of the uninsured and it’s impact on community health and well-being. Educate participants about the Florida KidCare program, our state’s CHIP and Medicaid program, including who is eligible and it’s benefits. Explain how community partners can improve enrollment and retention by conducting collaborative outreach activities. Updated 2015-03-08

3. Definitions Medicaid – Medicaid provides health coverage for low-income children. The federal government sets minimum guidelines for Medicaid eligibility, but states can choose to expand coverage beyond the minimum threshold. Children’s Health Insurance Program (CHIP) – Like Medicaid, CHIP is administered by the states, but is jointly funded by the federal government and states. The Federal matching rate for state CHIP programs is typically about 15 percentage points higher than the Medicaid matching rate for that state (i.e. a State with a 50% Medicaid FMAP has an “enhanced” CHIP matching rate of 65%). Every state administers its own CHIP program with broad guidance from CMS. Updated 2015-03-08

4. Florida Covering Kids & Families Florida Covering Kids & Families (FL-CKF) works collaboratively with Florida businesses and individuals to advocate and conduct outreach for Florida KidCare. The initiative aims to foster and facilitate innovative and collaborative approaches for enrolling and retaining eligible children in Florida KidCare. FL-CKF Statewide Coalition members have unique vantage points and access to agency and community resources which foster a productive environment where collaboration results in better health for Florida's children. Updated 2015-03-08

5. 8.5% of Uninsured Children Live In Florida Percent of Uninsured Children 2013 State Ranking in Percent of Uninsured Children Number of Uninsured Children 2013 State Ranking in Number of Uninsured Children Florida11.147445,03549 National7.1-5,234,332- Source: “Children’s Coverage at A Crossroads: Progress Slows”, Georgetown Center for Children and Families, November 2014. Uninsured Children In Florida Updated 2015-03-08

6. Florida Ranks 47 th for Uninsured Kids Rate Florida11.1% Alaska11.6% Arizona11.9% Texas12.6% Nevada14.9% Source: ibid. Uninsured Children In Florida Updated 2015-03-08

7. Florida Has Been Improving Slowly *Florida is one of twelve states that experienced a statistically significant decrease in percentage point change 2011-2013 Percent Point Change Rank 2011-2013 Percent Point Change United States-0.4- *Florida-0.812 Source: ibid. Uninsured Children In Florida Updated 2015-03-08

8. 5.5 5.7 7.6 4.3 9.6 6.7 6.3 5.7 11.1 Florida has the highest uninsured rate for kids in the South Source: “Children’s Health Coverage in Florida: Fewer Uninsured But Challenges Lie Ahead”, Florida Philanthropic Network, November 2014. Uninsured Children In Florida Updated 2015-03-08

9. Health Implications for Uninsured 30% less likely to receive medical attention for injuries Uninsured newborns have lower birth weights Less likely to have regular medical doctor No immunizations or medical treatment for common childhood illnesses Uninsured newborns higher rates of premature deaths Delay health care until in crisis Forgo prescription medicines Updated 2015-03-08

10. Costs to Communities When their children are ill, employee absences cost business as much as $12 billion annually. 350,000 children in the US are too sick to attend school or childcare every day. Mothers are absent from their jobs from 5 to 29 days per year caring for ill children. Updated 2015-03-08

11. Benefits to Communities Children with a regular source of health care are more likely to get well-child checkups and have fewer preventable diseases. Parents of children who have fewer sick days home from school are less likely to miss work. Quality of life is improved for children in the community. Updated 2015-03-08

12. Florida KidCare Eligibility Are under age 19 Are a Florida resident Do not have health insurance (does not apply to Medicaid) Are U.S. citizens or qualified non- citizens Are not in a public institution Meet income eligibility—if income exceeds 200% FPL, families may qualify for Florida KidCare Full-Pay Updated 2015-03-08

13. Florida KidCare Benefits: Check Ups To Transplants Doctor’s Visits Check-Ups & Shots Hospital, Surgery & Emergency Services Vision/Hearing Mental & Behavioral Health Prescriptions Dental Updated 2015-03-08

14. Cost Most families pay only $15 or $20 for coverage, depending on family size and income. – Full-Pay option is available for families with a higher income There is no deductible There are minimal co-pays Florida Healthy Kids Ages 5-18 are $153/per month/per child with dental $140/per month/per child without dental MediKids $157 per month per child Full Pay Option Updated 2015-03-08

15. Florida KidCare Florida KidCare Florida Healthy Kids Children’s Medicaid MediKids Children’s Medical Services Network Updated 2015-03-08

16. Children’s Medicaid For children from birth through age 18 Eligibility determined by the Department of Children and Families Eligibility is based on child’s age, household size, income and citizenship Families pay nothing for coverage Updated 2015-03-08

17. MediKids For children ages 1 through 4, not eligible for Medicaid Administered by the Agency for Health Care Administration (AHCA) Services delivered through managed care plans (HMO and PSN). Most families pay $15 or $20 per month Full-pay option available: – $157 per child per month Updated 2015-03-08

18. Florida Healthy Kids For children ages 5 through 18, not eligible for Medicaid Administered by the Florida Healthy Kids Corporation Services delivered by managed care plans Most families pay $15 or $20 per month Full-pay Option: $153 per child per month w/dental $140 per child per month w/o dental Updated 2015-03-08

19. Children’s Medical Services Network For children from birth through age 18 Clinical determinations by the Florida Department of Health For children with special health care needs, including behavioral health network (BNet) Special network of physicians and provid ers Updated 2015-03-08

20. Application Tips It’s easier to apply online! Apply at www.floridakidcare.orgwww.floridakidcare.org Make sure all documents are legible copies and the account, date of birth, and child’s SSN is clearly indicated on each document. Application in English, Spanish and Creole. Updated 2015-03-08

21. Eligibility Processing All applications are: o Acknowledged by letter once received and if needed, a request for missing information is sent o Screened for Children’s Medicaid eligibility. If eligible, the child must enroll in Children’s Medicaid If referred to DCF, a referral letter for the family is mailed o If an applicant indicates their child has special health care needs they are screened for CMSN Updated 2015-03-08

22. Monthly Premium Payments 24 hours a day, 7 days a week Visa, MasterCard and Discover accepted Direct from checking or savings account Fee may be charged Internet & Telephone Mail a check or money order with payment coupon to Florida KidCare Write your family account number on check or money order Mail Opt-in to pay monthly premiums by text message Automated payment Pay cash at a “Fidelity Express” location $2 service fee applies and can only process cash payments Other Payment Opitions Visit https://www.healthykids.org/pay/automated for all payment options. Updated 2015-03-08

23. Renewal Process For CHIP (MediKids, Florida Healthy Kids, CMSN): Enrollees must renew coverage every 12 months from date of enrollment For Medicaid: Renewal for coverage every 12 months from date of enrollment, however, Enrollees ages 5 to 19 must recertify coverage every 6 months from date of enrollment if family receives additional benefits Online account renewal and renewal forms are also available online at www.floridakidcare.org or http://www.myflorida.com/accessflorida/ Updated 2015-03-08

24. No Wrong Door Updated 2015-03-08

25. Why is it important? Florida still has a long way to go until all children have access to affordable health care. Improving the knowledge of the public can make a tremendous impact on community health. Navigating the system can sometimes be frustrating and it is important to link families to 1-on-1 application or technical assistance. Community partnerships allow individuals to find local, knowledgeable experts on Florida KidCare. Interpersonal relationships make a big difference when it comes to improving program perceptions and understanding. Updated 2015-03-08

26. Community Outreach Partnerships Introduce organizations to a valuable health coverage program to increase awareness. Reach large numbers of eligible, working families. Establish new communication channels and resources to engage the community. Partnerships impact employees, customers and consumers who may find the program useful. Updated 2015-03-08

27. Strategic Outreach Initiatives Individuals and FamiliesCommunity-Based OrganizationsBusinessesHealth Care ProvidersMilitary and Veteran Support Services Updated 2015-03-08

28. Key Partners Identify organizations and individuals that share common goals with your organization. Provide information and resources as requested and make partnership efforts a win-win. Staff any community or employee health fairs or outreach events and explore ways to promote the program within their organization. Always follow up and keep a tickler file for those you have worked with in the past. Updated 2015-03-08

29. Florida Covering Kids & Families Jodi Ray, M.A., Principal Investigator, Program Director (813) 974-3143 jray@health.usf.edujray@health.usf.edu Avery Slyker, Ph.D. Program Manager (813) 974-8272 arosnick@health.usf.eduarosnick@health.usf.edu Informational Web Sites www.floridakidcare.org www.healthykids.org http://floridacoveringkidsandfamilies.health.usf.edu www.insurekidsnow.org Updated 2015-03-08