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Getting the Message Out and Getting Children In! Florida Covering Kids & Families College of Public Health USF-The Chiles Center Miami-Dade County Public.

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Presentation on theme: "Getting the Message Out and Getting Children In! Florida Covering Kids & Families College of Public Health USF-The Chiles Center Miami-Dade County Public."— Presentation transcript:

1 Getting the Message Out and Getting Children In! Florida Covering Kids & Families College of Public Health USF-The Chiles Center Miami-Dade County Public Schools

2 Boots on the Ground School-Based Pilot Project Miami-Dade County Public Schools

3 Who Is Uninsured?

4 Uninsured Children: A National Problem

5 Uninsured Floridian Children Florida ranks 3 rd in U.S. for the number of uninsured children. 42% of Florida’s children live in families 200% under FPL 40% of these are uninsured Florida ranks second in the nation for the percentage of children in the state without health insurance. 70% of uninsured children are eligible for CHIP

6 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

7 Consequences of Being Uninsured Parents may forego or delay medical care or prescription medicines for their children. Children who are not insured all year are much less likely to receive any medical care. Parents keep their kids out of athletics because they cannot afford medical bills for their children’s sports- related injuries. Uninsured children in the United States are less likely to have a “medical home.”

8 Benefits to Your School Children with insurance have fewer preventable diseases. Insured children have fewer sick days home from school & parents are less absent from work. Quality of life is improved for children in the community.

9 Working Families College Students Working Poor Working Mothers Absenteeism Myth Busters – Uninsured Children

10 Florida KidCare Medicaid CMSN MediKids FL Healthy Kids Florida KidCare - four programs

11 Florida KidCare is Florida's own Child Health Insurance Program (CHIP). Florida KidCare is an "umbrella" program, combining the best of public and private insurance into one affordable and comprehensive insurance program for children. There is ONE family friendly application! If a child was previously enrolled in Florida KidCare, parents may not need to complete a new application. They can call 1-800-821-5437 for additional information. What is Florida KidCare?

12 Statewide health insurance program for children from birth through age 18. 12-month continuous coverage for birth through age 18. Low-cost or free children’s health care coverage. A single application for all programs  English, Spanish, and Creole.

13 Financial Eligibility

14 Florida Healthy Kids

15 Florida Healthy Kids Benefits Office visits for Minor Illness, Accident Care (Primary Care Provider)$5 Co-Pay Well Child CareNo Co-Pay Routine Vision and Hearing Screening (Primary Care Provider)No Co-Pay Specialist Office Visit (Referred)$5 Co-Pay Behavioral Health Services (Pre-authorized, Outpatient - 40 visits per year, Inpatient/Residential - 30 days per year) $5 Co-Pay Substance Abuse Rehabilitation and Treatment (Pre-authorized, 40 outpatient visits, 7 inpatient days for detox, 30 residential days) No Co-Pay Diagnostic Testing (Laboratory, X-rays, etc.)No Co-Pay Emergency Services$10 Co-Pay Emergency Ambulance Services$10 Co-Pay Hospital Inpatient Medical and Surgical Care (Pre-Authorized, includes 15 day rehabilitation stay for non-acute confinement) No Co-Pay Semi-private room Surgeon Fees (Pre-authorized)No Co-Pay Maternity Services and DeliveryNo Co-Pay Anesthesia ServicesNo Co-Pay

16 Children’s Medicaid

17 Children’s Medical Services - CMS

18 MediKids

19 BOOTS ON THE GROUND SCHOOL ACTION PLAN CHECKLIST 1. _______ Designate school liaison by February 17, 2011 2. _______ Direct liaison to create opportunities for parents to learn about and enroll in Florida KidCare. 3. _______ Have computers available for parents to use for application enrollment and renewal. 4. _______ Place a link to Florida KidCare on School website: www.floridakidcare.orgwww.floridakidcare.org 5. _______ Request and display posters in visible areas. 6. _______ Request and place fliers in front office, Parent Resource Center, health clinic, and student services area. 7. _______ Add Florida KidCare to EESAC Agenda to discuss ways to increase awareness. 8. _______ Ask PTA and Health Connect teams to partner in this effort. 9. _______ Request KidCare presence at school/community events.

20 Communicating with Families One-on-one assistanceEasy to understand informationBe sensitive to fear and mistrust

21 Don’t forget to review these materials! Bookmark the website for quicker access to the application

22 Upon Completion When the family finishes the online application Documents List Personal Copies Confirmation Number Copies Only Fax Mail

23 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 Not making a payment will result in a cancellation of coverage Nonpayment cancelation: Cannot reactivate for coverage for one month (30 Days) Enrollees have 10 working days to request a dispute resolution & benefits reinstated Non-Payment

24 Renewal Process Enrollees must renew their coverage once every 12 months About two months before the renewal date, parents receive a reminder letter Pre-populated renewal forms are included in letters Very important that parents respond to the renewal letter and provide the needed information in a timely manner. Income documentation is required with completed renewal form

25 For More Information Contact the Parent Academy (305) 995-2680 Informational Web Sites ◦ www.floridakidcare.org ◦ www.healthkids.org ◦ www.coveringkids.org ◦ www.insurekidsnow.org


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