CHILDREN’S HEALTH CARE Federal, State and Private help in Delaware WHERE TO GO? (Health Centers) Claymont Family Health Services 3301 Green Street Claymont, DE (302) 798-9755 Claymont Family Health Services is a primary health care center for individuals and families with little or no health insurance. They provide general exams, blood pressure screenings, minor illness treatment, women's health services, dermatology, adult/child immunizations and referrals to specialists or clinics. Volunteer physicians provide these services. WHERE TO GO? (Health Centers) Henrietta Johnson Medical Center 601 New Castle Avenue Wilmington, DE (302) 655-6187 Henrietta Johnson Medical Center provides, adult medicine, senior care, vision and hearing screening, minor surgery, sexually transmitted disease testing and treatment, adolescent health education program, teen pregnancy program, immunizations, reproductive care and pediatric care. WHERE TO GO? (Health Centers) Kent Community Health Center 1095 S. Bradford Street Dover, DE 19901 (302) 678-2000 Kent Community Health Center provides a wide range of primary and preventative health and social services. Health care services include sick and well care, exams and immunizations, family planning, breast and cervical cancer screening, and health insurance and prescription assistance referrals. Staff members are bilingual in English and Spanish. Medicare, Medicaid and sliding fees available. WHERE TO GO? (Health Centers) La Red Health Center 505 W. Market Street Georgetown, DE 19947 (302) 855-1233 La Red Health Center provides access to primary healthcare for all individuals. Services include pediatric, adolescent and adult medicine preventive programs, diabetes education, immunizations for children, routine school and sports physicals, HIV testing and counseling, prenatal services and mental health and substance abuse counseling. Services are based on sliding scale fees. Staff is fully bilingual in English and Spanish. Translation and transportation services are also available. WHERE TO GO? (Health Centers) Westside Health Center 1802 West 4th Street Wilmington, DE (302) 655-5822 Westside Family Healthcare is a non-profit community health center. Services include Family Medical Care, OB/GYN and Women’s Health Care, Pediatrics, Dental Care, Podiatry, Support Services (Bilingual English/Spanish care and translation, Diabetes Education, MED Program (low-cost medication), Case Management, 24-hours Physician on call), Behavioral Health Care, Adolescent Health and Financial Aid Assistance including Sliding Fee Scale for patients who qualify. WHERE TO GO? (Hospitals) Alfred I. duPont Hospital 1600 Rockland Road Wilmington, DE 19803 1-888-533-3KID Bayhealth Medical Center Kent General Hospital 640 South State St Dover, DE 19901 302-674-4700 WHERE TO GO? (Hospitals) Bayhealth Medical Center Milford Memorial Hospital 21 West Clarke Ave PO Box 199 Milford, DE 19963 302-422-3311 Beebe Medical Center 424 Savannah Road Lewes, Delaware 19958 General information: 645-3300 Charity Care & Community Healthcare Access Program: 645-3100, ext. 5137 or 5138 WHERE TO GO? (Hospitals) Christiana Care Health System 4755 Ogletown-Stanton Road Newark, DE 19718 501 W. 14th Street Wilmington, DE 19801 302-733-1000 St. Francis Hospital 7th and Clayton Streets Wilmington, DE 302-421-4100 (Central Outpatient) WHERE TO GO? (Hospitals) Bayhealth Medical Center Milford Memorial Hospital 21 West Clarke Ave PO Box 199 Milford, DE 19963 302-422-3311 Beebe Medical Center 424 Savannah Road Lewes, Delaware 19958 General information: 645-3300 Charity Care & Community Healthcare Access Program: 645-3100, ext. 5137 or 5138 WHERE TO GO? (Hospitals) Nanticoke Health Services 801 Middleford Road Seaford, Delaware 19973 302-629-6611 Federal Program (Medicaid) • • Medicaid offers health and long-term care coverage to some people with limited income. This includes children and parents, pregnant women, people with disabilities, and seniors. Medicaid programs are run by states with a mix of state and federal funding. Facts About Medicaid – – – – – – Medicaid is the largest children’s health program in the country and the primary source of health care for low-income families and elderly and disabled people. One in six Americans under age 65 is insured through Medicaid. Half of all Medicaid enrollees are children and 78% live in households where at least one parent works. Covers over 70,000 children in Delaware. Provides health insurance coverage for part or all of the year to one in three children. It is estimated that 19,051 Delaware children are uninsured. 55% of these uninsured children are eligible but not enrolled in Medicaid or the State Children’s Health Insurance Program. Federal Program (Medicaid) • • Eligibility - Determined by Delaware Division of Social Services, Division of Medicaid and Medical Assistance (DMMA) Factors – – – – – – – – – • You can have a car, bank account, and a home and still qualify for Medicaid. DMMA does not look at any of your resources when determining your eligibility for Medicaid. You can work and still qualify for Medicaid. Some persons can have other insurance and still receive Medical Assistance. Low-income uninsured adults between the ages of 19 and 65 may qualify for Medicaid. Certain children living with stepparents, grandparents, or siblings with income may receive Medicaid. Needy families with children may be eligible for Medicaid if they are part of Temporary Assistance for Needy Families. When a family getting a welfare check starts working and leaves welfare they still may receive Medicaid. Low-income pregnant women and children under age 19 may qualify for Medicaid. Most women of child bearing age may be eligible for birth control and family planning services for up to 24 months after their regular Medicaid stops. Based on month to month eligibility. Benefits are determined on a yearly basis to ensure recipients remain eligible. Changes in situation must typically be reported within 10 days of the change. Federal Program (Medicaid) • How to Apply? – – • Online: using ASSIST (Application for Social Services and Internet Screening Tool), https://assist.dhss.delaware.gov By phone: by contacting Medicaid Customer Relations at 1-800-372-2022 or (302) 255-9500 to be directed to the Division of Social Services (DSS) office closest to where you live. staff members will help you find out more about eligibility for Medicaid and other assistance programs. Then the appropriate information and application forms will be mailed to you. Complete, sign and date the application form in ink and mail it to the address provided. Documentation needed to apply – – – – – verification of income NO verification of resources (bank accounts, cars, stocks, etc.) necessary (unless applying for Long Term Care Medicaid) NO interview required (unless applying for Long Term Care Medicaid) Proof of pregnancy, if pregnant For non-US citizens, proof of alien status (ex. copy of green card) The Future of the Federal Program (New Healthcare Reform – Patient Protection and Affordable Care Act) Reforms Will Be Put In Place By 2014 Most Citizens and Legal Residents Will Be Required to Have Health Insurance • Delaware Will Establish a State-Wide System of Health Benefit Exchanges – • Financial assistance will be provided to those with income between 133-400% of the Federal Poverty Level Currently • (Single) - $14,404 - $41,520 • (Family) - $29,326 - $88,200 Eligibility for Medicaid will be Expanded – – – Those with income less than 133% of the federal poverty level (currently $14,404 for a single person and $29,326 for a family) who cannot afford coverage will be eligible for Medicaid . Modified Gross Income (not Gross Income) will be used to determine eligibility in most instances. Applicants can take a standard 5% deduction or their own personal deductions. Foster children can receive Medicaid until age 26 The Future of the Federal Program (New Healthcare Reform – Patient Protection and Affordable Care Act) • Services Offered Through Medicaid Will be Expanded – – – • No Child Gets Lost in the Gap – – • Mental Health Services will be offered Prescription Drug Coverage will be expanded Increased Focus on Tobacco Cessation for Pregnant Women (Starting 2011) through • Public Health Clinics • Providing targeted advice and quit-smoking packets to all pregnant women who smoke • Ensuring that smoking status is tracked on all patient records If a child is deemed ineligible for Medicaid that child is automatically enrolled in Delaware’s Children’s Health Insurance Program (CHIP). If CHIP becomes full, Delaware must offer that child a Health Benefit Exchange that provides equivalent benefits and cost-sharing. No More Exclusions From Insurance Because of Pre-Existing Conditions – – Currently insurers cannot exclude children with pre-existing conditions from being covered by their family policy. Adults with pre-existing conditions will be protected from exclusion starting Jan. 1, 2014. The Future of the Federal Program (New Healthcare Reform – Patient Protection and Affordable Care Act) • • New Application Uses Single Form – Applicants for assistance with health care will be able to submit a single, streamlined form for all coverage options: Medicaid, CHIP, and Health Benefit Exchanges – Delaware will conduct outreach and enrollment assistance to those eligible for Medicaid and CHIP. – If an applicant applies for a specific program and is denied that applicant is automatically considered for all other affordable health care options without the need for additional paperwork. Websites will be established to identify and compare affordable coverage options – The federal government’s website is NOW AVAILABLE at WWW.HEALTHCARE.GOV. – The state of Delaware’s website will be operational by January 1, 2014. You will be able to apply for and renew insurance through the state’s website. Delaware Program (CHAP) • Community Healthcare Access Program (CHAP) • CHAP helps provide access to primary care doctors, medical specialists, and other health resources including prescription programs, laboratory and radiology services. Medical services are provided in the community through Community-based Health Care Centers and private doctors who participate in the Medical Society of Delaware's Voluntary Initiative Program (VIP). VIP is a network of private physicians statewide who accept CHAP patients into their practices and serve as their health home or provide medical subspecialty services. CHAP recipients receive discounted medical services based upon their income. In brief, the CHAP program gets patients the medical attention they need at an affordable cost. • To be eligible for CHAP, an individual must be a resident of Delaware, uninsured, ineligible for state medical assistance programs, and meet financial eligibility guidelines. To find out if you are eligible please call 1-800-996-9969 Delaware Program (DHCP) • Delaware Healthy Children Program • The Delaware Healthy Children Program is a low cost health insurance program for Delaware's uninsured children. The Delaware Healthy Children Program features the same high-quality coverage you'd get with some of the best private insurance plans. • What's covered? -The Delaware Healthy Children Program covers everything from routine checkups to eye exams to doctor and hospital services. Families covered by the Delaware Healthy Children Program enjoy an extensive list of services for a single low monthly rate and No-copayments. Delaware Program (DHCP) • Your children may qualify if they... • How much do I have to pay? – – – – – – – Do not have comprehensive health insurance, Are under the age of 19 and reside in the State of Delaware, Are U.S. citizens or qualified noncitizens, Are not dependents of a State of Delaware employee, and Meet income eligibility (please see the 200% Federal Poverty Level chart ); the number of people in your family (children and adults combined) and your total family income determine the eligibility and premium cost for your family. 1-800-996-9969 A. Premium payments are $10, $15 or $25 per household per month, depending on your income. There is an added bonus: for every 3 months you pay in advance, you'll get the 4th month free! And, with the exception of non-emergency visits to hospital emergency rooms, there are no co-payments. Prescriptions are covered at 100%. Delaware Program (DPH Child Health Clinics) • DPH provides limited health services such as physicals and immunizations to children (under age 19) who are well and who do not have insurance or a doctor. No sports physicals are provided. • Locations – Dover James W. Williams SC 805 River Road Dover, DE 19901 (302) 857-5000 – Georgetown Thurman Adams SC 546 S. Bedford Street Georgetown, DE 19947 (302) 856-5246 Monday 8 a.m. - 4:30 p.m. Wednesday 8 a.m. - 4:30 p.m. Delaware Program (DPH Child Health Clinics) • Locations – Newark Floyd I. Hudson SC Call for latest information 501 Ogletown Road Newark, DE 19711 DPH: (302) 283-7587 – Seaford Anna C. Shipley SC Tuesday 8 a.m. - 4:30 p.m. 350 Virginia Ave. Seaford, DE 19973 DPH: (302) 628-2006 Other Delaware Programs • Delaware has other state programs and services including • You can learn more about these additional programs by visiting the Delaware Division of Medicaid and Medical Assistance’s (DMMA) website at http://dhss.delaware.gov/dhss/dmma or by contacting DMMA, Rosanne Mahaney, Director, Stephen Groff, Deputy Director, (302) 255-9500, 1901 N. DuPont Highway, Lewis Bldg., New Castle, DE 19720, FAX: (302) 255-4454 – – – – – – Long Term Care Medicaid Programs Chronic Renal Disease Program Qualified Medicare Beneficiary Programs Children’s Community Alternative Disability Program Breast & Cervical Cancer Program Transportation services (Private Organizations) CHILD, Inc. 507 Philadelphia Pike Wilmington, DE 19809 Main: (302) 762-8989 Kent & Sussex Counties: 800-874-2070 Mission: To be the leading advocate for Delaware’s children. Child, Inc. provides creative prevention and treatment programs that meet the changing needs of families. Child, Inc. serves dependent, neglected and abused children and their parents. Child, Inc. provides programs for those involved in domestic violence situations, especially children. (Private Organizations) CHILDREN & FAMILIES FIRST A long-time leader among human service agencies in Delaware, strengthens families through adoption, foster care, counseling, teen services, parenting education and support programs, welfare to work services, programs that support older adults, reduce infant mortality, and increase child care quality and availability. New Castle County 2005 Baynard Boulevard Wilmington, Delaware 19802 302-658-5177 809 Washington Street Wilmington, Delaware 19801 302-658-5177 Kent County 91 Wolf Creek Boulevard Suite 1 Dover, Delaware 19901 302-674-8384 (Private Organizations) CHILDREN & FAMILIES FIRST (cont.) Sussex County Seaford House Residential Treatment Center 400 N Market Street Extension Seaford, Delaware 19973 302-629-6996 410 S Bedford Street Georgetown, Delaware 19947 302-856-2388 (Private Organizations) CHILDREN & FAMILIES FIRST In addition to many other family services, Children & Families First provides the Resource Mothers Program which helps at-risk pregnant mothers receive the appropriate prenatal and pediatric care to ensure a healthy baby. Resource Mothers help pregnant women and their families access social services and community resources. They also provide support and make sure the women have information on parenting, nutrition and healthy lifestyles. Services are offered in Wilmington, Dover, and Georgetown. (Private Organizations) NORTHEAST TRAINING CENTERS Community Plaza Counseling Center 287 Christiana Road, Suite 8 New Castle, DE 19720 Phone: (302) 325-6500 Fax: (302) 689-0110 • Residential Treatment Mental Health Residential Treatment is provided for a total of sixteen youth between the ages of twelve years and eighteen years at two sites in New Castle County, Delaware. • Day Treatment The Kacy Church Day Treatment Center is located in New Castle, Delaware, and is staffed by Special Education certified teachers, Social Workers, Psychologists, and Counselors who form an integrated team that fully implements a multi-faceted approach to working with young people and families with life difficulties, emotional problems or special needs. The Day Treatment Program can treat and educate up to twenty youth between the ages of 12 and 18 years of age. These structured services are provided to Delaware school-aged youth who live at home, in residential settings or with treatment foster families. • (Private Organizations) NORTHEAST TRAINING CENTERS Child Welfare, Foster Care & Adoption • • Foster Care/Treatment Foster Care/Intensive Residential Treatment These programs in Delaware provide various levels of care for youth who are involved with the dependent and/or delinquent system. The youth in these programs require a more intensive treatment experience with a designated treatment team. The treatment team consists of specially trained foster parents and qualified treatment specialists, mentors and masters level clinicians. Independent Living Program ("Making My Way") This is an Independent Living skills development program located in Delaware. The program is designed to assist older teenagers and young adults effectively transition out of state foster care system into adulthood via the support and direction of a life-skills mentor. (Private Organizations) BRANDYWINE COUNSELING AND COMMUNITY SERVICES “BCCS” 2713 Lancaster Avenue Wilmington, DE 19805 Phone (302) 656-2348 Fax (302) 656-0746 Lighthouse Program Substance abuse and mental health treatment is administered in a residential community for women over the age of 18 with up to two (2) children under 8 years old using Evidence Based Practices. In addition to on-site licensed day care services, mothers receive individual and group therapy, life skills, computer classes, GED, trauma work and evidence based parenting classes. Case managers assist women with job placement and housing during final phases of care. Appendix of Helpful Phone Numbers Claymont Family Health Services Henrietta Johnson Medical Center Kent Community Health Center La Red Health Center Westside Health Center Alfred I. duPont Hospital (Nemours) Kent General Hospital Milford Memorial Hospital Beebe Medical Center Nanticoke Health Services Medicaid Customer Relations Community Healthcare Access Program and Delaware Healthy Children Program DPH Child Health Clinics Dover Georgetown Newark Seaford Child, Inc. Children & Families First Northeast Training Centers BCCS (302) 798-9755 (302) 655-6187 (302) 678-2000 (302) 855-1233 (302) 655-5822 1-888-533-3KID (302) 674-4700 (302) 422-3311 (302) 645-3300 (302) 629-6611 1-800-372-2022 or (302) 255-9500 1-800-996-9969 (302) (302) (302) (302) (302) (302) (302) (302) 857-5000 856-5246 283-7587 628-2006 762-8989 658-5177 325-6500 656-2348