Healthy and Ready to Learn:
Enrolling Children in Health Insurance
2011 National Smart Start Conference
May 5, 2011
Agenda:
10:00 am – 10:15 am: Welcome, ice-breaker
10:15 am – 10:30 am: Group activity
10:30 am – 10:45 am: Overview of North Carolina’s children’s health insurance programs and
resources to support enrollment of young children –– Norma Marti,
Public Health Minority Outreach Consultant, NC Division of Public Health
10:45 am – 10:50 am: Video intermission
10:50 am – 11:15 am: Healthy and Ready to Learn (HRL) initiative – Ania Boer, Project Director
Laura Brewer, India Foy and Betty Macon, HRL Local Community
Coordinators, NC Pediatric Society Foundation
11:15 am – 11:30 am: Questions & Answers
Healthy students learn better!
NC’s Public Programs Providing
Quality Health Care for Kids:
Health Check / NC Health Choice
Norma Martí, Public Health Consultant
Healthy & Ready to Learn: SMART Start Conference
May 5, 2011
Greensboro, NC
Children and Youth Branch
Overview
NC’s statistics you need to know
– Insured/Uninsured
– Diversity
History of federal legislation
– Health Check/Medicaid
– NC Health Choice/S-CHIP and CHIPRA
Overview of Health Check/NC Health Choice
CLAS (Culturally & Linguistically Appropriate Standards)
components to outreach
Why is it important to promote
child health insurance and access to
a medical home for children?
Parents struggle to address the health care needs of their children.
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Well Child Care / Immunizations
Early Identification of Health Risks
Treatment of Illnesses/Chronic Disease
Behavioral-Mental Health
Nutritional
Dental/Vision/Hearing
Access to health insurance and a medical home plays a key role in children
receiving the community resources and services needed.
There is a societal impact that being uninsured has on a child’s ability to be
healthy and ready to learn.
Segments of population within our state are not as “connected to systems” or
don’t see prevention treatments as priority
–
–
New immigrants/refugees
Disenfranchised populations
Why is it important for
children to be insured?
Compared to insured children, uninsured children are:
25% more likely to miss school
8X less likely to have a regular source of care
4X more likely to delay or avoid care when needed
5X more likely to seek care from an emergency room
7X more likely not to have prescriptions filled
In addition…
20% have untreated vision problems
1 in 5 parents of uninsured children keep their kids from playing
sports due to fear of injury
Research data compiled by the RWJF Covering Kids Project.
Census 2010
http://2010.census.gov/2010census/data/
NC Children in Immigrant Families:
Concentration in Major Urban Areas
Source: Population Reference Bureau, analysis of the 2008 ACS, PUMS Data PUMS data.
Children in Immigrant Families
AN ACTION FOR CHILDREN NORTH CAROLINA
EMERGING ISSUES REPORT
February 2010
www.ncchild.org
NC Refugee Population:
Country of Origin (SY08-09)
5%
2%
12%
Burmese(various ethnic groups)
Bhutanese/Nepali
44%
Vietnamese
Iraqi
Cuban
12%
Somalia
14%
Source: NC DHHS-Refugee Health Program
What child health insurance programs
does North Carolina offer?
North Carolina offers
two health insurance
programs for children:
Health Check
(Medicaid for Children)
N.C. Health Choice
(Federal Name is CHIP)
– Both offer free or low cost health
insurance for children and teens.
– The same application is used to
determine eligibility for both
programs.
– They are marketed together.
Medicaid Historical Legislation
• US historical link
http://www.kff.org/medicaid/medicaid_timeline.cfm
• NC historical link (1992 Medicaid for
Children renamed Health Check)
http://www.ncdhhs.gov/dma/pub/historyofmedicaid.pdf
S-CHIP & CHIPRA
http://www.statehealthfacts.org/profileind.jsp?sub=53&rgn=35&cat=4
• In 1998, in addition to a state’s Medicaid program, federal
legislation created health insurance program for children
up to age 19, known as the State Children’s Health
Insurance Program (SCHIP). The NC General Assembly
named it “NC Health Choice” and created appropriation to
cover children in families whose income is at or below
200% of the Federal poverty level and do not qualify for
Medicaid.
• In NC, the application is the same as state’s Medicaid
program.
• In 2009, the act was reauthorized (CHIPRA) funding
states to continue CHIP and allowed for a number of
changes. In NC, the one change implemented was to
allow children with lawful-permanent residency status to
be able to apply (previously they had a 5-year waiting
period).
Why market the two programs together?
200% ($44,700)*
NC Health
Choice
Income Guidelines
Poverty Level (%)
100% ($22,350)*
Family doesn’t know
what program their
children will qualify
for until they apply.
Children may cross
over from Health
Check to NC Health
Choice as they age.
Families may have
children in different
programs.
Health Check
Income Guidelines
*Annual
income for a
family of 4
as of April 1, 2011
0
1
Age (years)
6
18
As a family’s income
changes, their
children may go
back and forth
between programs.
What are the benefits?
Well-child Checkups
Sick Visits
Medicines
Immunizations
Vision & Hearing Care
Dental Care
Lab Tests
Counseling
Medical Equip & Supplies
Hospital Care
Therapies
Surgery
Additional benefits may be available for children with
Special Health Care Needs. Call 1-800-737-3028 for
more information.
How can a family determine if
their child is likely to qualify?
Income guidelines* (Valid 4/1/11)
Family Size
Monthly Income Before Taxes*
2
$2,452
3
$3,089
4
$3,725
5
$4,362
6
Add $637 for each additional family member.
*Children from families who earn more may qualify if they have child
care, work-related or child support expenses.
In addition…
For both programs,
a child must:
Be a N.C. resident
Be under age 19 (21 in
some cases)
Be eligible based on family
income
Provide or apply for a
Social Security number
And, for children who are
U.S. citizens, provide
documentation of
citizenship and identity.
And…
For NC Health Choice,
a child must:
Be over age 6 and under age 19
Be income ineligible for
Health Check (Medicaid)
Be uninsured on the day coverage
starts (your local Department of Social
Services can give you more
information)
Have paid the N.C. Health Choice
enrollment fee, if required
Is a child of immigrant parents
eligible?
Yes, if the child is born in the USA and they qualify based on the
family’s income and residency status.
– A social security number must be provided for the child or proof that a social security number
has been requested.
Maybe, if the child was born abroad.
It depends on the immigration status of the child. Check with the local Department of Social
Services to find out.
Children (and pregnant women) who have Lawful Permanent Resident immigration status (a
variety of Visas) now have no waiting period. Before July 1, 2010 there had been a “5-year
disqualification” from Medicaid for LPR.
Applicant must meet all the regular income and residency requirements.
Note:
Parents DO NOT hurt their chances for naturalization by applying for children’s health insurance!
How much does coverage cost?
Health Check (Medicaid):
No annual enrollment fee
No co-pays
N.C. Health Choice:
Annual enrollment fee depends on the
family’s income.
Some families have NO annual enrollment fee
Some families pay $50 per child or $100 for 2 or more children
Co-pays are small & depend on the family’s
income.
Families who have NO annual enrollment fee also have no co-pays
except for a small prescription drug co-pay.
Parents NEVER have a CO-PAY for
check-ups
shots
regular teeth cleaning
How can a family obtain an application for
Health Check (Medicaid)/NC Health Choice?
To get an application, families can:
Go online to www.NCHealthyStart.org.
Visit the “FOR THE PUBLIC” section and click on
the “Child Health Insurance” link
For help completing the application, families can:
Go to the local department of social services (DSS).
They can help the family fill out the application & accept
it when it is completed.
What if the family completes the
application on their own? Then what?
Families can mail or take the completed application to their local Department of
Social Services. Remind them to:
Attach copies of wage stubs or proof of income for the previous month.
For children who are U.S. Citizens, the DSS will also need proof of their citizenship and
identity. The DSS can help families verify citizenship and identity. However, it will help speed
the process if the family can bring a copy of each child’s:
birth certificate;
social security card
proof of identity (government issued photo ID or school, medical or hospital record with
name and date of birth)
For immigrant children who are Lawful Permanent Residents, the family should provide US
Citizenship and Immigration Services (USCIS) documents that prove their status plus proof of
identity, state residency and social security card.
Include a phone number where the DSS worker can call if they have a question!
Social Services will notify the family by mail to let them know if they qualify.
[This can take up to 45 days].
If they qualify they will get an insurance card and benefits booklet in the mail.
Help families stay enrolled!
Remind families that they must RE-ENROLL
each year!
A re-enrollment packet will arrive in the mail.
Families must let their local Department of
Social Services know if they move!
Community-Based Organizations:
Partners in meeting CLAS
“With growing concerns about racial and ethnic disparities in
health and the need for health care systems to accommodate
increasingly diverse patient populations, cultural competence
has become more and more a matter of national concern and
attention.” https://www.thinkculturalhealth.org/
• Hispanics In Philanthropy—NC Latino Grantees
http://www.hiponline.org/Home/Funders+Collaborative/Grantees/North+Carolina.htm
• National Council on Interpreting in Health Care
http://www.ncihc.org/mc/page.do?sitePageId=57768&orgId=ncihc
• National Center for Cultural Competence
http://www11.georgetown.edu/research/gucchd/nccc/index.html
• NC Refugee Assistance Program
http://www.ncdhhs.gov/dss/refugee/index.htm
What Resources Are Available?
For More Information
A "Partnership Page" offers a one-stop-shop for everything
folks need to help with child health insurance outreach.
http://www.nchealthystart.org/outreach/PartnershipPage/index.htm
Provides links to:
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Health Check / NC Health Choice Orientation PPT
NC Healthy Start Foundation Online Catalog
NC Healthy Start Foundation Online Order Form
HC/NCHC Application in English
HC/NCHC Application in Spanish
List of Local DSS Addresses and Phone Numbers
Directory of Health Check Coordinators
Child Health Insurance Web Page (For the Public)
Note: Save this link on your desktop & you will have easy
access to everything needed!
For more information
For Questions About Health Check/NC Health Choice Outreach:
Norma Martí: 919-707-5643 or Norma.Marti@dhhs.nc.gov
For Questions About Ordering Materials:
NC Healthy Start Foundation:
919-828-1819 or http://www.nchealthystart.org/catalog/index.htm
Public service announcement
“Health Check/NC Health Choice: health
insurance for children”
Healthy and Ready to Learn initiative
N.C. Healthy and Ready to Learn Initiative:
• Funding through Children’s Health Insurance Program
Reauthorization Act (CHIPRA)
• Original ‘CHIP’ Federal legislation in 1997
– North Carolina legislature created NC Health Choice for Children
– Robert Wood Johnson Foundation’s Covering Kids grants to states
• NC moves NC Health Choice children under age 6
into Medicaid in 2006
• Federal Reauthorization in 2009 (Outreach & Enrollment grants)
• Vision for health care reform
– Implementation of the Patient Protection and Affordable Care Act in North Carolina
– Model of outreach efforts to reach uninsured population
– Best practices and lessons learned
N.C. Healthy and Ready to Learn Initiative:
•
School-targeted outreach and enrollment effort to register all
“eligible and uninsured” children entering public kindergarten into
Health Check or NC Health Choice under auspices of the CHIPRA
grant.
•
Partnership of Physicians, School Nurses, SHACs, State Agencies
(DPI, DPH, DMA), Local Education Agencies, and Communitybased Organizations, HRL Steering Committee has 40 members,
supported by the Office of Governor and the State Superintendent.
•
Identifies uninsured kindergarten students through the
Kindergarten Health Assessment form
 Year 1: Pilot outreach in 16 high-need counties
 Year 2: Statewide outreach, focus in 32 more counties to include pre-K and
K students
Healthy & Ready to Learn Initiative
Child Health Insurance Grantee Schools, Year 1 & 2
Includes Elkin City & Mount Airy
City
Includes Asheboro City
Includes Lexington City & Thomasville City
Includes Mooresville
City
Alleghany
Ashe
Watauga
Includes
Asheville City
Avery
Northampton
Stokes
Surry
11
Wilkes
13
Yadkin
Forsyth
42
Caldwell
16
Yancey
McDowell Burke
17
Haywood
Swain
Graham
Buncombe
26
Henderson
Jackson
Cherokee
7
Macon
Clay
Rutherford
1o
Polk
Alexander
Catawba
25
Lincoln
Iredell
21
Rockingham Caswell
17
Guilford
69
Mitchell
Madison
Includes Weldon City & Roanoke Rapids
Person
Cabarrus
24
Cleveland Gaston
18
29 Mecklenburg
Hertford
Halifax
11
Alamance
21
Bertie
Nash
17
Edgecombe
5
Chatham
Lee
8
Montgomery
5
Stanly
16
Wilson
14
CONTACT:
Union
29
Anson
6
Richmond
9
Hyde
Greene
Lenoir
8
Cumberland
48
Duplin
8
Sampson
9
Scotland
9
Includes Kannapolis
City
Tyrrell
Wayne
15
Moore
Hoke
Washington
Beaufort
Johnston
22
Harnett
12
Martin
5
Pitt
20
Transylvania
Includes
Hickory City &
Newton
Conover City
Perquimans
Franklin
Durham
29
Wake
Randolph
23
Camden
Currituck
Pasquotank
Chowan
Orange
Davie
Davidson
22
Rowan
20
Gates
Vance Warren
Granville 10
Craven
15
Pamlico
Jones
Carteret
Robeson
23
Onslow
19
Bladen
7
Pender
Ania Boer, Project Director, (ania@ncpeds.org, 919-839-1156)
Laura Brewer (laura@ncpeds.org, 910-865-5507)
Cleveland, Columbus, Cumberland, Davidson, Gaston, Randolph, Robeson,
Rutherford
*New Counties: Brunswick, Buncombe, New Hanover, Bladen, Scotland,
Richmond, Anson, Union, Cherokee, Montgomery
Betty Macon (betty@ncpeds.org, 252-822-3340)
Edgecombe, Halifax, Harnett, Lenoir, Pitt, Vance, Wayne, Wilson
*New Counties: Lee, Johnston, Nash, Craven, Martin, Sampson, Duplin, Onslow,
Durham
India Foy (india@ncpeds.org, 336-617-6628)
* New Counties: Burke, Caldwell, Catawba, Iredell, Rowan, Cabarrus, Stanly,
Alamance, Guilford, Rockingham, Forsyth, Surry, Wilkes
Columbus
10
Includes Whiteville City
New Hanover
24
Brunswick
9
Includes Clinton City
-Year 1: 278 schools (22 LEAs)
-Year 2: 567 schools (40 LEAs)
Total of 845 schools in 48
counties (62 LEAs)
Dare
Healthy Children Learn Better!
•More alert
•More focused on learning
•Miss less school
•Learn healthy behaviors to prevent the
leading causes of death in NC: heart
disease, stroke and cancer
•Source: Robeson County SHAC presentation
Kindergarten Health
Assessment Form
Kindergarten Health Assessment Form
Kindergarten Health Assessment Form
• Form is often NOT filled out completely when it arrives at
schools
• Frequently, parents do not fill their part due to low literacy levels
or not realizing it is their responsibility
• Important to fill out form completely so the school staff has an
entire record on child's health
• Back side- under “Parent Complete”- identifies children who do
not have health coverage
Healthy and Ready to Learn partners
Steering Committee members:
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Mary Jane Akerman, Wellness Coordinator, Thomasville City Schools
LaTasha Bennett, Information and Communication Specialist, NC Community Health Center Association
Ania Boer, Laura H. Brewer, India Foy, Betty Macon, NC Pediatric Society Foundation
Clementine Buford, President, School Nurse Association of North Carolina
John Dervin, Policy Advisor, NC Office of Governor
Nicole Dozier, Assistant Project Director, NC Justice Center – Health Access Coalition,
Marian Earls, MD, Past President, NC Pediatric Society
Linda Faulkner, Program Consultant, Medicaid Eligibility Unit, Division of Medical Assistance
Janice Freedman, Executive Director, Erica Payton, NC Healthy Start Foundation
Jessica Gerdes, School Health Nurse Consultant, NC Division of Public Health
Dan Gitterman, Senior Policy Advisor, NC Office of the Governor
Gary Henry, Director, Carolina Institute for Public Policy, University of North Carolina at Chapel HIll
Mark Holmes, Senior Research Fellow, Cecil G. Sheps Center for Health Services Research, UNC
Lynn Harvey, Child Nutrition Services Director, NC Department of Public Instruction
Robin Lane, Pediatric, Nurse Practitioner, Outstanding Kids Inc.
Jade Marcus, Research Fellow, Rebecca Zulli, Project Manager, Carolina Institute for Public Policy at UNC
Healthy and Ready to Learn Steering Committee member list - continued:
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Danielle Matula, Norma Marti, NC DHHS/DPH
Chris Minard, Allied Health Consultant, Division of Public Instruction
Ben Money, Executive Director, NC Community Health Center Association
Lena Murill-Chapman, President of Student Services Division, NCAE
Katrilla Ragin, Health Check Consultant, Division of Medical Assistance
McAllister Ross Myhra, Director of Operations, John Rex Endowment
Kevin Ryan, MD, Chief of Women's & Children's Health Section, NC DHHS/Division of Public Health
Carolyn Sexton, NC DHHS/Division of Public Health & CCNC
Gary Skinner, Catholic Charities of the Diocese of Raleigh
Steve Shore, Executive Director, NC Pediatric Society
Carol Tant, Head of Children & Youth Branch, NC DHHS/Division of Public Health
Susan Vaudreuil, Health Check Coordinator, NC Access Care
Tom Vitaglione, Senior Fellow – Health and Safety, Action for Children NC
Wendy Ward, Project Director, Exceptional Children’s Assistance Center
Ann Ward, Local Partnerships Support Specialist, Smart Start
Margaret Watts, John York, Field Staff Supervisor, NC Division of Medical Assistance
School Nurses &
School Health Advisory Councils (SHACs)
• School nurses
-Link to children and families
-Integral component to identifying eligible and uninsured
children using the Kindergarten Health Assessment form
• SHACs
-Assistance from local healthcare entities, community and
faith-based organizations that interact with children and
families
Coordinated School Health Approach
School
Health
Education
Family &
Community
Involvement
Physical
Education &
Physical
Activity
School
Health
Services
Staff
Health
Promotion
Healthy
School
Environment
Nutrition
Services
Counseling,
Psychological &
Social Services
HRL Project: School Nurses and SHACs
Collaborative effort is a key!
•Collaborative effort between school nurses, student support
services staff and School Health Advisory Council is a key to helping
students stay healthy and learn better
• HRL School Partners:
•Use existing communication channels and partnerships to
promote children’s health insurance
• Implement a few outreach ideas at school from a menu of
school outreach strategies developed
•Link Healthy and Ready to Learn to existing school & community
priorities
Head Start Collaboration
• Letter to local directors sent from the NC State Head Start
• Orientation Webinar
• Action Steps developed after conducting a survey:
– Add HC/NC Health Choice to Health Services Advisory Committee
(HSAC) meetings’ agendas,
– Invite the HRL Local Community Coordinator to HSAC meetings
– Provide a HC/NC Health Choice booth at registration events during
summer/year round
Pediatric Providers
• Orientation Webinar for Pediatric Providers
• “Authority figure” providers in pilot counties asked to submit the
prepared op-ed article to local media
• Collaboration to assure KHA forms are completed
(it will reduce repeat visits for providers and cost to parents)
• Discuss importance of completion of “Personal Data” with parents
• Offer NCHC/HC as a resource for children's health insurance
Dr. David Hill
Catholic Charities
• Presentation to orient Catholic Charities’ Case Managers
about HRL initiative.
• HRL Local Community Coordinators met with staff locally
– include in conversations with families and community partners
– use as a resource during parenting programs, self-sufficiency
trainings
– offer as a resource in early childhood centers, free clinics,
Catholic elementary schools
– post in bulletin boards, newsletters
Smart Start
•
HRL orientation webinar for Smart Start Executive Directors and staff
(36 participated)
•
Action steps created for Smart Start staff to assist with helping
uninsured families enroll in NC Health Check
• Collaboration with Durham Partnership for Children (as a model)
• HRL and Smart Start collaborations already initiated and ongoing in
some counties
NC Parent Teacher Association (NC PTA)
•The NC PTA is already involved in child health insurance outreach in
some local areas
•Article has been published in their statewide “NC Parent-Teacher
Bulletin” and emailed to 1,075 PTAs across the state reaching over
165,000 individuals
•Articles have also been published in their “Parent Resource Handbook”
for PTA Presidents
•There are links from the NC-PTA web site to CHI web pages
•Exhibiting the HRL and CHI program at the NC PTA’s Annual Parent
Education Conference to be held on May 14, 2011 in
Fayetteville, NC
Examples of school-based child health insurance (CHI) outreach
strategies to implement at your school
Use existing health status assessments
•Send HC/NCHC envelope stuffer home with every child, along with a response
form to be returned to the child’s teacher (available from the “School
Partnership” link above).
•Ask parents to indicate the child’s current insurance status on school forms.
Have them sign it, provide contact information, and ask if they want to receive a
HC/NCHC application form
Existing communication infrastructures
Use school voice mail systems to communicate a message to all parents or a
targeted group of parents like those whose children qualify for F/RP School
Meals, or who have newly enrolled kindergarteners.
Home-schooled children may have a list serve that can be utilized to reach that
population of students.
Examples of school-based child health insurance (CHI)
outreach strategies to implement at your school
School-produced materials and forms
•Use Parent/Student Handbooks as an opportunity to educate about CHI.
(Information has been scripted for use in such a resource, see ‘School
Partnership” link). If the parent has to sign a document that they reviewed
in the Handbook, then a check box could be added to the form for parents
to indicate if they would like further information or to be contacted about
CHI.
•Ask about insurance status through School Registration, Sports Physicals,
and other forms to promote CHI and follow up as appropriate. Include
where to turn for more information: www.NCHealthyStart.org or go to local
department of social services.
For More Information
A "School Partnership Page" offers a one-stop-shop for
everything you need to do for child health insurance
outreach:
http://www.nchealthystart.org/outreach/SchoolPartnership/index.htm
Provides links to:
School-Based Child Health Insurance Outreach "Menu of Strategies"
Tools to Support Implementation of the "Menu of Strategies"
Health Check / NC Health Choice Orientation PPT
NC Healthy Start Foundation Online Catalog
NC Healthy Start Foundation Online Order Form
HC/NCHC Application in English
HC/NCHC Application in Spanish
List of Local DSS Addresses & Phone Numbers
Directory of Regional Health Check Coordinators
Child Health Insurance Web Page (For the Public)
NC Pediatric Society Foundation’s Healthy & Ready to Learn Initiative Web Page
Note: Save this link on your desktop & you will have easy access to
everything needed!
YOU can make a difference!
10 HRL Actions Steps:
1.
2.
Share information about the Healthy and
Ready to Learn and child health insurance
programs, Health Check/ NC Health Choice,
with school staff and all your SHAC
members (This PowerPoint will be posted
at: www.NCPedsFoundation.org under
Orientation).
Order free (English/Spanish) outreach
materials, i.e. fact sheets (D4, D4BR),
envelope stuffers (D3), applications (D6E,
D6S) and poster (D5) from
www.NCHealthyStart.org, click on Order.
For other languages, check:
http://www.nchealthystart.org/outreach/inde
x.html.
3.
Make sure ALL information on the KHA
form is complete and follow up on
families who don’t fill out their part.
4.
Hang a HC/NCHC poster so that families
can see it.
YOU can make a difference!
HRL Actions Steps:
5.
Have outreach materials on hand and
distribute them to families who mark “no
insurance” on the KHA form or don’t mark
anything after your attempts. Please share: a
flier with income guidelines (fact sheet or
envelope stuffer), an application, and the
address of local DSS.
6.
Consider following up with families to see if
they need help enrolling and offer them
resources such as www.NCHealthyStart.org
and local DSS.
7.
Build on existing infrastructure and
implement a few outreach ideas in your
school system from “School-based child
health insurance outreach strategies.” For
example, share materials during
kindergarten registration events or parent
orientations, or place a simple message
to parents on your school’s voice system.
If your school has a Pre-K program,
please reach out to families of 4-year old
children.
8.
Please keep track of the number and
race of the families you assist. Every
quarter, we will ask for an approximate
number of families you have reached.
YOU can make a difference!
Actions Steps:
9.
Call us if you need help with ordering materials,
scripting a message, need a cover letter to send to
families, or want us to mail you fliers with DSS
addresses by county.
Local Community Coordinators for HRL are:
Laura H. Brewer (south/west region, office in
Robeson County), laura@ncpeds.org, 910-8655507, and Betty Macon (north/east region, office in
Halifax County), betty@ncpeds.org, 252-822-3340,
and India Foy (central/western region, office in
Guilford County), india@ncpeds.org,
336-617-6628.
Visit www.NCPedsFoundation.org for outreach
tools and resources!
10.
Share your success stories with us!
Healthy and Ready to Learn Initiative
Local Community Coordinators
Project Director
Ania Boer, ME, MA
C: Central Region
1100 Wake Forest Road, Ste 200
Raleigh, NC 27604
919 839-1156
FAX: 919-839-1158
ania@ncpeds.org
Watauga
Alleghany
Wilkes
Surry
Yadkin
Mitchell Avery
Caldwell
Yancey
Alexander
Madison
Iredell
Burke
Catawba
Buncombe McDowell
Graham
Cherokee
Macon
Clay
Haywood
Betty Macon
Greensboro, NC
336-617-6628
india@ncpeds.org
Ashe
Swain
NE: Northeast Region
India Foy, MPH
Rutherford
Henderson
Jackson
Polk
Transylvania
Lincoln
ClevelandGaston
Roanoke Rapids, NC.
252-822-3340
betty@ncpeds.org
Rockingham
Stokes
Forsyth
Davie
Davidson
Rowan
Caswell
Alamance
Orange
Guilford
Durham
Randolph
Union
Montgomery
Moore
Stanly
Anson
Richmond
Lee
Laura H. Brewer
St. Pauls/ Lumberton
910-865-5507
laura@ncpeds.org
Northampton
Nash
Edgecombe
Hoke
Martin
Pitt
Tyrrell
Washington
Beaufort
Greene
Dare
Hyde
Wayne
Lenoir
Cumberland
Currituck
Bertie
Wilson
Harnett
Gates
Hertford
Halifax
Johnston
Scotland
Robeson
S & SW: Southern & Southwestern Region
Franklin
Wake
Chatham
Cabarrus
Mecklenburg
Vance
Granville
Warren
Person
Sampson
Duplin
Craven
Jones
Onslow
Bladen
Pamlico
Carteret
Pender
Columbus
New
Hanove
Brunswick
December 2010
North Carolina Pediatric Society Foundation
Healthy and Ready to Learn initiative team:
Steve Shore, MSW, Executive Director, NCPS-F
Ania Boer, ME, MA, Project Director, ania@ncpeds.org
Laura Brewer, Local Community Coordinator for south/western region
(office in Robeson County), laura@ncpeds.org, (910) 865-5507
India Foy, MPH, Local Community Coordinator for central/western region
(office in Guilford County), india@ncpeds.org, (336) 617-6628
Betty Macon, Local Community Coordinator for northeastern region
(office in Halifax County), betty@ncpeds.org, (252) 822-3340
1100 Wake Forest Road, Suite 150
Raleigh, NC 27604
Phone: (919) 839-1156
Fax: (919) 839-1158
www.NCPedsFoundation.org
Thank you for your support of the
Healthy and Ready to Learn Initiative!
Q&A