Refugee Health
An Overview of Health Initiatives
by the Office of Refugee
Resettlement
Presentation Overview
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Re-organization
Affordable Care Act
Domestic Medical Screening Guidelines
CDC Medical Officer
Suicide Prevention and Awareness
Refugee Health Together Newsletter
Data Collection
Re-organization
First-Ever Division of Refugee Health
Guiding Principles
Data-Informed
Decision
Making
Appropriate
Placement &
Services
ClientCentered
Case
Management
Mission
Outreach
Health &
Mental Health
Services
Newly
Arriving
Refugees
Re-organization
Director
Budget
Deputy
Director
Refugee
Services
Refugee
Assistance
Associate
Deputy
Director
Refugee
Health
Children’s
Services
AntiTrafficking
Division of Refugee Health
• One Umbrella
• Outreach & New Initiatives
• Navigating Systems
• Communication with Stakeholders
• Program Guidance
Affordable Care Act
Refugees are included to the same
extent as U.S. citizens
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
Healthcare.gov
The Health Care Law & You
Timeline: What's Changing & When
Implementation Resources
Benefits of Affordable Care Act
• Refugees covered to the same extent as U.S.
citizens
• Health coverage beyond eight months
• One streamlined application
Preparing for 2014
• Training:
– Expanded Medicaid & State Exchange
Marketplaces
– Under-enrollment in Medicaid
• Outreach:
– Consumer Assistance Programs
– Navigator Grants
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)
Domestic Medical Screening
Guidelines
And Corresponding Reimbursement
Rates
Process
• Trigger
• Policy Review
• Collaboration
• Solicitation for Comments
• Final Guidance
Guidelines
• History & Physical Exam
• Laboratory Evaluation
• Preventive Health & Other Services
Guidelines:
History
• Review of overseas medical records
Pre-departure Medical Screening form
Significant Medical Conditions form
Medical Assessment form
Immunization Records
Other
Guidelines:
Physical Exam
• Review of All Systems
Nutrition
Reproductive Health
Mental Health
Dental
Hearing
Vision
Guidelines:
Preventive Health & Other
• Presumptive Treatment for Schistosomiasis &
Strongyloidiasis
• Tuberculosis Screening
• Immunizations
Reimbursement Rates
• Medicare Reimbursement Rate Plan(s)
• Current Procedural Terminology Codes
• Administrative Calculation: Unit Cost
• Comparative Tool
CDC Medical Officer
Onsite Technical Assistance to ORR
Dr. Curi Kim, MPH, MD
• Board Certified:
Family Medicine & Preventive Medicine
• Commission with Public Health Service
• CDC: Five Years
Duties
• Develop Surveillance Plans
• Identify Trends in Refugee Health
• Prepare for Public Health Emergencies
• Develop Patient Education Materials
• Train Staff
Suicide Prevention & Awareness
Suicide Among Refugees
• Frequency
• Profile
• Reporting Mechanism
Collaborative Response
• Community-Based Organizations
• Federal Partners
• RHTAC’s Suicide Prevention Tool Kit
Scientific Study
• EpiAid Investigation
• EpiAid Findings
• Recommendations
Refugee Health Together
A New ORR Newsletter
Refugee Health Together
• First Newsletter Dedicated to Refugee Health
• Quarterly Publication
• First Issue: June 2012
Volume 1, Issue 1
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Minority Health Month
Affordable Care Act
Professional Recertification
CDC Medical Officer
Domestic Medical Screening
Overseas Perspective: Kenya
65th World Health Assembly
Data Collection
Painting by Numbers
Looking Forward… Better Data
• Trends in Serious Medical Conditions
• State’s Organizational Structure
• Refugee Medical Assistance & Medical
Screening
• State Systems on Refugee Health Data
Questions & Discussion
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