Getting the Message Out and
Getting Children In!
Miami-Dade County Public Schools
Florida Covering Kids & Families
College of Public Health
USF-The Chiles Center
Boots on the Ground
School-Based Pilot
Project
Miami-Dade County Public Schools
Who Is Uninsured?
Uninsured Children: A National Problem
Uninsured Floridian Children
Florida ranks 3rd 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
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
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 sportsrelated injuries.
• Uninsured children in the United States
are less likely to have a “medical home.”
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.
Myth Busters – Uninsured Children
Working Families
College Students
Working Poor
Working Mothers
Absenteeism
Florida KidCare - four programs
Medicaid
CMSN
MediKids
FL Healthy Kids
Florida KidCare
•
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?
• 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.
MediKids Full
Pay >200%
Florida Healthy Kids Full Pay > 200%
200%
Federal Poverty Level
185%
MediKids
(AHCA)
Florida Healthy Kids
(Title XXI Administration/Enrollment,
3rd Party Administrator Contract)
133%
100%
Medicaid for Children
(DCF, Eligibility; AHCA, Program Administration)
Ages 0
to 1
Ages
1 through 4
Medicaid:
Title XIX-Funded
Title XXI-Funded
Age 5
Ages 6 through 18
CMS Network
Title XIX and Title XXI
(Dept. of Health)
Financial Eligibility
Florida Healthy Kids
Office visits for Minor Illness, Accident Care (Primary Care Provider)
$5 Co-Pay
Well Child Care
No 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 Delivery
No Co-Pay
Anesthesia Services
No Co-Pay
Florida Healthy Kids Benefits
Children’s Medicaid
Children’s Medical Services - CMS
MediKids
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. _______
•
4. _______ Place a link to Florida KidCare on School website: www.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.
Have computers available for parents to use for application enrollment and
renewal.
Communicating with Families
One-on-one assistance
Easy to understand information
Be sensitive to fear and mistrust
Bookmark the website for
quicker access to the
application
Don’t forget to review
these materials!
Documents
List
Fax
Mail
Personal
Copies
When the family
finishes the online
application
Copies Only
Confirmation
Number
Upon Completion
Internet & Telephone
• 24 hours a day, 7 days a week
• Visa, MasterCard and Discover accepted
• Direct from checking or savings account
• Fee may be charged
Mail
• Mail a check or money order with payment coupon to Florida
KidCare
• Write your family account number on check or money order
Non-Payment
• 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
Monthly Premium Payments
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
Renewal Process
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