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Refugee Health

Refugee Health. An Overview of Health Initiatives by the Office of Refugee Resettlement. Presentation Overview. Re-organization Affordable Care Act Domestic Medical Screening Guidelines CDC Medical Officer Suicide Prevention and Awareness Refugee Health Together Newsletter

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Refugee Health

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  1. Refugee Health An Overview of Health Initiatives by the Office of Refugee Resettlement

  2. Presentation Overview • Re-organization • Affordable Care Act • Domestic Medical Screening Guidelines • CDC Medical Officer • Suicide Prevention and Awareness • Refugee Health Together Newsletter • Data Collection

  3. Re-organization First-Ever Division of Refugee Health

  4. Guiding Principles

  5. Re-organization

  6. Division of Refugee Health • One Umbrella • Outreach & New Initiatives • Navigating Systems • Communication with Stakeholders • Program Guidance

  7. Take health care into your own hands Affordable Care Act Refugees are included to the same extent as U.S. citizens

  8. 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

  9. Healthcare.gov The Health Care Law & You Timeline: What's Changing & When Implementation Resources

  10. Benefits of Affordable Care Act • Refugees covered to the same extent as U.S. citizens • Health coverage beyond eight months • One streamlined application

  11. Preparing for 2014 • Training: • Expanded Medicaid & State Exchange Marketplaces • Under-enrollment in Medicaid • Outreach: • Consumer Assistance Programs • Navigator Grants

  12. 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)

  13. Domestic Medical Screening Guidelines And Corresponding Reimbursement Rates

  14. Process • Trigger • Policy Review • Collaboration • Solicitation for Comments • Final Guidance

  15. Guidelines • History & Physical Exam • Laboratory Evaluation • Preventive Health & Other Services

  16. Guidelines: History • Review of overseas medical records • Pre-departure Medical Screening form • Significant Medical Conditions form • Medical Assessment form • Immunization Records • Other

  17. Guidelines: Physical Exam • Review of All Systems • Nutrition • Reproductive Health • Mental Health • Dental • Hearing • Vision

  18. Guidelines: Preventive Health & Other • Presumptive Treatment for Schistosomiasis & Strongyloidiasis • Tuberculosis Screening • Immunizations

  19. Reimbursement Rates • Medicare Reimbursement Rate Plan(s) • Current Procedural Terminology Codes • Administrative Calculation: Unit Cost • Comparative Tool

  20. CDC Medical Officer Onsite Technical Assistance to ORR

  21. Dr. Curi Kim, MPH, MD • Board Certified: Family Medicine & Preventive Medicine • Commission with Public Health Service • CDC: Five Years

  22. Duties • Develop Surveillance Plans • Identify Trends in Refugee Health • Prepare for Public Health Emergencies • Develop Patient Education Materials • Train Staff

  23. Suicide Prevention & Awareness

  24. Suicide Among Refugees • Frequency • Profile • Reporting Mechanism

  25. Collaborative Response • Community-Based Organizations • Federal Partners • RHTAC’s Suicide Prevention Tool Kit

  26. Scientific Study • EpiAid Investigation • EpiAid Findings • Recommendations

  27. Refugee Health Together A New ORR Newsletter

  28. Refugee Health Together • First Newsletter Dedicated to Refugee Health • Quarterly Publication • First Issue: June 2012

  29. Volume 1, Issue 1 • Minority Health Month • Affordable Care Act • Professional Recertification • CDC Medical Officer • Domestic Medical Screening • Overseas Perspective: Kenya • 65th World Health Assembly

  30. Data Collection Painting by Numbers

  31. Looking Forward… Better Data • Trends in Serious Medical Conditions • State’s Organizational Structure • Refugee Medical Assistance & Medical Screening • State Systems on Refugee Health Data

  32. Questions & Discussion

  33. 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

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