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Florida Refugee Health Program

Florida Refugee Health Program. Mission. To provide culturally sensitive health services for refugees to enhance personal health status and to protect Florida’s public health. Immigration Terms. Refugee Asylee Immigrant (not eligible for refugee services) Cuban/Haitian Entrant

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Florida Refugee Health Program

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  1. Florida Refugee Health Program

  2. Mission Toprovide culturally sensitive health services for refugees to enhance personal health status and to protect Florida’s public health.

  3. Immigration Terms • Refugee • Asylee • Immigrant (not eligible for refugee services) • Cuban/Haitian Entrant • Voluntary Agency (VOLAG) • Quarantine Station • Class A and B

  4. RH Eligibility Requirements • IMMIGRATION STATUS • Refugee • Asylee • Cuban/Haitian Asylum Applicant • Cuban/Haitian Entrant • Amerasian • Victims of Trafficking • Unaccompanied Refugee Minor • Iraqi or Afghan Special Immigrant

  5. Program Requirements Refugee ADMITTED AS A REFUGEE PURSUANT TO SECTION 207 OF THE INA FOR AN INDEFINITE PERIOD OF TIME. IF YOU DEPART THE UNITED STATES YOU WILL NEED PRIOR PERMISSION TO RETURN. EMPLOYMENT AUTHORIZED PORT______DATE______ OFFICER_________ TIME LIMITS • Health Assessments initiated within 90 days of eligibility date • Immunizationsstarted within one year from eligibility date DOCUMENTATION • I-94 Card or Other Document must show arrival date and immigration status • Photo Identification

  6. U.S. Refugee Processing UNHCRReferral DOS Referral Overseas Processing Entity (OPE) USCIS Interview Approved Denied Sponsor Medical

  7. Cuban Lottery-1998 Applicant U.S. Interests Section-Havana DOS-Washington U.S. Interests Section-Havana Denied Approved Medical

  8. “Irregular Maritime Arrivals”

  9. “Border Crossers”

  10. Health Screenings • Protect public health • Assist refugee in successful resettlement • Early identification and treatment of disease is more cost effective and improves health outcomes for clients

  11. Health Assessments Reimbursement is provided to CHDs for: • TB testing and chest x-ray • Hepatitis testing • Parasitic infections testing • Sexually transmitted disease testing • Physical assessment • Lipids • Malaria • Lead testing • Health education

  12. Immunizations • MMR • Hepatitis B • Hepatitis A • Hep A & B (combo) • Td • Tdap • Varicella • Meningococcal • Polio • DTaP • HIB • Pneumococcal • Influenza • Rotavirus • HPV • Zoster

  13. Linguistically Appropriate Services • Telephonic Interpretation Services • DOH Contract-COARD-R3 • Interpreter Training • DOH Contract-COARC-R3 • Language Line Services • Joe Mathews-1-800-316-5493

  14. Arrivals by County- FFY 2013 Data Source: FL DOH Refugee Domestic Health Assessment System 4/18/2014

  15. County Arrivals

  16. National Statistics Number of Arrivals Eligible for Refugee Benefits by State FFY 2011-2012 Number State Source: Office of Refugee Resettlement’s Proposed Two-Year Social Service Formula Allocation – FFY 2013

  17. Arrivals by Country of Origin – FFY 2013 New Arrivals Eligible for Refugee Health Services By Country of Origin, FFY 13 Data Source: FL DOH Refugee Domestic Health Assessment System 4/18/2014

  18. Arrivals CY 2005 - CY 2012 Data Source: FL DOH Refugee Domestic Health Assessment System 9/17/2013

  19. Percent of Refugees Who Received a Health Assessment by Country of Origin, FY 2013 Data Source: FL DOH Refugee Domestic Health Assessment System 4/18/2014

  20. Arrival Notifications Quarantine Stations MIA-QS Refugee Health Program County Health Departments Refugee

  21. Reimbursement Process CHD-Invoice BFHSRHP DOH Revenue Mgmt DCF Refugee Services BFHSRHP DOH Revenue Mgmt CHD

  22. Victims of Trafficking • A form of modern-day slavery • Involves the exploitation of persons for commercial sex or forced labor • Often involves crossing an international border, but does not require moving a victim • Traffickers use force, fraud, or coercion to control their victims

  23. Adjustment of Status • Refugees only need vaccination sign-off from Civil Surgeon Any health department “licensed physician with no less than four years of professional experience” can provide the vaccination sign-off • All other immigration statuses need full medical exam by a designated Civil Surgeon • Civil Surgeon Locator and information on becoming a Civil Surgeon • Technical Instructions for Civil Surgeons

  24. Resources See Resources sheet in folder

  25. Contacts PROGRAM ADMINISTRATOR Kelly A. Browne, M.P.A., M.S.W. 850-245-4444, ext. 2306 (program issues, guidelines, funding) PROGRAM ANALYST Julie L. Framingham, M.A., M.S.W. 850-245-4444, ext. 2306 (program issues, guidelines, funding) REGISTERED NURSING CONSULTANT Brandi S. Andrews, R.N. 850-245-4444, ext. 2315 (training, technical assistance, quality improvement) DATA MANAGER Alonna W. Hudson 850-245-4444, ext. 2324 (data, reimbursement)

  26. 2008 Olympics From Lost Boy of Sudan to U.S. Flag-Bearer Lopez Lomong

  27. Questions?

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