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• Data Collection

Re-organization

First-Ever Division of Refugee Health

Guiding Principles

Mission

Appropriate

Placement & Services

Client-Centered

Case Manageme

nt

Newly Arriving

RefugeesHealth & Mental Health

Services

Outreach

Data-Informed Decision Making

Re-organization

Director

Budget Deputy Director

Refugee Services

Refugee Assistance

Refugee Health

Associate Deputy Director

Children’s Services

Anti-Trafficking

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

Take health care into your own hands

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 ChangesUnder 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 recordsPre-departure Medical Screening formSignificant Medical Conditions formMedical Assessment formImmunization RecordsOther

Guidelines: Physical Exam

• Review of All SystemsNutritionReproductive HealthMental HealthDentalHearingVision

http://www.healthcare.gov/index.html

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

• 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 WorkieRefugee Health Team Lead

Office of Refugee Resettlementessey.workie@acf.hhs.gov

202-401-5364 http://www.acf.hhs.gov/programs/orr/ http://transition.acf.hhs.gov/programs/orr