getting the message out and getting children in! boots on the ground school based pilot project...
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Getting the Message Out and Getting Children In!
Boots on the Ground
School Based Pilot Project
Miami-Dade County Public Schools
Who Is Uninsured?
Uninsured Children: A National Problem
Uninsured Floridian Children
Myth Busters – Uninsured Children
Health Implications for Uninsured
Benefits to Your School
• Florida KidCare is Florida's own Child Health Insurance Program (CHIP).
• Florida KidCare combines 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.
• 12-month continuous coverage for birth through age 18.
• A single application for all programs
English, Spanish, and Creole.
What is Florida KidCare?
Florida KidCare
Medicaid
CMSN
MediKids
FL Healthy Kids
Financial Eligibility
MediKids Full Pay
>200%
200%
Ages 0 to
1
Ages1 through 4 Age 5
Florida Healthy Kids (Title XXI Administration/Enrollment,
3rd Party Administrator Contract)
133%
100%
MediKids(AHCA)
185%
Ages 6 through 18
Medicaid for Children(DCF, Eligibility; AHCA, Program Administration)
CMS Network Title XIX and Title
XXI (Dept. of Health)
Title XXI-Funded
Title XIX-Funded
Medicaid:
Florida Healthy Kids Full Pay > 200%
Fede
ral P
over
ty L
evel
Florida Healthy Kids
Florida Healthy Kids BenefitsOffice visits for Minor Illness, Accident are (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, 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-PaySemi-private room
Surgeon Fees (Pre-authorized) No Co-Pay
Maternity Services and Delivery No Co-Pay
Anesthesia Services No Co-Pay
Children’s Medicaid
Children’s Medical Services - CMS
MediKids
BOOTS ON THE GROUND SCHOOL ACTION PLAN CHECKLIST
1. _______ Designate school liaison by September 2, 2011 2. _______ Direct liaison to create opportunities for parents to learn about and enroll in Florida KidCare. 3. _______ Have computers available for parents to use for application enrollment and renewal. 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.
Communicating with Families
Florida KidCare, Confidentiality & HIPAA
• HIPPA- The Health Insurance Portability and Accountability Act
• As a Florida KidCare community partner families entrust you to not only help them navigate the Florida KidCare system but to keep the information they share with you confidential and safe.
Florida KidCare, Confidentiality & HIPAA
Florida KidCare requires a properly completed Florida Healthy Kids Release of Information (ROI) be
on file prior to the release of any account related personal health
information.
Release of Information (ROI) A ROI form
should be voluntarily completed by application parent or guardian.One ROI must be properly completed and on file for each enrollee (child) prior to disclosure.Makesure to initial where indicated.Signature is required.
Levels of Disclosure• Florida KidCare staff are limited to the type of
information they are allowed to disclose to third parties. Such as:
Full disclosure – All account information provided
Minimum disclosure – Information needed to resolve a family’s concerns if provide
Limited disclosure – Confirmation of coverage, and dates of coverage, and name of child’s health & dental plan, amount of premium being paid are provided
No disclosure – No information is provided without a completed ROI on file
Personal Health Information (PHI)
• Name• Address• Phone Number• Social Security Number (SSN)• Date of Birth (DOB)• Premium Payment• Relatives• Email Address• Health/Dental Plan #• Employer• Account Number
HIPAA Compliance
To maintain HIPAA security you must:
Prevent unauthorized access and disclosure
Prevent loss of information
Secure electronic information
Secure paper records
Avoid overheard conversations
Never leave information in public view
Always check the credentials of a requester
Always check a client’s authorizations
Report incidents to your organization’s HIPAA Compliance Officer
Use encryption when sending an email with PHI
Do not copy others on an email with PHI without written consent from the client
HIPAA & Non-Applicant Parents
Under new legislation a non-applicant parent can have limited disclosure to Florida KidCare account information. In other words, a non-application parent can contact Florida KidCare (with the child’s information such as DOB and SSN) and are able to receive the following types of account information without a ROI on file:
– Confirmation of Coverage– Dates of coverage– Name of child’s health & dental plan– Amount of premium being paid
Don’t forget to review these materials!
Bookmark the website for quicker
access to the application
Pay Special
Attention to
Required Fields
Pay Special Attention to
Required Fields
Parent Two does not have required fields,
but fill in as much information as
possible if Parent Two exists
Utilize the Help bars for
questions you may have
Make sure all income documents are sent in immediately to ensure application processing
You have 30 minutes to complete each section
before the website times out and all
information is lost!
The application ends here – you will have one last chance to review all the
information provided on the next page and make changes before electronic
submission
FL-CKF Application Assistance Code
This is the
electronic
signature
Upon Completion
Monthly Premium Payments
Renewal Process
For More Information
Contact the Parent Academy
(305) 995-2680
Informational Web Sites◦ www.floridakidcare.org◦ www.healthykids.org◦ www.coveringkids.org
◦ www.insurekidsnow.org
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