Getting the Message Out and Getting Children In!

Florida Covering Kids & FamiliesCollege of Public HealthUSF-The Chiles Center

Miami-Dade County Public Schools

Boots on the Ground School-Based Pilot

Project

Miami-Dade County Public Schools

Who Is Uninsured?

Uninsured Children: A National Problem

Uninsured Floridian Children

Health Implications for Uninsured

Consequences of Being UninsuredConsequences 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 sports-related injuries.

• Uninsured children in the United States are less likely to have a “medical home.”

Benefits to Your School

Myth Busters – Uninsured Children

Florida KidCare

Medicaid

CMSN

MediKids

FL Healthy Kids

Florida KidCare - four programs

• 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?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 programsEnglish, Spanish, and Creole.

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-FundedTitle XIX-Funded

Medicaid:

Florida Healthy Kids Full Pay > 200%Fe

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l Pov

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Lev

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Florida Healthy Kids

Florida Healthy Kids Benefits

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-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 February 17, 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

Don’t forget to review these materials!

Bookmark the website for quicker access to the

application

Upon Completion

Monthly Premium Payments

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