getting the message out and getting children in!

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