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Florida Refugee Health ProgramFlorida Refugee Health Program

MissionMission

To provide culturally sensitive health services for refugees to enhance personal health status and to protect Florida’s public health.

Immigration TermsImmigration Terms

• Refugee• Asylee• Immigrant (not eligible for

refugee services)• Cuban/Haitian Entrant• Voluntary Agency (VOLAG)• Quarantine Station• Class A and B

RH Eligibility RequirementsRH 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

Program RequirementsTIME LIMITS1. Health Assessments

initiated within 90 days of eligibility date

2. Immunizationsstarted within one year from eligibility date

DOCUMENTATION1. I-94 Card or Other

Document must show arrival date and immigration status

2. Photo Identification

RefugeeADMITTED AS A REFUGEEPURSUANT TO SECTION 207 OFTHE INA FOR AN INDEFINITEPERIOD OF TIME. IF YOUDEPART THE UNITED STATESYOU WILL NEED PRIOR PERMISSION TO RETURN.EMPLOYMENT AUTHORIZEDPORT______DATE______OFFICER_________

UNHCRReferral

DOS Referral

Overseas Processing Entity (OPE)

USCIS Interview

Approved Denied

MedicalSponsor

U.S. Refugee ProcessingU.S. Refugee Processing

Cuban Lottery-1998

Applicant

U.S. Interests Section-Havana

DOS-Washington

U.S. Interests Section-Havana Denied

Approved Medical

“Irregular Maritime Arrivals”

“Irregular Maritime Arrivals”

“Border Crossers”“Border Crossers”

Health ScreeningsHealth 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

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

Immunizations

• MMR

• Hepatitis B

• Hepatitis A

• Hep A & B (combo)

• Td

• Tdap

• Varicella

• Meningococcal

• Polio

• DTaP

• HIB

• Pneumococcal

• Influenza

• Rotavirus

• HPV

• Zoster

•Telephonic Interpretation Services

– DOH Contract-COARD-R3

• Interpreter Training – DOH Contract-COARC-R3

• Language Line Services– Joe Mathews-1-800-316-5493

Linguistically Appropriate ServicesLinguistically Appropriate Services

Arrivals by County- FFY 2013

Arrivals by County- FFY 2013

Arrivals by County-2013

PIN

EL

LA

S

ORANGE

MADISON

TAYLOR

HAMILTON

SUWANNEE

LAFAYETTE

DIXIE

CO

LU

MB

IA

GILCHRIST

LEVY

UNION

ALACHUAPUTNAM

MARION

LAKECITRUS

SUMTER

BAKER

NASSAU

DUVAL

CLAY

ST. JOHNS

FLAGLER

VOLUSIA

SEMINOLE

BREVARD

OSCEOLAHILLSBOROUGH

POLK

MANATEEHARDEE

INDIAN RIVER

OKEECHOBEEST. LUCIE

MARTIN

PALM BEACH

BROWARD

MIAMI-DADE

COLLIER

HENDRYLEE

CHARLOTTE GLADES

DESOTOSARASOTA

ESCAMBIASANTA ROSA

OKALOOSA

WALTON

HOLMES

JACKSON

WASHINGTON

CALHOUN

BAY

GULF

GADSDEN

FRANKLIN

LEON

WAKULLALIBERTY

PASCO

HIGHLANDS

HERNANDO

MONROE

No Arrivals

1,000 – 19,999

700 -999

400 - 699

100 - 399

1 -99

20,000+

Data Source: FL DOH Refugee Domestic Health Assessment System 4/18/2014

County ArrivalsCounty Arrivals

Contact Alonna W. Hudson at 850-245-4444, ext. 2324 for current County data.

National Statistics

Source: Office of Refugee Resettlement’s Proposed Two-Year Social Service Formula Allocation – FFY 2013

Number

State

Number of Arrivals Eligible for Refugee Benefits by StateFFY 2011-2012

Arrivals by Country of Origin – FFY 2013

Data Source: FL DOH Refugee Domestic Health Assessment System 4/18/2014

New Arrivals Eligible for Refugee Health ServicesBy Country of Origin, FFY 13

Arrivals CY 2005 - CY 2012Arrivals CY 2005 - CY 2012

Data Source: FL DOH Refugee Domestic Health Assessment System 9/17/2013

Percent of Refugees Who Received a Health Assessment

by Country of Origin, FY 2013

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

Arrival Notifications

Quarantine Stations

Refugee Health Program

County Health Departments

Refugee

MIA-QS

Reimbursement ProcessReimbursement Process

CHD-Invoice

BFHSRHP

DOH Revenue Mgmt

DCF Refugee Services

BFHSRHP

DOH Revenue Mgmt

CHD

Victims of TraffickingVictims 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

Adjustment of StatusAdjustment of Status

• Refugees only need vaccination sign-off from Civil SurgeonAny 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

ResourcesResources

See Resources sheet in folder

Contacts Contacts

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)

PROGRAM ADMINISTRATOR

Kelly A. Browne, M.P.A., M.S.W. 850-245-4444, ext.

2306 (program issues, guidelines,

funding)

DATA MANAGER

Alonna W. Hudson850-245-4444, ext.

2324(data, reimbursement)

2008 Olympics2008 Olympics

From Lost Boy of Sudan to U.S. Flag-Bearer

Lopez Lomong

Questions?Questions?