Transcript CHILDREN`S HEALTH CARE - American Inns of Court

CHILDREN’S HEALTH
CARE
Federal, State and Private
help in Delaware
WHERE TO GO?
(Health Centers)
Claymont Family Health Services
3301 Green Street
Claymont, DE
(302) 798-9755
Claymont Family Health Services is a primary health care
center for individuals and families with little or no health
insurance. They provide general exams, blood pressure
screenings, minor illness treatment, women's health
services, dermatology, adult/child immunizations and
referrals to specialists or clinics. Volunteer physicians
provide these services.
WHERE TO GO?
(Health Centers)
Henrietta Johnson Medical Center
601 New Castle Avenue
Wilmington, DE
(302) 655-6187
Henrietta Johnson Medical Center provides, adult
medicine, senior care, vision and hearing
screening, minor surgery, sexually transmitted
disease testing and treatment, adolescent health
education program, teen pregnancy program,
immunizations, reproductive care and pediatric
care.
WHERE TO GO?
(Health Centers)
Kent Community Health Center
1095 S. Bradford Street
Dover, DE 19901
(302) 678-2000
Kent Community Health Center provides a wide range of
primary and preventative health and social services. Health
care services include sick and well care, exams and
immunizations, family planning, breast and cervical cancer
screening, and health insurance and prescription assistance
referrals. Staff members are bilingual in English and
Spanish. Medicare, Medicaid and sliding fees available.
WHERE TO GO?
(Health Centers)
La Red Health Center
505 W. Market Street
Georgetown, DE 19947
(302) 855-1233
La Red Health Center provides access to primary healthcare for all
individuals. Services include pediatric, adolescent and adult
medicine preventive programs, diabetes education, immunizations
for children, routine school and sports physicals, HIV testing and
counseling, prenatal services and mental health and substance
abuse counseling. Services are based on sliding scale fees. Staff is
fully bilingual in English and Spanish. Translation and
transportation services are also available.
WHERE TO GO?
(Health Centers)
Westside Health Center
1802 West 4th Street
Wilmington, DE
(302) 655-5822
Westside Family Healthcare is a non-profit community health
center. Services include Family Medical Care, OB/GYN and
Women’s Health Care, Pediatrics, Dental Care, Podiatry, Support
Services (Bilingual English/Spanish care and translation, Diabetes
Education, MED Program (low-cost medication), Case Management,
24-hours Physician on call), Behavioral Health Care, Adolescent
Health and Financial Aid Assistance including Sliding Fee Scale for
patients who qualify.
WHERE TO GO?
(Hospitals)
Alfred I. duPont Hospital
1600 Rockland Road
Wilmington, DE 19803
1-888-533-3KID
Bayhealth Medical Center
Kent General Hospital
640 South State St
Dover, DE 19901
302-674-4700
WHERE TO GO?
(Hospitals)
Bayhealth Medical Center
Milford Memorial Hospital
21 West Clarke Ave
PO Box 199
Milford, DE 19963
302-422-3311
Beebe Medical Center
424 Savannah Road
Lewes, Delaware 19958
General information: 645-3300
Charity Care & Community Healthcare Access Program: 645-3100,
ext. 5137 or 5138
WHERE TO GO?
(Hospitals)
Christiana Care Health System
4755 Ogletown-Stanton Road
Newark, DE 19718
501 W. 14th Street
Wilmington, DE 19801
302-733-1000
St. Francis Hospital
7th and Clayton Streets
Wilmington, DE
302-421-4100 (Central Outpatient)
WHERE TO GO?
(Hospitals)
Bayhealth Medical Center
Milford Memorial Hospital
21 West Clarke Ave
PO Box 199
Milford, DE 19963
302-422-3311
Beebe Medical Center
424 Savannah Road
Lewes, Delaware 19958
General information: 645-3300
Charity Care & Community Healthcare Access Program: 645-3100,
ext. 5137 or 5138
WHERE TO GO?
(Hospitals)
Nanticoke Health Services
801 Middleford Road
Seaford, Delaware 19973
302-629-6611
Federal Program
(Medicaid)
•
•
Medicaid offers health and long-term care coverage to some people with
limited income. This includes children and parents, pregnant women, people
with disabilities, and seniors. Medicaid programs are run by states with a
mix of state and federal funding.
Facts About Medicaid
–
–
–
–
–
–
Medicaid is the largest children’s health program in the country and the primary
source of health care for low-income families and elderly and disabled people.
One in six Americans under age 65 is insured through Medicaid.
Half of all Medicaid enrollees are children and 78% live in households where at
least one parent works.
Covers over 70,000 children in Delaware.
Provides health insurance coverage for part or all of the year to one in three
children.
It is estimated that 19,051 Delaware children are uninsured. 55% of these
uninsured children are eligible but not enrolled in Medicaid or the State
Children’s Health Insurance Program.
Federal Program
(Medicaid)
•
•
Eligibility - Determined by Delaware Division of Social Services, Division of Medicaid
and Medical Assistance (DMMA)
Factors
–
–
–
–
–
–
–
–
–
•
You can have a car, bank account, and a home and still qualify for Medicaid. DMMA does not
look at any of your resources when determining your eligibility for Medicaid.
You can work and still qualify for Medicaid.
Some persons can have other insurance and still receive Medical Assistance.
Low-income uninsured adults between the ages of 19 and 65 may qualify for Medicaid.
Certain children living with stepparents, grandparents, or siblings with income may receive
Medicaid.
Needy families with children may be eligible for Medicaid if they are part of Temporary
Assistance for Needy Families.
When a family getting a welfare check starts working and leaves welfare they still may receive
Medicaid.
Low-income pregnant women and children under age 19 may qualify for Medicaid.
Most women of child bearing age may be eligible for birth control and family planning services
for up to 24 months after their regular Medicaid stops.
Based on month to month eligibility. Benefits are determined on a yearly basis to
ensure recipients remain eligible. Changes in situation must typically be reported
within 10 days of the change.
Federal Program
(Medicaid)
•
How to Apply?
–
–
•
Online: using ASSIST (Application for Social Services and Internet Screening
Tool), https://assist.dhss.delaware.gov
By phone: by contacting Medicaid Customer Relations at 1-800-372-2022 or
(302) 255-9500 to be directed to the Division of Social Services (DSS) office
closest to where you live. staff members will help you find out more about
eligibility for Medicaid and other assistance programs. Then the appropriate
information and application forms will be mailed to you. Complete, sign and date
the application form in ink and mail it to the address provided.
Documentation needed to apply
–
–
–
–
–
verification of income
NO verification of resources (bank accounts, cars, stocks, etc.) necessary (unless
applying for Long Term Care Medicaid)
NO interview required (unless applying for Long Term Care Medicaid)
Proof of pregnancy, if pregnant
For non-US citizens, proof of alien status (ex. copy of green card)
The Future of the Federal Program
(New Healthcare Reform – Patient Protection and Affordable Care Act)
Reforms Will Be Put In Place By 2014
Most Citizens and Legal Residents Will Be
Required to Have Health Insurance
•
Delaware Will Establish a State-Wide System of Health Benefit
Exchanges
–
•
Financial assistance will be provided to those with income between 133-400% of the Federal
Poverty Level
Currently
• (Single) - $14,404 - $41,520
• (Family) - $29,326 - $88,200
Eligibility for Medicaid will be Expanded
–
–
–
Those with income less than 133% of the federal poverty level (currently $14,404 for a single
person and $29,326 for a family) who cannot afford coverage will be eligible for Medicaid .
Modified Gross Income (not Gross Income) will be used to determine eligibility in most
instances. Applicants can take a standard 5% deduction or their own personal deductions.
Foster children can receive Medicaid until age 26
The Future of the Federal Program
(New Healthcare Reform – Patient Protection and Affordable Care Act)
•
Services Offered Through Medicaid Will be Expanded
–
–
–
•
No Child Gets Lost in the Gap
–
–
•
Mental Health Services will be offered
Prescription Drug Coverage will be expanded
Increased Focus on Tobacco Cessation for Pregnant Women (Starting 2011) through
• Public Health Clinics
• Providing targeted advice and quit-smoking packets to all pregnant women who smoke
• Ensuring that smoking status is tracked on all patient records
If a child is deemed ineligible for Medicaid that child is automatically enrolled in Delaware’s
Children’s Health Insurance Program (CHIP).
If CHIP becomes full, Delaware must offer that child a Health Benefit Exchange that
provides equivalent benefits and cost-sharing.
No More Exclusions From Insurance Because of Pre-Existing Conditions
–
–
Currently insurers cannot exclude children with pre-existing conditions from being covered by
their family policy.
Adults with pre-existing conditions will be protected from exclusion starting Jan. 1, 2014.
The Future of the Federal Program
(New Healthcare Reform – Patient Protection and Affordable Care Act)
•
•
New Application Uses Single Form
–
Applicants for assistance with health care will be able to submit a single, streamlined form for
all coverage options: Medicaid, CHIP, and Health Benefit Exchanges
–
Delaware will conduct outreach and enrollment assistance to those eligible for Medicaid and
CHIP.
–
If an applicant applies for a specific program and is denied that applicant is automatically
considered for all other affordable health care options without the need for additional
paperwork.
Websites will be established to identify and compare affordable
coverage options
–
The federal government’s website is NOW AVAILABLE at WWW.HEALTHCARE.GOV.
–
The state of Delaware’s website will be operational by January 1, 2014. You will be able to
apply for and renew insurance through the state’s website.
Delaware Program
(CHAP)
•
Community Healthcare Access Program (CHAP)
•
CHAP helps provide access to primary care doctors, medical specialists, and other
health resources including prescription programs, laboratory and radiology services.
Medical services are provided in the community through Community-based Health
Care Centers and private doctors who participate in the Medical Society of
Delaware's Voluntary Initiative Program (VIP). VIP is a network of private physicians
statewide who accept CHAP patients into their practices and serve as their health
home or provide medical subspecialty services. CHAP recipients receive discounted
medical services based upon their income. In brief, the CHAP program gets patients
the medical attention they need at an affordable cost.
•
To be eligible for CHAP, an individual must be a resident of Delaware,
uninsured, ineligible for state medical assistance programs, and meet
financial eligibility guidelines. To find out if you are eligible please call
1-800-996-9969
Delaware Program
(DHCP)
•
Delaware Healthy Children Program
•
The Delaware Healthy Children Program is a low cost health insurance
program for Delaware's uninsured children. The Delaware Healthy
Children Program features the same high-quality coverage you'd get
with some of the best private insurance plans.
•
What's covered? -The Delaware Healthy Children Program covers
everything from routine checkups to eye exams to doctor and hospital
services. Families covered by the Delaware Healthy Children Program
enjoy an extensive list of services for a single low monthly rate and
No-copayments.
Delaware Program
(DHCP)
•
Your children may qualify if they...
•
How much do I have to pay?
–
–
–
–
–
–
–
Do not have comprehensive health insurance,
Are under the age of 19 and reside in the State of Delaware,
Are U.S. citizens or qualified noncitizens,
Are not dependents of a State of Delaware employee, and
Meet income eligibility (please see the 200% Federal Poverty Level chart );
the number of people in your family (children and adults combined) and your
total family income determine the eligibility and premium cost for your
family. 1-800-996-9969
A. Premium payments are $10, $15 or $25 per household per month,
depending on your income.
There is an added bonus: for every 3 months you pay in advance, you'll get
the 4th month free! And, with the exception of non-emergency visits to
hospital emergency rooms, there are no co-payments. Prescriptions are
covered at 100%.
Delaware Program
(DPH Child Health Clinics)
•
DPH provides limited health services such as physicals and
immunizations to children (under age 19) who are well and who do not
have insurance or a doctor. No sports physicals are provided.
•
Locations
–
Dover
James W. Williams SC
805 River Road
Dover, DE 19901
(302) 857-5000
–
Georgetown Thurman Adams SC
546 S. Bedford Street
Georgetown, DE 19947
(302) 856-5246
Monday 8 a.m. - 4:30 p.m.
Wednesday 8 a.m. - 4:30 p.m.
Delaware Program
(DPH Child Health Clinics)
•
Locations
–
Newark
Floyd I. Hudson SC Call for latest information
501 Ogletown Road
Newark, DE 19711
DPH: (302) 283-7587
–
Seaford
Anna C. Shipley SC Tuesday 8 a.m. - 4:30 p.m.
350 Virginia Ave.
Seaford, DE 19973
DPH: (302) 628-2006
Other Delaware Programs
•
Delaware has other state programs and services including
•
You can learn more about these additional programs by visiting the
Delaware Division of Medicaid and Medical Assistance’s (DMMA)
website at http://dhss.delaware.gov/dhss/dmma or by contacting
DMMA, Rosanne Mahaney, Director, Stephen Groff, Deputy Director,
(302) 255-9500, 1901 N. DuPont Highway, Lewis Bldg., New Castle,
DE 19720, FAX: (302) 255-4454
–
–
–
–
–
–
Long Term Care Medicaid Programs
Chronic Renal Disease Program
Qualified Medicare Beneficiary Programs
Children’s Community Alternative Disability Program
Breast & Cervical Cancer Program
Transportation services
(Private Organizations)
CHILD, Inc.
507 Philadelphia Pike
Wilmington, DE 19809
Main: (302) 762-8989
Kent & Sussex Counties: 800-874-2070
Mission: To be the leading advocate for Delaware’s children. Child, Inc.
provides creative prevention and treatment programs that meet the
changing needs of families. Child, Inc. serves dependent, neglected and
abused children and their parents. Child, Inc. provides programs for those
involved in domestic violence situations, especially children.
(Private Organizations)
CHILDREN & FAMILIES FIRST
A long-time leader among human service agencies in Delaware,
strengthens families through adoption, foster care,
counseling, teen services, parenting education and support
programs, welfare to work services, programs that support
older adults, reduce infant mortality, and increase child care
quality and availability.
New Castle County
2005 Baynard Boulevard
Wilmington, Delaware 19802
302-658-5177
809 Washington Street
Wilmington, Delaware 19801
302-658-5177
Kent County
91 Wolf Creek Boulevard
Suite 1
Dover, Delaware 19901
302-674-8384
(Private Organizations)
CHILDREN & FAMILIES FIRST
(cont.)
Sussex County
Seaford House Residential Treatment Center
400 N Market Street Extension
Seaford, Delaware 19973
302-629-6996
410 S Bedford Street
Georgetown, Delaware 19947
302-856-2388
(Private Organizations)
CHILDREN & FAMILIES FIRST
In addition to many other family services, Children &
Families First provides the Resource Mothers Program
which helps at-risk pregnant mothers receive the
appropriate prenatal and pediatric care to ensure a
healthy baby. Resource Mothers help pregnant women
and their families access social services and community
resources. They also provide support and make sure the
women have information on parenting, nutrition and
healthy lifestyles. Services are offered in Wilmington,
Dover, and Georgetown.
(Private Organizations)
NORTHEAST TRAINING CENTERS
Community Plaza Counseling Center
287 Christiana Road, Suite 8
New Castle, DE 19720
Phone: (302) 325-6500
Fax: (302) 689-0110
•
Residential Treatment
Mental Health Residential Treatment is provided for a total of sixteen youth between
the ages of twelve years and eighteen years at two sites in New Castle County,
Delaware.
•
Day Treatment
The Kacy Church Day Treatment Center is located in New Castle, Delaware, and is
staffed by Special Education certified teachers, Social Workers, Psychologists, and
Counselors who form an integrated team that fully implements a multi-faceted approach
to working with young people and families with life difficulties, emotional problems or
special needs. The Day Treatment Program can treat and educate up to twenty youth
between the ages of 12 and 18 years of age. These structured services are provided
to Delaware school-aged youth who live at home, in residential settings or with
treatment foster families.
•
(Private Organizations)
NORTHEAST TRAINING CENTERS
Child Welfare, Foster Care & Adoption
•
•
Foster Care/Treatment Foster Care/Intensive Residential Treatment
These programs in Delaware provide various levels of care for youth who
are involved with the dependent and/or delinquent system. The youth in
these programs require a more intensive treatment experience with a
designated treatment team. The treatment team consists of specially
trained foster parents and qualified treatment specialists, mentors and
masters level clinicians.
Independent Living Program ("Making My Way")
This is an Independent Living skills development program located in
Delaware. The program is designed to assist older teenagers and young
adults effectively transition out of state foster care system into adulthood
via the support and direction of a life-skills mentor.
(Private Organizations)
BRANDYWINE COUNSELING AND
COMMUNITY SERVICES
“BCCS”
2713 Lancaster Avenue
Wilmington, DE 19805
Phone (302) 656-2348
Fax (302) 656-0746
Lighthouse Program
Substance abuse and mental health treatment is administered in a residential community for
women over the age of 18 with up to two (2) children under 8 years old using Evidence
Based Practices. In addition to on-site licensed day care services, mothers receive
individual and group therapy, life skills, computer classes, GED, trauma work and
evidence based parenting classes. Case managers assist women with job placement and
housing during final phases of care.
Appendix of Helpful Phone Numbers
Claymont Family Health Services
Henrietta Johnson Medical Center
Kent Community Health Center
La Red Health Center
Westside Health Center
Alfred I. duPont Hospital (Nemours)
Kent General Hospital
Milford Memorial Hospital
Beebe Medical Center
Nanticoke Health Services
Medicaid Customer Relations
Community Healthcare Access Program and
Delaware Healthy Children Program
DPH Child Health Clinics
Dover
Georgetown
Newark
Seaford
Child, Inc.
Children & Families First
Northeast Training Centers
BCCS
(302) 798-9755
(302) 655-6187
(302) 678-2000
(302) 855-1233
(302) 655-5822
1-888-533-3KID
(302) 674-4700
(302) 422-3311
(302) 645-3300
(302) 629-6611
1-800-372-2022 or
(302) 255-9500
1-800-996-9969
(302)
(302)
(302)
(302)
(302)
(302)
(302)
(302)
857-5000
856-5246
283-7587
628-2006
762-8989
658-5177
325-6500
656-2348