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Photo courtesy of UNHCR Office of Refugee Resettlement (ORR) National Information and Referral Support Center Presentation February 11, 2014 WHO IS A REFUGEE? Any person who is outside any country of such person's nationality or, in the case


  1. Photo courtesy of UNHCR Office of Refugee Resettlement (ORR) National Information and Referral Support Center Presentation February 11, 2014

  2. WHO IS A REFUGEE? Any person who is outside any country of such person's nationality or, in the case of a person having no nationality, is outside any country in which such person last habitually resided, and who is unable or unwilling to return to, and is unable or unwilling to avail himself or herself of the protection of, that country because of persecution or a well-founded fear of persecution on account of race, religion, nationality, membership in a particular social group, or political opinion. Definition of Refugee:1951 Convention Relating to the Status of Refugees

  3. FY12 ORR POPULATIONS FY2012 ORR Populations by status Immigration Status Number of People Asylee 29,077 Cuban and Haitian Entrants 22,878 Refugee 58,238 Special Immigrant Visa Holder 4,273 from Iraq & Afghanistan Grand Total 114,466 DATE OF REPORT: FEBRUARY 5, 2012

  4. AFFORDABLE CARE ACT (ACA) HIGHLIGHTS • Consumer rights and protections under the ACA • Health Insurance Marketplace • Federal Subsidies to help reduce the cost of health insurance: – Premium Tax Credit – Cost Sharing Reductions • For more information visit: http://marketplace.cms.gov

  5. TYPES OF HEALTH INSURANCE Medicaid Health Insurance Private Refugee Insurance Medical Assistance (Marketplace)

  6. MEDICAID • Medicaid provides health coverage to millions of Americans, including children, pregnant women, parents, seniors and individuals with disabilities. • Medicaid Moving Forward: http://medicaid.gov/AffordableCareAct/Medicaid- Moving-Forward-2014/Medicaid-and-CHIP-and-the- Marketplace/medicaid-chip-marketplace- interactions.html

  7. REFUGEE MEDICAL ASSISTANCE • Parity with Medicaid services • Eligibility Requirements – Ineligible for Medicaid – Immigration Status – Income Thresholds – Time eligibility

  8. ORR IMMIGRATION FACTSHEET Fact Refugees meet the immigration status eligibility requirements • for immediate access to Medicaid and CHIP while many other immigrant groups in the US have to wait five years before they are eligible for public benefits. Suggestions on how to use: Educate assisters about the difference between refugees and • other immigrants. Empower consumers to know what health insurance options they • may qualify for. CMS Resources: https://www.healthcare.gov/what-do-immigrant-families-need-to-know/ https://www.healthcare.gov/help/citizenship-and-immigration-status-questions/ https://www.healthcare.gov/help/immigration-status-questions/ https://www.healthcare.gov/help/immigration-document-types/

  9. INFORMATION ABOUT REFUGEES FOR NAVIGATORS Curriculum includes the following information: • Immigration statuses eligible for benefits under the ACA • A chart containing languages refugees speak by county • Identifies stakeholders with cultural/linguistic resources Suggestions on how to use: • Training tool on immigration status • Education tool on languages spoken in a county • Outreach and Partnership guide

  10. REFUGEES AND THE AFFORDABLE CARE ACT VIDEO Video Highlights • 6 languages: English, Arabic, Kinyarwanda, Nepali, Karen, and Somali • Features refugee speakers • Describes the importance of primary care and health insurance • Highlights key health literacy words Suggestions on how to use: • Host a community screening • Share video through your communication networks

  11. MARKETPLACE CONSUMER APPLICATIONS Overview • 15 translated applications relevant to ORR’s population. • Amharic, Bosnian, Burmese, Chin, Farsi, French, Karenni, Khmer, Kinyarwanda, Nepali, Sgaw Karen, Somali, Swahili, Tibetan, and Tigrinya. Suggestions on how to use: • Training tool to help consumers know what types of information is need for the application. CMS Resources: http://marketplace.cms.gov/getofficialresources/other-languages/other- languages-materials.html

  12. SERVICES TO OLDER REFUGEES PROGRAM • The ORR Services to Older Refugees Program ensures that refugees age 60 and above have access to mainstream aging services in their community. • For a list of grantees visit: http://www.acf.hhs.gov/programs/orr/resource/service- to-older-refugees-grants

  13. HOW TO ACCESS ORR RESOURCES ORR Refugee Health website http://www.acf.hhs.gov/programs/orr/health

  14. Thank You!

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