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The U e U.S. S. R Rep epatriati tion Program Overvie iew, Le - - PowerPoint PPT Presentation

U. S . R R E PAT R T R I AT I O N P N P R O G R A M A M T R A I A I N I N I N G B R I N G I N G U U. S . S . . C I T I Z E Z E N S S B A B A C K H O M H O M E : E : The U e U.S. S. R Rep epatriati tion Program Overvie


slide-1
SLIDE 1
  • U. S . R

R E PAT R T R I AT I O N P N P R O G R A M A M T R A I A I N I N I N G B R I N G I N G U

  • U. S

. S . . C I T I Z E Z E N S S B A B A C K H O M H O M E : E :

The U e U.S.

  • S. R

Rep epatriati tion Program Overvie iew, Le Legal l Auth thoriti ties, a , and Goa Goals

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SLIDE 2

I. I. We Welcome Remarks ( (Housekeeping) II. II. Repatriation P Program H Hist story III

  • III. Legal Au

Authorit itie ies & R & Regulations IV.

  • V. Tempor
  • rary

y Assistance V. V. The e State ate’s Responsib ibilit ility VI

  • VI. Cor

Core Se Services VII.

  • II. Q &

& A A Se Session VIII

  • III. Cl

Closing R Remarks

AGEND NDA

slide-3
SLIDE 3

TODAY YOU WILL:

1.

  • 1. Learn abou
  • ut

t the R Repatri riati tion

  • n Progr
  • gram h

histor

  • ry

2.

  • 2. Learn

rn a abou

  • ut

t legal a author

  • riti

ties a and r regu gulati tion

  • ns

3.

  • 3. Learn h

how t w to i imp mplement t the r required c core services s

slide-4
SLIDE 4

WHO IS ISS-USA AND WHAT DO WE DO?

  • Interna

rnationa nal S Social S Service ( (ISS) was e establ blished d in 1 1924 in G Gene neva, Switzerl rland.

  • nd. Our I

ISS Am Ameri rican B Branc nch h is b based d in B Baltimore, Ma Maryl yland.

  • We

e are a e a nonpr nprofit, n nongover ernmen ental agen ency, tha that i t is part part of

  • f a

an Interna rnationa nal S Social W Work rk Fede deration n operating ng i in 1 100 Coun untri ries a aroun und d the e wor

  • rld.
  • We p

promote resolut utions ns i in t the b best i interests o

  • f chi

hildren, a adul ults a and d families sepa parated by d by interna rnationa nal borders.

  • We p

provi vide intercountry socia ial s l ser ervic ices, r res esearch, t training, t tec echnical l assistanc nce a and d advocacy. y.

International Social Service USA

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SLIDE 5

Julie Rosicky, Executive Director Stephney Allen, Director of U.S. Repatriation Program & Internal Operations Esther Keinkede, Finance Coordinator Yalemzewd Mulat, Repatriation Program Manager Patricia Penn, Case Manager Abigail Ayele, Operations Assistant Amanda Reed, Repatriation Assistant Nicole Johnson, Database Coordinator Rachel Bruton, Case Manager

THE ISS-USA REPATRIATION TEAM

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SLIDE 6
  • The De

Depa partment o

  • f H

Health a h and d Human n Services, Ad Administration f n for Chil ildren a and Families and I ISS-USA s signed ed a a cooper erative a e agreem eemen ent t to provi vide r e repatriation servic vices es.

  • Th

The n e new f five-yea ear a agreem eemen ent w will exten end ISS' 20 20-ye year wor

  • rkin

ing r rela elatio ionship with h the U U.S. R Repa patri riation n Program.

  • In t

the 2019 2019 fisca cal year, r, the R e Repa patri riation P n Program assis isted ed almost 600 600 re repatriat ates f from 100 100 differen ent c countries w with t travel a el and other er s servi vices es.

International Social Service USA

ISS-USA - HHS COOPERATIVE AGREEMENT

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SLIDE 7
  • The

e Pro rogra ram is a repayable l e loan to to t the U e U.S. G Gover ernmen ent, n not a an entitlem emen ent. t.

  • Temporary assistance i

e is provided ed f for u up to to 90 d 90 days. .

  • Repatriates

es c can r reques est e exten ensions and w waiver ers/defer errals.

  • The

e Pro rogra ram budget is capped ed a at $ $1M. annual ally ly.

  • During e

g emer ergen encies es C Congr gres ess m may increa ease t e the c e cap.

THE U.S. REPATRIATION PROGRAM

International Social Service USA

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SLIDE 8

U.S. REPATRIATION PROGRAM HISTORY

  • Th

The P e Prog

  • gram was es

establis ished in 1935 under S Sec ectio ion 1 1113 of

  • f the S

e Soc

  • cia

ial l Secu curity A Act ( (42 42 U.S.C.1313 313). ).

  • Con
  • ngress es

establi lished the P e Prog

  • gram to
  • provid

ide rep epayable le a assis istance t to

  • el

elig igib ible citizens ns a and d their d depe pende ndents.

  • Th

The e Prog

  • gram w

was i instit ituted t to

  • mee

eet t the e immediate nee eed of

  • f r

rep epatria iates until il thei eir e existing resources bec ecame a e available. le.

International Social Service USA

  • In 1935 i

1935 internati tional t travel for b business o

  • r pleasure w

was limited b by c cost t to a an elite grou

  • up of
  • f U

U.S. citiz izens.

  • Oc

Ocean l liners were t the primary m mode of interconti tinental transportation a and most t traveled b between t the U U.S. and Eu Europe, w with th New Y York a as the m major por

  • rt.
  • Worldwide communicati

tion n networks were s sparse a and unreliable.

  • Federal s

soc

  • cia

ial l servic ices p prog

  • grams w

were just b beginnin ing.

Historical C Context

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SLIDE 9

U.S. REPATRIATION PROGRAM TRENDS

  • The numbe

ber o r of U.S. c citizens ns and t d their r depe pende ndents travel eling o

  • verseas h

have e increased i in n number and com

  • mple

lexity.

  • Th

The a e amou

  • unt and t

type of

  • f

repatri riates h have cha hang nged, d, while ile P Program jurisdi dictiona nal autho hori rity a and d regul ulations ns rem emain t the e same.

International Social Service USA

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SLIDE 10

U.S. REPATRIATION PROGRAM GOAL

  • Th

The e United S States Repa patriation n Prog

  • gram i

is c com

  • mmit

itted t to

  • hel

elping eligible repatri riates referred f d from t the U U.S. De Depart rtment o

  • f S

State by by provi viding them with a a loan t to cover er f for n nec ecessary t temporary services u upon their a arrival t to the United States.

International Social Service USA

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SLIDE 11

AGENCIES IN THE REPATRIATION PROGRAM IN SUCCESSFUL PARTNERSHIP

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SLIDE 12

LEGAL AUTHORITIES

Statut ute: The he P Program is aut uthoriz ized unde under t the he S Social S l Securit ity A Act, , Sectio ion n 1313 1313 (42 U 42 U.S.C. 1313) 1313) Ti Title 42, 42, C Chap apter r 7, 7, Su Subchap apter XI XI, Par art A, Assistance f for U United ed States C Citizen ens R Returned F From Foreign Countries.* .*

  • ht

http://www.ssa sa.gov/ v/OP_Home/ e/ssa ssact/title11/ e11/1113. 1113.htm

Regul ulatio ion: Tit itle le 45, 45, C Chap apter I II, Par art 211 an 211 and 212 o 212 of the Code o

  • f Federal

Regul ulatio ions s sets forth t h the he rul ules whi hich g h govern receptio ion, pr provis isio ion

  • f tem

emporary s ser ervices, tem emporary a assistance a e and rel elated s ser ervices, and t nd transportatio ion t to f fina nal de destination f for U U.S. . citizens and nd the heir dependen ents r ret eturned ed f from f forei eign countries es. It also cont ntains the he rul ules f for r repa payment to the he Uni nited S d States a and nd othe her g gene neral r rul ules suc uch h as confide dentia ialit lity a and nd no nondi ndiscrimina inatio ion r n rights.*

International Social Service USA

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SLIDE 13

Gene nera ral: : 42

42 USC S C Sec.131 313, T Title 42, 42, Ch Chapter 7, 7, S Subchapter XI XI, Part A, Assistance f e for U United ed Stat ates C Citizens Ret eturned From F m Foreign Co Countrie ies

Indi dividua ual Ac Activity: : 45

45 CF CFR 212, 212, Assis sistance f for United S States s Cit Citiz izens s Returne ned f d from F Foreign n Co Countrie ies

Public L c Law: 86

86-571 571, 24 24 USC S C Sec 321 321-329 329, T Title le 24, 24, Ch Chapter 9 9 – Hosp spit itali lization o

  • f M

Mentally ly I Ill Na ll Nationals R s Returned f from Foreig ign Co Countrie ies

Ment ntally I Ill Ac Activity: : 45

45 CF CFR 211, 211, Ca Care a and Treatment o

  • f Mentall

lly Ill l Nat ationals of the United ed S Stat ates es, R Ret eturned f from m Foreign C Countries es

Group up Ac Activity: : 42 42 USC S Sec. c.1313 313 a and Executive Or Order 12656 12656 (EO 12656 12656)

\

Eme merge gency cy Ac Activity: : 42 42 USC S Sec.

  • c. 1313

1313 and E EO 12656 O 12656 Na National E Emergency Repatriation P Plan, No November 18, 18, 1998 1998

REGULATIONS

International Social Service USA

Th The R e Rep epatriatio ion Prog

  • gram a

activitie ies a are e based on

  • n the foll
  • llowin

ing reg egula latio ions:

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SLIDE 14
  • HHS is the

he l lead d federal agency w within the U U.S. f for a all ll repa patria iatio ion a activ ivitie ies.* .*

  • HHS is responsible f

e for m managem emen ent, coordinatio ion a n and nd executio ion o n of Program regula ulatio ions ns, pr , provisio ion n of t temporary servic ices t to e eligible repa patria iates upo upon t n the heir ir arriv ival l to the he C Continental U l Uni nited S States ( (CONUSA) from overseas dur during bo both emergencie ies a and no nd non-em emer ergen ency evacua uations.* .*

  • Thi

his respons nsibili lity was de delegated d by the he HHS Secretary t to t the he A Adm dmini inistratio ion n for C Chi hildren a n and nd Families ( (ACF).*

ROLE OF THE DEPARTMENT OF HEALTH AND HUMAN SERVICES

International Social Service USA

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SLIDE 15

1. 1. Rout utine ne refer errals 2. 2. Eligibilit lity: U.S. c citizens a and nd de depe pend ndents 3. 3. Receptio ion: i ini nitial de l determina inatio ion, pr , provis isio ion n of t temporary a assistance 4. 4. Periodic r revi eview a and re-determina inatio ion n 5. 5. Ter ermination o

  • f tem

emporary a assistance 6. 6. Duty to r repo port 7. 7. Repa payment t to the he U. U.S. 8. 8. Fede deral pa l payments 9. 9. Discl clos

  • sure o
  • f infor
  • rmati

tion

  • n

10. 10. No Non-discrimin ination

INDIVIDUAL ACTIVITY: 45 CFR 212

International Social Service USA

As Assistanc nce for United S d States C Citizens ns Retur urne ned f d from F Foreign n Coun untries:

slide-16
SLIDE 16

1. 1. Eligibi bility: U.S. Nationals, s, U U.S. C Citizen ens s and d nd depen ependen ents o

  • f U.S. c

citizen ens 2. 2. Certificates es 3. 3. Notification t to l legal g guardian, s spouse, e, n next of kin, n, o

  • r inter

eres ested ed p perso sons ns 4. 4. Action u under nder S State l e law; appo ppointmen ent o

  • f guardian

5. 5. Recep eption; t tem emporary c care, t trea eatment, a and a nd assistance 6. 6. Transfer a and r rele elease of

  • f elig

eligible le p per erson 7. 7. Continuing h hosp spitalization 8. 8. Examina nation n and r reexami mination 9. 9. Ter erminatio ion of

  • f hospi

spitalization 10.

  • 10. Requ

eques est f for relea ease f se from hosp spitalization 11.

  • 11. Feder

ederal pay ayments 12.

  • 12. Fina

nancial r respo sponsi sibility of the e he eligible p e person; collec ections, s, c compromise, se, o

  • r waiver

er

  • f
  • f payment

13.

  • 13. Disc

sclosu sure o e of infor

  • rmation
  • n

14.

  • 14. Nond

ndisc scrimination

MENTALLY ILL ACTIVITY: 45 CFR 211

International Social Service USA

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SLIDE 17
  • Guam
  • Trust Territories
  • American Samoa
  • Northern Mariana Islands
  • U.S. Virgin Islands
  • Puerto Rico

REPATRIATION

  • U.S. citiz

izens ns ha have t the he cons nstitutio iona nal right t to relo locate t to any de destina nation o n of the heir cho hoic ice w within t the he c contin inental Uni nited S States a and U nd U.S. . ter erritories es.

International Social Service USA

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SLIDE 18
  • Repa

patriate will be be de depo ported d to the he closest po port o

  • f

entry (POE).

  • It was r

reques ested ed by the repatriate. e.

  • Repa

patriate was bo born i in n the he state.

  • Mino

nor ha has relatives in n the he state.

  • Paren

ents of t the m min inor are residents of t that state.

  • Repa

patriate us used t d to live i in n the s state (last res esiden ency).

  • No logical

al re reaso ason at all. l.

REASONS REPATRIATES ARE REFERRED TO A STATE OF FINAL DESTINATION

International Social Service USA

slide-19
SLIDE 19

WHAT IS TEMPORARY ASSISTANCE?

  • “Temporary

y Assistance m means mon money p payments, , me medical c care, , te tempor

  • rary b

billeti ting, t transpor

  • rtation
  • n,

and oth ther go r goods a and s services neces essary for the h e health o h or w welfare e

  • f i

individuals ( (including g guidance, counseling, a and o

  • ther welfare

services) furnished t to them w within the he U Uni nited S States upo upon t the heir a arrival in t n the he U Uni nited States a and nd f for s suc uch perio iod aft fter t their ir ar arrival, l, n not exceeding ninety ( y (90) d day p period.”*

* 42 USC C Sec.1313, T Tit itle le 42, Ch Chap apter 7 7, Subchap apter X XI, Par art A, ( (C)

International Social Service USA

slide-20
SLIDE 20

International Social Service USA

WHO IS ELIGIBLE?

  • Individuals iden

enti tifi fied b by t the Departmen ent o t of S State a e as h having g ret eturned ed, o

  • r been b

brough ght, f from a forei eign gn country to to t the U United ed S States es bec ecause o

  • f t

f the e des esti titu tuti tion o

  • f the

e citizen of t the U United S States or t the e illn illness of

  • f s

such c cit itizen or

  • r an

any of

  • f h

his is depen enden ents or b because o e of w war, t threa eat t

  • f
  • f w

war ar, in invasion, or

  • r s

sim imil ilar cris isis is an and; are re without a available r e resources es. .

slide-21
SLIDE 21

HOW IS ELIGIBILITY DETERMINED?

  • Ov

Overse seas: s: D DOS OS

  • Wi

Within t the e CONUSA: SA: H HHS

  • ISS

SS-USA SA

  • State

tes

International Social Service USA

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SLIDE 22

FROM THE ELITE TO THE DESTITUTE; TODAY’S PROFILE OF REPATRIATES

  • Fi

Fina nancial i l issue ues (de destitutio ion) n)

  • Med

edical i issues es (med edical t tourism, chronically ly il ill) l)

  • Psychiatric i

issue ues (Schiz hizoph phrenia nia, , Bipo polar)

  • Family C

Cris isis is (internet da dating ng, di divorce, brea eak-up up)

  • Victim o
  • f crim

ime (dom

  • mesti

tic c violence, , assault ult)

  • Una

naccompa panied minors ( (abus buse, ne neglect, failed ado doptio ions)

  • Arrest (

(criminals s ser erving s sen enten ence

  • ver

ersea eas)

  • War, c

civil unr l unrest, na natur ural di l disaster

  • Other

er (de deportatio ion)

International Social Service USA

slide-23
SLIDE 23

Th The R e Rep epatriation

  • n Prog
  • gram

am h hel elps the he most st vul ulne nerabl ble Ame merican n ci citi tizens who

  • have

e no

  • on
  • ne el

e else t e to

  • tur

urn t n to. A lar arge p e per ercentag age of retur urning A g Americans ns i in n thi his prog

  • gram

am ar are e childr dren. n.

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SLIDE 24

NON-EMERGENCY REFERRALS

International Social Service USA

State o e or CBO CBO

Receiv ives the r e ref efer erral Pr Provi vides s direc ect s services es

ISS-USA HHS HHS/ACF

As Asse sess ss the c cas ase an and s sends t to HHS HHS Ap Approves o s or denies t s the case se

DOS OS

Embassy Washington D.C

.C.

slide-25
SLIDE 25

DOS CABLE REPATRIATION DOCUMENTS

slide-26
SLIDE 26

CERTIFICATE OF MENTAL INCOMPETENCE REPATRIATION DOCUMENTS

slide-27
SLIDE 27

SAMPLE REFERRAL REPATRIATION DOCUMENTS

slide-28
SLIDE 28

SAFETY AND MENTAL COMPETENCY

  • If t

the he repa patriate signs ns a de decline ne of servi vice e form upo upon arriv ival a at PO POE or a at his/hers f final l de destina natio ion, no , no ser ervices can be n be pr provided d be beyond nd t thi his da day.

  • If t

the he repa patriate is de deemed m mentall lly ins nsane ne over erseas, a a team am o

  • f mental

he health pr h providers s sho houl uld onc nce again n examine w e whether t the e rep epatriate i e is ment ntally competent t to make de decisions

  • ns. Follo

low y your local l procedur dure.

  • People

ple c can c n cha hang nge the heir min

  • inds. If

If the hey ne need d assistance, the hey c can n reapp pply ly t to t the he Program anytime dur during t the he e eligibil ilit ity pe perio iod.

International Social Service USA

slide-29
SLIDE 29

PERSONAL SAFETY AND AGGRESSIVE REPATRIATES

  • If repa

patri riate exhi hibi bits a aggressive beh ehavio ior, f foll

  • llow y

you

  • ur state’s

establ blishe hed p d procedur ures f for the situa uation.

  • Not
  • tif

ify t the e loc

  • cal p

l poli

  • lice or
  • r call

ll 9 911 for

  • r

backup a up and d assistanc nce.

  • If

If re repat atriate i is t taken i into custody b by the e polic

  • lice, h

he/ e/she w wou

  • uld

ld b be r e rele eleased when n n no l long nger c r cons nside dered a d a threat to to himself/ f/herself f or

  • r ot
  • thers.

International Social Service USA

slide-30
SLIDE 30

FOR COMPETENT REPATRIATES

International Social Service USA

  • If the r

repatri riate is f found c und compe petent to make d e dec ecisio ions, t the repatriate e shoul uld b be a asked, w whethe her r he/s /she consents t to receiv eive e servic vices es.

  • If he/

e/she c con

  • nsents t

to

  • rec

eceiv ive service ces, h , he/she mu must st s sign the repaymen ent a agreem eemen ent t to proceed ed.

  • Follo
  • llow the c

e cor

  • re p

proc

  • cedure.
slide-31
SLIDE 31

PORT OF ENTRY OF FINAL DESTINATION?

International Social Service USA

  • Ser

ervices at POE w will be reque quested d on a a case ase by y case ase basi asis.

  • Depe

pending ding on n the he ca case, repatriates can n be be de depo ported t to t the he ne nearest PO POE s sinc nce the he f foreig ign n governmen ent is bea earing t the e e expen enses es for t the r e rep epatriate returning.

  • Client can r

n remain in i in n the he PO POE un until t the hey are s stabl ble t to t travel on t n to the heir ir f fina nal l de destinatio ion a and nd in s some e cases es f full ser ervices c can be e provi vided.

slide-32
SLIDE 32

CORE SERVICES AT THE STATE LEVEL

1.

  • 1. Mee

eet t and gree eet at t th the e airport:

  • Inform the repatriate a

about t the Progra ram, , espec pecially t tha hat it i is a loan. n.

  • Provi

vide a e a copy of the w he welcome p e package e for t the he repatriate.

2.

  • 2. Obt

btain n signa natur ure on appr ppropr priate e docu cumen ents: s:

  • Privacy a

y and Repaym ymen ent Agreem ement F Form RR RR- 05. 05.

  • The

he Pro rogram m is vo voluntary; t the hey c can n ref efuse se servi vices

  • es. R

Refusa usal of

  • f Tem

emporary A Assis istance Fo Form RR RR-06. 06.

  • If the r

he repa patriate e ref efuses ses to sign a n any d docum ument, note e your a attempt on t the r repayment agreem eement, w writing “ “Clien ent Refused T sed To Sign”. The l he local c case m se mana nager er should sign a and nd date e the he document.

International Social Service USA

slide-33
SLIDE 33
  • Any repa

patriate w who ho i is capa pable o

  • f makin

ing de decisions ns.

  • Family m

member o

  • f una

unaccompa panied minors.

  • Gua

uardia dian n of m mino nors o

  • r i

inc ncompe petent repatriates es.

  • Mentall

lly i ill ll repatriates t that are cleared by mental he l health h team or ho hospi pital f l for

  • ut

utpatie ient t treatment.

  • Mino

nors and m nd mentally ly inc ncompe petent repatriates ( (evalua luated b d by mental he health h pr provide ider upo upon arrival) are no not r requir ired t to sign t n the he a agreement.

WHO SHOULD SIGN THE REPAYMENT FORM RR-05?

International Social Service USA

slide-34
SLIDE 34

REFUSAL OF TEMPORARY ASSISTANCE FORM RR-06

  • The

he Repa patriatio ion L n Loan P n Program i is voluntary a and nd repatriates can r refuse e servi vices es.

  • If t

the he repa patriate signs ns a refus usal of t temporary a assistance f form, upo upon n arriv ival a l at PO POE

  • r fin

inal d destination:

  • The a

he assigned w d worker er, w with the a he assistance o e of a qua ualified ed m mental hea ealth p provi vider er (if appl pplicable) e), s shoul uld o

  • nce a

e again d deter ermine w e whether er the r he repa patriate i e is men entally c competent to make d e decisi sions. ns.

  • The r

he repa patriate e should be p provi vided ed with t the he pho hone n e num umber er o

  • f the

he local s social s servi vice e pub ublic assi sistance o e offices es and/o /or local emer ergen ency p provi viders.

  • No

No servi vices es can b n be p provi vided ed b bey eyond t thi his p s point. I If servi vices a es are p provi vide ded the hey a are e not reimbur bursabl ble.

  • If t

the he repa patriate cha hang nges t the heir ir m mind nd a and ne nd needs ds a assistance, the hey can n reapply ply to the he Program at any time during the e eli ligibil ilit ity period.

  • If the

he repa patriate r e reapp pplies es f for s servi vices, a need eds s assessm ssment mus ust b be c cond nducted ed by by t the he local provi vider er; t tha hat ev evaluation m must then hen b be f forwarded ed t to I ISS-USA f for HHS HHS/ACF f final determina nation. n.

International Social Service USA

slide-35
SLIDE 35

International Social Service USA

3.

  • 3. Transpor
  • rtati

tion

  • n fr

from t the air airport t to the fi final l desti tinati tion

  • n:
  • Ar

Arrang nge f for transportation ( (by by a ambul bulanc nce, v van, n, c car o r or taxi) to g

  • go t
  • to
  • hospi

pital if f POE i is n not

  • t final

l des estin ination en ensuring the r e rep epatria iate i is t taken safely ely f for p placem emen ent i in a a shel elter er, h hospit ital o

  • r nursin

ing h home. e.

4.

  • 4. Financial Assistance:
  • Cash s

h shoul uld b d be provided i d in accorda dance with P h Program guidelines and d should ld f foll

  • llow the

e eq equiv ivalent T TANF r rate f for

  • r t

the S State (dependin ing on

  • n

family ly size p per h household ld).

CORE SERVICES AT THE STATE LEVEL

slide-36
SLIDE 36

International Social Service USA

6.

  • 6. Assistance finding m

medical c care o

  • r p

psychiatric c care i if needed: 5.

  • 5. Assistance fi

findin ing a a sh shelt lter o

  • r permanent housing:
  • If

If publ public s she helter is avail ilable, , it is is the fir irst c choice.

  • If the

e clien ent is arriving after h hours, w week eekends o

  • r t

the e shel elters a are full ISS c can arrang nge for an n ine nexpensiv ive ho hotel l (whe hen pr provid ided with the he po possible ible optio ions ns, ho hotel na l name a and pr nd price).

  • Arrange f

e for a a men ental hea ealth tea eam t to cond nduc uct an n evaluatio ion i if ne necessary a at the airport o

  • r a

at the he ne nearest state ho hospi pital.

  • Locate a

and nd no notify t the he ne nearest s state ho hospit pital l facili lity a abo bout t the he case e and nd arrange f for t thir ird p party bill llin ing rate with ho hospit pital.

  • l. I

ISS w will pr provide de a a letter.

CORE SERVICES AT THE STATE LEVEL

slide-37
SLIDE 37

International Social Service USA

7. . Case m e mana nagem emen ent follo llow-up:

  • Assistanc

nce unde under the he Program c can n be be pr provided f d for up up to 90 da days ( (Day 1 is the he arriv ival da l day and i nd it e ends nds on n the he 90th calen endar day a after a arrival).

  • Dir

irect t the he c client i in n appl pplying f for publ public be bene nefits a and nd pr provide ide r referrals ls.

  • Subm

ubmit it timely ly a appl pplicatio ions ns f for a all e eligible ble & & appr ppropriate be bene nefits to cover immediate ne needs ds: M Medic dicaid id, M Medic dicare, S SSI, I, TANF ( (if e eligible ible), Food S Stamp, ho hous using ing (she helter or pe permanent ho hous using ng), j job t training ning etc.

  • Create a

e and over ersee e a pl plan t n to m meet t the he i immedia diate ne needs ds for t the e repatriate, a assisting the hem t towards be becoming ing i inde ndepe pend ndent i in n 90 da days or les ess.

CORE SERVICES AT THE STATE LEVEL

slide-38
SLIDE 38

International Social Service USA

8.

  • 8. Moni

nitor c case e at d differ eren ent i inter ervals t to e ensur ure e e eligibi bility:

  • Ti

Timely ly n not

  • tific

icatio ion t to

  • ISS of
  • f a

any d development on

  • n t

the c e case (change of

  • f

address a and benefi fits). ).

  • Any a

y assistance over $1, $1,500 i 500 is a a high c cost case; I ISS-USA n needs A ACF a approval al before p proceedi ding ng w with t h the plan. n.

9.

  • 9. Submit request for e

extension or w waiver r recommendation a as s soon a as possibl ble ( e (if needed) eded). 10.

  • 10. Close t

the c case o

  • n o
  • r b

before 90 days:

  • Submit i

inf nform rmation t n to ISS w with a h a closing ng s summary o

  • f bene

nefits a and d current address.

  • Com
  • mplete t

the e survey m mon

  • nkey a

after c case c closin ing.

CORE SERVICES AT THE STATE LEVEL

slide-39
SLIDE 39

POST ARRIVAL

International Social Service USA

  • After ar

arrival, l, ISS will contact t the State C Coordinator

  • rs o
  • r l

local p prov

  • vider
  • n t

the first b business day a after t the repatri riate a arrives t to confirm t that a all went a as planned.

  • ISS will

ll remind t the s state o

  • r l

local se l servic ice provid ider t to have al all l l loan repaym yment f forms signed b by the r repatriate and forwarded t to the IS ISS- USA SA case m e mana nager.

  • ISS wi

will inform rm D DOS about t the r repatriate’s a arrival.

slide-40
SLIDE 40

9% 9% 17% 17% 3% 3% 4% 4% 11% 11% 56% 56% Medic dical al Co Costs Re Rent Es Escorts ts Tran ansportatio ion Cas Cash A Assis istan ance Admin inis istrativ ive Co Costs

Assi ssistance N Neede ded

slide-41
SLIDE 41

IMPORTANT REMINDERS

International Social Service USA

  • Any

ny assistance over $ $1,50 500 0 is a high c cost ca case.

  • ACF

F must a t approve the r request p t prior

  • r to

to proceeding w with t the p plan.

  • Submit r

request f for e extension o

  • r w

waiver recommendation a as s soon a as p possible.

  • Remi

emind t d the e local s service prov

  • vider to

to have a all l loan repaym yment f forms signed b by the he r rep epatriate and nd sen ent ba back t to IS ISS-USA.

slide-42
SLIDE 42

International Social Service USA

  • Th

The e re repatriate’s immed mediate n needs a are met met: they h have a e acces cess to benefits, h housing and appropriate c care.

  • HHS

HS/ACF d discover ers that t the e repatri riate h e has acces ess to o

  • ther

er source ces o

  • f

income me.

  • Th

The r e rep epatr triate who w was d des esti titute or with thout a available res esources

  • verseas a

and upon a arrival, i , is able t to regain access to f financial re resourc

  • rces. (

(Examp mple: e: the repatriate is r receiving S SSI, , lost b bank c card a and/

  • r i

r is a a vet eter eran an with b benefits)

  • The r

repatriate dies u upon a arrival to t the U.S.

CASE CLOSED

Cases a are c closed b before 9 90 d days t typically wh when:

slide-43
SLIDE 43

International Social Service USA

EXTENSIONS

  • Certain t

temporary a y assistance may b y be f furnished b beyond t the 9 90 day e elig igib ibil ilit ity perio iod i if p f prio ior au authoriz izatio ion is s ap approved b by ACF.

  • \
  • Tempo

emporary a assistance m e may b be e exten ended i ded if t the e e eligibl ble e repa patriate i e is handicapped i in a attaining self-support or r self-care re for r reasons su such as ag as age, d disabilit lity, o

  • r lac

ack o

  • f v

f vocatio ional l preparation.

  • Extens

nsion r n reque uests f for t r tempo porary assistanc nce m must be s subm bmitted t d to ACF o F or its g grantee b ee before t e the 90 day el eligib ibil ilit ity expire

  • res. (Fo

Form R RR-07 07)

  • Ser

ervices c can b be e e extended f for

  • r u

up t to

  • 9

mo months. s.

slide-44
SLIDE 44

International Social Service USA

  • Plea

ease k keep ep the r records for t three ee years f from t the d e date e of submissio ion o

  • f

the f fina nal e expendi ditur ure report

  • rt. As

Ask ISS f for exceptions ns.

  • Please s

send t nd to ISS any p pape per files o

  • r e

electroni nic records ds k kept ( (olde der t r then 3 n 3 years) on a any r repatri riates t that y you s u served. d. ISS-USA will c ll cover s ship ipping cos

  • sts for
  • r t

these c case file les to

  • be s

e submit itted t to:

  • :

REPATRIATION FILES

Interna natio iona nal l Socia ial S l Service – USA 1120 N Charles St, Suite 300 Baltimore, MD 21201

slide-45
SLIDE 45
  • A formal

l reque uest i in n writing mus ust be be subm ubmit itted t d to ISS reque uesting ng a a waive ver (cli lient or l local c case e worker).

  • Demographi

hic a and i nd ide dentif ifiable informatio ion m n mus ust be be pr provide ided a d along with h completio ion o

  • f t

the he Loan n Waiver and nd Defer erral F Form RR RR-03. 3.

  • The

he r requ quests are e evalua luated ba based o

  • n

n financial ne need d and nd ins nsuf uffic icient income me availabl ble t to repa pay de

  • debts. M

Mand ndated d by by federal regula ulatio ions: P Publ ublic Law T Tit itle le 45, 45, Sec ec 211 211 an and 212. 212.

  • HHS revi

eviews, grants, d defer ers, sugges ests pay ayment pl plans ns, , and de nd deni nies all waiver reques ests.

WAIVERS AND DEFERRALS

International Social Service USA

slide-46
SLIDE 46

1.

  • 1. Requ

ques ests s from S States a and CBO’ O’s s arrive a e at ISS S

  • 2. IS

ISS r revi views, compile iles, a and requests suppor

  • rting

g and/or m missin ing documentat ation 3.

  • 3. ISS submit

its t to HH HHS f for r revie iew and det eter ermination 3.

  • 3. HHS

HS r revie iews, approves, denie ies, o

  • r holds

request

  • 4. With

th A ACF CF Approval = = ISS S cut uts t s the c he chec eck

REIMBURSEMENT PROCESS

International Social Service USA

slide-47
SLIDE 47

International Social Service USA

REIMBURSEMENT

 Reimbur bursement p payment r reque uests  Do Docum uments re require red m monthly  Cover er l let etter er  Signe ned P d Privacy a and R nd Repa payment Ag Agreement Form R RR-05 05  No Non-emergency Mon

  • nthly

ly F Financia ial F l For

  • rm RR

RR-04 04  Suppo pport d docum umentation  Original r l recei eipts, c copies ies of chec ecks, ackno nowledg dgement o

  • f s

suppo pport rece ceived, e etc. c.  Det etailed led c case notes es

slide-48
SLIDE 48
  • HHS

HHS A ACF W Web ebsite: https

ps://www.acf.hhs.gov/ v/ohsepr/r /resource/r e/rep epatriation-q-as as

  • ISS W

Website te: ISS SS-US USA.or

  • rg
  • Email

mail: repatr triationinquiry@iss-usa.org rg

FOR MORE INFORMATION

Financial Information Stephney Allen Director of U.S. Repatriation Program & Internal Operations Phone: 4 : 443 43-451 51-1204 1204 Ema mail: l: sa sallen@iss-usa.org Case Management Information Yalemzewd Bekele-Mulat Repatriation Program Manager Phone: 4 : 443 43-451 51-1216 216 Ema mail: l: ymulat@ t@iss-usa.o .org

slide-49
SLIDE 49

Thank you!

Wi With you

  • ur h

hel elp we ar e are m mak akin ing a a huge di differ eren ence i e in t n the he life o e of o

  • ur

ur repatriates. s.