Refugee Resettlement Program/Refugee Health Services
CSFA Number: 444-80-0692
Agency Name
Department Of Human Services (444)
Agency Identification
DFCS
Agency Contact
Ngoan Le
312-793-7120
ngoan.le@illinois.gov
Short Description
The Refugee Health Services is supported by federal funds (93.566 Refugee Cash & Medical Program) under Title 8 U.S.C. Section 1522 U.S. Code, Authorization for Programs for Domestic Resettlement Of and Assistance to Refugees. More information can be found under Funding Information.

Based on 30 ILCS 708/45 (e) (3), this program is exempt from 2 CFR 200.201, Notice for Funding Opportunity. FY17 funding opportunity is limited to those public agencies and not-for-profit agencies which currently receive funding from the Illinois Department of Human Services, Bureau of Refugee and Immigrant Services. Exception to this rule is at the discretion of the Bureau of Refugee and Immigrant Services in accordance to federal policies.

Refugee Health Services funding supports Refugee Health Screenings, Health Education, Promotion, Outreach, Case Management, and Interpretation Services.

Eligible services for funding

A) Refugee health screening services

The Federal Refugee Act of 1980 allows for all newly arriving refugees to a comprehensive health screening, to be completed within the 90 days possible following their arrival. In Illinois, the refugee health screening process is administered by the Illinois Department of Human Services in collaboration with Illinois Department of Public Health Center for Minority Health Services. The Department has a responsibility to ensure that refugee medical screenings will be made available to refugees in accordance with the regulations established by the federal Office of Refugee Resettlement (ORR) and the requirements detailed in ORR State Letter #04-10 and 45 Code of Federal Regulation (CFR) Part 400.107.

The refugee health assessment is designed to identify individuals with health conditions not observed during or developing after the overseas exam; initiate appropriate immunizations; ensure refugees with problems identified are referred to primary and specialty care; eliminate barriers to successful resettlement and protect the health of the United States population.

1. Health assessments are initiated for eligible clients within 30 days of their US Arrival
2. Health Assessments are completed for eligible clients within 90 days of their US Arrival
3. Comprehensive physical exams are performed for each client
4. Immunization series is initiated or continued according to recommended immunization schedules
5. Tuberculosis screening completed for eligible clients
6. TB Follow-up occurs for clients who require additional testing and/or treatment
7. Hepatitis B screening is completed for eligible clients
8. Intestinal parasite screening or presumptive treatment is completed for eligible clients.
9. Lead screening for children between 6 months and 16 years of age
10. A complete blood count is obtained
11. Syphilis Screening is completed for clients over the age of 15 years
12. HIV Screening is completed for eligible clients
13. Have Civil Surgeon on staff who can certify I-694 for refugees screened by the clinic after one year of residence in the U.S.

B) Health Education, Case Management, and Interpretation Services

To promote good healthcare practices and preventative healthcare, the following services will be funded:

• Refugee health education, outreach and training services
• On-site and telephonic interpretation services during an initial health screening and follow-up care
• Medical case management for newly arriving refugees with special needs

Services include:

• Develop a refugee specific health education and promotion model to meet the needs of newly arriving refugees to include comprehensive outreach services, development of culturally-competent and linguistically appropriate education materials, and the coordination of refugee health activities in collaboration with refugee health providers, community based organizations and mutual aid associations.

• Provide telephonic and/or on-site interpretation services to approved refugee medical health care providers serving newly arriving refugees. Specifically, telephonic and/or on-site interpretation services will be for the initial health screening of new arrivals as well as follow-up visits and off-site specialist referrals made by the contracted clinical provider.

• Provide medical case management services to refugees with complex medical conditions. Case management services will include, but not limited to, assisting newly arriving refugees with Class A/B medical conditions with their initial health assessment, overseeing communication with local clinics, and coordinating follow-up medical appointments. The case management services should be built on a health service delivery model that will include interpreting services at identified clinic site(s), medical appointments at specialists’ office(s), home visits, and assistance with understanding treatment plans and medication management.





Subject Area
Healthcare
Program Function
Health
Enabling Legislation
Immigration and nationality Act of 1952, as amended (P.L 82-414) and Federal Regulations at 45 CFR 400 and 401 and Refugee Education Assistance Act of 1980, Title V, Section 501(a), Public Law 96-422, 94 Stat. 1799, 8 U.S.C 1522 note; Refugee Act of 1980, Section 412, Public Law 96-212, 94 Stat. 111, 8 U.S.C 1522; William Wilberforce Trafficking Victims Protection Reauthorization Act of 2008, Section 212-235, Public Law 110-457; Victims of Trafficking and Violence Protection Act of 2000, Public Law 106-386.
Objectives and Goals
Performance Measures for Refugee Health Screening Services

• At least 85% of refugees referred for health screening is performed within 30 days of arrival in the U.S.

• 100% of refugees referred for health screening is performed within 90 days of arrival in the U.S.

• 100% of refugee with positive results following Tb testing have theTb x-rays performed within 30 days.

• Health screening data is be entered into the ReHAPI system for 100% of refugee screened .

• The completed Health Assessment document is signed by a physician and presented with the monthly billing.

Performance Measures for Refugee Health Education, Case Management, and Interpretation Services

• At least 50% of newly arrived refugees will be provided with health education services and improve their understanding of the U.S. healthcare system, as well as good preventative healthcare practices.

• At least 65% of refugees provided with health case management services will see their conditions improved, stabilized and have a self-care plan established.

• Interpretation services will be provided in the languages needed by the refugees by interpreters trained in healthcare interpretation.
Types of Assistance
Project Grants
Uses and Restrictions
Funding for this program is not available in FY17 through a Notice for Funding Opportunity. FY17 funding opportunity is limited to those public agencies and not-for-profit agencies which currently receive funding from the Illinois Department of Human Services, Bureau of Refugee and Immigrant Services. Exception to this rule is at the discretion of the Bureau of Refugee and Immigrant Services in accordance to federal policies.
Eligibility Requirements
Client eligibility for services

Only the following populations are eligible for refugee health services

o Individual paroled as a refugee; Afghans or Iraqis entering with a Special Immigrant Visa; individuals granted political asylum or conditional entry status (admission pursuant to section 203(a)(7) as indicated by USCIS Form I-94);

o Individual who entered the country with refugee status designation as indicated on USCIS Forms I-551, I-151 or I-94, or holds permanent resident status as a result of adjustment of status under PL 96-212;

o Cuban/Haitian entrants identified as such on the USCIS Form I-94;

o Cuban/Haitians arriving in the U.S. after October 10, 1980, and who have been released by the USCIS pursuant to USCIS regulations, and otherwise qualify under any of the categories specified in the Fascell-Stone Amendment;

o Individuals who are victims of trafficking, are provided a ‘T’ visa, and thus, are certified as eligible for refugee services.

o Ineligible clients include Humanitarian parolees, public interest parolees, asylum applicants, other immigrant categories and citizens.


Funding for this program is not available in FY17 through a Notice for Funding Opportunity. This FY17 funding opportunity is limited to those public agencies and not-for-profit agencies who currently receive funding from the Illinois Department of Human Services, Bureau of Refugee and Immigrant Services. Exception to this rule is at the discretion of the Bureau of Refugee and Immigrant Services in accordance to federal policies.
Eligible Applicants
Government Organizations; Nonprofit Organizations;
Application and Award Processing
Funding for this program is not available in FY17 through a Notice for Funding Opportunity. FY17 funding opportunity is limited to those public agencies and not-for-profit agencies which currently receive funding from the Illinois Department of Human Services, Bureau of Refugee and Immigrant Services. Exception to this rule is at the discretion of the Bureau of Refugee and Immigrant Services in accordance to federal policies.

Grant awards will be made based on funding available from the Office of Refugee Resettlement for state fiscal year 2017, program priorities and performance of agencies in meeting program goals under existing contracts.
Assistance Consideration
N/A
Post Assistance Requirements
1. Refugee Health Screening Program

• Maintain a registry of all refugees within the provider’s service area as required by ReHAPI

• Submit monthly data and reports as required using ReHAPI system by the 10th of each month.

ReHAPI Details and Requirements:

The Illinois Refugee Health Program uses a web-based application called ReHAPI to collect data on screening results and refugee demographics. ReHAPI data is used to generate monthly reimbursements to clinics based on screenings completed. In addition to billing purposes, ReHAPI is used to generate summary reports with automatic charts/graphs for program management.

Applicants will need staff time dedicated to ReHAPI data entry. Staff devoted to ReHAPI should have good attention to detail, strong computer skills, and some familiarly with clinical/medical terminology. The amount of time needed for data entry is dependent on amount of clients served. The RHP epidemiologist monitors ReHAPI data quality. Clinics are required to be responsive to any requests to clean or modify data by the epidemiologist. No reimbursements will be processed to a clinic if data quality is deemed unacceptable by the RHP.

Performance Measures:
Clinics will receive a “Clinical Benchmark Report” on a trimester basis from the RHP. (see attachment)
The clinic’s individual performance will be compared to the state’s overall average.

2. Refugee Health Education, Case Management, and Interpretation Services

• Submit monthly reports by the 15th of each month.

• Submit a final report no later than July 30, 2017.
Regulations, Guidelines, Literature
Refer to CFDA below.
Funding By Fiscal Year
FY 2017 : $1,426,700
FY 2018 : $1,070,400
FY 2019 : $1,126,700
Federal Funding
Notice of Funding Opportunities
None
Agency IDGrantee NameStart DateEnd DateAmount
FCSYK01687-FCSYK01687MT. SINAI COMMUNITY FOUNDATION07/01/201906/30/2020704,520
FCSYK00843-FCSYK00843JEWISH FEDERATION OF METROPOLITAN CHICAGO07/01/201906/30/2020156,000
FCSYK01342-FCSYK01342WINNEBAGO COUNTY HEALTH DEPARTMENT07/01/201906/30/202093,195
FCSYK01346-FCSYK01346AUNT MARTHA'S HEALTH AND WELLNESS INC.07/01/201906/30/202085,500
FCSYK03895-FCSYK03895DUPAGE COUNTY HEALTH DEPARTMENT07/01/201906/30/202085,500