What is the Child Watch Visitation Program?

What is the Child Watch Visitation Program? What is the Child Watch Visitation Program?

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oth to themselves and their patients as the underlying cause.• After adjusting for inflation. funding for community health centers fell by 38percent between 1981 and 1991. With shrinking resources and rising demand forimmunization services, 70 percent of all health centers have reported vaccineshortages in their clinics.What hasbeen the result of declining employer based health coverage?• In 1990. more than 25 million children under the age of 18 - 40 percent of allAmerican children - lacked employer health coverage. even though more than 85percent of all children lived in working families.• According to statistics from the American Census Bureau:•A full third of all white children lacked employer coverage in 1990. Ofthe 25 million children without employer coverage, 17.5 million (70 percent) werewhite. These children comprised n percent of all uninsured children that year.•More than 60 percent of black children and the same proportion ofHispanic children lacked employer health insurance in 1990. For these children.employer insurance is now the exception rather than the rule.If low-Income children have little or no health insurance, how can theygain access to primary health care?• Medicaid is a vital source of coverage for children. Without Medicaid, thenumber of completely uninsured children (which in 1990 stood at 8.4 million) wouldhave risen to more than 18 million. However, in spite of recent Medicaid expansions,little has been accomplished to truly diminish the problem. The collapsing employersystem for children in low and middle income households (annual incomes of between$11,000 and $46,000 for a family of 4 in 1991) remains unaddressed by Medicaidreforms for poor children. .What exactly is 'Medicaid'?• Medicaid operates much like health insurance. Supplied for through the localwelfare offices, it is a federal grant-in-aid entitlement program that provides open-endfinancing for state medical assistance programs for the poor. Persons determinedeligible for benefits are entitled to have payment made on their behalf for health careand services that are covered under their state plan when furnished by health careproviders participating in the program.2Source: The Health of AmeriCa's Children 1992, et at, Children's Defense Fund, Washington, D.C.42

Do all h.ealth care providers participate in the Medicaid program?•No, nor are they required to participate.How do children and families get on Medicaid?Eligibility:• Eligibility depends on having family income that falls within allowable rangesand resources that do not exceed limits set by states.• All children younger than six with net family income at or below 133 percent ofthe federal poverty level ($18,553.50 for a family of four in 1992) are potentiallyentitled to Medicaid.• States have the option to extend Medicaid to some or all children younger thanone with net family incomes at or below 185 percent of the federal poverty level, butabove 133 percent ($25,807.50 for a family of four in 1992). Texas and Arkansashave exercised this option.State Residence:• Persons seeking benefits must be residents of the state in which they apply forassistance.• Benefits may not be denied simply because persons have no permanentaddress. States must provide a means that permit homeless applicants to proveresidence and receive benefits, even if they are living in temporary housing orshelters.Lawful presence in the U.S.• To receive Medicaid, a child must be a citizen or lawfully admitted forpermanent U.S. residence. Children who are neither citizens nor lawfully present areentitled to coverage for emergency medical conditions only.• Lawful presence may take two forms: The child may be recognized by theImmigration and Naturalization Service (INS) as ·permanently residing under color oflaw (PRUCOL)." This means that INS is aware that the child is living in the U.S. butdoes not intend to deport the child. Or, a child may be classified as a ·temporary"legal resident, as for example, exists for children who are recipients of "amnesty."Children who are neither citizens, nor PRUCOL, nor temporary lawfully present areconsidered ·undocumented."3Source: The Health of America's Children 1992, et alj Children's Defense Fund, Washington, D.C.43

Do all h.ealth care providers participate in <strong>the</strong> Medicaid program?•No, nor are <strong>the</strong>y required to participate.How do children and families get on Medicaid?Eligibility:• Eligibility depends on having family income that falls within allowable rangesand resources that do not exceed limits set by states.• All children younger than six with net family income at or below 133 percent of<strong>the</strong> federal poverty level ($18,553.50 for a family of four in 1992) are potentiallyentitled to Medicaid.• States have <strong>the</strong> option to extend Medicaid to some or all children younger thanone with net family incomes at or below 185 percent of <strong>the</strong> federal poverty level, butabove 133 percent ($25,807.50 for a family of four in 1992). Texas and Arkansashave exerc<strong>is</strong>ed th<strong>is</strong> option.State Residence:• Persons seeking benefits must be residents of <strong>the</strong> state in which <strong>the</strong>y apply forass<strong>is</strong>tance.• Benefits may not be denied simply because persons have no permanentaddress. States must provide a means that permit homeless applicants to proveresidence and receive benefits, even if <strong>the</strong>y are living in temporary housing orshelters.Lawful presence in <strong>the</strong> U.S.• To receive Medicaid, a child must be a citizen or lawfully admitted forpermanent U.S. residence. <strong>Child</strong>ren who are nei<strong>the</strong>r citizens nor lawfully present areentitled to coverage for emergency medical conditions only.• Lawful presence may take two forms: The child may be recognized by <strong>the</strong>Immigration and Naturalization Service (INS) as ·permanently residing under color oflaw (PRUCOL)." Th<strong>is</strong> means that INS <strong>is</strong> aware that <strong>the</strong> child <strong>is</strong> living in <strong>the</strong> U.S. butdoes not intend to deport <strong>the</strong> child. Or, a child may be classified as a ·temporary"legal resident, as for example, ex<strong>is</strong>ts for children who are recipients of "amnesty."<strong>Child</strong>ren who are nei<strong>the</strong>r citizens, nor PRUCOL, nor temporary lawfully present areconsidered ·undocumented."3Source: The Health of America's <strong>Child</strong>ren 1992, et alj <strong>Child</strong>ren's Defense Fund, Washington, D.C.43

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