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B.C. COMMISSIONER KENNETH R. MACHT - FLORIDA KIDCARE PROGRAM (MEDIKIDS - HEALTHY KIDS PLAN)- RESOLUTION 2000-065 IN SUPPORT TO STATE DEPARTMENT OF HEALTH The Board reviewed the following: Making Florida KidCare Program Work for Indian River County -- Measuring -Up Indian River Coumy's residents reported that a lack of health insurance for children was one of the ten top priorities for our county's families, according to the August 1998 Children's Services Network Needs Assessmer& Knowing that major state legislation was Imminent, It was with much wmitenont and anticipation that we awaited improved health insurance coverage for our children—Florida 10dCare•Program. Florida KidCare Is an `umbrella' program, combining new and not -so -new program components— ® Medicaid ® MedlKids 0 Children's Medical Services (CMS) 0 Florida Healthy Kids Measuring -Up: Indian River County has an existing Infrastructure of Medicaid primary Care providers although spec124 care remains problematic. With MedpUds, using the Medicaid Infrastructure. those diften could use this system of providers. CMS is available in Ft Pierce for children with special needs with their primary caro providers in our county. Stracant outreach efforts are underway to enroll the Medicaid, CMS, and Medil ids 641ble Chiktr M We aro beginning to am the results of these activities. VOW we lack Is a crucial componerd a Florida Healthy Kids pian. R is, on this Lssue, we requed your assistance. A significant portion of eligible children -4,339 out of a total of 8,488 --cannot obtain needed insurance coverage In our county. According to last year's legislation (F.S. 409.810.409.820), these children can only be covered under the Florida Healthy Kids Corporation. Thera E no Healthy Kids Program or Plan In Indian River County. Florida Healthy Kids Corporation is required to contact with a licensed, commercial. risk -bearing Insurance company. In the past, they have only contracted with managed care organ¢ations- 4here are none In Indian River County. The staff of Healthy IAds aro working very hard to assure a plan is In place by the spring of 1999. However, we are very concerned that no plan will be available for an extended period of time. Meanwhile, our eligible children aro going without. Recommendations: Amendichange the currant legislation to allow that MedWJda serve as a default health Insurance plan to cover those counties that do not have Healthy Kids platys. When Healthy Kids plans aro developed, those eligible children will be transferred into the Healthy Vida plan or. 0 the parent requests, remain with 1111edil0da. In addition, extend the 500 "free" (premium waved) Healthy Kids &lots to MediKids. Estimated Children Eligible for KidCare — Indian River Medicaid Eligible Population: Children <1 year with household incomes <185% FPL Children 1-5 year with household Incomes <133% FPL Children 6-18 years with household incomes <100°% FPL MedIVJds Eligible Population: This u ran ern 1/edimW look-alike program with $15 per tiny preatka payment Children <1 with household incomes between 185% and 200% FPL Children 1-0 with household incomes between 133% and 200% FPL Healthy Kids Eligible Population: 0 Children age 5 with household incomes between 133% and 200% FPL Children 6-18 with household incomes between 100% and 200% FPL JUNE 69 2000 -79- JUN - 5 2000 205 1,258CLERK TO THE BOARD 97 Total 3.270 16 843 Total 859 253 AM Total 4.330 Grand Total 8.481 BOOK Ltj PAGE 1<