Provider & Partner Orientation

Bureau of Community Health Systems 1000 SW Jackson Street, Suite 340Topeka, KS 66612www.kdheks.govwww.ksfhp.org

Updated July 2018

A copy of this PowerPoint can be found on the KSFHP website: www.ksfhp.org (Click on Provider Orientation)

Direct link to the PowerPoint:

http://www.kdheks.gov/olrh/download/KSFHP_Provider_Orientation.pdf

2MISSION - To Protect and Improve the Health and Environment of all Kansans

KSFHP Mission

Kansas Statewide Farmworker Health Program (KSFHP) works to provide comprehensive primary care services to address the unique health care needs of migrant and seasonal farmworkers and their families.

3MISSION - To Protect and Improve the Health and Environment of all Kansans

KSFHP Vision

Healthy, happy and productive farmworkers and dependents in Kansas.

4MISSION - To Protect and Improve the Health and Environment of all Kansans

KSFHP FundingKSFHP is supported primarily through a grant to the Kansas Department of Health and Environment (KDHE) through the U.S. Health and Human Services, Bureau of Primary Health Care (BPHC). Since 1994 KSFHP has been a voucher/case manager model based on PIN 94-7- Migrant Health Voucher Guidance.

KSFHP is 1 of 18 voucher programs of the total 165 Migrant Health Centers (MHCs) in the nation. It is 1 of 3 statewide voucher programs.

5MISSION - To Protect and Improve the Health and Environment of all Kansans

Definition of Agricultural Work

CROPS

Farms | Co-Ops | Nurseries | Orchards Greenhouses | Tree Farms | Cotton Gins

Agricultural Work Includes:

Aerial Dusting, Spraying on Farms, Harvesting, Cultivation, Pruning, Irrigating on Farms, Packing on Farms, Planting, Fertilizing on Farms, Farm Management Services, Operate Machinery, Cotton Ginning

6MISSION - To Protect and Improve the Health and Environment of all Kansans

Definition of Agricultural Work (Cont’d)

ANIMALS

Aquaculture | Dairies | Feedlots | Ranches

Agricultural Work Includes:

Herding, Cleaning, Feeding, Milking, Transport, Boarding, Spraying, Reproductive Services

7MISSION - To Protect and Improve the Health and Environment of all Kansans

Who is Eligible?1. Agricultural work within the last

two years making up a significant portion of a permanent job or as a full-time seasonal job.

- Self-employed Farmworkers can apply

- Retired and Disabled Farmworkers can apply

2. 200% of poverty and under

8MISSION - To Protect and Improve the Health and Environment of all Kansans

Primary Care Services• Preventive and primary care visits—KSFHP will assist

with medical visits. A portion of prenatal care visits, labs and one sonogram are covered at Medicaid rate. Clients pay fee to providers at each visit.

• Mental Health—A visit for prevention, evaluation and/or treatment of a mental health issue or disorder, paid at Medicaid rate.

• Substance Abuse—A visit for alcohol or drug abuse services, including assessment and diagnosis, treatment or aftercare, paid at Medicaid rate.

• Dental—KSFHP covers 100% of dental services, up to a total of $300 per year per client. Each client is responsible for $10.00 fee per visit to be applied to his/her bill.

9MISSION - To Protect and Improve the Health and Environment of all Kansans

Primary Care Services (Cont’d)

• Vision Care—A visit for a comprehensive eye exam performed for the purpose of early detection, care, treatment and prevention. Paid at Medicaid rate. Eyeglasses or corrective lenses are not paid by KSFHP.

• Pharmacy—Up to $150/year per person, up to $300 for people with diabetes and/or hypertension. Each voucher is limited to $50. Clients pay a $5 fee per prescription.

• Laboratory and X-Ray—Paid at Medicaid rate. All procedures over $150 must be preauthorized by regional case manager.

10MISSION - To Protect and Improve the Health and Environment of all Kansans

KSFHP Limitations

Program does not cover hospitalization, emergency room visits, or extensive diagnostic testing or treatment.

11MISSION - To Protect and Improve the Health and Environment of all Kansans

Voucher Provider Infrastructure

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Type of Provider Amount

Primary Care (includescommunity health centers, other safety net clinics, rural health clinics and other private clinics)

238

Dental 85

Behavioral Health 28

Vision 68

Pharmacy 84

Laboratory & X-Ray 163

Specialists 125

MISSION - To Protect and Improve the Health and Environment of all Kansans

KSFHP Voucher Procedures1. An eligible farmworker family fills out a registration at

an access point agency or through a Regional Case Manager or Health Promoter and receives vouchers for health visits there. (Access points are listed in KSFHP brochure.)

2. If the client has an appointment at the access point, the access point staff write up the voucher to accompany the appointment.

3. If the client has an appointment at a clinic other than an access point, at a hospital, or has a prescription to retrieve from the pharmacy, then the client takes the voucher with him/her to the health visit, hospital, or pharmacy. The provider returns a copy of the voucher along with their bill to the KSFHP for reimbursement.

13MISSION - To Protect and Improve the Health and Environment of all Kansans

KSFHP Voucher Procedures (Cont’d)

4. For specialized care, an access point or provider must call the Regional Case Manager assigned to their area for approval. (Case management regions are listed in KSFHP brochure.)

5. Farmworker funds are supplemental and are only available to pay for services not covered by any other private or public program for which the individual is eligible.

14MISSION - To Protect and Improve the Health and Environment of all Kansans

TB Program Serviceshttp://www.kdheks.gov/olrh/FWTBOverview.htm

• Eligibility requires income of 200% of poverty or below, uninsured, and positive TB screening test—open to non-farmworkers.

• Program covers entire state with exception of Sedgwick, Shawnee, Ford, Finney, Saline, Wyandotte and Johnson Counties (they receive funds directly from state).

• Covers additional diagnostic and therapeutic services related to positive TB skin test, such as chest x-rays, office visits, hepatic enzymes, etc.

15MISSION - To Protect and Improve the Health and Environment of all Kansans

TB Program Services (Cont’d)

• Does not cover TB medicine or TB-related hospitalization

• Does not cover if patient is asymptomatic and TB testing is because of work, school or adjustment of immigration status

16MISSION - To Protect and Improve the Health and Environment of all Kansans

Coordination of Care• KSFHP enabling staff works with wide range of

providers and programs

• When assistance is not available through KSFHP, staff look to other programs or charitable care

• When other programs are not available staff help negotiate fee adjustment and payment plans

17MISSION - To Protect and Improve the Health and Environment of all Kansans

Family Registration Form (Page 1)

18MISSION - To Protect and Improve the Health and Environment of all Kansans

Family Registration Form (Page 2)

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List each individual who lives in the house

Please ensure all the questions are answered for each family member and all blanks are completed on both sides

MISSION - To Protect and Improve the Health and Environment of all Kansans

Self Declaration Form

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Available in English, Spanish and Low German. Form is REQUIRED if client does not have a pay-stub.

MISSION - To Protect and Improve the Health and Environment of all Kansans

KSFHP Voucher

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Filled out by provider – Basic information about the reason the client is there and what services the client receives.

Client Information

Date

Clinic Information- Name of Clinic- Address

“Referral information should be

documented on the voucher”

-Height & Weight

-Screening & Counseling

HHS, BPHC requires that the following information is documented on the VOUCHER:

• Originating agency of the voucher

• Client identifying information

• Client signature

The following can be provided on the voucher or on a visit summary print out:

• Provider signature (with title)

• Reason for the appointment

• Treatment and/or referral

22MISSION - To Protect and Improve the Health and Environment of all Kansans

HHS, BPHC requires that the following information is documented on the BILL:

• Resulting diagnostic test and procedures

– Include CPT codes for all services done in house and/or for which you will be billing

• Identified diagnosis

– Include ICD 10 codes

23MISSION - To Protect and Improve the Health and Environment of all Kansans

HHS, BPHC requires that the following information is documented:

Please include the visit summary printout whenever possible.

(For Diabetes & Hypertension patients in particular.)

24MISSION - To Protect and Improve the Health and Environment of all Kansans

KSFHP Billing

Please notify your agency’s billing personnel to submit bills promptly to ensure payment. At the end of each year, any bills with a date of service of November 30 or prior need to be submitted by February 1.

25MISSION - To Protect and Improve the Health and Environment of all Kansans

KSFHP Fiscal Year

May 1st thru April 30th

Please note that bills with a date of service of April 30th or prior should be submitted to KSFHP with the appropriate documentation (voucher, codes, etc.) by May 15th in order to ensure proper payment.

26MISSION - To Protect and Improve the Health and Environment of all Kansans

Who are Kansas’ Farmworkers?

27MISSION - To Protect and Improve the Health and Environment of all Kansans

2017 Farmworker Profile• Of the 5,792 farmworkers and

dependents identified:

- 79% were Latinos

- 17% were Low German

- 3.7% were White/Black/Native American

- <1% were Chuukese

- 95% need interpreting

- 42% were under 100% of poverty

- 79% were under 150%

28MISSION - To Protect and Improve the Health and Environment of all Kansans

2017 Farmworker Profile (Cont’d)

Of the 5,792 farmworkers and dependents identified:

- 51% were male & 49% were female

- 40% were 18 years of age and under

- 12% were over 49 years of age

- 72% were uninsured

- 79% were seasonal

- 21% were migrant

29MISSION - To Protect and Improve the Health and Environment of all Kansans

There are Agriculture Workers in Almost Every County

30MISSION - To Protect and Improve the Health and Environment of all Kansans

Identification of Barriers2014 Health Status Survey & Annual Focus Groups:

• High Cost (includes no insurance)

• Language translation and interpretation

• Literacy levels

• Transportation and isolation

• Lack of history of preventive services

• Mobility of clients and distance to clinic

• Difficulty leaving work to get services

• Clinic not open when available for appointment

31MISSION - To Protect and Improve the Health and Environment of all Kansans

Enabling & Support Services

• Outreach and registration

• Screening of needs and identification of a medical home

• Education regarding preventive care

• Referral to resources (KanCare, Special Health Services, Migrant Education Program, preventive care)

• Support, follow up case management

• Language and culture

32MISSION - To Protect and Improve the Health and Environment of all Kansans

KSFHP Feedback & Evaluation

• Health Status Survey(done with clients every 5 years)

• Biannual Provider Survey

• Client Focus Groups

33MISSION - To Protect and Improve the Health and Environment of all Kansans

KSFHP Focus Groups

• Focus groups are held annually in each region to give farmworkers and their families a chance to express their needs, concerns, and suggestions regarding KSFHP.

• This time is also to used inform the farmworkers and their families about available services or changes to the program.

34MISSION - To Protect and Improve the Health and Environment of all Kansans

Areas of Special Focus (Clients)

• Diabetes Quality of Care Initiative

• Planning Families/Prenatal Care

• Behavioral Health

• Oral Health

• Obesity

• Tobacco Cessation

35MISSION - To Protect and Improve the Health and Environment of all Kansans

KSFHP Service Areas Voucher/Case Management Infrastructure

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KSFHP currently has 114 Access Point Agencies in 85 Counties

MISSION - To Protect and Improve the Health and Environment of all Kansans

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KSFHP Staff

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Statewide

CynthiaProgram Director

Heather Manager

AshleyAdministrative

Specialist

Teri Clinical

Coordinator

MISSION - To Protect and Improve the Health and Environment of all Kansans

KSFHP Staff (Cont’d)

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Regional Case Managers

Tina Mary Patricia Karla

Western Central Eastern

MISSION - To Protect and Improve the Health and Environment of all Kansans

KSFHP Staff (Cont’d)

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Health Promoters

Helen Ana V Alicia Victor

Western Eastern

MISSION - To Protect and Improve the Health and Environment of all Kansans

Diana L

Central

RosieAnna H

KSFHP Brochure

40MISSION - To Protect and Improve the Health and Environment of all Kansans

KSFHP Brochure (Cont’d)

41MISSION - To Protect and Improve the Health and Environment of all Kansans

KSFHP Regional Posters

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Contact the Regional Case Manager in your area to request poster(s) for your agency: http://www.kdheks.gov/olrh/FWContacts.html

MISSION - To Protect and Improve the Health and Environment of all Kansans

KSFHP Newsletter

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Do we have your email address? Email Heather at Heather.Driver@ks.gov to be added to the list.

http://www.kdheks.gov/olrh/FW_Newsletters.html

MISSION - To Protect and Improve the Health and Environment of all Kansans

KSFHP Website

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Visit us at www.ksfhp.org

• Staff Contact Information

• Program Eligibility Information

• KSFHP Forms

• This PowerPoint

• Policy & Procedures Manual

• Federal Poverty Limits

• KSFHP Newsletters

• Health Education Resources

MISSION - To Protect and Improve the Health and Environment of all Kansans

Health Education Resources

http://www.kdheks.gov/olrh/FW_health_resources.htm

• KSFHP Calendars

• Infant SleepSacks

• English/Spanish Comic Books about safe pesticide use

• English Coloring Books about nutrition

• Spanish Coloring Books about nutrition

• Harvest of Health

45MISSION - To Protect and Improve the Health and Environment of all Kansans

Health Education Resources (Cont’d)

• English/Spanish Low Literacy Books

– We Like our Teeth

– We Like to Eat Well

– We Like to Move

– We Like to Read

• Brochures in English and Spanish on a variety of healthy topics, for example:

– Tobacco Cessation

– Behavioral Health

• Healthy Plate to a Healthy Weight

46MISSION - To Protect and Improve the Health and Environment of all Kansans

KSFHP Calendars

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MISSION - To Protect and Improve the Health and Environment of all Kansans

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20

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Harvest of Health

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http://www.kdheks.gov/olrh/FWAudioEd.htm

MISSION - To Protect and Improve the Health and Environment of all Kansans

Healthy Plate to a Health Weight

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http://www.kdheks.gov/olrh/download/Summary_Healthy_Plate_Healthy_Weight.pdf

MISSION - To Protect and Improve the Health and Environment of all Kansans

Cultural Competency & Language Access

http://www.kdheks.gov/olrh/SpecialPopHealthResources.htm

• Guidance

• Data

• Health Education

• Partner Links

• Resources

• Training

50MISSION - To Protect and Improve the Health and Environment of all Kansans

Follow Up Questions

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www.ksfhp.orgOffice: (785) 296 – 6028

Fax: (785) 559 - 4278

Cynthia SnyderProgram Director

Office: (785) 296-8113Cell: (785) 207-2817

Cynthia.Snyder@ks.gov

Heather DriverManager

Office: (785) 296-8656Cell: (785) 207-2525

Heather.Driver@ks.gov

Ashley TemplinAdministrative

SpecialistOffice: (785) 296-6028Ashley.Templin@ks.gov

WESTERN KANSAS

Case ManagerEnglish/Low German

Tina GuentherOffice: (620) 675-8191

Cell: (620) 290-0133Fax: (620) 675-2236

Tina.Guenther@ks.gov

WESTERN KANSAS

Case ManagerEnglish/SpanishMary Marquez

Office: (620) 682-7949Cell: (620) 253-6104Fax: (620) 225-3731

Mary.Marquez@ks.gov

CENTRAL KANSASCase Manager

English/SpanishPatricia Fernandez

Office: (785) 296-8983Cell: (620) 617-7428Fax: (785) 827-1544

Patricia.Fernandez@ks.gov

EASTERN KANSASCase Manager

English/SpanishKarla Cervantes

Office: (913) 677-0100Cell: (816) 590-7577Fax: (913) 362-8513

Karla.Cervantes@ks.gov

MISSION - To Protect and Improve the Health and Environment of all Kansans

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www.ksfhp.orgwww.kdheks.gov

MISSION - To Protect and Improve the Health and Environment of all Kansans