CHILDREN’S HEALTH CARE Federal, State and Private help in Delaware.

CHILDREN’S HEALTH CHILDREN’S HEALTH CARECARE

CHILDREN’S HEALTH CHILDREN’S HEALTH CARECARE

Federal, State and Private Federal, State and Private help in Delawarehelp in Delaware

WHERE TO GO?(Health Centers)

Claymont Family Health Services3301 Green StreetClaymont, DE(302) 798-9755

Claymont Family Health Services is a primary health care center for individuals and families with little or no health insurance. They provide general exams, blood pressure screenings, minor illness treatment, women's health services, dermatology, adult/child immunizations and referrals to specialists or clinics. Volunteer physicians provide these services.


Henrietta Johnson Medical Center601 New Castle AvenueWilmington, DE(302) 655-6187

Henrietta Johnson Medical Center provides, adult medicine, senior care, vision and hearing screening, minor surgery, sexually transmitted disease testing and treatment, adolescent health education program, teen pregnancy program, immunizations, reproductive care and pediatric care.


Kent Community Health Center1095 S. Bradford StreetDover, DE 19901(302) 678-2000

Kent Community Health Center provides a wide range of primary and preventative health and social services. Health care services include sick and well care, exams and immunizations, family planning, breast and cervical cancer screening, and health insurance and prescription assistance referrals. Staff members are bilingual in English and Spanish. Medicare, Medicaid and sliding fees available.


La Red Health Center505 W. Market StreetGeorgetown, DE 19947(302) 855-1233

La Red Health Center provides access to primary healthcare for all individuals. Services include pediatric, adolescent and adult medicine preventive programs, diabetes education, immunizations for children, routine school and sports physicals, HIV testing and counseling, prenatal services and mental health and substance abuse counseling. Services are based on sliding scale fees. Staff is fully bilingual in English and Spanish. Translation and transportation services are also available.


Westside Health Center1802 West 4th StreetWilmington, DE(302) 655-5822

Westside Family Healthcare is a non-profit community health center. Services include Family Medical Care, OB/GYN and Women’s Health Care, Pediatrics, Dental Care, Podiatry, Support Services (Bilingual English/Spanish care and translation, Diabetes Education, MED Program (low-cost medication), Case Management, 24-hours Physician on call), Behavioral Health Care, Adolescent Health and Financial Aid Assistance including Sliding Fee Scale for patients who qualify.

WHERE TO GO?(Hospitals)

Alfred I. duPont Hospital1600 Rockland RoadWilmington, DE 198031-888-533-3KID

Bayhealth Medical CenterKent General Hospital640 South State StDover, DE 19901302-674-4700


Bayhealth Medical CenterMilford Memorial Hospital21 West Clarke AvePO Box 199Milford, DE 19963302-422-3311

Beebe Medical Center424 Savannah RoadLewes, Delaware 19958General information: 645-3300Charity Care & Community Healthcare Access Program: 645-3100, ext. 5137 or 5138


Christiana Care Health System4755 Ogletown-Stanton RoadNewark, DE 19718

501 W. 14th StreetWilmington, DE 19801

302-733-1000

St. Francis Hospital7th and Clayton StreetsWilmington, DE302-421-4100 (Central Outpatient)


Bayhealth Medical CenterMilford Memorial Hospital21 West Clarke AvePO Box 199Milford, DE 19963302-422-3311

Beebe Medical Center424 Savannah RoadLewes, Delaware 19958General information: 645-3300Charity Care & Community Healthcare Access Program: 645-3100, ext. 5137 or 5138


Nanticoke Health Services801 Middleford RoadSeaford, Delaware 19973302-629-6611

Federal Program(Medicaid)

• Medicaid offers health and long-term care coverage to some people with limited income. This includes children and parents, pregnant women, people with disabilities, and seniors. Medicaid programs are run by states with a mix of state and federal funding.

• Facts About Medicaid– Medicaid is the largest children’s health program in the country and the

primary source of health care for low-income families and elderly and disabled people.

– One in six Americans under age 65 is insured through Medicaid. – Half of all Medicaid enrollees are children and 78% live in households

where at least one parent works.– Covers over 70,000 children in Delaware.– Provides health insurance coverage for part or all of the year to one in

three children.– It is estimated that 19,051 Delaware children are uninsured. 55% of these

uninsured children are eligible but not enrolled in Medicaid or the State Children’s Health Insurance Program.


• Eligibility - Determined by Delaware Division of Social Services, Division of Medicaid and Medical Assistance (DMMA)

• Factors– You can have a car, bank account, and a home and still qualify for Medicaid. DMMA

does not look at any of your resources when determining your eligibility for Medicaid.– You can work and still qualify for Medicaid.– Some persons can have other insurance and still receive Medical Assistance.– Low-income uninsured adults between the ages of 19 and 65 may qualify for Medicaid.– Certain children living with stepparents, grandparents, or siblings with income may

receive Medicaid.– Needy families with children may be eligible for Medicaid if they are part of Temporary

Assistance for Needy Families.– When a family getting a welfare check starts working and leaves welfare they still may

receive Medicaid.– Low-income pregnant women and children under age 19 may qualify for Medicaid.– Most women of child bearing age may be eligible for birth control and family planning

services for up to 24 months after their regular Medicaid stops.• Based on month to month eligibility. Benefits are determined on a yearly basis

to ensure recipients remain eligible. Changes in situation must typically be reported within 10 days of the change.


• How to Apply?– Online: using ASSIST (Application for Social Services and Internet

Screening Tool), https://assist.dhss.delaware.gov– By phone: by contacting Medicaid Customer Relations at 1-800-372-2022

or (302) 255-9500 to be directed to the Division of Social Services (DSS) office closest to where you live. staff members will help you find out more about eligibility for Medicaid and other assistance programs. Then the appropriate information and application forms will be mailed to you. Complete, sign and date the application form in ink and mail it to the address provided.

• Documentation needed to apply– verification of income – NO verification of resources (bank accounts, cars, stocks, etc.) necessary

(unless applying for Long Term Care Medicaid)– NO interview required (unless applying for Long Term Care Medicaid)– Proof of pregnancy, if pregnant– For non-US citizens, proof of alien status (ex. copy of green card)

The Future of the Federal Program

(New Healthcare Reform – Patient Protection and Affordable Care Act)

Reforms Will Be Put In Place By 2014

Most Citizens and Legal Residents Will Be Required to Have Health Insurance

• Delaware Will Establish a State-Wide System of Health Benefit Exchanges

– Financial assistance will be provided to those with income between 133-400% of the Federal Poverty Level

Currently• (Single) - $14,404 - $41,520• (Family) - $29,326 - $88,200

• Eligibility for Medicaid will be Expanded– Those with income less than 133% of the federal poverty level (currently $14,404 for a

single person and $29,326 for a family) who cannot afford coverage will be eligible for Medicaid.

– Modified Gross Income (not Gross Income) will be used to determine eligibility in most instances. Applicants can take a standard 5% deduction or their own personal deductions.

– Foster children can receive Medicaid until age 26

• Services Offered Through Medicaid Will be Expanded– Mental Health Services will be offered– Prescription Drug Coverage will be expanded– Increased Focus on Tobacco Cessation for Pregnant Women (Starting 2011) through

• Public Health Clinics• Providing targeted advice and quit-smoking packets to all pregnant women who smoke• Ensuring that smoking status is tracked on all patient records

• No Child Gets Lost in the Gap– If a child is deemed ineligible for Medicaid that child is automatically enrolled in Delaware’s

Children’s Health Insurance Program (CHIP).– If CHIP becomes full, Delaware must offer that child a Health Benefit Exchange that provides

equivalent benefits and cost-sharing.

• No More Exclusions From Insurance Because of Pre-Existing Conditions

– Currently insurers cannot exclude children with pre-existing conditions from being covered by their family policy.

– Adults with pre-existing conditions will be protected from exclusion starting Jan. 1, 2014.





• New Application Uses Single Form– Applicants for assistance with health care will be able to submit a single, streamlined

form for all coverage options: Medicaid, CHIP, and Health Benefit Exchanges

– Delaware will conduct outreach and enrollment assistance to those eligible for Medicaid and CHIP.

– If an applicant applies for a specific program and is denied that applicant is automatically considered for all other affordable health care options without the need for additional paperwork.

• Websites will be established to identify and compare affordable coverage options

– The federal government’s website is NOW AVAILABLE at WWW.HEALTHCARE.GOV.

– The state of Delaware’s website will be operational by January 1, 2014. You will be able to apply for and renew insurance through the state’s website.

Delaware Program(CHAP)

• Community Healthcare Access Program (CHAP)

• CHAP helps provide access to primary care doctors, medical specialists, and other health resources including prescription programs, laboratory and radiology services. Medical services are provided in the community through Community-based Health Care Centers and private doctors who participate in the Medical Society of Delaware's Voluntary Initiative Program (VIP). VIP is a network of private physicians statewide who accept CHAP patients into their practices and serve as their health home or provide medical subspecialty services. CHAP recipients receive discounted medical services based upon their income. In brief, the CHAP program gets patients the medical attention they need at an affordable cost.

• To be eligible for CHAP, an individual must be a resident of Delaware, uninsured, ineligible for state medical assistance programs, and meet financial eligibility guidelines. To find out if you are eligible please call 1-800-996-9969

Delaware Program(DHCP)

• Delaware Healthy Children Program

• The Delaware Healthy Children Program is a low cost health insurance program for Delaware's uninsured children. The Delaware Healthy Children Program features the same high-quality coverage you'd get with some of the best private insurance plans.

• What's covered? -The Delaware Healthy Children Program covers everything from routine checkups to eye exams to doctor and hospital services. Families covered by the Delaware Healthy Children Program enjoy an extensive list of services for a single low monthly rate and No-copayments.

Delaware Program(DHCP)

• Your children may qualify if they...– Do not have comprehensive health insurance,– Are under the age of 19 and reside in the State of Delaware,– Are U.S. citizens or qualified noncitizens,– Are not dependents of a State of Delaware employee, and– Meet income eligibility (please see the 200% Federal Poverty Level

chart ); the number of people in your family (children and adults combined) and your total family income determine the eligibility and premium cost for your family. 1-800-996-9969

• How much do I have to pay?– A. Premium payments are $10, $15 or $25 per household per

month, depending on your income.– There is an added bonus: for every 3 months you pay in advance,

you'll get the 4th month free! And, with the exception of non-emergency visits to hospital emergency rooms, there are no co-payments. Prescriptions are covered at 100%.

Delaware Program(DPH Child Health Clinics)

• DPH provides limited health services such as physicals and immunizations to children (under age 19) who are well and who do not have insurance or a doctor. No sports physicals are provided.

• Locations

– Dover James W. Williams SC Monday 8 a.m. - 4:30 p.m.805 River RoadDover, DE 19901(302) 857-5000

– Georgetown Thurman Adams SC Wednesday 8 a.m. - 4:30 p.m.

546 S. Bedford StreetGeorgetown, DE 19947(302) 856-5246

Delaware Program(DPH Child Health Clinics)

• Locations

– Newark Floyd I. Hudson SC Call for latest information501 Ogletown RoadNewark, DE 19711DPH: (302) 283-7587

– Seaford Anna C. Shipley SC Tuesday 8 a.m. - 4:30 p.m.350 Virginia Ave.Seaford, DE 19973DPH: (302) 628-2006

Other Delaware Programs

• Delaware has other state programs and services including– Long Term Care Medicaid Programs– Chronic Renal Disease Program– Qualified Medicare Beneficiary Programs– Children’s Community Alternative Disability Program– Breast & Cervical Cancer Program– Transportation services

• You can learn more about these additional programs by visiting the Delaware Division of Medicaid and Medical Assistance’s (DMMA) website at http://dhss.delaware.gov/dhss/dmma or by contacting DMMA, Rosanne Mahaney, Director, Stephen Groff, Deputy Director, (302) 255-9500, 1901 N. DuPont Highway, Lewis Bldg., New Castle, DE 19720, FAX: (302) 255-4454

(Private Organizations) CHILD, Inc.

507 Philadelphia PikeWilmington, DE 19809Main: (302) 762-8989Kent & Sussex Counties: 800-874-2070

Mission: To be the leading advocate for Delaware’s children. Child, Inc. provides creative prevention and treatment programs that meet the changing needs of families. Child, Inc. serves dependent, neglected and abused children and their parents. Child, Inc. provides programs for those involved in domestic violence situations, especially children.

(Private Organizations)CHILDREN & FAMILIES FIRST

A long-time leader among human service agencies in Delaware, strengthens families through adoption, foster care, counseling, teen services, parenting education and support programs, welfare to work services, programs that support older adults, reduce infant mortality, and increase child care quality and availability.New Castle County Kent County 2005 Baynard Boulevard 91 Wolf Creek Boulevard Wilmington, Delaware 19802 Suite 1 302-658-5177 Dover, Delaware 19901

302-674-8384809 Washington Street Wilmington, Delaware 19801 302-658-5177

(Private Organizations)CHILDREN & FAMILIES FIRST(cont.)

Sussex County Seaford House Residential Treatment Center 400 N Market Street Extension Seaford, Delaware 19973 302-629-6996

410 S Bedford Street Georgetown, Delaware 19947 302-856-2388

(Private Organizations)CHILDREN & FAMILIES FIRSTIn addition to many other family services,

Children & Families First provides the Resource Mothers Program which helps at-risk pregnant mothers receive the appropriate prenatal and pediatric care to ensure a healthy baby. Resource Mothers help pregnant women and their families access social services and community resources. They also provide support and make sure the women have information on parenting, nutrition and healthy lifestyles. Services are offered in Wilmington, Dover, and Georgetown.

(Private Organizations)NORTHEAST TRAINING CENTERS

Community Plaza Counseling Center 287 Christiana Road, Suite 8

New Castle, DE 19720Phone: (302) 325-6500

Fax: (302) 689-0110• Residential Treatment

Mental Health Residential Treatment is provided for a total of sixteen youth between the ages of twelve years and eighteen years at two sites in New Castle County, Delaware.

• Day TreatmentThe Kacy Church Day Treatment Center is located in New Castle, Delaware, and is staffed by Special Education certified teachers, Social Workers, Psychologists, and Counselors who form an integrated team that fully implements a multi-faceted approach to working with young people and families with life difficulties, emotional problems or special needs. The Day Treatment Program can treat and educate up to twenty youth between the ages of 12 and 18 years of age. These structured services are provided to Delaware school-aged youth who live at home, in residential settings or with treatment foster families.

•

(Private Organizations)NORTHEAST TRAINING CENTERS

Child Welfare, Foster Care & Adoption • Foster Care/Treatment Foster Care/Intensive Residential Treatment

These programs in Delaware provide various levels of care for youth who are involved with the dependent and/or delinquent system. The youth in these programs require a more intensive treatment experience with a designated treatment team. The treatment team consists of specially trained foster parents and qualified treatment specialists, mentors and masters level clinicians.

• Independent Living Program ("Making My Way")This is an Independent Living skills development program located in Delaware. The program is designed to assist older teenagers and young adults effectively transition out of state foster care system into adulthood via the support and direction of a life-skills mentor.

(Private Organizations)BRANDYWINE COUNSELING AND

COMMUNITY SERVICES“BCCS”2713 Lancaster AvenueWilmington, DE 19805Phone (302) 656-2348Fax (302) 656-0746

Lighthouse Program

Substance abuse and mental health treatment is administered in a residential community for women over the age of 18 with up to two (2) children under 8 years old using Evidence Based Practices. In addition to on-site licensed day care services, mothers receive individual and group therapy, life skills, computer classes, GED, trauma work and evidence based parenting classes. Case managers assist women with job placement and housing during final phases of care.

Appendix of Helpful Phone NumbersClaymont Family Health Services (302) 798-9755Henrietta Johnson Medical Center (302) 655-6187Kent Community Health Center (302) 678-2000La Red Health Center (302) 855-1233Westside Health Center (302) 655-5822Alfred I. duPont Hospital (Nemours) 1-888-533-3KIDKent General Hospital (302) 674-4700Milford Memorial Hospital (302) 422-3311Beebe Medical Center (302) 645-3300 Nanticoke Health Services (302) 629-6611Medicaid Customer Relations 1-800-372-2022 or

(302) 255-9500 Community Healthcare Access Program and 1-800-996-9969

Delaware Healthy Children Program DPH Child Health Clinics

Dover (302) 857-5000

Georgetown (302) 856-5246 Newark (302) 283-7587 Seaford (302) 628-2006

Child, Inc. (302) 762-8989Children & Families First (302) 658-5177 Northeast Training Centers (302) 325-6500BCCS (302) 656-2348

CHILDREN’S HEALTH CARE Federal, State and Private help in Delaware.

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