Navigating systems of care 1

Navigating Systems of Care:
Finding the RIGHT Care for
Your Child or Teen

Developed by the

LA Family to Family
Health Information Center
A statewide program of Bayou Land Families Helping Families

Who Can Help My Family?
Feelings families can experience when they don’t know where to go for help.

ANXIETY ANGER
FRUSTRATION

ADVOIDANCE
“HELP!”

CONFUSION SADNESS

Families Helping Families
 Network of Regional Resource Centers serving
individuals with disabilities and special needs
and their families and the professionals who
serve them.
 Staffed by families who, through their own
experiences, are committed to reaching out to
other families who have members with
disabilities or special needs.
 3 Core Services
information & referral
education & training
peer support

Each regional center is an independent
non-profit;
Each provides a lending library;
Computer available for families and
professionals for research;
Education and Medical Advocacy
information and services;
1-800-922-DIAL (3425)
info@lafhf.org

Orleans, Plaquemines, St. Bernard Avoyelles, Concordia, Catahoula, Grant, LaSalle,
1-877-243-7352 Rapides, Vernon, Winn
1-800-259-7200
Ascension, East & West B.R., East & West Feliciana, Bienville, Bossier, Caddo, DeSoto, Natchitoches, Red
Iberville, Pointe Coupee River, Claiborne, Lincoln, Sabine, Webster
1-866-216-7474 1-877-226-4541
Assumption, Lafourche, St. James, St. John, Caldwell, East & West Carroll, Franklin, jackson,
Terrebonne, St. Charles, St. Mary Madison, Morehouse, Ouachita, Richland, Tensas,
1-800-331-5570 Union
1-888-300-1320
Acadia, Evangeline, Iberia, Lafayette, St. Landry, St. St. Tammany, St. Helena, Livingston, Washington,
Martin, Vermilion Tangipahoa
1-800-378-9854 1-800-383-8700
Allen, Beauregard, Calcasieu, Jefferson Davis, Cameron Jefferson
1-800-894-6558 1-800-766-7736

These FHF Centers have
statewide programs.

Bayou Land Families Helping Families
Serving St. Charles, St. James, St. John, St. Mary, Assumption,
Terrebonne and Lafourche

286 Hwy 3185 Thibodaux, LA 70301
1-800-331-5570 or 985-447-4461
Fax: 985-447-7988
Web Site: www.blfhf.org
Email Address: Blfhf@bellsouth.net

Bayou Land

LA Family to Family Health
Information Center
Or C hildren and Youth
S tatewide who Have an E xtended
Illnes s .
C hildren and
Provides Health and
Youth
Health C are Financing
A ges 0-26 Information
With S pecial C onnects to
Health C are Res ources
Needs or,
Provides Training to
At Ris k for Families and Youth
S pecial Health

Louisiana Family Voices
Louisiana Chapter of Family Voices
 Advocating for family centered care for
children with special health care needs
 http://www.familyvoices.org/

Additional Bayou Land FHF
Programs
earlySteps Community Outreach
Specialists
Children’s Special Health Services
Parent Liaisons
Education Advocates
Transition Specialists
Various other programs that support
individuals with disabilities, their
families and the professionals
who serve them.

D e p a rtm e n t o f
H e a lt h & H o s p it a ls

O f f ic e o f C it iz e n s O f f ic e o f M e n t a l O f f ic e o f P u b lic O f f ic e o f H e a lth
w / D e v e lo p m e n t a l H e a lth H e a lth S e r v ic e s
D is a b ilit ie s F in a n c in g

R e g io n a l R e s o u r c e C e n te rs C h ild /A d o le s c e n t R e s p o n s e T e a m C e n t e r fo r C o m m u n it y H e a l th M e d i c a id L a H IP P
e a r ly S te p s L a -Y E S C e n te r fo r C o m m u n ity P r e p a r e d n e s s K i d M E D & C o m m u n it y C A R E LaM O M s
M e d ic a id W a iv e r S e r v ic e s ECSS C e n t e r f o r P r e v e n t a t i v e H e a l th L a C H I P , L a C H I P A f f o r d a b le M e d ic a id P u r c h a s e P la n
C a s h S u b s id y P r o g r a m F O A M e d i c a id T a k e C h a rge

C o m m u n ity H e a lth : C o m m u n ity P r e p : P r e v e n ta tiv e H e a lth :
R e g io n a l E m e rg e n c y P rep S c h o o l B a s e d H e a lt h C t r s
O P H C li n i c s H e a lth L A 2 0 1 0 CSHS
I n ju r y P r e v e n t i o n / F lu H e a r in g , S p e e c h , V is io n

F a m ily P la n n in g
H I V /A I D S
Im m u n iz a tio n P r o g r a m s
S A F E K ID S

W IC
C o u n c il o n O b e s ity P r e v .

Human Services Authorities or Districts
Legislatively defined and approved.
Consolidate funding from Office of Citizens with
Developmental Disabilities, Office of Behavioral Health
(Mental Health and Addictive Disorder Services)
Local governance by a Board of Directors for funding
allocations
Same services provided with more flexibility.
All OCDD services can be accessed through SCLaHSA
except Resource Center services.

Office of Citizens
with Developmental
Disabilities
(Services provided through
South Central Louisiana Human Service Authority)

Office for Citizens with Developmental
Disabilities
Serves Individuals who have disabilities that result in substantial
functional limitations in 3 or more of the following areas of major life
activity:
(a) Self-care;
(b) Receptive and expressive language;
(c) Learning;
(d) Mobility;
(e) Self-direction;
(f) Capacity for independent living;
(g) Economic self-sufficiency;
and, is not attributed solely to mental illness; Reflects the person's
need for a combination and sequence of special, interdisciplinary, or
generic care, treatment, or other services which are of lifelong or
extended duration and are individually planned and coordinated, or

A substantial developmental delay or specific congenital or acquired
condition in a person from birth through age nine which, without
services and support, has a high probability of resulting in those
criteria listed above later in life that may be considered to be a
developmental disability.

Disabilities
OCDD within the Department of Health and Hospitals
serves as the Single Point of Entry (SPOE) into the
Developmental Disabilities (DD) Services System.

Community services regional offices and human services
authorities/districts serve as the points of entry for
individuals to receive services from both the regional
offices/human services authorities/districts and the
supports and services centers.

Office of Citizens with Developmental
Disabilities – Programs and Services
The Individual and Family Support Program provides
resources to people with developmental disabilities to allow
them to live in their own homes or with their families in their
own community. Services include, but are not limited to:
respite care, personal assistance services, specialized
clothing, dental and medical services not covered by other
sources, equipments and supplies, communication services,
crisis intervention, specialized nutrition, and family education.

The Cash Subsidy Program provides a monthly stipend to
families of eligible children with severe disabilities, until the
age of 18. Funds are intended to help families meet the
extraordinary cost associated with maintaining their child in
the home. Stipends are awarded on a first come, first serve
basis to eligible children with exceptionalities identified
through the Department of Education’s Pupil Appraisal
Evaluation.


Louisiana’s Early Intervention System

For Louisiana for families with children ages 0 to 3 years
with a diagnosed physical or mental condition and/or
developmental delay. Early Steps provides a
coordinated, family focused system of support and
services at no cost to families. earlySteps is designed to
meet the developmental needs of each eligible child and
to enhance the family’s ability to respond to their child’s
developmental needs in a natural environment. Services
may include: occupational therapy, physical therapy,
speech therapy and other services.


System Points of Entry for earlySteps
Orleans, Plaquemines, St. Bernard Vernon, Rapides, Winn, Grant, LaSalle, Catahoula,
(877) 595-3408 Concordia, Avoyelles
1-866-445-7672
East & West B.R., East & West Feliciana, Pointe Caddo, Bossier, Webster, Claiborne, Bienville,
Coupee, Iberville, Ascension Natchitoches, Sabine, De Soto, Red River
1-866-925-2426 1-866-676-1695
Assumption, St. John, St. Charles, St. James, Ouachita, Union, Jackson, Lincoln, Caldwell,
Terrebonne, Lafourche, St. Mary Morehouse, East & West Carroll, Richland,
1-866-891-9044 Franklin, Tensas, Madison
1-877-322-4788
Lafayette, Iberia, St. Martin, Vermillion, St. Landry, St. Tammany, Livingston, St. Helena, Tangipahoa,
Evangeline, Acadia Washington
1-866-494-8900 1-866-640-0238
Beauregard, Jefferson Davis, Allen, Cameron, Jefferson Parish
Calcasieu 1-866-296-0718
1-866-494-8900

Home and Community-Based
Waiver Services
Available to individuals with
developmental disabilities. These
waivers are actual waivers of the
usual Medicaid income and other
requirements. Through waivers, a
variety of services and supports
are available to allow individuals to
reside in community settings other
than ICFs/DDs (Intermediate Care
Facilities).
NOW, ROW, Children’s Choice, Supports

A word about Medicaid waivers...
Medicaid has an entitlement to nursing home/institutional care.
Institutional care is extremely costly.
Waivers waive usual requirements for Medicaid allowing services
to be provided in home and community based settings at lower cost with
greater outcomes for individuals with disabilities.
Waivers are optional for states.
States must file applications for waivers to Centers for Medicaid
Services.
Stakeholder input must be included.
Waivers can have very long waiting lists if sufficient matching
state funds are not provided for legislatively.

The New Opportunities Waiver (NOW) is available for
individuals to be able to live in the community. NOW is
intended to provide specific, activity focused services
rather than continuous custodial care.

The following are the services provided under the NOW:
Individual and Family Support (IFS) Service-Day-Night;
Center-Based Respite; Community Integration and
Development; Home adaptations; Specialized Medical
Equipment and Supplies; Supported Living; Substitute
Family Care; Day Habilitation and Transportation;
Supported Employment and Transportation; Employment
Related Training; Professional Services; Personal
Emergency Response System; Skilled Nursing Services;
and One-Time Transitional Services.


The Residential Options
Waiver (ROW) enables Money-
Follows-the-Person strategies
for people served in ICFs/DD
(Intermediate Care Facilities for
individuals with Developmental
Disabilities) and nursing facilities
to move to a comprehensive
HCBS waiver option so that they
can live in the community in a
residential setting of their
choice.


Children’s Choice is an intermediate level waiver service,
is for Children under age 19. Individuals on the waiting
list for other long-term waivers may opt for Children’s
Choice and receive capped services until a full waiver
slot is available or they turn 19.
Medicaid services are provided with Children’s Choice and
including EPSDT screenings and extended services, and
up to $15,000 per year in Children’s Choice services
including required Support Coordination (case
management).
Children who age out (reach their 19th birthday) Transfer
with their waiver to the most appropriate waiver option
for them, as long as they remain eligible for waiver
services.


Children’s Choice

EPSDT services MAY include respite assistance if the child
is medically involved and needs assistance with daily
living tasks or has other health needs.

Cash Subsidy

Cash Subsidy provides a monthly stipend to families
of eligible children with severe or profound
developmental disabilities from birth to age 18.

Funds are intended to help families meet the
extraordinary costs associated with maintaining their
child in the home.

Community Support Teams
Intensive treatment intervention allowing individuals with
developmental disabilities to remain in their community living
setting.
These supports and services include: initial and ongoing
assessment, psychiatric services, family support and
education, support coordination and any other services critical
to an individualt s ability to live successfully in the community.
CST teams, consisting of psychologists, social workers,
nurses, and psychiatrists, provide supports and services on a
24-hour, 7 day a week basis.
CST Team supports and services are provided in the
community rather than in an office-based practice and
combine skill teaching with clinical management.
There are nine (9) CST Teams located in various regions
throughout the state; they are managed through local
developmental centers and accessed through Regional
Offices.


Extended Family Living (EFL)

Extended Family Living provides supports and services
to people with developmental disabilities, regardless of
their age, in the home of non-related persons. These
home settings are approved and routinely monitored by
public and private providers.

EFL supports and services are provided for the purpose
of meeting the physical, emotional, educational,
habilitative, and social needs of the individual in a family
setting.


Five Resource Centers provide
leadership, enhance communication and
collaboration, and increase the availability
and capacity of support and services to
people with developmental disabilities.
Services provided include training
opportunities, training curriculum
development, provision of resource
materials, resource guides, peer reviews,
and program reviews.

Medical, Dental and
Allied Health Supports

Establish training programs that educate medical and dental
students.
(Operation House Call in New Orleans- exposes pediatric and
family medicine residents to the daily routine of parents who have a
child with a disability living at home. In an effort to educate
professionals, the family has a chance to demonstrate not only the
extraordinary challenges they face as a family caring for a child with
a disability, but also the natural acceptance and dignity the family
has in recognizing the child as a vital, important part of the family.)
Identifying, publishing and disseminating available dental
and medical resources.
Providing limited medical and dental services to people with
developmental disabilities living in the community through training
modules.

Nutritional,
Physical & Nursing Supports

General health and specialized care for people with developmental
disabilities through community-based partnerships and collaborative
relationships with individuals, families, providers, educational institutions,
and community professionals. Supports and services include, but are not
limited to educational/training events and materials, consultations, and
technical assistance.
Fills service gaps and improves service delivery efforts through partnerships
and collaborations connecting the person with systems and individual
supports.
Training Topics May include: Nutritional/Physical Support; Wheelchair
Seating; Transfer/Handling Techniques; Fall Prevention; Therapeutic
Positioning; Fracture Reduction; Gastroesophageal Reflux Issue; Aspiration
Issues; Health Risk Screening; ; Seizure Management; Diabetes
Management; Infection Control Practices; Basic Health Care Concepts;
Emergency First Aid; Dysphagia (difficulty swallowing); Preventive Health
Care Strategies; and more.

Psychiatric and Behavior Supports
Committed to increasing community capacity to support and include people
with developmental disabilities. The Resource Centers serve individuals
with developmental disabilities experiencing psychiatric and/or behavioral
challenges and their families, community practitioners and private and non-
profit providers who serve individuals with developmental disabilities and
university students.
They may provide workshops on Psychiatric topics such as AAIDD Positive
Behavior Support Training; In-Service Training for Community
Providers/Supports and Services Centers; Program Review of Psychiatric
and Behavioral Services; Individual Consultations; Library Consortium.

Community Inclusion
The Resource Centers explore and develop exemplary models of
service delivery and promising practices which support community
inclusion, accessibility, personal choice and independence of people
with developmental disabilities. Initiatives and training
opportunities focus on the following areas as they apply to Community
Inclusion: Personal Outcomes; Relationship/Friendship Building;
Health and Wellness; Employment; Housing; and, Transportation.

Aging with Developmental Disabilities
Provide community resources and training on such topics as relationship
building; care giving; housing; transportation; health and wellness; age-
related diseases; long term planning, and; end of life care.
Activities may include:
Developing and providing community capacity building in the areas of aging
with developmental disabilities through training events/educational
materials, consultations, technical assistance, and limited direct services;
Building partnerships and collaborative relationships with providers, community
professionals, other state agencies, educational institutions, professional
organizations, and other stakeholders to efficiently target gaps and improve
multiple efforts;
Recruiting and retaining highly qualified and capable professionals to maintain
and increase the pool of expertise in Louisiana, and
Accomplishing and promoting research and publication.

Resource Centers
OCDD Resource Center OCDD Resource Center OCDD Resource
45439 Live Oak Drive 3501 5th Avenue, Suite C2 Center
Hammond, LA 70401 Lake Charles, LA 70607 5401 Shed Road
Phone: (225)567-7391 Phone: (337) 475-8084 Bossier City, LA 71111
Phone: (318) 741-5327

OCDD Resource Center OCDD Resource Center
4460 General Meyer Avenue P.O. Box 5191
New Orleans, LA 70131 Pineville, La 71360
Phone: (504) 364-6600
Phone: (800) 584-8511

Office for Citizens with
Developmental Disabilities
How Do I Apply for Services?
Contact your regional OCDD or Human Service Authority.
http://new.dhh.louisiana.gov/index.cfm/subhome/11/n/8
1.866.783.5553

Disabilities
Metropolitan Human Service Capitol Area Human Service South Central Louisiana Human
District District Services Authority
1010 Common Street, 5th Floor 4615 Government St., 2nd Floor 690 East First Street
New Orleans, LA 70113 Baton Rouge, LA 70806 Thibodaux, LA 70301
1-800-889-2975 1-800-768-8824 1-800-861-0241

Community Services Office Community Services Office Community Services Office
214 Jefferson Street, Ste. 301 3501 Fifth Avenue, Ste. C2 429 Murray Street - Suite B
Lafayette, LA 70501 Lake Charles, LA 70605 Alexandria, La 71301
1-800-648-1484 1-800-631-8810 1-800-640-7494

Community Services Office Community Services Office Florida Parishes Human Service
3018 Old Minden Road - 122 St. John Street Authority
Suite 1211 Rm. 343 21454 Koop Drive - Suite 2H
Bossier, LA 71112 Monroe, LA 71201 Mandeville, La 70471
1-800-862-1409 1-800-637-3113 1-800-866-0806

Jefferson Parish Human Service
Authority
3300 W. Esplanade, Ste 213
Metairie, LA 70002
(504) 838-5357

Office of Mental
Health (OMH)
Services provided through
South Central Louisiana Human Service Authority

Office of Mental Health Programs & Services

OMH family support services assure that families have the
necessary personal support, information and skill to
cope, to maintain family integrity, and to enhance the
likelihood that children with serious emotional
disturbance can successfully remain at home. Service
elements include respite care, care and education,
telephone trees, parent support groups, parent case
manager training, home aide services, transportation,
and advocacy services.


Supported living services, either through specialized
residential programs or through case management and
other services which support persons living in their own
homes, are available throughout the State. Individuals
with serious psychiatric disabilities are provided with
services necessary to address both their housing and
mental health/rehabilitative needs.

The types of housing resources available for adults
include group homes, supervised apartments, respite
apartments, board and care homes, foster care, and
individual residences with support. For adolescents,
housing is limited to group homes and foster care.

Day Programs & Psychosocial
Rehabilitation Programs

Provide opportunities for teaching new rehabilitative skills related to
community living and work activities; build networks of peer support; teach
self-help community activities; and provide a place where individuals can
learn how to relate to persons and communicate their needs and desires
successfully. In addition, day programs provide secure, structured
environments where individuals experiencing disruption in routine behaviors
brought on by their illness can receive treatment and support. Day programs
also provide structured activities which allow children and adolescents with
severe emotional disturbances to remain in school.

Each of the nine mental health planning regions has at least one
psychosocial program which provides for the development of both social
and vocational rehabilitative needs of each person who utilizes the
program's resources. The number of hospital days experienced annually by
persons before and after coming to these programs typically drops from a
pre-program average of 60 days to six to ten days post-program enrollment.

Office of Mental Health Programs &
Services

Magnolia Family Services, LLC
For Medicaid Patients Only

Psychiatric evaluations medication management, family and
individual therapy, parenting skills development, child skills
development, psychosocial skills training, behavior modification,
educational interventions.

Services are available to children and adolescents with a recent
history of behavior and/or emotional problems, adults with a recent
history of emotional/psychological conflicts, those receiving or who
have received help with little or no success and individuals needing
long-term treatment to make positive changes in their lives.



Magnolia Family Services, LLC
106 Hickory Street
Thibodaux, LA 70301
Phone: 985-449-4055
Fax: 985-449-4178
Emergency: 985-447-1319
magnoliafamiliyservices.com

Crisis Management Services
Crisis services are provided on a 24-hour basis. These
services are designed to provide a quick and appropriate
response to individuals who are experiencing acute
distress. Care services include telephone counseling and
referrals, face-to-face screening and assessment,
community housing for stabilization and crisis respite.
REGION 3 CRISIS LINE
CHILDREN OR
ADULTS
1-800-535-3694 AFTER
4:30PM OR
WEEKENDS


Child/Adolescent Response Team

The Child and Adolescent Response Team is a response to
your request for support services during times when a
child or adolescent appears to be in crisis. Any child
below the age of 18 may receive services. Any child or
child’s guardian may call CART to request services,
regardless of income level or insurance.

The Child and Adolescent Response Team was designed
to assist children and their parents during times of crisis
by providing support for the family in their own resolution
of the crisis. A variety of services are available, and are
personally tailored to suit your needs. CART services are
available 24 hours a day, 7 days a week.

Early Childhood Supports and Services Program (ECSS)
ECSS is a group of parents, advocates, interested community members as well
as public and private agencies. These agencies provide services to children
ages 0-5 and their families.

This group meets, at least monthly to discuss children and their families who have
been referred for service coordination. If you can answer “yes” to any one of
the following questions, then you may want to ask about participating in the
ECSS program:
• Are you worried about the effects of arguing on your young child?
• Are family needs getting in the way of you working, returning to school,
or achieving your life goals?
• Are you worried about other family members because of a serious
problem that has not been corrected?
• Do you have problems getting help for your child or family?
• Does your young child (age 0-5) and family need assistance due to a
developmental delay, diagnosed medical condition, family history of
mental illness or substance abuse?

Early Childhood Supports and Services Include:
• Referral to appropriate supports and services
• Case Management
• Clinical Case Management
• Behavior Modifications
• Counseling
• Parent Support Groups
• Training and Technical Assistance
• Consultation to other providers and/or agencies
• Infant Mental Health Screening
• Infant Mental Health Assessment
• Emergency Intervention Funds to purchase supports and services
• Other services specified in service plan such as domestic violence;
child abuse; advocacy on behalf of the parent and child; referral to
address medical needs; referral to public assistance; medication
referral; referral for parent/family/peer support; and educational
opportunity referral for parents.


Early Childhood Supports and Services

Eligibility: Families of children who are 0-5 and who are at-
risk of removal from home or school due to behavioral
problems. Families of children who have multiple risk
factors such as abuse, neglect, exposure to violence,
poverty, developmental disability, etc which have been
documented by one of the participating agencies.

PARTICIPATING AGENCIES:
• Early Childhood Programs:
Head Start, HIPPY, Early Steps, Child Care Assistance
• Educational Needs:
Speech, Occupational or Physical Therapy, Special Instruction
• Mental Health:
Counseling, Medicine Management, Community Support
• Public Health Programs:
WIC, Family Planning, Immunizations
• Family Support:
Financial Needs
• Parenting Center:
Parenting Classes
• Other Community Services

Contact any one of the participating agencies or call (800) 342-2629

Office of Mental Health Programs &
Services
Metropolitan Human Service Office of Mental Health South Central Louisiana Human
District Monroe Area Services Authority
New Orleans Area 1-318-362-3339 1-985-857-3615
After Hours: 800-256-2522 After Hours:
1-504-556-9730 1-800-535-3694

Jefferson Parish Human Service Office of Mental Health Office of Mental Health
Authority Shreveport Area Alexandria Area
East Bank: 504-838-5257 1-318-676-5111 1-318-487-5611
West Bank: 504-349-8833 Adult Crisis: 1-866-416-5370 After Hours:1-800-654-1373
After Hrs.: 504-832-5123 Child Crisis: 1-800-820-6143

Office of Mental Health Office of Mental Health Capitol Area Human Service
Lake Charles Area Lafayette Area District
1-337-475-8022 1-337-262-4100 Baton Rouge Area
1-225-922-2700

Florida Parishes Human Service
Mandeville Area
1-985-748-222-0

Office of Public Health Programs & Services
CommunityCARE is a comprehensive health delivery system or Medical
Home for linking Medicaid recipients to a Primary Care Physician (PCP). The
PCP manages the care of each CommunityCARE enrollee by providing health
education, preventive care, and acute care and refers the enrollee to
specialists when needed. The PCP also admits enrollees to the hospital. The
PCP shares medical information with the emergency room and other
authorized health care providers. The CommunityCARE PCP arranges for
medical care coverage 24-hours a day, seven days a week.
This Medical Home is the first place enrollees turn to for their health care
needs. The PCP establishes an on-going relationship with each
CommunityCARE enrollee.

Who is eligible for CommunityCARE?
Most low-income families with children, disabled adults and children who
are Medicaid recipients are required to participate in CommunityCARE with
some exceptions.
· Certain medically high risk patients may warrant the direct care and
supervision of a non-primary care specialist. Requests for medical
exemptions are reviewed for approval on a case by case basis. Requests
must be submitted in writing, along with supporting medical documentation
of the recipient's medical condition(s). Requests for medical exemption
should be mailed to: DHH- CommunityCARE Program, P.O. Box 91030,
Baton Rouge, LA 70821, Attention: Angela Mastainich, Program
Coordinator. A preprinted request form is available on the CommunityCARE
web site, www.la-communitycare.com .

·

CSHS is a program of services provided through the Louisiana Office of Public
Health for children in Louisiana who have special health care needs.

The CSHS program provides services for children with certain chronic physical
illnesses or serious disabilities which cause significant limitations in major
life activities.

Children Who Are Eligible:
Live in Louisiana and are under 21 years of age;
Have a condition which can benefit from rehabilitation services, is covered
by CSHS and requires long term treatment by specialists, physicians and
multi-disciplinary staff.
Meet financial guidelines
established by CSHS.

Services include:
Doctors and other health care workers
Medical tests and procedures
Hospital care
Therapies
Home health services
Medical equipment and supplies
Parent/family support services
Medications and special diets
Nursing, nutrition and social services follow-up
Care coordination, case management, and resource development


How Does a Family Apply For CSHS?
The application process starts at your local parish health unit. A
parent can contact the parish health unit or the CSHS Regional
Office where the child lives for further information. A referral from a
physician or audiologist is needed.

Children’s Special Health Services REGIONAL OFFICES
REGION Resource Center 504-896-1340 REGION II 225-242-4890
(No Direct Services) 353 N. 12th St., Room 95
200 Henry Clay Ave., Suite 2016 Baton Rouge, LA 70802
New Orleans, LA 70118 Ascension, E. Baton Rouge, E. Feliciana, Iberville, Pointe
Jefferson, Orleans, Plaquemines, St. Bernard Coupee, W. Baton Rouge, W. Feliciana

REGION III 985-447-0896 REGION IV 337-262-5616, Ext 106
2535 Veterans Blvd. 220 West Willow St., Building A
Thibodaux, LA 70301 Lafayette, LA 70508
Assumption, Lafourche, St. Charles, St. James, St. John, Acadia, Evangeline, Iberia, Lafayette, St. Landry, St.
St. Mary, Terrebonne Martin, Vermilion

REGION V 337-480-2552 REGION VI 318-487-5282
3236 Kirkman Street (P.O. Box 3170), 5604 “A” Coliseum Blvd.
Lake Charles, LA 70602 Alexandria, LA 71303
Allen, Beauregard, Calcasieu, Cameron, Jefferson Davis Avoyelles, Catahoula, Concordia, Grant, LaSalle, Rapides,
Vernon, Winn
REGION VII 318-676-7488
1035 Creswell Avenue REGION VIII 318-361-7282
1650 Desiard Street
Shreveport, LA 71101
Bienville, Bossier, Caddo, Claiborne, DeSoto, Monroe, LA 71201
Natchitoches, Red River, Sabine, Webster Caldwell, E. Carroll, Franklin, Jackson, Lincoln, Madison,
Morehouse, Ouachita, Richland, Tensas, Union, W. Carroll
REGION IX
15481 W. Club Deluxe Rd.
Hammond, LA 70403
985-543-4165
Livingston, St. Helena, St. Tammany, Tangipahoa, Washington

Shots for Tots
In 1992, Shots for Tots was created in response to the low levels of
immunizations among preschool children and the epidemic
outbreaks of measles in Louisiana. Children are required to be
fully immunized when entering school, however, by waiting until
they enter school, we leave our children susceptible to vaccine
preventable diseases for two or three years. The vision of
Louisiana's Infant Immunization Initiative is to see 90% of all
children immunized with their primary series by age two.
Unfortunately, the National Immunization Survey 2007 reflects
that among Louisiana children 19-35 months of age only 77.0%
(+6.1) are fully immunized. Clearly, our goal has not been met.

Shots for Tots is a network of public and private entities working
cooperatively to update and educate both parents and providers
alike in order to ensure the highest level of
immunizations possible because Louisiana's
most valuable assets are its children.

Shots for Tots

Polio Varicella
Mumps Hepatitis
Measles Influenza
Chickenpox Rubella
Whooping Cough Rotovirus
Bacterial Meningitis
Pneumococcal It is very
important for your
Diphtheria baby to get these
Lock Jaw shots on time.

Shots for Tots

Check with your baby’s Doctor or
Health Unit to see that your child
is up-to-date.
Write
Shots for Tots
1450 L & A Road Metairie , LA 70001
Call
1-800-251-BABY

KIDMED is the screening component of one of
Louisiana’s Early Periodic Screening,
Diagnosis and Treatment (EPSDT) Programs.
EPSDT provides preventive health screening,
diagnosis, and treatment services for suspected
vision, hearing, dental and medical problems.
Louisiana has been nationally recognized as
having one of the top five EPSDT programs in the
nation, exceeding goals for EPSDT participation
set by the Center for Medicare and Medicaid
Services (CMS). EPSDT services are available to
Medicaid-eligible children under the age of 21.
EPSDT benefits end on the child’s 21st birthday.

AIDS Drug Assistance Program (ADAP)
ADAP provides assistance to individuals living with HIV/AIDS to purchase HIV-related prescription
medications. ADAP provides this assistance for persons who do not have private health
insurance, do not qualify for Medicaid or are awaiting Medicaid coverage and cannot afford to
pay for medications.

Current Eligibility Criteria * Documented HIV infection; * Documented Louisiana residence; *
Documented household income at or below 200% of the Federal Poverty Level; * No third party
provider for protease inhibitors or antiretroviral outpatient medications (including private
insurance and Medicaid. See below for information regarding Medicare Part D); * Current
prescription for medication(s) covered by the Louisiana ADAP formulary, written by a licensed
physician; and * No financial assets exceeding $4,000 (excluding a house and a car)

Enrolled in the program at all regional LSU Medical Centers which are the charity hospitals in
Louisiana. Potential program candidates can be screened for eligibility status and enrolled on the
same day. The medical and financial eligibility screening process takes approximately two weeks.

For more information contact;
Heather Weaver LCSW
Louisiana ADAP Coordinator, HIV/AIDS Program
1010 Common St, 11th Floor, New Orleans, LA 70112
Direct Phone 504-568-5489, Direct Fax 504-568-7042
Main Office Phone 504-568-7474
hweaver@dhh.la.gov
http://www.dhh.louisiana.gov/offices/page.asp?ID=264&Detail=7901

School-Based Health Centers

WHY ON A SCHOOL CAMPUS?
Students spend a significant portion of their day on school grounds. SBHCs are
accessible, convenient, encourage family and community involvement, reduce
student absenteeism, reduce parental leave from work for doctor visits, and
work with school personnel to meet the needs of the students and their
families.

Parental consent must be obtained prior to seeing a student as a patient.

ADOLESCENT SCHOOL HEALTH INITIATIVE ACT (R.S. 40:31.3)
This law authorizes the Office of Public Health to facilitate and encourage the
development of comprehensive health centers in Louisiana public schools. It
specifically prohibits counseling or advocating for abortion and the distribution
of contraception.

(Minimum) STAFF
Primary Care Provider (Physician, Physician Assistant, or Nurse Practitioner)
Physician Medical Director
Registered Nurse
Master's Level Mental Health Provider
Administrator
Office Assistant
SERVICES
Primary and preventive health care including, comprehensive exams and sports
physicals, immunizations, health screenings, acute care for minor illness and injury,
and management of chronic diseases such as asthma
Mental health services
Health education and prevention programs
Case management
Dental services
Referral to specialty care
Louisiana Children's Health Insurance Program (LaCHIP) application centers


2008-2009 SCHOOL-BASED HEALTH CENTER SITES
Louisiana is in the forefront in the SBHC movement, with 62 SBHCs in 26
Louisiana Parishes serving 95 public schools and providing access to nearly
60,000 students in the 2008-09 school year.

http://www.dhh.louisiana.gov/offices/reports.asp?ID=255&Detail+808

All information on School Based Health Centers

http://www.dhh.louisiana.gov/offices/?ID=255

Sound Start
Louisiana’s Hearing, Speech and Vision Program

The Sound Start Program began in 1994 with a handful of volunteers who successfully
sponsored legislation mandating newborn hearing screening on all infants at-risk for
hearing loss. Further legislation passed in 1999 and signed into law in 2000
mandated hearing screening on all infants born in or transferred to a facility in
Louisiana. No state funding was appropriated for this effort.
The mission of this program is to assure that all infants who are deaf or hard of hearing
can achieve their maximum potential in life. That is accomplished by assuring that
early intervention services are secured as soon as possible. Early intervention may
include the fitting of hearing aids and early developmental services before the child
reaches six months of age.
The Advisory Council will be developing guidelines for screening pass/ refer criteria,
appropriate hospital supervision guidelines, protocols and procedures for pediatric
diagnostic audiology assessment.
Regional directories for the eight other regions of the state will be completed.
Continuing education in pediatric testing and hearing aid fitting will be provided statewide.

Louisiana’s Hearing, Speech and Vision Program
The Sound Start Program is working towards helping each hospital in the state
reach 100% compliance law. The professionals involved with this project include:

The Advisory Council made up of representatives from many disciplines was
appointed by the Governor to serve three-year terms. This council advises the
Office of Public Health on the rules and regulations, quality assurance, and program
planning and evaluation.

Two State Coordinators and nine Regional Task Force Coordinators are
available to help each hospital create and manage the highest quality hearing-
screening program.

An Epidemiologist is involved in collecting, analyzing, and managing the data from
the birthing and screening programs, tracking the follow-up data from diagnostic
sources and early intervention programs, and developing reports.


Louisiana Childhood Lead Poisoning
Prevention Program

http://www.dhh.louisiana.gov/offices/?ID=360

Louisiana Comprehensive Hemophilia
Care Center
The Louisiana Comprehensive Hemophilia Care Center diagnoses,
evaluates and treats patients with congenital and acquired conditions
of bleeding such as hemophilia, von Willebrand disease and other
rare factor deficiencies. Located at the Tulane University School of
Medicine in New Orleans, La. with an outreach clinic in Lafayette, La.
This multi-disciplinary clinic is open to all ages. Patients from
Louisiana and the gulf coast region may be referred by their physician
or may self-refer.

The Center is the only federally-funded hemophilia treatment center
(HTC) in Louisiana and offers a comprehensive model of care which
includes evaluation and treatment recommendations from
hematology, nursing, physical therapy, social work, dental and
orthopedic services. This approach has been proven to address
health and emotional issues of patients with this chronic disease.

Louisiana Comprehensive Hemophilia Care Center
The HTC also offers a home infusion program that allows for prompt therapy to reduce
bleeding complications, as well as access to new therapies through numerous
clinical research trials. In addition, the HTC operates a 340B program by which
patients can obtain their clotting factor concentrates at reduced costs to help
maintain insurance coverage

Thrombosis clinic
The HTC thrombosis clinic serves patients who are genetically predisposed to
clotting, as well as those patients with acquired thrombophilia. They offer genetic
testing, counseling, the most recent advances in anticoagulation management,
patient education, and patient advocacy to those who are affected by thrombosis.

Thrombosis patients are seen by Dr. Cindy Leissinger and Dr. Rebecca Kruse-
Jarres. Both are hematologists that specialized in hemostasis, thrombosis and
platelet dysfunctions.


Louisiana Comprehensive Hemophilia Care Center
Referrals can be made by contacting Alicia Cole RN, BSN at 504 988-5433 or
acole@tulane.edu.

The Louisiana Center for Bleeding and Clotting Disorders
Tulane University Health Sciences Center
1430 Tulane Avenue
New Orleans, LA 70112-2699
504-988-5433
h
http://www1.omi.tulane.edu


WIC (Women, Infants and Children)
Special Supplemental Nutrition Program for pregnant,
breastfeeding, and postpartum women, infants, and
children (under 5 years old). WIC provides
nutritious foods, nutrition information, and referrals
to other health and social services. The foods
provided may include: infant formula and cereal,
adult cereals low in sugar and high in iron, milk
(and lactose-reduced milk), cheese,
juice, eggs, peanut butter or dried
beans/peas carrots, and canned tuna.

WIC Income Eligibility Levels 2011-2012
Your gross income cannot exceed:
For more than 10 household
Household Gross Annual Gross Monthly members, or for income
questions, call 1-800-251-BABY
1 $20,147 $1,679
or your WIC Clinic. Individuals
2 $22,214 $2,268 with proof of Medicaid, Food
Stamps, or TANF automatically
3 $34,281 $2,857
meet income requirements.
4 $41,348 $3,446
**O ne pregnant woman
5 $48,415 $4,035
counts as 2 household
6 $55,482 $4,624 members.
7 $62,549 $5,213
8 $69,616 $5,802
9 $76,683 $6,391
10 $83,750 $6,980


WIC Locations

http://www.dhh.louisiana.gov/offices/page.as
p?id=320&detail=7658

LA Bureau of Protective Services
Report neglect, abuse, extortion or
exploitation of adults with disabilities, ages
18-59.
1-800-898-4910
1-225-342-9057
P.O. Box 3518, BIN#11
Baton Rouge, LA 70821

Office of Health
Services Financing

Health Services Financing
Programs

F a mil y Op p o r t u n it y
LaMOMS LaHIPP
Ac t
M e d ic a id B u y - I n

Programs & Services

Inpatient Hospital Services.
Outpatient Hospital Services.
Prenatal Care.
Vaccines for Children.
Physician Services.
Nursing Facility Services for persons aged 21 or older.
Family Planning Services and Supplies.
Rural Health Clinic Services.
Home Health Care for persons eligible for Skilled-Nursing
Services.
Laboratory and X-ray Services.
Pediatric and Family Nurse Practitioner Services.
Federally qualified Health-Center (FQHC) Services, and
Ambulatory Services of an FQHC that would be available in
other settings.

Programs & Services
Early Periodic Screening, Diagnostic, and Treatment
(EPSDT) Services for children under age 21.
Diagnostic Services.
Clinic Services.
Intermediate Care Facilities for individuals with
cognitive disabilities (ICF's/MR).
Prescription Drugs and Prosthetic Devices.
Optometrist Services and eyeglasses.
Nursing Facility Services for children under age 21.
Transportation Services.
Rehabilitation Services.
Home and Community-Based care to
certain persons with chronic
impairments.
Continued…

Programs & Services
LA Medicaid’s Friends & Family Transportation Program

Pays your friend or family member to take you to the doctor.
To qualify, you must already receive Medicaid benefits AND
Your friend/family member must:
Have a current LA Driver’s License
Have a current LA State Inspection Sticker
Have minimum liability care insurance as required by the State
of LA
Fill out an application and receive an approval letter from the
Friends & Family Transportation Program.

Programs & Services

YOU NO LONGER NEED TO
HAVE THE APPLICATION
NOTARIZED!
All that’s needed is 2 witnesses
to the signature.

Programs & Services

To get an application, call the transportation contractor in
your area or visit the web at
www.Medicaid.DHH.Louisiana.gov
Baton Rouge 1-800-259-1944
New Orleans 1-800-836-9587

AFTER Qualifying:
Call the Transportation Contractor at least 24 hrs. before
each appointment to let them know the date and time of
your appointment. Call ASAP after emergency visits.

Programs & Services
Ac t

 For families with children with disabilities including
mental health and behavioral disabilities as well as
developmental;
 Parents may “buy-in” to the Medicaid program at low rate
premiums ($15-$35 per month);
 Premium covers all children in family who have
disabilities;
 Gives more children with disabilities access to the full
range of Medicaid services

Programs & Services
Monthly Income Levels…
Income Limits through
# of Family Monthly Income March 2012
Members
------------
1 $2,708
Add $935 for each
2 $3,643
additional family member
3 $4,578 over 9
4 $5,513
5 $6,448 Ac t

6 $7,383 M e d ic a id B u y - I n

Programs & Services

Programs & Services
Louisiana provides health benefits for eligible children from birth up to age 19
using special income amounts and fewer requirements than other Medicaid
programs. Even if your income is more, your children may still qualify. You can
receive deductions from your total income for: Earned Income, Childcare
Payments, Child Support Received, Child Support Payments to someone
outside the home.

Services Provided By LaCHIP:
Doctor Visits
Hospital, Dental, Hearing and Vision Care
Lab Work & Tests
Immunizations (shots)
Prescription Medicines
Medical Equipment & Supplies
Medically Necessary Transportation
Speech & Language Therapy
Physical Therapy
Occupational Therapy
Mental Health Clinic Services
Psychological Tests & Therapy
Appointment Scheduling Assistance

Programs & Services

•Must be under age 19
•Eligibility must first be explored for “more generous” benefits
–Medicaid if income is below 100% or 133% FPL
– Regular LaCHIP if too high for Medicaid up to 200% FPL
–Eligible for LaCHIP Affordable Plan up to 250% FPL
•12 month waiting period for households who drop insurance without
good cause*
*Call #1-877-252-2447 for information on good cause reasons

Programs & Services
Good Cause Reasons
• Divorce or death of parent
• Lifetime maximum reached
• COBRA coverage ends
• Lay-off or business closure
• Changed jobs & new employer does not offer
dependent coverage
• Employer stops providing dependent coverage
• Monthly premium > 10% of gross income

Programs & Services

$50 monthly premium per family
No deductible except a $200 mental health deductible
Co-pay levels like State Group Benefits PPO
• $150 Emergency Room co-pay (if not admitted)
• Prescription co-pays
• A percent of charges (e.g. 10% or 20% or between $8
to $16 for most visits)
Annual “cap” on out-of-pocket cost is 5% of family gross
income.

Programs & Services

Coverage begins the month following approval after first
premium payment has been received

Once a family pays out-of-pocket costs equaling 5% of
annual income, no additional co-pays or premiums for
remainder of plan year

No cost sharing for Native Americans who are members of a
federally recognized tribe

No Dental or Vision Benefits.

Programs & Services

► Same services as Medicaid ►Same services and Providers as
► Operated under the State Workers Benefits
Medicaid Program ► Operated under the Louisiana
► Income eligibility up to Office of Group Benefits
200% FPL ► Income eligibility up to 250% FPL

Programs & Services

# in Household LaCHIP LaCHIP Affordable

1 $1,805 $2,257

2 $2,429 $3,036

3 $3,052 $3,815

4 $3,675 $4,594

5 $4,299 $5,373

6 $4,922 $6,153

Add $624 for each Add $780 for each
additional family additional family member
member in household in household

Programs & Services
Common Questions regarding LaCHIP and
LaCHIP Affordable

http://www.dhh.state.la.us/offices/faq.asp?ID=119

Programs & Services
Any pregnant woman, married or single, may apply for
health coverage. Income limits are higher so
working couples can make more money and still be
eligible. Resources like bank accounts, cash on
hand, cars or property are not counted. You can
have other insurance coverage in addition to this
coverage. Your other insurance will pay first; then
LaMoms will cover the amount that is left, up to the
Medicaid allowed amount.
Covered Services:
Pregnancy-Related Services
Delivery and care up to 60 days after your
LaMOMS
pregnancy ends
Doctor Visits
Lab Work/ Tests
Prescription Medicines
Hospital Care

Programs & Services
To Apply You Will Need:
Social Security Number
Proof of the total family income
Proof of expected date of delivery
Health Insurance cards if you have other health
insurance
Proof of child support payments made to someone
outside of your home
Receipts for the care of a child or an adult with a
disability LaMOMS
You may be eligible to be paid back for medical
services received up to 3 months before you applied if
you are eligible on the date the services was received
and you used a Medicaid provider and the service is
covered by the Medicaid Program.
You may use any doctor who is enrolled as a Medicaid
Provider.
For more information about the LaMoms Program contact
1-888-342-6207

Programs & Services

Family Size Monthly Income Amount
2 $2,429
3 $3,052
4 $3,675
5 $4,299
6 $4,922
7 $5,545
8 $6,169
LaMOMS

Programs & Services
Louisiana Health Insurance
Premium Payment Program
(LaHIPP)
May provide assistance for the cost of
private health insurance through
LaHIPP
your employer.
Call 1-866-362-5253
www.LaHIPP.DHH.Louisiana.gov

Programs & Services
LaHIPP may pay some or all of the health insurance premiums for
an employee and their family if they have insurance available
through their jobs and someone in the family has Medicaid. Those
getting Medicaid will also be able to have health insurance.

People who get Medicaid and have group health insurance available
from a job, and working parents or guardians and their children or
dependents who get Medicaid may be eligible.

Even if employment ends, the continuing health insurance that may
be available from your employer (also known as COBRA) may also
be paid.

LaHIPP

Programs & Services
How LaHIPP works:
People who have Medicaid and can get health
insurance from a job may qualify for LaHIPP. Other
people in the home who can join the health plan
could also qualify.

LaHIPP will send the family a letter, an application for
LaHIPP, and a copy of the Employer Health
Insurance Information Form that must be filled out LaHIPP
by a human resource representative where the adult
in the family works.

After getting this information, the LaHIPP program looks Send the
at how much it would cost to join the health plan. If completed
this is less than what Medicaid would pay for
medical services for the person on Medicaid, then forms to
LaHIPP will pay some or all of the cost of the LaHIPP within
insurance from the job. 30 days.

Programs & Services
The TAKE CHARGE/ Family Planning program
covers services such as:
4 Yearly physical examinations or necessary re-
visits
Laboratory tests for the purpose of Family
Planning
Approved medications and supplies (example:
birth control pills, patches, IUD's diaphragms, etc.)
There is a limit of FOUR visits per calendar year (including
initial visit and revisits). Primary care services are NOT
covered by the TAKE CHARGE program. When a need for
primary care treatment is identified during a family planning
waiver visit, the waiver participant will be given information
about primary care providers.

Programs & Services

Family Size Monthly Income Limit
1 $1,669
2 $2,246
3 $2,823
4 $3,399
5 $3,976
6 $4,553
7 $5,129
8 $5,706

Programs & Services
To get health coverage through Medicaid Purchase Plan, you must
have a severe disability
work
be at least age 16 but not yet age 65
have COUNTABLE monthly income that is less than $2,257
have COUNTABLE assets that are less than $25,000
take other health insurance coverage, if you can get it at no cost to
you
pay a premium when your COUNTABLE monthly income is more
than $1,354.
MPP COUNTS less than half of the money you earn (work for) and
all but $20 of any other money you get.

NOT COUNTED: Home, one vehicle,
life insurance policy, medical savings,
retirement accounts, spouse’s share of
any community property.

Programs & Services
Accessing State Health Services Assistance

LaMOMS F a mil y Op p o r t u n it y
LaHIPP Ac t

Programs & Services

Louisiana Online Application
Center
https://bhsf2eb.dhh.louisiana.gov/o
nlineapppublic/secure/

Programs & Services

Accessing LaCHIP & LaCHIP Affordable

Information you will need: Social Security number for anyone applying
for coverage, proof of family income, proof of child support
payments, receipts for the care of a child or disabled adult, proof of
expected date of delivery for anyone who is pregnant.

Download instructions and paper application at:
http://www.dhh.louisiana.gov/offices/publications.asp?
ID=119&Detail=607

Programs & Services

Accessing Family Opportunity Act Medicaid

Application available at:
http://bhsfweb.dhh.la.gov/onlinemanualspublic/mfmpublicnonfill
able/1-foa.pdf

Ac t

Programs & Services

Accessing Other Medicaid Programs
Application Web Links:
LaMoms
http://www.dhh.louisiana.gov/offices/publications.asp?ID=137&Detail=99

Medicaid Purchase Plan

Take charge

Community and Provider
Specific Programs
and Additional Resources

Provider Specific Programs
Children’s Healthcare Assistance Plan (CHAP)
assists families with income too high to qualify for
Medicaid, but whose lack of resources limit their
access to quality healthcare.
•Includes children whose family income is
between 200% (Medicaid limit) and 350% of the
Poverty Income Guidelines
•Covered services include Inpatient, Short Stay
Services, Outpatient Clinics, Emergency Room,
Therapies provided by Children’s Hospital and
The Toothbus visits.
•Limited to participating physician services
performed at Children’s Hospital

ACCESSING CHAPS:
Applications can be completed upon registration or admission to Children’s
Hospital or can be received via mail by calling (504) 894-5166 or by visiting:
http://www.chnola.org/PageDisplay.asp?p1=4294
Eligibility Requirements
Proof of Income must be submitted
Review of Medicaid Eligibility
*Appropriate proof of income must be submitted with your application. Copies
of pay stubs, forms approving or denying unemployment compensation or
workmen’s compensation, written verification of wage from agencies (e.g.
SSI, AFDC, Private Employer) are examples of income.

# in A B
Household
1 $21,780 $38,115
2 $29,420 $51,485
3 $37,060 $64,855
4 $44,700 $78,255
5 $52,340 $91,595
6 $59,980 $104,965
7 $67,620 $118,335
8 $75,260 $131,705

Dental care at substantially
reduced fees at Student
Clinics

Payment plans are not available because of the reduced fees;
therefore, patients are expected to pay for services at the time of the
appointment. Any treatment that involves laboratory costs must be
paid in advance of the procedure. Private dental insurance is not
accepted in lieu of payment; however, the students can assist in
completing claim forms for the reimbursement of out-of-pocket
expenses. For questions regarding private insurance please call
(504) 941-8116. Medicaid, which covers most dental care for
children under 21 and dentures for adults, is accepted and the
patient will incur no out-of-pocket expenses if the care is pre-
authorized.

Patient Information / Appointments
New Orleans Campus Clinic
Telephone (504) 619-8700 or 619-8770 *
(Dental appointments are not given through email.)
Appointments for Children
Telephone 941-8201 (age 0-6) 941-8196 (age 7-13)
or 896-1337 (clinic at Children's Hospital)
Endodontics Appointments
Telephone 941-8402 (referral by a dentist required) Fax 941-8400
Orthodontics Appointments
Telephone Numbers (504) 619-8572
Faculty Dental Practice
(504)619-8721
Baton Rouge South Campus Clinic
Telephone (225) 334-4934

Sickle Cell Anemia Clinics
Sickle Cell Center of Southern LA Children’s Hospital
1415 Tulane Avenue 200 Henry Clay Avenue
New Orleans, LA 70112 New Orleans, LA 70118
504-988-5413 504-896-9740
Adult Sickle Cell Day Hospital:
504-988-1250
Ochsner Foundation Hospital Earl K. Long Sickle Cell Clinic
1516 Jefferson Hwy (LSU Pediatric Medical Home)
Jefferson, LA 70121 1401 North Foster Drive
Pediatrics: 504-842-3900 Ext. 63037 Baton Rouge, LA 70806
Adult: 504-842-3910 225-987-9061
St. Jude Affiliated Clinic
7777 Hennessy Blvd., Suite 312
225-763-6337

Federally Funded Health Centers
Federally-funded health centers care for you, even if you have no health
insurance. You pay what you can afford, based on your income. Health
centers provide
2. checkups when you're well
3. treatment when you're sick
4. complete care when you're pregnant
5. immunizations and checkups for your children
6. dental care and prescription drugs for your family
7. mental health and substance abuse care if you need it
Health centers are in most cities and many rural areas.

http://findahealthcenter.hrsa.gov/

Bayou Country

TECHE ACTION CLINIC TECHE ACTION CLINIC TECHE ACTION CLINIC
809 W. Tunnel Boulevard 189 Mozart Drive (DULAC) PIERRE PART
Houma, LA 70360-5555 Houma, LA 70363-7990 3617 Hwy 70 S.
985-851-1717 337-282-2550 x 104 Pierre Part, LA 70339-4455
985-252-6211

TECHE ACTION CLINIC TECHE ACTION CLINIC TECHE ACTION CLINIC
1115 Weber Street 159 E. 3rd Street 471 Central Avenue
Franklin, L a 70538-4124 Edgard, LA 70049-2450 Reserve, LA70084-5509
337-828-2550x 104 337-828-2550 x 104 337-828-2550 x 104

TECHE ACTION CLINIC
471 Central Avenue
Reserve, LA70084-5509
337-828-2550 x 104

River Parishes

ST. CHARLES COMMUNITY ST. CHARLES COMMUNITY JEFFERSON COMMUNITY
HEALTH CENTER HEALTH CENTER HEALTH CARE CENTER
KENNER PEDIATRICS MOBILE UNIT 11312 Jefferson Hwy
200 W. Esplanade Ave., Ste. 310 4105 David Drive River Ridge, L A 70123-1709
Kenner, LA 70065-2474 Kenner, LA 70065 504-463-3002
985-785-5800x 5803 985-785-5800

ST. CHARLES COMMUNITY ST. CHARLES COMMUNITY JEFFERSON COMMUNITY
HEALTH CENTER HEALTH CENTER HEALTH CARE CENTER
843 Milling Avenue 15464 River Road 4028 US Hwy 90
Luling, LA 70070-4442 Norco, LA 70079-2530 Avondale, LA 70094
985-785-5800 x 5803 985-785-5800 504-463-3002

LATAN
LA Assistive Technology Access Network
Low-interest, long-term assistive technology
loans for items like computers with adaptive
input/output devices, closed circuit TV for sight
impaired, Brailling machines, new and used
vehicle loans for modified vehicles, vehicle
modifications, augmentative or alternative
communication devices, telecommunication
devices, adaptive home modifications like
ramps, prosthetics and/or orthotics,
environmental control units, wheelchairs both
powered and manual, and more.

LATAN
LA Assistive Technology Access Network

3042 Old Forge Road
1-800-270-6185/ 225-925-9500
Fax 225-925-9560
www.latan.org

CEREBRAL PALSY OF LA

Grants up to $2,000 per individual per year to be used for:
Equipment purchases
Therapies

2380 Barataria Blvd., Suite 5
Marrero, LA 70072
(504)341-0676
1-800-375-8275
Email: cerebralpalsy@bellsouth.com
www.cpofla.com

Prescription Drug Assistance

Cenla Medication Access Program helps with free prescriptions for
Louisiana residents.

Must be a resident of Louisiana
with income at or below 200% of Federal Poverty Level
and no prescription coverage, Insurance or Medicaid
and 18 years old or older.

1-888-443-7494 or visit www.cmaprx.org


The Partnership for Prescription Assistance brings together America’s
pharmaceutical companies, doctors, other health care providers, patient advocacy
organizations and community groups to help qualifying patients who lack
prescription coverage get the medicines they need through the public or private
program that’s right for them. Many will get them free or nearly free. Its mission is
to increase awareness of patient assistance programs and boost enrollment of
those who are eligible. Through this site, the Partnership for Prescription
Assistance offers a single point of access to more than 475 public and private
patient assistance programs, including more than 180 programs offered by
pharmaceutical companies. To access the Partnership for Prescription Assistance
by phone, you can call toll-free, 1-888-4PPA-NOW (1-888-477-2669).

https://www.pparx.org/Intro.php

Prescription Drug Assistance Listings—
Extensive list of medications and the contact
information for the companies that make them.

http://www.nami.org/Content/ContentGroups/Helpline1/Prescription_Drug
_Patient_Assistance_Programs.htm

“Free or low-cost medications provided by pharmaceutical
companies
Some pharmaceutical companies offer medication assistance
programs to low-income individuals and families. These programs
typically require a doctor’s consent and proof of financial status.
They may also require that you have either no health insurance, or
no prescription drug benefit through your health insurance. Please
contact the pharmaceutical company directly for specific eligibility
requirements and application information.”

NeedyMeds, Inc.
Web site: www.needymeds.com Phone: 1-215-625-9609
Provides info on drug assistance programs, including requirements and
application forms.

If You Are Not Eligible for Medicare, Do Not Have Drug Coverage, and
Have Limited Income
Together Rx Access Card
Web site: www.together-rxaccess.com Phone: 1-800-444-4106
Created to help people who do not have prescription drug coverage save on
brand-name prescription drugs, other prescription products, and a wide
range of generic drugs. To get a card, you must meet all of the following
criteria: not eligible for Medicare; have no prescription drug coverage (public
or private); household income equal to or less than $30,000 for a single
person, $40,000 for a family of two, $50,000 for a family of three, $60,000
for a family of four, and $70,000 for a family of five (income limits may be
higher in Alaska and Hawaii); legal United States resident. Information in
English and Spanish.

If You Have Health Insurance
HealthWell Foundation
Web site: www.healthwellfoundation.org Phone: 1-800-675-8416
HealthWell Foundation is a non-profit, charitable group that helps certain
people who cannot pay for their prescription drug costs, insurance
premiums, and co-payments of private insurance, employer-sponsored
insurance plans, Medicare, or Medicaid. It also can help with some other
out-of-pocket health care costs. The program serves only those with certain
health conditions, which are posted on the Web site. Only certain cancers
are included in their coverage.

Patient Advocate Foundation Co-Pay Relief Assistance Program
Web site: www.copays.org Phone: 1-866-512-3861
The Patient Advocate Foundation's Co-Pay Relief Assistance Program
helps patients who meet certain requirements pay for the prescriptions and
treatments they need. This program is available only to people with certain
medical conditions who also have insurance (including Medicare or
Medicaid). Only certain cancers are included in their program. (Spanish and
English.)

If You Have Health Insurance

Patient Services Incorporated (PSI)
Web site: www.uneedpsi.org Phone: 1-800-366-7741
A national, non-profit helping patients with certain chronic illnesses and their
families with health insurance premiums and medicine co-payments.
Assistance is based on severity of the medical and financial need. PSI also
helps locate and purchase health insurance coverage. Only a few cancers
are included in this program.

Patient Access Network Foundation
Web site: www.patientaccessnetwork.org Phone: 1-866-316-7263
A non-profit helping under-insured patients who can’t afford out-of-pocket
costs for their treatment. The program helps patients with certain medical
conditions who meet their financial, insurance, and medical requirements.
(Only certain cancers are included in their program.

Contact the Louisiana Family to Family
Health Information Center for a
comprehensive

Prescription Drug Assistance Packet

1-800-331-5570

Federal Pre-Existing Condition
Insurance
Apply at www.pcip.gov

Covers range of health benefits including primary and specialty care,
hospital care and prescription drugs.

Premiums are not higher because of your medical condition.

Does not base eligibility on income.

Must be a citizen or national of the US or lawfully present.

You must have been uninsured for at least 6 months.

You must have had a problem getting insurance due to a pre-existing
condition.

La Health Plan Insurance
High Risk Pool
Resident of LA for at least 6 months
Ineligible for other major health insurance
2 written denials of coverage within last year
Ineligible for Medicaid, Medicare, COBRA
Cannot be terminated due to non-payment
6 month waiting period for pre-existing conditions
including prescription drugs.

La Health Plan Insurance
HIPAA
Resident of LA for at least 6 months
Ineligible for other major health insurance
Must apply before or within 63 days of last day of coverage
Must have 18 months creditable coverage
Must elect and exhaust COBRA
Recent coverage must have been group
Ineligible for Medicaid, Medicare, COBRA
Cannot be terminated due to non-payment
No pre-existing condition for children who are special enrollees that
enroll within 63 days of birth, adoption or placement for adoption
12 month pre-existing condition for other special enrollees (ex.
Spouse)
NO WAITING PERIOD FOR PRE-EXISTING CONDITIONS FOR
ELIGIBLE ENROLLEES UNDER HIPAA.

La Health Plan
Insurance

Louisiana Health Plan
1-800-736-0947
www.lahealthplan.org

Pre-Existing Condition
Insurance
Contact the Louisiana Family to Family
Health Information Center for a
comprehensive

Pre-Existing Condition Insurance Packet
1-800-331-5570

Anger Management Groups

Bayou Council on Alcoholism
446-0643

Grants for Medical Services
United Health Care Children’s Foundation
 Assistance grants for medical services not fully covered by
private insurance. (Ex. Speech therapy, physical therapy,
psychotherapy, wheelchairs, braces, hearing aids and eye
glasses
www.uhccf.org

Disabled Children’s Relief Fund
 Provides children with disabilities with assistance for
wheelchairs, orthopedic braces, walkers, lifts, hearing aids, eye
glasses, medical equipment, therapy and surgery.
www.dcrf.com

Other Mental Health Services
Center for Child and Family Development
 873-7221
 Takes children as young as 3 years old.

Support Groups
CHADD
 TGMC Outreach Center (Houma Mall)
858-7020
La Federation of Families for Children’s Mental Health
 THIBODAUX REGIONAL MEDICAL CENTER, 602 N. Acadia Rd.
Support groups are confidential. Always held 5-6pm.
 Reservations are required: CHRISTINE HYMEL @ 985-870-8811
B.R.I.D.G.E.S.
 For individuals recovering from mental illness
1-877-274-3446
FathersNetwork
 www.fathersnetwork.org
For fathers raising children with special healthcare needs or
developmental disabilities.

Eye Glasses

$25 Eye Glasses
 www.25dollareyeglasses.net
Vision USA
 Eye health/vision services free of charge to families who do not qualify
for government aid or private insurance due to income.
 1-800-766-4466
Kellum Eye Center
 Provides free eye exams, glasses, medications and eye surgeries.
(Assists only 4 people per week.
 872-5577

Eye Glasses
New Eyes for the Needy
 Must meet poverty guidelines of program-provides vouchers for
eyeglasses.
 1-973-376-4903 or www.neweyesfortheneedy.org
Sight for Students
 Eye Exams and glasses to children 18 or younger whose parents meet
the poverty guidelines and have no insurance.
 1-888-290-4964
Knights Templar Eye Foundation
 Assistance for eye surgery for those with no insurance and unable to
pay.
 1-847-490-3838

Eye Glasses
Lions Clubs
Lions Club Phone:
Bayou Blue—Coteau Lions Club 856-0448
Bourg Lions Club 594-2054
Chauvin Lions Club 594-8276
East Houma Lions Club 851-1810
Evergreen Lions Club 876-6935
Evergreen sunset Lions Club 851-3141 or 868-2901
Golden Meadow Lions Club 693-3308
Houma Lions Club 879-4663
Lockport Lions Club 532-2554
Montegut Lions Club 594-5454 or 594-5960 or 594-7789
Raceland Lions Club 537-76332
Terrebonne Lions Club 876-3047
Thibodaux Lions Club 446-6329 or 447-3017
West Houma Lions Club 868-3152

Hearing Aids
Audient
 Hearing aid assistance for all ages with hosehold income up to 250% of
federal poverty level.
 1-866-956-5400 or www.audientalliance.org
Starkey Hear Now Program
 Assistance for low income families with hearing aids at reduced costs.
1-800-328-8602 or www.starkeyhearingfoundation.org
United Health Care Children’s Foundation
Assistance grants for medical services not fully covered by private
insurance. (Ex. Speech therapy, physical therapy, psychotherapy,
wheelchairs, braces, hearing aids and eye glasses
1-800-3289-5979 ext. 24459 (11a-3p, M-F)
www.uhccf.org
www.betterhearing.org
Additional financial resources.

F2FHIC Website
http://www.blfhf.org/f2fhic/index.php

HIC Home Page Medical Diary
Advocacy Medical Home
Fact Sheets Page
Page Paying for
Family Voices Medical Costs
Link
Transitioning
HC Providers
and Info Youth.

Reminder…
Bring your child’s IEP, last
evaluation and medical
information.
Call the local FHF center.
(www.fhfla.org)
McKinney-Vento Homeless
Act – your child is entitled
to attend any school
anywhere if you are
homeless.

PLEASE
Complete your
evaluations!

Karen Scallan
Program Director
Louisiana Family to Family Health Information Center
A Statewide Program of Bayou Land Families Helping Families
f2fhic@bellsouth.net

286 Hwy 3185
Thibodaux, LA 70302
985-447-4467 or 800-331-5570

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