TITLE I MIGRANT EDUCATION PROGRAM

2. TITLE I MIGRANT EDUCATION PROGRAM Office of Superintendent of Public Instruction Office of Migrant Education Migrant Student Data and Recruitment Office Migrant Health Program SEMY North Central ESD MERO 171 Administrative Parent Services Coordinator ESD 105 MERO 105 Parent Services Coordinator Northwest ESD MERO 189 Parent Services Coordinator HRSA/ Dept. of Social & Health Services/ Community Service Office Insurance Health Care Providers: Community/Migrant Health Clinics/Health Dept. Physical Exam Screenings/Follow-up Medical/Dental/Optical SCHOOL DISTRICTS’ MIGRANT STUDENTS

3. Priority-for-Services Education Interrupted During Regular School Year All Migrant Children Most At Risk of Failing or Failing to Meet Academic Standards

5. H SELF-ACTUALIZATION AUTO-REALIZACION SELF-ESTEEM AUTO-ESTIMA BELONGING PERTENECER SAFETY SEGURIDAD PHYSICAL NEEDS NECESIDADES FISICAS MASLOW'S HIERARCHY OF HUMAN NEEDS LA JERARQUIA DE MASLOW DE NECESIDADES HUMANAS

6. LOW INCOME • Poor nutrition • Inadequate housing • Crisis approach to health care • MOBILE LIFESTYLE • No continuity of care • Inadequate health records BARRIERS WHICH PREVENT MIGRANT CHILDREN FROM OBTAINING GOOD HEALTH CARE • SPECIFIC BARRIERS • Geographic isolation • Language • Culture • Eligibility requirements

7. COLLABORATIVE PARTNERS COMPAÑEROS DE COLABORACION PARENTS/PADRES SCHOOL DISTRICTS/DISTRITOS ESCOLARES HEALTH AND RECOVERY SERVICES ADMINISTRATION (HRSA) COMMUNITY SERVICE OFFICE (CSO)/BASIC HEALTH MEDICAL PROVIDERS/PROVEEDORES MEDICOS

8. RESOURCES/RECURSOS Financial/Financieros ¨ Human/ Humanos ¨

9. PARENT ADVISORY COUNCIL/CONCILIO CONSEJERO DE PADRESParents/PadresParent Services Coordinator/Coordinador de Servicios de Familias

10. HEALTH SCREENING/ EXAMEN DE SALUD ¨ Clinic-based/En la Clínica ¨ School - based/En la Escuela ¨ treatment/ Tratamiento de un especialista médico Referral - - ¨ Average 2,300 physicals/Promedio de 2,300 examenes fisicos

11. WASHINGTON STATE MIGRANT HEALTH PROVIDERS H

12. Washington State Medical Programs for Children *For purposes of income level an unborn child is counted in family size. Children’s healthcare programs - No cost • Children under the age of 19 and below 200% of the federal poverty level (FPL) (example: family of 4 with an income of $3,442/month). • Once a child is enrolled they remain eligible for 12 months regardless of change of income. • Citizen children are funded by state/federal matching funds; non-citizen children receive the same level of coverage using state only funding. • 12 month certification. Children’s healthcare programs – Low cost • Children under the age of 19 and below 250% of the federal poverty level (FPL) (example: family of 4 with an income of $4,303/month. • Once a child is enrolled they remain eligible for 12 months regardless of change of income. • Citizen children are funded by state/federal matching funds; non-citizen children receive the same level of coverage using state only funding. • Coverage is premium based. $15/mo per child and a family maximum of $45/mo. • Cannot have other health insurance through employment or other sources. • 12 month certification. H

13. It is critical that parents apply for services when they are income-eligible. Once a child is enrolled in one of these programs (Children’s healthcare coverage or Basic Health), they remain eligible for 12 months, regardless of change in income. Program enrollment is available through community and migrant health clinics or at a Department of Social and Health Services, Community Service Office (CSO).

14. Certificate Of Eligibility

15. HIGH RISK HEALTH PROBLEMS FOR MIGRANT CHILDREN/PROBLEMAS DE SALUD DE ALTO RIESGO PARA NINOS MIGRANTES • DENTAL DISEASE/ENFERMEDADES DENTALES • HEARING DISORDERS/PROBLEMAS DEL OIDO • VISUAL PROBLEMS/PROBLEMAS DE LA VISTA • HEART MURMUR/SOPLO EN EL CORAZON • ANEMIA/ANEMIA • OBESITY/OBESIDAD • ABNORMAL PHYSIOLOGICAL DEVELOPMENT/DESARROLLO ANORMAL FISIOLOGICO • POSITIVE PPD/EXAMEN POSITIVO DE TUBERCULOSIS • ASTHMA/ASMA • SKIN PROBLEMS/PROBLEMAS DE LA PIEL • Note: Data gathered annually since 1978

16. WASHINGTON STATE MIGRANT HEALTH PROCEDURES HANDOUTS

17. Must interview parent(s) prior to doing a physical. If student has a provider other than our contracted provider (medical/dental home), i.e. Yakima Valley Farm Workers Clinic, they must go to that provider. This may be part of future program reviews.

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20. PHYSICAL EXAMINATION REQUIREMENTS • MIGRANT PHYSICAL EXAMINATION CHECK LIST • MIGRANT STUDENT RECORD SYSTEM RECORD OF STUDENT HEALTH HISTORY (English/Spanish) • PARENT INTERVIEW (English/Spanish) • CURRENT HEALTH CONCERN FORM (Copies Available On Line in Manual)

21. ATTACH THE FOLLOWING DOCUMENTS TO THE MIGRANT PHYSICAL EXAM AND HEALTH DATA REPORTING FORM • Transfer document (health record) • Immunization Record • Current Health Concern Form • Only if you have knowledge of a problem the provider should address • Insurance card • If the student has coverage, if not, you should assist the family with the acquisition of services

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26. FORM DISTRIBUTION PROTOCOL • MIGRANT DENTAL SCREENING • LETTERS TO PARENTS • EXAM ROOM SET UP • DEPARTMENT OF HEALTH TB SKIN TEST • PPD REFERRAL • PROVIDER EVALUATION BY SCHOOL DISTRICT (Copies On Line Manual)

27. Health Report: 3-Year Physical Exam Report • Possible Priority For Services (PPFS) • Health Report: Immunization Data • Health: History Screen • Health: Mass Reporting • Transfer Document • CIS (Certificate of Immunization Status Sample) • Health: Screenings and Labs • Health: Medically Diagnosed Alerts (MDAs)

29. SCREENINGS AND LABS Physical exam reported by: • Parent/guardian or health provider • Month and year

30. FERPA FAMILY EDUCATIONAL RIGHTS AND PRIVACY ACT • HIPAA HEALTH INSURANCE PORTABILITY AND ACCOUNTABILITY ACT

31. ELEMENTARY AND SECONDARY EDUCATION ACT Part C--Education of Migratory Children—sec.1304. State Applications; Services (c) ASSURANCES—Each such application shall also include assurances, satisfactory to the Secretary, that-- (6)“to the extent feasible, such programs and projects will provide for—(A) advocacy and outreach activities for migratory children and their families, including informing such children and families of, or helping such children and families gain access to, other education, health, nutrition, and social services.” Washington State Migrant Education Program Strategic Plan for Rethinking Migrant Education under Student Advocacy, Goal Statement 9 and Strategies 9.1. Section 1304, Part (b) “Program Information.—Each such application shall include--(3)a description of how the State will use funds received under this part to promote interstate and intrastate coordination of services for migratory children, including how, consistent with procedures the Secretary mayrequire, the State willprovide for educational continuity through the timely transfer of pertinent school records, including information on health, when children move from one school to another, whether or not such move occur during the regular school year.”

32. The End/Fín