State Letter #05-27
National Waiver of the 90 Day Limitation on Medical Screening for Refugees Evacuated or Displaced by Hurricane Katrina
TO: STATE REFUGEE COORDINATORS
NATIONAL VOLUNTARY AGENCIES
MUTUAL ASSISTANCE ASSOCIATIONS
OTHER INTERESTED PARTIES
FROM: Nguyen Van Hanh, Ph.D.
Office of Refugee Resettlement
SUBJECT: National Waiver of the 90 Day Limitation on Medical Screening for Refugees Evacuated or Displaced by Hurricane Katrina
Pursuant to my authority as Director of the Office of Refugee Resettlement (ORR) under 45 CFR 400.300, I am waiving the 90 day limitation on the use of Refugee Medical Assistance (RMA) funding to provide medical screening to a refugee who was evacuated or displaced as a result of Hurricane Katrina without prior determination of the refugee's eligibility.1 Additionally, this waiver authorizes RMA charges for refugee health screenings that occur later than the 90th day after arrival for this population without prior determination of Medicaid eligibility.2 Approval of this waiver advances the purposes of the refugee program by protecting the public health and by ensuring that the preventive health screening process continues without interruption for all new arrivals that have been impacted by Hurricane Katrina. This waiver is appropriate and consistent with refugee policy objectives.
This waiver will be in effect from September 1, 2005 through January 1, 2006 for all States and Wilson/Fish grantees participating in the refugee resettlement program. This waiver applies to persons who are refugees, asylees, Amerasian immigrants from Viet Nam, Cuban/Haitian entrants, and victims of a severe form of trafficking who have received certification or eligibility letters from ORR, and certain family members of trafficking victims eligible since December 2003 who have been evacuated or displaced as a result of Hurricane Katrina.
1. See 45 CFR 400.94 and 400.100.
2. See 45 CFR 400.107(b)