Refugee Health Missouri

USCRI became the Medical Replacement Designee (MRD) in Missouri on May 1, 2018, with responsibilities for administering the health portion of the resettlement program statewide. The current USCRI Missouri Field Office is based in St. Louis. The RHS MO office works collaboratively with a Replacement Designee, Missouri Office of Refugee Administration (MO-ORA), seven Local Resettlement Agencies (LRAs), eight Federally Qualified Health Centers (FQHCs) who are located in the five regions in Missouri: Columbia, Springfield, Kansas City, Saint Louis and Joplin.

To address questions regarding Medical Replacement Designee and general questions about programs and services, please reach out to Missouri State Refugee Health Coordinator, Fatema Medhat at [email protected]

Our programs and services:

Refugee Medical Assistance (RMA): USCRI administers this program to provide high quality, cost-effective health benefits to refugees and other ORR-eligible groups, who are ineligible for Medicaid in Missouri.
- RMA provides up to 12 months of health insurance that mirrors the state’s Medicaid program for adults without children or others in special circumstances, such as adults 65+ or living with a disability who are pending SSI/Medicaid.
- MO RHS partners with LRAs to enroll eligible clients into the RMA program.

Refugee Medical Screening (RMS): USCRI administers this program to provide domestic refugee physical and mental health assessment, identify communicable diseases of potential public health important and referrals to primary healthcare providers.
- Conducts the domestic health assessment for new ORR-eligible arrivals, following guidance issued by the Office of Refugee Resettlement and Centers for Disease Prevention and Control (CDC), referring clients to primary care and specialists as needed.
- MO RHS subcontracts with six FQHCs to provide the complete domestic health assessment and vaccinations to new arrivals.

Refugee Health Promotion (RHP): Refugee Health Promotion (RHP) is a Refugee Support Services (RSS) set-aside program that promotes the health and wellbeing of refugees and other ORR-eligible groups by:
1) providing opportunities to increase health literacy, 2) coordinating health care (including mental health), and 3) organizing wellness groups.
Health Education Program: Health Education Classes and Targeted Health Outreach to Individuals. Programs providing opportunities to increase health literacy for eligible populations, empowering clients to make informed health decisions.

Health Navigation Program: Medical and Mental Health Navigation and Support. Programs coordinating health care for individuals and providing services to ensure individuals are able to navigate and access complex health care systems.

Wellness Program: Adjustment Groups, Skill-Building Networks, and Peer Support Meetings. Programs organizing wellness groups to connect individuals with social groups and learning activities that promote their health and well-being.

Refugee Wellness Program (RWP):
- Trainings Options: All program trainings are free, two hours in length and offered virtually or in person.
  - - Intersection of Culture and Trauma in the Care of Diverse Population: Training helps participants understand how to provide culturally informed and trauma informed care, as well understand the nuances of mental health cross-culturally.
    - Intersection of Culture and Trauma in the Care of Diverse Populations: Refugee and Immigrant Youth Training helps participants understand culture, trauma and mental health as it relates to refugee and immigrant youth in the classroom.