Healthy Start Coalition
of Miami-Dade

MomCare

MomCare is a Medicaid-funded program authorized by a special waiver from the federal government called the Sixth Omnibus Budget Reconciliation Act (SOBRA). MomCare was developed as a partnership between the Florida Association of Healthy Start Coalitions, Florida Department of Health, Florida Agency for Healthcare Administration and Florida Department of Children and Families. 

The program is managed locally by the Healthy Start Coalition of Miami-Dade.

Once accepted into the program, clients will receive guidance on how to contact the Agency’s enrollment broker to enroll in a managed care plan, select a prenatal care provider for early and continuous health care, and information about state programs for which they may be eligible. The goal of the Florida’s MomCare Program is to improve birth outcomes and reduce infant mortality rates through a simplified application, guidance, education and care coordination services.

black-pregnant-woman-375x250 (1)What is the purpose of MomCare?

The program seeks to improve birth outcomes and infant health by providing Medicaid-eligible pregnant women with:

1) Simplified Medicaid enrollment

2) Choice Counseling

  • To facilitate contact with the Agency's enrollment broker for enrollment in a Managed Care Plan
  • help women understand their choices and select a prenatal care provider
  • To assist pregnant women in receiving early prenatal care, following through on referrals for other services and identifying and resolving client needs

Other goals of MomCare include:

Pregnant-woman-5-11-12
  • Increase Healthy Start screening rates
  • Increase participation in the WIC program
  • Assign a primary care provider within 30 days
  • Identify any client needs
  • Increase family planning services
  • Ensure health insurance for the newborn

MomCare Federal Requirements:

  • We do not recommend any particular provider
  • To avoid recommendation we talk about what might be considered in making the choice (location, hospital, office hours, etc.) and provide specific characteristics of each provider to help her make a choice.

SOBRA Medicaid is a medical insurance that covers pregnancy-related procedures until 60 days postpartum. Women qualify based on household income. A woman may have a household income of $51,000 and still qualify for SOBRA if she and her partner work and they have four children plus the one they are expecting. If you are pregnant, you may qualify for this special health insurance program.  To see if you are eligible click here to review the Department of Health and Human Services Poverty Guidelines. You can apply for this program if your family meets these guidelines, even if you or other family members are working.

Once you are enrolled, the program will cover medical care and hospitalization during your pregnancy.  It may also cover health care bills you received up to three months before your enrollment.  There is no cost for this coverage.  Your baby may also be eligible for free insurance after he or she is born.

Applications are available at physician’s offices, the Florida Department of Health, the Florida Department of Children and Families, and other qualifying pregnancy testing centers.  If your health care center needs applications please call the MomCare Program of the Healthy Start Coalition of Miami-Dade at (305) 541-0210 or click here for more information.


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How Do I Apply?

MomCare is available to women who meet the following requirements:

  • Have proof of a positive pregnancy test on a physicians or pregnancy centers letterhead that states expected delivery date.
  • Have a household income at between 150% and 185% of the poverty level. See Income Chart.
  • Be a United States citizen or a legal alien.
  • Be a Florida resident.

Filling out the Application

  • Fill out applicant information in full. Answer questions 1-10 completely. Do not omit ANY information or skip ANY questions or approval of the application will be delayed or denied.
  • Don’t forget to have the applicant sign the form!
  • Attach the applicant’s positive pregnancy test results received from a health professional’s office (results must be on letterhead) to the application.
  • Affix postage and mail the application or fax to the Department of Children and Families address for the home zip code of the applicant. Click here to see list of DCF Economic Self Sufficiency Services Centers including addresses and fax numbers.

Additional Considerations:

  • Telephone: Please list a phone number and any alternate phone numbers where you can be reached.
  • Other Income to Report: Social Security Numbers of the Pregnant Woman, the husband or the father of the baby, when he lives in the home with the pregnant woman; any Social Security or Child Support Income received for the pregnant woman’s other children in the home.
  • Pregnant Woman Under Age 21: If the pregnant woman resides with her parent(s), list the names of the parent(s.)

What is the process of MomCare?

Medicaid eligibility is determined at DCF

  • Client completes simplified form declaring income and proof of pregnancy
  • Local DCF office determines eligibility
  • DCF notifies Agency (fiscal agent)
  • Agency notifies the Coalition
  • Coalition sends printed information about MomCare to the client

Initial contact with the client:

  • Maternity Care Advisor (MCA) explains the program
  • Client gives consent and given notice of privacy practices
  • A list of provider choices is given to client
  • MCA facilitates contact with Agency’s enrollment broker for enrollment in a manged care plan
  • Client encouraged to complete the Healthy Start screen
  • MCA facilitates WIC to the client

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JT

Jeannette Torres
Program Manage

Mrs. Torres has been with the Healthy Start Coalition since 2009. Mrs. Torres is responsible for the supervision and support of the Maternity Care Advisors. Her role in the MomCare Program is essential to ensure the needs of the mothers in the Miami-Dade community are effectively met, in order for “mother” to have a healthy pregnancy and consequently for “baby” to have a right start in life.

Jinny, as she is affectionately known, has served the community for more than 10 years helping parents reach their maximum potential and increase their family’s quality of life. Prior to joining the team, Mrs. Torres was the Education Director at the United Way Center for Excellence in Early Education, supporting educators, childcare professionals and parents committed to the highest standards of early education.

Mrs. Torres earned her Bachelor of Science degree in Psychology from Florida International University and two years later earned a Master of Science degree in Mental Health Counseling from Nova Southeastern University, graduating with honors from both institutions.

As a mother of two precious children, Jinny recognizes the importance and the impact mothers have in the life of their children; understanding that keeps her motivated not only in her personal life but professionally as well.


 

SC

Sharmila Carlo
Maternity Care Advisor 

My name is Sharmila Carlo Fischman. I am the mother of three beautiful children. Nine years ago my career as a Maternity Care Advisor with the Healthy Start Coalition MomCare Program began and I have thoroughly enjoyed helping the women and families we serve ever since. The Bachelor of Science degree I hold from F.I.U. helped me learn how to work with the public and provide assistance to those in need. I also acquired a certification in child birth education called the FOCEP, which has enabled me to instruct courses for expectant mothers on what they can expect during child birth. To me there is nothing more rewarding than empowering women with information when they are unsure of what steps to take to care for their babies and themselves, which helps to ensure the best outcome for mother and child.


 

Ana Echezabal
Maternity Care Advisor 


Sandra Canas
Maternity Care Advisor 


Martine Ettiene
Maternity Care Advisor 


Roudeline Milien

Maternity Care Advisor 


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