Appendices

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APPENDIX A

Listerine / Shampoo Treatment (Non-toxic treatment)

There are many treatments you can use for ukus. Here is a sample of a non-toxic treatment you can use. Whatever treatment is used, you need to clean your environment and at the same time, continually check for nits until they are gone. Learn more about the UKU PROJECT >>

Use original Listerine (brown or orange bottle). DO NOT USE FLAVORED LISTERINE.

Mix equal portions of Listerine and shampoo. Shake well.

Apply to dry hair. DO NOT GET INTO EYES. Leave on for 10 minutes.

Rinse off, apply conditioner, and rinse again. Comb hair out and remove dead lice.

Remove the nits or eggs. DO NOT SHARE COMBS OR TOWELS WITH ANYONE.

Use this every three days for twelve days, and it will continually kill the live ukus as they are hatching. Wash clothing and bedding in hot water. Place pillows in a large, sealed plastic bag and leave in the sun for 1 hour.

APPENDIX B

Preparing for Your Child’s Stay in Hawaii

All children 18 years and younger planning to stay in Hawaii for an extended period of time should bring the following items with them:

  • Immunization Record
  • Birth Certificate
  • Passport (Optional)
  • School Transcript or Latest Report Card (if child has attended school)
  • Power of Attorney or Guardianship Paper (if not living with parents)

Children should receive ongoing care from a doctor to ensure that their immunizations are up-todate. Free or low-cost shots are available in Hawaii for children without insurance.

When you arrive in Hawaii, call 2-1-1 for assistance.

APPENDIX C

Hawaii QUEST

Who may apply for Hawaii QUEST?

Individuals who are not age 65 years and old, blind or disabled may apply for medical insurance from the Hawaii QUEST program. An enrollment cap is currently in place for Hawaii QUEST. No more than 125,000 people can be in the program at one time. Until the number of people enrolled in Hawaii QUEST falls below that number, no new recipients will be enrolled except:

  • Individuals and families covered under Section 1931 of the Social Security Act with income not exceeding 100% of the Federal Poverty Level (FPL);
  • people who receive or GA financial assistance;
  • people whose income is less than the financial standard of assistance;
  • pregnant women and children under age one with household income up to 185% of the FPL;
  • children age one but under age six with household income up to 133% of the FPL;
  • children under age 19 born after September 30,1983, with household income up to 100% of the FPL;
  • foster children and children in subsidized adoptions up to age 21;
  • people who lose their employer-sponsored coverage or extended coverage in a group health plan because of loss of employment within 45 days of their date of application;

When Hawaii QUEST enrollment is no more than 120,000 on December 31 of any calendar year, an open application period will be conducted in the following calendar year.

What are the Hawaii QUEST eligibility requirements?

To be eligible for Hawaii QUEST, you must:

  • be a Hawaii resident;
  • be a U.S. citizen or qualified alien;
  • have a Social Security number;
  • not be certified as blind or disabled;
  • not be age 65 or over;
  • not be living in a public institution;
  • have income not more than 100% of the current FPL except for pregnant women and children up to age 6, who may have income up to the amounts listed above;
  • not be eligible for health insurance from your employer (except for AFDC and GA recipients).
  • have assets not exceeding the Hawaii QUEST asset limits.

What are the Hawaii QUEST asset limits?

  • $2,000 for a household of one;
  • $3,000 for a household of two;
  • $250 for each additional person.
  • Asset limits do not apply to children under age 19 born after September 30, 1983 or to pregnant women for the duration of the pregnancy

MedQuest

If you need an application form or want to know the status of your application, call the Med-QUEST Division Eligibility Office in your area:

Oahu

Applications Unit Phone: 587-3521 Fax: 587-3543

Kapolei Unit Phone: 692-7364 Fax: 692-7379

Big Island

Hilo (East Hawaii) Phone: 933-0339 Fax: 933-0344

Kona (West Hawaii) Phone: 327-4970 Fax: 327-4975

Maui Phone: 243-5780 Fax: 243-5788

Kauai Phone: 241-3575 Fax: 241-3583

Molokai Phone: 553-1758 Fax: 553-3833

Lanai Phone: 565-7102 Fax: 565-6460

For more information, go to: http://hawaii.gov/dhs/health/medquest