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Refugee Health Assessment Coordination

  • Refugee Health Assessment Coordination Home
  • The Minnesota Refugee Health Assessment
  • Procedures for Routine Refugee Health Assessments
  • Medically Complex Care Coordination
  • Health Insurance and Provider Reimbursement
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  • About: Refugee Health Program
  • For Resettlement Agencies
  • For LPH and Health Care Providers
  • For Community Sponsors

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  • Refugee Health Home

Refugee Health Assessment Coordination

  • Refugee Health Assessment Coordination Home
  • The Minnesota Refugee Health Assessment
  • Procedures for Routine Refugee Health Assessments
  • Medically Complex Care Coordination
  • Health Insurance and Provider Reimbursement
  • Transportation for Refugee Health Assessments
  • Serving Other ORR Eligible Populations

Spotlight

  • About: Refugee Health Program
  • For Resettlement Agencies
  • For LPH and Health Care Providers
  • For Community Sponsors

Related Topics

  • Refugee Health Home
Contact Info
Refugee Health Program
651-201-5414
refugeehealth@state.mn.us

Contact Info

Refugee Health Program
651-201-5414
refugeehealth@state.mn.us

The Minnesota Refugee Health Assessment

The Minnesota Refugee Health Program (MRHP) serves people eligible for Office of Refugee Resettlement (ORR) benefits including refugees, asylees, Cuban/Haitian entrants, certified victims of human trafficking, Amerasians, and humanitarian parolees eligible for ORR benefits. Refer to About: Who we serve for more information. Because these groups are eligible for benefits to the same extent as refugees, we collectively refer to these populations as “refugees.” 

The Federal Refugee Act of 1980 directs every state to offer a Refugee Health Assessment (also known as the Domestic Medical Exam/Screening or DME) to newly arrived refugees. In Minnesota, the state strongly recommends this exam and has a successful screening rate of 95–99%. In collaboration with local health departments and health care providers, the MRHP oversees the administration of the Refugee Health Assessment and follow-up process. The goal of this health assessment is to identify and treat health problems which may affect successful resettlement, including the ability to work, attend classes, and/or access the health care system. The health assessment protects the health of the newcomers and Minnesota’s public through disease diagnosis and treatment. Further, this organized statewide screening process allows for the collection of data used to estimate trends in diseases, set policy, and offer increased services for newcomers.

Frequently Asked Questions about the Refugee Health Assessment

What is a Refugee Health Assessment?  
The Refugee Health Assessment is a special health exam for people who have recently come to the U.S. The MRHP trains the health care providers who do these clinic visits to provide the best care possible to newcomers to the country. The exam normally takes 1-2 visits, and newcomers receive a full check-up and can get medication refills. The health care provider will also help newcomers connect with a primary doctor and specialists.

How is a Refugee Health Assessment different from other medical visits?  
A Refugee Health Assessment involves many things that are not usually done by health care providers during normal clinic visits. This includes testing for and treating illnesses that are more common in different countries and reviewing immunization and medical records from other countries.

Can any health care provider do a Refugee Health Assessment?  
No. Health care providers should be trained by the MRHP to do these assessments. If you call your local doctor, they may not know what this assessment is and may not have been trained. The MRHP and your county’s public health department can connect you with trained health care providers around the state for a Refugee Health Assessment. If you are a health care provider interested in providing Refugee Health Assessments, please contact us at refugeehealth@state.mn.us.

Do the results of a Refugee Health Assessment affect immigration status?  
No. This health exam is only to help new arrivals stay healthy and has no effect on immigration status.

Is this the same as a green card (adjustment of status) exam?  
No. A green card (adjustment of status) exam is done for people who are eligible to become permanent residents, normally after they have been living in the U.S. for at least a year.

Why is the Refugee Health Assessment important?

There are many reasons why the Refugee Health Assessment is important to successful resettlement in the U.S., including:

People’s overseas situations vary, with most having minimal access to health care facilities. While all refugees are required to have a health exam overseas before entering the U.S., this exam only includes screenings for health conditions that may prevent travel to the U.S. unless treated, per federal requirements. The overseas medical exam remains valid for up to six months prior to departure. Thus, it is possible for health concerns to develop or worsen before U.S. arrival.

Depending on the area of the world that refugees come from, there are some infectious diseases (such as parasitic infections) that can negatively impact health for many years if not treated.

This is an opportunity to introduce new arrivals to preventive health and support them as they start an ongoing relationship with a primary care clinic. New arrivals can get immunizations to meet requirements for school, work, and the adjustment of status process. The assessment provides the best care for people who are new to the country by health care providers who have been specially trained. Health care providers in Minnesota have done thousands of these visits and enjoy helping new Americans be healthy.

The Refugee Health Assessment is an opportunity to update immunizations and identify and treat health problems that may interfere with new arrivals’ resettlement, including the ability to work and/or attend classes. For example, someone with untreated asthma or diabetes or severe mental health problems may struggle to go to work or school.

The results of the assessment can help us identify and respond to clusters of health concerns. For example, when Refugee Health Assessment data showed high blood lead level results or increases in Hepatitis B diagnoses, local and national health agencies were notified and started working on possible solutions.

Who is eligible for a Refugee Health Assessment?

The following table summarizes eligibility for the Refugee Health Assessment and federal Office of Refugee Resettlement (ORR) benefits and health requirements by immigration status. Benefit eligibility is complex and may change. Please review the policy letters referenced in the table for details and clarification. If you have a question about eligibility, please contact refugeehealth@state.mn.us.

Benefit eligibility is complex. Please review the policy letters referenced in the table for details and clarification.

StatusEligible for ORR-funded benefits*Immigration-required Tests (TB, vaccines)Eligible for Refugee Health AssessmentRefer to MDH via referral form**
Amerasian entrants1Yes━YesYes
Asylee2Yes━YesYes
Certified Victim of Human Trafficking3Yes━YesYes
Cuban entrants4YesMaybe5,6YesYes
Family Reunification Parole    
        Cuba6,8 or Haiti7,8YesNoYesYes
        Colombia, Ecuador, El Salvador, Guatemala, or Honduras (and family members)8NoNoNoNo
Haitian entrants4YesMaybe5,7YesYes
Humanitarian Parolee    
        Afghans9MaybeYes10MaybeYes
        Nicaraguans11NoYes5NoNo
        Ukrainians12MaybeYes13MaybeYes
        Venezuelans11NoYes5NoNo
        Other paroleesNoNoNoNo
Refugee (through reception and placement and Welcome Corps)14Yes━YesYes
Special Immigrant Visa (SIV)15Yes━YesYes
Temporary Protected Status (TPS)16No━NoNo

Statuses in the table are listed alphabetically.
*Includes medical assistance if other eligibility requirements met, including income and residency. If not eligible for Office of Refugee Resettlement (ORR) benefits, please refer to county services for assistance in applying to other benefits.
**New Arrival Notification and Screening Referral
1ORR: Who We Serve - Amerasians
2ORR: Asylee Eligibility for Refugee Resettlement Program Benefits
3ORR: Fact Sheet: Victim Assistance
4ORR: Benefits for Cuban/Haitian Entrants
5USCIS: Vaccine Attestation: Processes for Cubans, Haitians, Nicaraguans, and Venezuelans
6USCIS: The Cuban Family Reunification Parole Program
7USCIS: The Haitian Family Reunification Parole Program
8USCIS: Family Reunification Parole Processes
9ORR Policy Letter 22-01: Afghan Humanitarian Parolees and Unaccompanied Afghan Minors Eligible for ORR Benefits and Services; ASA-Eligible Afghan Populations
10USCIS: Afghan Parolee Vaccination Status
11ORR Dear Colleague Letter 23-13: Parole Processes for Cubans, Haitians, Nicaraguans, and Venezuelans
12ORR Policy Letter 22-13: Ukrainian Humanitarian Parolees Eligible for ORR Benefits and Services
13USCIS: Uniting for Ukraine Vaccine Attestation
14ORR: Benefits for Refugees
15ORR: Special Immigrant Visa (SIV) Holders from Iraq and Afghanistan
16USCIS: Temporary Protected Status

Tags
  • refugee international health
Last Updated: 09/19/2025

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