Fairfax County Fire and Rescue Department

Fairfax County Fire and Rescue Department

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Units on the scene of a house fire in the 7400 block of Floyd Avenue in Springfield. Fire showing on arrival. Crews worked to extinguish fire on outside and attic of home. Fire is out. Crews are hitting hotspots. No reported injuries at this time. Occupants safe. #FCFRD #fairfax #fairfaxva #fairfaxcounty
We are hiring civilian staff who play an important role in support of the mission of #FCFRD firefighters and paramedics! Join our elite team of professionals!
💰 Financial Specialist III: https://www.governmentjobs.com/careers/fairfaxcounty/jobs/3302400/financial-specialist-iii?page=5&pagetype=jobOpportunitiesJobs
🚚 Material Mgmt. Assistant: https://www.governmentjobs.com/careers/fairfaxcounty/jobs/3302424/material-mgmt-assistant?page=6&pagetype=jobOpportunitiesJobs
#fairfaxcounty #fairfax #fairfaxva
Congratulations to Swetha, Doris, and Ashley, Payroll Section - Fiscal Services Division, who were recognized today by Fire Chief Butler today as recipients of the #FCFRD 2021 Team of the Year. They regularly handle one of the most unique payrolls in all county government with a smile and can-do attitude!

#fairfaxcounty #fairfax #fairfava
Thinking of building a fire in your fireplace this week and/or weekend? Please make sure you do so safely! Every fall and winter, FCFRD experiences home fires that were caused by improperly discarded fireplace ashes. A totally preventable and unnecessary fire!

If you have not already done so, please make sure you have your fireplace inspected and cleaned before using. Go here for more information: https://ffxfirerescue.wordpress.com/2021/11/18/step-into-safety-this-holiday-season-and-can-your-fire-place-ashes/
#SafeFairfax #FCFRD #fairfaxcounty #fairfax #fairfaxva
Paramedic students spent today running through a variety of medical incident scenarios. The focus was actually on Crew Resource Management concept for each student when in charge of “call”. Important management skill set to possess - especially on high-stress incidents. #FCFRD #fairfax #fairfaxva #FairfaxCounty
November 7 - 13, #FCFRD firefighters/paramedics responded to a variety of fire incidents last week. Decrease in structure and vehicle fires and increase in outside fires over last week. #WeekInReview #FairfaxCounty #fairfax #fairfaxva
Recruit School 149 getting in sets and reps! Scenario-based, live fire training to continue to tie together everything they have learned in firefighter training over last several weeks. Graduation roughly four weeks away! #FCFRD #JoinTeamFCFRD #fairfaxcounty #fairfax #fairfaxva
Earlier this morning, units were on the scene of a building fire in the 6700 block of Commerce Street in Springfield area. First arriving unit reported smoke showing from the roof. Crews located and extinguished a small fire on the roof. No extension of fire into the building. No reported injuries at this time. As of posting time, Fire Investigators on scene to determine cause. Most units are returning to service. Fort Belvoir Fire and Emergency Services assisted. #FCFRD #fairfaxcounty #fairfax #fairfaxva
It's beginning to look a lot like a fire station! Construction is progressing nicely at new Station 25, Reston. Funding for the new station was included on the 2015 Public Safety Bond Referendum approved by voters.
#FCFRD #fairfaxcounty #Reston #fairfax #fairfaxva
Recruit School 150 are in the early stages of their EMT certification training. They are learning everything about the heart. Yesterday, to reinforce learning, the group were challenged with a contest to make edible diagrams of the heart.

Winning recruits (L/R): 3rd place-RFF John Larimer, 1st place—RFF Meredith Hinz, 2nd place—RFF Joshua Garrett.

#FCFRD #JoinTeamFCFRD #fairfaxcounty #fairfax #fairfaxva
The #FCFRD are participating in the Annual Nat'l Capital Region Fire/EMS Departments’ 2021 TOYS FOR TOTS Campaign. Help us “bring holiday joy and deliver a message of hope to children.” Stations will accept donations now through Sunday, December 12.

More: https://ffxfirerescue.wordpress.com/2021/11/03/fairfax-county-fire-and-rescue-participating-in-toys-for-tots-campaign-6/

#fairfaxcounty #fairfax #fairfaxva
Requests for Emergency Medical Service during the week of November 7 - 13. An increase in patients transported and cardiac arrests from last week. #FCFRD #fairfax #FairfaxCounty #fairfaxva

The official page of the Fairfax County Fire and Rescue Department. We welcome you and your comments! The purpose of official Fairfax County social media accounts is to present matters of public interest.

We encourage you to submit your questions, comments, and concerns, but please note these are moderated online discussion sites. We recognize social media is a 24/7 medium, and your comments are welcome at any time. However, given the need to manage our staff resources (your tax dollars), we generally only monitor comments and postings during regular business hours. Social Media Comments Policy: ht

Operating as usual

11/18/2021

Units on the scene of a house fire in the 7400 block of Floyd Avenue in Springfield. Fire showing on arrival. Crews worked to extinguish fire on outside and attic of home. Fire is out. Crews are hitting hotspots. No reported injuries at this time. Occupants safe. #FCFRD #fairfax #fairfaxva #fairfaxcounty

11/18/2021

Hiring Staff

We are hiring civilian staff who play an important role in support of the mission of #FCFRD firefighters and paramedics! Join our elite team of professionals!
💰 Financial Specialist III: https://www.governmentjobs.com/careers/fairfaxcounty/jobs/3302400/financial-specialist-iii?page=5&pagetype=jobOpportunitiesJobs
🚚 Material Mgmt. Assistant: https://www.governmentjobs.com/careers/fairfaxcounty/jobs/3302424/material-mgmt-assistant?page=6&pagetype=jobOpportunitiesJobs
#fairfaxcounty #fairfax #fairfaxva

Photos from Fairfax County Fire and Rescue Department's post 11/18/2021

Congratulations to Swetha, Doris, and Ashley, Payroll Section - Fiscal Services Division, who were recognized today by Fire Chief Butler today as recipients of the #FCFRD 2021 Team of the Year. They regularly handle one of the most unique payrolls in all county government with a smile and can-do attitude!

#fairfaxcounty #fairfax #fairfava

11/18/2021

Thinking of building a fire in your fireplace this week and/or weekend? Please make sure you do so safely! Every fall and winter, FCFRD experiences home fires that were caused by improperly discarded fireplace ashes. A totally preventable and unnecessary fire!

If you have not already done so, please make sure you have your fireplace inspected and cleaned before using. Go here for more information: https://ffxfirerescue.wordpress.com/2021/11/18/step-into-safety-this-holiday-season-and-can-your-fire-place-ashes/
#SafeFairfax #FCFRD #fairfaxcounty #fairfax #fairfaxva

Thinking of building a fire in your fireplace this week and/or weekend? Please make sure you do so safely! Every fall and winter, FCFRD experiences home fires that were caused by improperly discarded fireplace ashes. A totally preventable and unnecessary fire!

If you have not already done so, please make sure you have your fireplace inspected and cleaned before using. Go here for more information: https://ffxfirerescue.wordpress.com/2021/11/18/step-into-safety-this-holiday-season-and-can-your-fire-place-ashes/
#SafeFairfax #FCFRD #fairfaxcounty #fairfax #fairfaxva

11/18/2021

Paramedic students spent today running through a variety of medical incident scenarios. The focus was actually on Crew Resource Management concept for each student when in charge of “call”. Important management skill set to possess - especially on high-stress incidents. #FCFRD #fairfax #fairfaxva #FairfaxCounty

11/17/2021

November 7 - 13, #FCFRD firefighters/paramedics responded to a variety of fire incidents last week. Decrease in structure and vehicle fires and increase in outside fires over last week. #WeekInReview #FairfaxCounty #fairfax #fairfaxva

November 7 - 13, #FCFRD firefighters/paramedics responded to a variety of fire incidents last week. Decrease in structure and vehicle fires and increase in outside fires over last week. #WeekInReview #FairfaxCounty #fairfax #fairfaxva

11/17/2021

Recruit School 149 Live Fire Training

Recruit School 149 getting in sets and reps! Scenario-based, live fire training to continue to tie together everything they have learned in firefighter training over last several weeks. Graduation roughly four weeks away! #FCFRD #JoinTeamFCFRD #fairfaxcounty #fairfax #fairfaxva

Photos from Fairfax County Fire and Rescue Department's post 11/17/2021

Earlier this morning, units were on the scene of a building fire in the 6700 block of Commerce Street in Springfield area. First arriving unit reported smoke showing from the roof. Crews located and extinguished a small fire on the roof. No extension of fire into the building. No reported injuries at this time. As of posting time, Fire Investigators on scene to determine cause. Most units are returning to service. Fort Belvoir Fire and Emergency Services assisted. #FCFRD #fairfaxcounty #fairfax #fairfaxva

Photos from Fairfax County Fire and Rescue Department's post 11/17/2021

It's beginning to look a lot like a fire station! Construction is progressing nicely at new Station 25, Reston. Funding for the new station was included on the 2015 Public Safety Bond Referendum approved by voters.
#FCFRD #fairfaxcounty #Reston #fairfax #fairfaxva

11/16/2021

Recruit School 150 are in the early stages of their EMT certification training. They are learning everything about the heart. Yesterday, to reinforce learning, the group were challenged with a contest to make edible diagrams of the heart.

Winning recruits (L/R): 3rd place-RFF John Larimer, 1st place—RFF Meredith Hinz, 2nd place—RFF Joshua Garrett.

#FCFRD #JoinTeamFCFRD #fairfaxcounty #fairfax #fairfaxva

Recruit School 150 are in the early stages of their EMT certification training. They are learning everything about the heart. Yesterday, to reinforce learning, the group were challenged with a contest to make edible diagrams of the heart.

Winning recruits (L/R): 3rd place-RFF John Larimer, 1st place—RFF Meredith Hinz, 2nd place—RFF Joshua Garrett.

#FCFRD #JoinTeamFCFRD #fairfaxcounty #fairfax #fairfaxva

11/16/2021

The #FCFRD are participating in the Annual Nat'l Capital Region Fire/EMS Departments’ 2021 TOYS FOR TOTS Campaign. Help us “bring holiday joy and deliver a message of hope to children.” Stations will accept donations now through Sunday, December 12.

More: https://ffxfirerescue.wordpress.com/2021/11/03/fairfax-county-fire-and-rescue-participating-in-toys-for-tots-campaign-6/

#fairfaxcounty #fairfax #fairfaxva

The #FCFRD are participating in the Annual Nat'l Capital Region Fire/EMS Departments’ 2021 TOYS FOR TOTS Campaign. Help us “bring holiday joy and deliver a message of hope to children.” Stations will accept donations now through Sunday, December 12.

More: https://ffxfirerescue.wordpress.com/2021/11/03/fairfax-county-fire-and-rescue-participating-in-toys-for-tots-campaign-6/

#fairfaxcounty #fairfax #fairfaxva

11/16/2021

Requests for Emergency Medical Service during the week of November 7 - 13. An increase in patients transported and cardiac arrests from last week. #FCFRD #fairfax #FairfaxCounty #fairfaxva

Requests for Emergency Medical Service during the week of November 7 - 13. An increase in patients transported and cardiac arrests from last week. #FCFRD #fairfax #FairfaxCounty #fairfaxva

11/16/2021

La calefacción y la seguridad contra incendios. Siga estas recomendaciones sobre calefacción para mantener un hogar seguro durante el invierno:https://www.usfa.fema.gov/downloads/pdf/publications/heating_fire_safety_vertical_spanish.pdf #FCFRD #SafeFairfax @El Gobierno del Condado Fairfax

La calefacción y la seguridad contra incendios. Siga estas recomendaciones sobre calefacción para mantener un hogar seguro durante el invierno:https://www.usfa.fema.gov/downloads/pdf/publications/heating_fire_safety_vertical_spanish.pdf #FCFRD #SafeFairfax @El Gobierno del Condado Fairfax

Portable Heater Safety 11/16/2021

Portable Heater Safety

Turning Up the Heat? DYK: heating is the second leading cause of home fires? “Get in S.T.E.P. (Safety Takes Every Person) and Use Space Heaters Safely!

Watch: https://youtu.be/9AMQ1ASnmNU
#FCFRD #SafeFairfax #fairfaxcounty #fairfax #fairfaxva

Portable Heater Safety An estimated 900 portable heater fires in residential buildings are reported to U.S. fire departments each year and cause 70 deaths, 150 injuries and $53 mil...

11/16/2021

November 7 - 13, #FCFRD Firefighters/Paramedics responded to 2,166 incidents last week! An increase of 2% in overall incidents from previous week. Average of approximately 309 incidents per day. #WeekInReview #FairfaxCounty

November 7 - 13, #FCFRD Firefighters/Paramedics responded to 2,166 incidents last week! An increase of 2% in overall incidents from previous week. Average of approximately 309 incidents per day. #WeekInReview #FairfaxCounty

11/15/2021

From the #FCFRD Office of the Medical Director: Battalion Chief Bryan Nix has been a saving lives with FCFRD for 24 years! The team he leads in EMS Training provides the education and #SetsAndReps critical for success on the “X.” And the success shows: 4838 #LifeYearsAdded to #FairfaxCounty so far this year! 👇THIS👇 represents people who had no heartbeat, or not breathing, walking out of the hospital! ❤
#fairfaxcounty #fairfax #fairfaxva

Police Train for Active Shooters 11/15/2021

Police Train for Active Shooters

#FCFRD Fire Chief Butler and Fairfax County Police Department Chief Davis spoke to Juliana Valencia and NBC Washington about how we train and work together during active shooter incidents. An honor to work with the best police department in the country! 📽️ https://www.nbcwashington.com/news/local/northern-virginia/police-train-for-active-shooters/2880232/

#fairfaxcounty #fairfax #fairfaxva

Police Train for Active Shooters The FBI says active shooter cases have increased since 2016. News4’s Juliana Valencia reports on active shooter training in Fairfax County.

11/15/2021

The fun of the holiday season is upon us. Unfortunately, this is also the time of year when Fairfax County Fire and Rescue Department (FCFRD) starts to see an increase in residential structure/building fires.

A large percentage of fires and injuries are totally preventable. With this in mind, Fire Chief John Butler is encouraging all Fairfax County residents to “Get in S.T.E.P. (Safety Takes Every Person) With FCFRD This Holiday Season”!

This seven-week campaign will focus on a variety of safety themes with a strong emphasis on ensuring all residents take an active role practicing and promoting safe behavior.

Learn more: https://ffxfirerescue.wordpress.com/2021/11/15/get-in-s-t-e-p-safety-takes-every-person-with-fcfrd-this-holiday-season/

#FCFRD #SafeFairfax

The fun of the holiday season is upon us. Unfortunately, this is also the time of year when Fairfax County Fire and Rescue Department (FCFRD) starts to see an increase in residential structure/building fires.

A large percentage of fires and injuries are totally preventable. With this in mind, Fire Chief John Butler is encouraging all Fairfax County residents to “Get in S.T.E.P. (Safety Takes Every Person) With FCFRD This Holiday Season”!

This seven-week campaign will focus on a variety of safety themes with a strong emphasis on ensuring all residents take an active role practicing and promoting safe behavior.

Learn more: https://ffxfirerescue.wordpress.com/2021/11/15/get-in-s-t-e-p-safety-takes-every-person-with-fcfrd-this-holiday-season/

#FCFRD #SafeFairfax

11/15/2021

COVID-19 Update for Fairfax County Fire and Rescue Personnel. Information is up-to-date as of 5 p.m. on Sunday, November 14. Totals are from April of 2020 to present. More: https://ffxfirerescue.wordpress.com/2021/11/15/november-15-covid-19-update-for-fairfax-county-fire-and-rescue-personnel/

#FCFRD #FairfaxCounty #fairfax #fairfaxva

COVID-19 Update for Fairfax County Fire and Rescue Personnel. Information is up-to-date as of 5 p.m. on Sunday, November 14. Totals are from April of 2020 to present. More: https://ffxfirerescue.wordpress.com/2021/11/15/november-15-covid-19-update-for-fairfax-county-fire-and-rescue-personnel/

#FCFRD #FairfaxCounty #fairfax #fairfaxva

11/15/2021

The National Capital Region Incident Management Team conducted a 3 day Logistics training Workshop last week. The NCR-IMT is made of of Incident Command professionals from government agencies in Maryland, DC, and Virginia. The workshop focused on sharing best practices with Incident Command professionals from the National Capital Region-IMT, Hampton Roads-IMT, and Central Virginia- IMT as well as the Virginia Communications Cache, Virginia Department of Emergency Management and the FEMA Federal Emergency Management Agency.

Training topics ranged from setting up an Incident Command Post to utilizing software programs for Incident Command in austere environments.
#FCFRD #fairfaxcounty #fairfax #fairfaxva

11/14/2021

Sound advice for those cold nights!

#FCFRD #fairfaxcounty #fairfax #fairfaxva

https://www.facebook.com/100064866813748/posts/253144633524429/?d=n

If you use a wood or pellet stove, make sure you follow these safety tips:

☑ Test your smoke alarms.
☑ Install a carbon monoxide monitor about 10 feet away from the wood or pellet stove.
☑ Never use gasoline, kerosene, charcoal starter, or propane torches to light the fire.
☑ Never use charcoal in a stove or fireplace. It produces an excessive amount of carbon monoxide.
☑ Have your wood or pellet stove be professionally installed to ensure safety.
☑ Do not place household items on the stove.

#MeetFCFRD: HazMat Technician Andrew “AJ” Johnson 11/14/2021

#MeetFCFRD: HazMat Technician Andrew “AJ” Johnson

#MeetFCFRD One of the things HazMat Tech Andrew "AJ" Johnson loves about his career is that it allows him time to continue pursuing other interests. “This job is one where you are able to pursue passions while still working in a field that you love. It is a huge advantage and I consider myself extremely lucky.”
https://ffxfirerescue.wordpress.com/2021/11/12/meetfcfrd-hazmat-technician-andrew-aj-johnson/

#MeetFCFRD: HazMat Technician Andrew “AJ” Johnson Hazmat Technician Andrew “AJ” Johnson grew up in sunny Miami, Florida. His mom is from the United States but his dad grew up in the Bahamas. He spent most holidays and breaks from school traveling …

Smoke Alarm Maintenance 11/13/2021

Smoke Alarm Maintenance

It is not uncommon for our firefighters and paramedics to get asked a variety of questions about smoke alarms. Often, people want to know what type of smoke alarms are available to install in their home. Many also want more information on the smoke alarms they have and how to maintain them.
Our partners in safety at the Vision 20/20 Project produced an informative, and short, video that answers these questions. Please take two minutes to increase your smoke alarm knowledge.
📽️ https://youtu.be/Cq11pPei1PE

#FCFRD #fairfaxcounty #fairfax #fairfaxva

Smoke Alarm Maintenance It is not uncommon for our firefighters and paramedics to get asked a variety of questions about smoke alarms. Often, people want to know what type of smoke ...

Photos from Fairfax County Fire and Rescue Department's post 11/12/2021

Recently Station 11, Penn Daw, B-Shift conducted a quick high-rise fire hose deployment drill without leaving the fire station. Fires in high-rise buildings can be extra challenging for a number of reasons. 11-B getting in sets and reps to ensure operational readiness. #FCFRD #fairfaxcounty #fairfax #fairfaxva

#MeetFCFRD: HazMat Technician Andrew “AJ” Johnson 11/12/2021

#MeetFCFRD: HazMat Technician Andrew “AJ” Johnson

#MeetFCFRD One of the things HazMat Tech Andrew "AJ" Johnson loves about his career is that it allows him time to continue pursuing other interests. “This job is one where you are able to pursue passions while still working in a field that you love. It is a huge advantage and I consider myself extremely lucky.”
https://ffxfirerescue.wordpress.com/2021/11/12/meetfcfrd-hazmat-technician-andrew-aj-johnson/

#MeetFCFRD: HazMat Technician Andrew “AJ” Johnson Hazmat Technician Andrew “AJ” Johnson grew up in sunny Miami, Florida. His mom is from the United States but his dad grew up in the Bahamas. He spent most holidays and breaks from school traveling …

Photos from Fairfax County Fire and Rescue Department's post 11/12/2021

The other evening, a motorist pulled into Station 22, Springfield, with a flat tire. Even though they had already responded to 16 incidents in 12 hours, Engine 422 C-Shift sprang into action to assist. #FCFRD personnel are always ready to help no matter day, time, or weather.

#fairfaxcounty #fairfax #fairfaxva

11/11/2021

Open 24/7

Most #FairfaxCounty Offices are closed today for #VeteransDay. Your #FCFRD is, as always, open 24 hours a day, 7 days a week and 365 days a year.

11/11/2021

Thank You For Your Service

FCFRD is proud of the veteran, National Guard, and Reserve members of our department. To ensure we are doing everything we can to assist these members, FCFRD instituted took steps this year to establish a Military Support Services Program for our military members. The program provides support to our military members and their families. Thank you to the members of our department and all others who have served for our country!

11/11/2021

With respect, honor and gratitude: Thank You Veterans! An extra special thank you to #FCFRD personnel, career, volunteer and civilian staff that are military veterans. #VeteransDay #fairfaxcounty #fairfax #fairfaxva

With respect, honor and gratitude: Thank You Veterans! An extra special thank you to #FCFRD personnel, career, volunteer and civilian staff that are military veterans. #VeteransDay #fairfaxcounty #fairfax #fairfaxva

Photos from Fairfax County Fire and Rescue Department's post 11/11/2021

The National Capital Region IMT is concluding a 3 day Logistics training Workshop. The NCR-IMT is made of of Incident Command professionals from government agencies in Maryland, DC, and Virginia. The workshop focused on sharing best practices with Incident Command professionals from the National Capital Region-IMT, Hampton Roads-IMT, and Central Virginia- IMT as well as the Virginia Communications Cache, Virginia Department of Emergency Management and the FEMA Federal Emergency Management Agency.

Training topics ranged from setting up an Incident Command Post to utilizing software programs for Incident Command in austere environments.
#FCFRD #fairfaxcounty #fairfax #fairfaxva

Comments Policy

We welcome you and your comments!

The purpose of official Fairfax County social media accounts is to present matters of public interest. We encourage you to submit your questions, comments, and concerns, but please note these are moderated online discussion sites.

We recognize social media is a 24/7 medium, and your comments are welcome at any time. However, given the need to manage our staff resources (your tax dollars), we generally only monitor comments and postings during regular business hours.

Once comments are posted, Fairfax County reserves the right to remove submissions.

Videos (show all)

Hiring Staff
Recruit School 149 Live Fire Training
Thank You For Your Service
Close Before You Doze
2021 Toys for TOTS
Fire Sprinkler Save
Broom Test
Time to Check Your Smoke Alarms
Test Your Smoke Alarms Tonight!

Telephone

Address


12099 Government Center Pkwy
Fairfax, VA
22035

General information

Providing fire suppression, emergency medical, technical rescue, hazardous materials, water rescue, life safety education, fire prevention and arson investigation services.The Fairfax County Fire and Rescue Department is committed to providing emergency and non-emergency services to protect the lives, property, and environment of our community.
Other Community Services in Fairfax (show all)
East Coast Bail Enforcement Agency Inc East Coast Bail Enforcement Agency Inc
Fairfax

Welcome to East Bail Enforcement Agency This is the home of the Best Teams United Working together all as one alongside some of the best and honorable teams in America, Apprehending and bringing Defendants back to justice and proper facilities required.

GMU Arab Student Association GMU Arab Student Association
4400 University Dr
Fairfax, 22030

Beta Delta Chapter of Chi Upsilon Sigma National Latin Sorority, Inc. Beta Delta Chapter of Chi Upsilon Sigma National Latin Sorority, Inc.
4400 University Dr
Fairfax, 22030

Our chapter was founded by three strong, independent Latinas with a vision to mentor young Latinas and help our community. Feel free to contact us at [email protected]

Better Said Than Done Better Said Than Done
Fairfax

Because Life is Better in the Telling Storytelling shows, workshops and events in and around Northern Virginia

Steve Singleton, Realtor Long & Foster Real Estate Steve Singleton, Realtor Long & Foster Real Estate
3060 Williams Drive #101
Fairfax, 22031

REALTOR with Long & Foster Real Estate in Fairfax, Virginia

Blue Knights Virginia One - VA I Blue Knights Virginia One - VA I
Fairfax

The Blue Knights Virginia One (VA I) chapter is a non-profit group of active and retired law enforcement officers who enjoy riding motorcycles. Please see our public website for more details: www.bkva1.com.

Shelters to Shutters Shelters to Shutters
Fairfax, 22182

Shelters to Shutters provides housing and employment opportunities to the homeless by educating property management professionals and encouraging action.

Partnership for Healthier Communities Partnership for Healthier Communities
2700 Prosperity Ave, Suite 280
Fairfax, 22031

PHC is designed to identify uninsured children and adults and connect them to an appropriate and affordable source of quality healthcare services through programs like Medicaid, CHIP and free or low-cost medical care coverage programs.