Health TALK. What s new. Did you know? Exciting changes to the CRS program

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1 Voltee para español! FALL 2013 The Key to a good life is a great plan Health TALK If you need to receive this newsletter in a different format (such as another language, large print, Braille or audio tape), please call the Member Helpline at (TTY 711). Did you know? UnitedHealthcare Community Plan (formerly Arizona Physicians IPA) has been your CRS health plan since There will not be any changes in how you get care for your CRS condition or your current CRS services. We have been serving AHCCCS members for more than 30 years. We are happy to have you as our member. What s new Exciting changes to the CRS program You should have received a letter in the mail from AHCCCS. It is about great new changes to the CRS program that begin Oct. 1, Many parts of the program are changing. But a lot is staying the same. Look inside to learn your new CRS coverage type. AHCCCS is adding primary care and behavioral health services to the CRS program. This will make it easier to have UnitedHealthcare Community Plan coordinate your benefits. It will also help doctors treat you, especially if you go to your clinic for most or all of your services. Doctors at the CRS Multispecialty Interdisciplinary Clinic (MSIC) are part of a care team. Questions? If you have any questions about the changes, call Member Services at (TTY 711). PRSRT STD U.S. Postage PAID United Health Group UnitedHealthcare Community Plan 1 East Washington, Suite 800 Phoenix, AZ AMC-028-AZ-CRS

2 What you need to do What your coverage type means to you. 1. Find your coverage type by looking at the letter you got from AHCCCS or your new CRS ID card. Your coverage type will tell you how you can get CRS, primary care and behavioral health services. 2. Read your coverage type description to find out how you will seek care. 3. If you have any questions about the changes, call Member Services at CRS FULLY ITEGRATED Most CRS members are in this coverage type. Your letter from AHCCCS says CRS# in the lower right corner. Your CRS ID card says CRS Fully Integrated on the right side of the card. Use this ID card when you get these services: RU_DATE DATA_SEQ_O CLIET_UMBER UHG_TYPE DOC_ID DOC_SEQ_ID AME MAILSET_UMBER CUSTDIAMOD_KEY1 CUSTDIAMOD_KEY2 CUSTDIAMOD_KEY3 CUSTDIAMOD_KEY4 CUSTDIAMOD_KEY5 CRS CHRISTIA specialty DIG1CARD services :56:01 00A D30 (no change),britey Primary care services (new) Behavioral health services (new) You can continue to see your primary care physician or your CRS clinic (MSIC) may provide these services. For behavioral health services, you will no longer go through the RBHAs, but you can continue with your behavioral health provider. Also, your MSIC may provide these services. If you have an AHCCCS ID card from another plan, throw it away when you get your new CRS ID card. Use your new CRS ID card for all your doctor appointments and at the pharmacy. Your PCP and your MSIC are listed on the front of your ID card. If you need behavioral health services, call Member Services at This number is on the front of your new CRS ID card. A Y W H E R E, U S A Y W H E R E S T R E E T > AHCCCS ID#: 2 Member ame: SUBSCRIBER BROW PCP: PROVIDER BROW PCP PHOE: () - MSIC: DMG Children s Rehabilitative Services rd Ave., Phoenix, AZ (800) Member Services: (800) Group: CRS Fully Integrated Rx Bin: Member Identification Card ARIZOA HEALTH CARE COST COTAIMET SYSTEM CRS OLY 135 Your letter from AHCCCS says 5-CMDP-135 or 6-DDD-135 in the lower right corner. Your CRS ID card says CRS Only on the right side of the card. Use this ID card when you get CRS specialty services (no CHRISTIA change) DIG1CARD :56:01 00A D30 RU_DATE DATA_SEQ_O CLIET_UMBER UHG_TYPE DOC_ID DOC_SEQ_ID AME MAILSET_UMBER CUSTDIAMOD_KEY1 CUSTDIAMOD_KEY2 CUSTDIAMOD_KEY3 CUSTDIAMOD_KEY4 CUSTDIAMOD_KEY5,BRITEY Welcome to UnitedHealthcare Community Plan We're glad to have you as a member. UnitedHealthcare Community Plan offers many plans in Arizona. The plan for members through the Division of Developmental Disabilities is called Arizona Physicians IPA Developmentally Disabled (DD). This is your new Member ID Card. Please carry it with you at all times. You should present this card when you go to doctor appointments or get covered services from other health care providers. For questions about your benefits or your PCP, call the Member Services number on the back of your ID card. To help protect your identity and prevent fraud, AHCCCS is adding pictures to its on-line verification tool that providers use to verify your coverage. If you have an Arizona driver s license or state issued ID, AHCCCS will get your picture from the Arizona Department of Transportation Motor Vehicle Division (MVD). When providers pull up the AHCCCS eligibility verification screen, they will see A Y W H E R E, U S your picture (if available) with your coverage details. Bienvenido(a) a UnitedHealthcare Community Plan os complace tenerle como miembro. UnitedHealthcare Community Plan ofrece varios planes A Y W H E R E S T R E E T en Arizona. El plan para los miembros a través de la División de Discapacidades del Desarrollo > (Division of Developmental Disabilities) se llama Arizona Physicians IPA Developmentally Disabled (DD). Esta es su nueva tarjeta de identificación de miembro. Llévela consigo todo el tiempo. Debe presentar esta tarjeta cuando asista a sus citas con el médico o cuando reciba servicios cubiertos de otros proveedores de atención médica. Si tiene preguntas sobre sus beneficios o su PCP, llame al número de Servicios para Miembros que figura al reverso de su tarjeta de identificación. Para ayudar a proteger su identidad y evitar el fraude, AHCCCS está incluyendo fotografías en la herramienta de verificación en línea que los proveedores utilizan para verificar su cobertura. Si usted tiene una licencia de conducir de Arizona o una tarjeta de identificación emitida por el estado, AHCCCS obtendrá su fotografía de la División de Vehículos Automotores del Departamento de Transporte de Arizona (Arizona Department of Transportation Motor Vehicle Division, MVD). Cuando los proveedores accedan a la pantalla de verificación de elegibilidad de AHCCCS, verán una fotografía de usted (si está disponible) junto con los detalles de su cobertura. This coverage type is an option for American Indian members enrolled in Department of Economic Security (DES)/Comprehensive Medical and Dental Program (CMDP) or the Department of Economic Security (DES)/Division of Developmental Disabilities (DDD). If you are in this coverage type, the CRS program won t have any changes. You will continue to use your new CRS ID card for CRS services only. Your MSIC is listed on the front of your ID card. CRS Only members will also continue to get primary care services either through CMDP or DDD or American Indian Health Plan (AIHP) fee-for-service. You can also continue to receive behavioral health services through the Tribal Regional Behavioral Health Authority (TRBHA) or Regional Behavioral Health Authority (RBHA). Printed: 04/11/11 Carry this card AHCCCS with you at all ID#: times. 2 Present it when you get service. You may be asked for a picture Member ID. Using the ame: card inappropriately is a violation of law. This card is not a Group: 135 guarantee for SUBSCRIBER services. BROW CRS Only To verify benefits, MSIC: DMG visit: Children s Rehabilitative Services or call rd Ave., Phoenix, AZ Rx Bin: For Providers: (800) Claims: PO Member Box 520, Services: Kingston, (800) Y Pharmacy Claims: OptumRx, PO Box 2044, Hot Springs, AR 7103 For Pharmacists: ARIZOA HEALTH CARE COST COTAIMET Member Identification SYSTEM Card 2 HEALTH TALK

3 CRS Partially Integrated Acute Your letter from AHCCCS says CRS# in the lower right corner. Your CRS ID card says CRS Partially Integrated-Acute on the right side of the card. Use this ID card when you get these services: CRS specialty services (no change) Primary care services (new) RU_DATE DATA_SEQ_O CLIET_UMBER UHG_TYPE DOC_ID DOC_SEQ_ID AME MAILSET_UMBER CUSTDIAMOD_KEY1 CUSTDIAMOD_KEY2 CUSTDIAMOD_KEY3 CUSTDIAMOD_KEY4 CUSTDIAMOD_KEY5 This CHRISTIA coverage DIG1CARD type is 11:56:01 00A D30 an option,britey for American Indian members. Behavioral health services will continue to be provided through the Tribal Regional Behavioral Health Authority (TRBHA) or Regional Behavioral Health Authority (RBHA). The TRBHA or RBHA will also cover behavioral health medications. If you have an ID card from the TRBHA, keep it for behavioral health services. You can also find the phone number for behavioral health services on the front of your CRS ID card. If you have an AHCCCS ID card from another plan, throw it away when you get your new CRS ID card. Use your new CRS ID card when you go to your primary care provider (PCP) and when you are getting CRS services. Also use it at the pharmacy for prescriptions your primary care or CRS providers write. Your PCP and your MSIC are listed on the front of your ID card. A Y W H E R E, U S A Y W H E R E S T R E E T > AHCCCS ID#: 2 Member ame: SUBSCRIBER BROW PCP: PROVIDER BROW PCP PHOE: () - MSIC: DMG Children s Rehabilitative Services rd Ave., Phoenix, AZ (800) Member Services: (800) Behavioral Health Services: () - Group: CRS Partially Integrated- Acute Rx Bin: Member Identification Card ARIZOA HEALTH CARE COST COTAIMET SYSTEM CRS PARTIALLY ITEGRATED BEHAVIORAL HEALTH 125 Your letter from AHCCCS says 3-CMDP-125 or 4-DDD-125 in the lower right corner. Your CRS ID card says CRS Partially Integrated-BH on the right side of the card. Use this ID card when you get these services: RU_DATE DATA_SEQ_O CLIET_UMBER UHG_TYPE DOC_ID DOC_SEQ_ID AME MAILSET_UMBER CUSTDIAMOD_KEY1 CUSTDIAMOD_KEY2 CUSTDIAMOD_KEY3 CUSTDIAMOD_KEY4 CUSTDIAMOD_KEY5 CRS CHRISTIA specialty DIG1CARD services :56:01 00A D30 (no change),britey Behavioral health services (new) Continue to get primary care services and pharmacy related to these visits through the Department of Economic Security (DES)/Comprehensive Medical and Dental Program (CMDP) or the Department of Welcome to UnitedHealthcare Community Plan We're glad to have you as a member. UnitedHealthcare Community Plan offers many plans in Arizona. The plan for members through the Division of Developmental Disabilities is called Arizona Physicians IPA Developmentally Disabled (DD). This is your new Member ID Card. Please carry it with you at all times. You should present this card when you go to doctor appointments or get covered services from other health care providers. For questions about your benefits or your PCP, call the Member Services number on the back of your ID card. To help protect your identity and prevent fraud, AHCCCS is adding pictures to its on-line verification tool that providers use to verify your coverage. If you have an Arizona driver s license or state issued ID, AHCCCS will get your picture from the Arizona Department of Transportation Motor Vehicle Division (MVD). When providers pull up the AHCCCS eligibility verification screen, they will see your picture (if available) with your coverage details. A Y W H E R E, U S Bienvenido(a) a UnitedHealthcare Community Plan os complace tenerle como miembro. UnitedHealthcare Community Plan ofrece varios planes A Y W H E R E S T R E E T en Arizona. El plan para los miembros a través de la División de Discapacidades del Desarrollo > Economic Security (DES)/Division of Developmental Disabilities (DDD). If you are enrolled in CMDP or DDD, keep that ID card and use it when you get primary care services. Also use this card at the pharmacy for prescriptions your primary care providers write. Use your CRS ID card when you are getting CRS services or behavioral health services. Also use it at the pharmacy for prescriptions your CRS providers write. If you need behavioral health services, call Member Services at The number is on the front of your new CRS ID card. Your MSIC is also listed on the front of your ID card. Printed: 04/11/11 Carry this card AHCCCS with you at all ID#: times. 2 Present it when you get service. You may be asked for a picture Member ID. Using the ame: card inappropriately is a violation of law. This card is not a Group: 125 guarantee for services. SUBSCRIBER BROW CRS Partially Integrated- BH To verify benefits, MSIC: DMG visit: Children s Rehabilitative Services or call rd Ave., Phoenix, AZ For Providers: Rx Bin: (800) Claims: PO Box 520, Kingston, Y Member Services: (800) Member Identification Card OptumRx, PO Box 2044, Hot Springs, AR 7103 ARIZOA HEALTH CARE COST COTAIMET SYSTEM Pharmacy Claims: For Pharmacists: (Division of Developmental Disabilities) se llama Arizona Physicians IPA Developmentally Disabled (DD). Esta es su nueva tarjeta de identificación de miembro. Llévela consigo todo el tiempo. Debe presentar esta tarjeta cuando asista a sus citas con el médico o cuando reciba servicios cubiertos de otros proveedores de atención médica. Si tiene preguntas sobre sus beneficios o su PCP, llame al número de Servicios para Miembros que figura al reverso de su tarjeta de identificación. Para ayudar a proteger su identidad y evitar el fraude, AHCCCS está incluyendo fotografías en la herramienta de verificación en línea que los proveedores utilizan para verificar su cobertura. Si usted tiene una licencia de conducir de Arizona o una tarjeta de identificación emitida por el estado, AHCCCS obtendrá su fotografía de la División de Vehículos Automotores del Departamento de Transporte de Arizona (Arizona Department of Transportation Motor Vehicle Division, MVD). Cuando los proveedores accedan a la pantalla de verificación de elegibilidad de AHCCCS, verán una fotografía de usted (si está disponible) junto con los detalles de su cobertura. FALL

4 ew additions Primary care and behavioral health services now provided for many members. You will still visit your clinic (MSIC) for care as needed. ow, you can also receive primary care and behavioral health services at the Metro Phoenix and Southern Region MSICs. Primary care includes preventive care like flu shots and visits for everyday illnesses like sore throats. Behavioral health services 4 Multispecialty Interdisciplinary Clinic (MSIC) locations include care for substance abuse or mental illness. You will find your MSIC listed on the front of your ID card. The services offered by each MSIC are listed below. Members can also receive primary care, specialty and behavioral health services outside of the MSICs. METRO PHOEIX REGIO DMG Children s Rehabilitative Services * rd Avenue Phoenix, AZ dmgcrs.org *This is a new address ew primary care services Expanded behavioral health services SOUTHER REGIO Children s Clinics for Rehabilitative Services Wyatt Drive Tucson, AZ childrensclinics.org Primary care services Expanded behavioral health services SOUTHWESTER REGIO Tuscany Medical Plaza Yuma CRS Clinic *2851 S Avenue B, Suite 25 Yuma, AZ yumaregional.org *This is a new address ORTHER REGIO Children s Rehabilitative Services at Flagstaff Regional Medical Center Beaver Flagstaff, AZ flagstaffmedicalcenter.com You and your doctor UnitedHealthcare Community Plan has a large network of primary care, specialty and behavioral health providers. Visit our website at UHCCommunityPlan.com if you need to find a doctor. The MSIC is your medical home. You will be able to get your primary care and behavioral health services from your MSIC or in the community. Call your MSIC to find out if you can get all your care through your MSIC. This offers convenience for you and a complete record for your doctors. 4 HEALTH TALK

5 Pharmacy mail order Getting to the pharmacy can be difficult and time consuming. CRS members and members of UnitedHealthcare Community Plan s DDD program can get many prescription drugs through the mail. UnitedHealthcare Community Plan works with OptumRx as your plan s mail service pharmacy. They can send your prescription drugs right to your mailbox. Plus, mail service can save you time no more trips to the pharmacy or waiting in line. OptumRx also makes reordering easy. With mail service, you can get a three-month supply of medications you take regularly. Just get a written prescription from your doctor for a 0-day supply of each medication. Once OptumRx receives your complete order and the prescription(s), your medications should arrive within ten business days. Completed refill orders should arrive in about seven business days. There is no shipping charge for standard U.S. mail. Mail order is not available for specialty drugs. Learn more. Find out if getting your standard refilled prescription drugs delivered to your home is right for you. Call OptumRx at (TTY 711), 24 hours a day, 7 days a week, to get started. It works! The flu shot keeps millions healthy. The Centers for Disease Control and Prevention recently studied how well the flu shot works. They looked at flu data from the past six years. They found that the flu vaccine prevented: 13.6 million illnesses. 5.8 million doctor visits. 112,00 hospitalizations. Everyone over the age of 6 months should get a flu shot each year. ew shots become available in the fall. They protect against the types of flu experts predict will be most common this year. Get yourself and your family vaccinated soon. Get yours. Talk to your doctor to find out if you should get this shot. FALL

6 ew! Opt in at 21 Beginning Oct. 1, 2013, CRS members will be given a one-time option to stay in the CRS program when they turn 21. This is for members who are enrolled in CRS before age 21. AHCCCS will send an Advance otification letter 60 days prior to the enrolled member s 21st birthday month. This letter provides instructions for members to contact AHCCCS to choose to opt in to CRS. If you are 20 years old, make sure you look for this letter from AHCCCS approximately 60 days before you turn 21. You must wait until you receive the letter before contacting AHCCCS. If you choose not to contact AHCCCS, then you will age out of the CRS program. AHCCCS will autoenroll you into an acute care health plan, and will give you 30 days to change that plan if you wish. Under Titles VI and VII of the Civil Rights Act of 164 (Title VI and VII) and the Americans with Disabilities Act of 10 (ADA) Section 504 of the Rehabilitation Act of 173 and the Age Discrimination Act of 175, UnitedHealthcare Community Plan prohibits discrimination in admissions, programs, services, activities or employment based on race, color, religion, sex, national origin, age and disability. UnitedHealthcare Community Plan must make a reasonable accommodation to allow a person with a disability to take part in a program, service or activity. Auxiliary aids and services are available upon request to individuals with disabilities. For example, this means that if necessary, UnitedHealthcare Community Plan must provide sign language interpreters for people who are deaf, a wheelchair accessible location or enlarged print materials. It also means that UnitedHealthcare Community Plan will take any other reasonable action that allows you to take part in and understand a program or activity, including making reasonable changes to an activity. If you believe that you will not be able to understand or take part in a program or activity because of your disability, please let us know of your disability needs in advance if at all possible. To request this document in alternative format or for further information about this policy, please contact Member Services at (TTY 711). Stay safe together! UnitedHealthcare has partnered with Sesame Workshop to create home safety tips. They provide tools and strategies for a safe environment. Your home is where your family learns and plays together. There are lots of simple things you can do to keep your home as safe as it can be. Explore safety with your child during your daily routines. OUTSIDE YOUR HOME Stay nearby while little ones play outside and gear up for fun! Helmets that fit well help keep children safe on bikes, scooters or roller skates. Make a family fire plan. Map and try out two exits from each room, and go to a safe meeting place outside. Play safely by using sunscreen to protect everyone s skin. I THE KITCHE Soap up! Wash your hands before cooking and eating to keep germs away. Sing Row, Row, Row Your Boat twice to help you remember how long to wash. Keep a list of important phone numbers near each telephone. Talk about each number so everyone knows how to get help in an emergency. Make safety cool by keeping hot objects, liquids or foods away from the edge of the stove, table or counter. Get more. For more tips, visit sesame street.org/toolkits. Here you will find tools and resources to help your family play and grow together. TM/ 2013 Sesame Workshop 6 HEALTH TALK