IA Health Link with Amerigroup Iowa

Helping Foster Care Families Navigate the Transition to Amerigroup

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Who is Amerigroup Iowa?

• A partner with the Iowa Department of Human Services (DHS), which administers Medicaid through the IA Health Link program

• One of three statewide managed care organizations (MCOs) selected to offer Iowa Medicaid and Health and Wellness Plan coverage through the IA Health Link program

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Amerigroup Iowa’s main goals Our goals in helping qualified Iowa children in foster care, subsidized adoptions, and guardianship stay healthy include: • Integrating care as part of members’ overall health care • Improving members’ well-being and health outcomes

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A system of supports

We offer a system of supports to help keep members healthy.

Member and Legal Caretaker

24/7 Nurse On Call

Care Coordination:

Identifying gapsin care and

locating resources.

Ombudsman: Member

advocacy and issue resolution

Psychotropic Medication Oversight

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For urgent medical needs…

Amerigroup On Call is here for you 24 hours a day, 7 days a week, 365 days a year if you need: • Advice about urgent care or • Help setting up an appointment with a

doctor

Some examples of urgent care are an earache, a headache or a sore throat.

Call Amerigroup On Call at 1-866-864-2544 (TTY 711). For life-threatening emergencies, call 911.

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Psychotropic medication management

• Every youth with one or more psychotropic* medicines will have their medicines looked at by the Amerigroup Iowa medical director or pharmacy review team.

• The goal is to ensure: – Evidence-based medicine guidelines are followed for youth – The medicine is right for the diagnosis

*Psychotropic medicines pertain to drugs that affect mood.

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What is care coordination?

We’ll help arrange the care youths need by: • Assigning a Care Coordination Team • Helping them partner with a care coordinator and case manager,

who will identify and refer services to meet their needs, including: – Special health care needs – Transitional supports as youths reach adulthood

• Continuing to offer care through Integrated Health Homes and Chronic Condition Health Homes (for eligible youths)

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What is the role of the case manager?

Case managers will make decisions on: • Medical services • Placements • Safety issues • Medication • Transportation • Service options

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What is the role of the Amerigroup ombudsman?

• The Amerigroup ombudsman office provides private, fair helpto Amerigroup members, their reps and caregivers who havehealth care-related issues.

• We also work with advocacy groups and state agencies todiscuss trends and issues in the community.

• To reach the Amerigroup Ombudsman office, call 515-440-2147, ext. 47403.

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Value-added benefits In addition to your child’s regular Medicaid benefits, Amerigroup offers extra benefits and services, plus the Healthy Rewards program.

• FREE Boys & Girls Club Membership for kids 6-18 at participating clubs in your area (excludes summer camp)

• FREE comfort item, such as a stuffed animal or journal for eligible children

• FREE personal backpack for belongings for eligible children

• LiveHealth Online so members can video chat with a doctor on their smartphones, tablets or computers, day or night

• FREE Healthy Families Program – Our program has information on exercise, making healthy choices and more for eligible children

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Value-added benefits (cont’d) • No copays • High School Equivalency Test

(HiSET) Assistance – covers the cost of a prep course and a voucher to take the test for free

• Mobile and web access – to change doctors, update personal information, find community events, order a new ID card and more

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Amerigroup Healthy Rewards Program Our Healthy Rewards program rewards you for doing good things for your child’s health. It’s simple. Each time you complete a healthy activity, you’ll get dollars added to your child’s Healthy Rewards card.

Service Healthy Rewards Incentive

Complete the Health Risk Screening tool $20 added to your Healthy Rewards card within 90 days of enrolling your child in (one-time incentive for all members). Amerigroup.

Complete well-child visits within the first $10 added to your Healthy Rewards card 15 months of life. (six within first 15 months of life) Complete annual EPSDT visits for those $20 added to your Healthy Rewards card ages 2-21. (once every 12 months)

Complete 1 capillary or venous lead $10 added to your Healthy Rewards card screening test for those under age 2. (once per member)

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Amerigroup Member Services

• Our Member Services representatives are available to answer questions about your health care benefits, member handbook, ID cards and more

• You can call them Monday through Friday from 7:30 a.m. to 6 p.m. Central time (except holidays)

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Contact Us

To find out more: • Contact Amerigroup Member Services by:

– Phone: 1-800-600-4441 (TTY 711) – Email: mpsweb@amerigroup.com

• Visit us online at www.myamerigroup.com/IA

For members who do not speak English: • We can help in many different languages and dialects • Interpreter services are provided free of charge • Call the toll-free number above for more details

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