IA Health Link with Amerigroup Iowa · IA Health Link, Amerigroup Iowa, Helping Foster Care Families Navigate the Transition to Amerigroup, Amerigroup Corporation, main goals, system

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: [email protected]

• 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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