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

(1)

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 1-800-348-4058 (TTY 711).

DiD You know?

UnitedHealthcare Community Plan (formerly Arizona

Physicians IPA) has been your CRS health plan since

2008. 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,

2013. 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

1-800-348-4058 (TTY 711)

.

AMC-028-AZ-CRS PR

SRT S TD U.S. Postage

PAiD United Health Group

¡VolTee PARA eSPAÑol! | FALL 2013

Health

T h E K E y T o a g o o d l i f E i S a g R E a T p l a n

_TALK

UnitedHealthcare Community Plan

1 e

(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 1-800-348-4058.

CRS FuLLY inTEGRATED 010115

Most CRS members are in this coverage type. Your

letter from AHCCCS says “CRS#1-010115” 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:

CRS specialty services (no change)

Primary care services

(new)

Behavioral health services

(new)

You can continue to see your primary care

physi-cian 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

1-800-348-4058

. This number is on the

front of your new CRS ID card.

N

A L

P

Y T

I

N

U

M

O

C

E

R

A

C

H T

L

A

E

H

D

E T

I

N

U

9 4 3

1 3

X

O

B

O

P

9 4

3 0

- 1

3 1

4 8

T

U ,

Y T

I

C

E

K

A L

T

L

A

S

Health Plan (80840)

911-03432-06

Rx Bin: 610494 Rx Grp: ACUAZ Rx PCN: 9999

51

13

0

60

42

55

9

00

40

00

0

50

00

0

11

1

5

31

1 RUN_DATE 20110419 11:56:01

DATA_SEQ_NO 0000001

CLIENT_NUMBER 003115

UHG_TYPE DIG1CARD

DOC_ID

DOC_SEQ_ID 0000004

NAME CHRISTIAN ,BRITNEY

MAILSET_NUMBER 0000005

CUSTDIAMOND_KEY1 00A00128537

CUSTDIAMOND_KEY2 40300

CUSTDIAMOND_KEY3 BRITNEY

CUSTDIAMOND_KEY4 HCAC/Rxonly

CUSTDIAMOND_KEY5 D30

Printed: 04/11/11 Claims: Pharmacy Claims: For Pharmacists: 877-305-8952

ARIZONA – DRAFT

9

9 >

9

9 N

W

O

R

B

R

E

B

I

R

C

S

B

U

S

T

E

R

T

S

E

R

E

H

W

Y

N

A

3

2

1

9

9 S

U

,

E

R

E

H

W

Y

N

A

W

elcome to UnitedHealthcare Community Plan _We're glad to have you as a member

. UnitedHealthcare Community Plan of

fers many plans in

Arizona.

The plan for members through the Division of Developmental Disabilities is called

Arizona Physicians IP

A 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 V

ehicle

Division (MVD). When providers pull up the

AHCCCS eligibility verification screen, they will see

your picture (if available) with your coverage details. Bienvenido(a) a UnitedHealthcare Community Plan Nos complace tenerle como miembro. UnitedHealthcare Community Plan ofrece varios planes en Arizona. El plan para los miembros a través de la División de Discapacidades del Desarrollo (Division of Developmental Disabilities) se llama

A 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 V

ehículos

Automotores del Departamento de

Transporte de

Arizona (Arizona Department of

ehicle 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.

OptumRx, PO Box 29044, Hot Springs, AR 71903

ARIZONA HEALTH CARE COST CONTAINMENT SYSTEM

Member Identification Card

Member Name:

SUBSCRIBER BROWN

PCP: PROVIDER BROWN

PCP PHONE: (999) 999-9999

Carry this card with you at all times. Present it when you get service. You may be asked for a picture ID. Using the card inappropriately is a violation of law. This card is not a guarantee for services.

PO Box 5290, Kingston, NY 12402-5290

DRAFT

AHCCCS ID#:

299999999

Group:

10115

CRS Fully Integrated

MSIC: DMG Children’s Rehabilitative Services 3141 N 3rd Ave., Phoenix, AZ 85013 (800) 000-0000

CRS Fully Integrated

Card Type DC

To verify benefits, visit: www.uhccommunityplan or call 1-800-348-4058

Member Services: (800) 348-4058

For Providers: www.uhccommunityplan 1-800-445-1638

CRS only 999135

Your letter from AHCCCS says “5-CMDP-999135” or

“6-DDD-999135” 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

ser-vices (no change).

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

Disabili-ties (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

pri-mary care services either through CMDP or DDD or

American Indian Health Plan (AIHP) fee-for-service.

You can also continue to receive behavioral health

ser-vices through the Tribal Regional Behavioral Health

Authority (TRBHA) or Regional Behavioral Health

Authority (RBHA).

N

A L

P

Y T

I

N

U

M

O

C

E

R

A

C

H T

L

A

E

H

D

E T

I

N

U

9 4 3

1 3

X

O

B

O

P

9 4

3 0

- 1

3 1

4 8

T

U ,

Y T

I

C

E

K

A L

T

L

A

S

Health Plan (80840)

911-03432-06

51

13

0

60

42

55

9

00

40

00

0

50

00

0

11

1

5

31

1 RUN_DATE 20110419 11:56:01

DATA_SEQ_NO 0000001

CLIENT_NUMBER 003115

UHG_TYPE DIG1CARD

DOC_ID

DOC_SEQ_ID 0000004

NAME CHRISTIAN ,BRITNEY

MAILSET_NUMBER 0000005

CUSTDIAMOND_KEY1 00A00128537

CUSTDIAMOND_KEY2 40300

CUSTDIAMOND_KEY3 BRITNEY

CUSTDIAMOND_KEY4 HCAC/Rxonly

CUSTDIAMOND_KEY5 D30

ARIZONA – DRAFT

9

9 >

9

9 N

W

O

R

B

R

E

B

I

R

C

S

B

U

S

T

E

R

T

S

E

R

E

H

W

Y

N

A

3

2

1

9

9 S

U

,

E

R

E

H

W

Y

N

A

W

fers many plans in

Arizona.

You should present

Arizona driver

ID,

ehicle

A Developmentally

Arizona o

ehículos

Transporte de

ARIZONA HEALTH CARE COST CONTAINMENT SYSTEM

Member Identification Card

Member Name:

SUBSCRIBER BROWN

DRAFT

AHCCCS ID#:

299999999

Group:

99135

CRS Only

Card Type DB

Member Services: (800) 348-4058

(3)

N

A L

P

Y T

I

N

U

M

O

C

E

R

A

C

H T

L

A

E

H

D

E T

I

N

U

9 4 3

1 3

X

O

B

O

P

9 4

3 0

- 1

3 1

4 8

T

U ,

Y T

I

C

E

K

A L

T

L

A

S

Health Plan (80840)

911-03432-06

51

13

0

60

42

55

9

00

40

00

0

50

00

0

11

1

5

31

1 RUN_DATE 20110419 11:56:01

DATA_SEQ_NO 0000001

CLIENT_NUMBER 003115

UHG_TYPE DIG1CARD

DOC_ID

DOC_SEQ_ID 0000004

NAME CHRISTIAN ,BRITNEY

MAILSET_NUMBER 0000005

CUSTDIAMOND_KEY1 00A00128537

CUSTDIAMOND_KEY2 40300

CUSTDIAMOND_KEY3 BRITNEY

CUSTDIAMOND_KEY4 HCAC/Rxonly

CUSTDIAMOND_KEY5 D30

ARIZONA – DRAFT

9

9 >

9

9 N

W

O

R

B

R

E

B

I

R

C

S

B

U

S

T

E

R

T

S

E

R

E

H

W

Y

N

A

3

2

1

9

9 S

U

,

E

R

E

H

W

Y

N

A

W

fers many plans in

Arizona.

You should present

Arizona driver

ID,

ehicle

A Developmentally

Arizona o

ehículos

Transporte de

ARIZONA HEALTH CARE COST CONTAINMENT SYSTEM

Member Identification Card

Member Name:

SUBSCRIBER BROWN

DRAFT

AHCCCS ID#:

299999999

Group:

99125

CRS Partially Integrated-BH

CRS Partially Integrated - BH

Card Type DE

Member Services: (800) 348-4058

CRS PARTiALLY inTEGRATED–

BEHAVioRAL HEALTH 999125

Your letter from AHCCCS says “3-CMDP-999125”

or “4-DDD-999125” 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:

CRS specialty services (no change)

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

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

pri-mary 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

1-800-348-4058

. The number is on the front

of your new CRS ID card. Your MSIC is also listed on

the front of your ID card.

CRS PARTiALLY inTEGRATED–ACuTE 010145

Your letter from AHCCCS says “CRS#2-010145”

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)

This coverage type is an option 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

medica-tions. 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

provid-ers write. Your PCP and your MSIC are listed on the

front of your ID card.

N

A L

P

Y T

I

N

U

M

O

C

E

R

A

C

H T

L

A

E

H

D

E T

I

N

U

9 4 3

1 3

X

O

B

O

P

9 4

3 0

- 1

3 1

4 8

T

U ,

Y T

I

C

E

K

A L

T

L

A

S

Health Plan (80840)

911-03432-06

51

13

0

60

42

55

9

00

40

00

0

50

00

0

11

1

5

31

1 RUN_DATE 20110419 11:56:01

DATA_SEQ_NO 0000001

CLIENT_NUMBER 003115

UHG_TYPE DIG1CARD

DOC_ID

DOC_SEQ_ID 0000004

NAME CHRISTIAN ,BRITNEY

MAILSET_NUMBER 0000005

CUSTDIAMOND_KEY1 00A00128537

CUSTDIAMOND_KEY2 40300

CUSTDIAMOND_KEY3 BRITNEY

CUSTDIAMOND_KEY4 HCAC/Rxonly

CUSTDIAMOND_KEY5 D30

ARIZONA – DRAFT

9

9 >

9

9 N

W

O

R

B

R

E

B

I

R

C

S

B

U

S

T

E

R

T

S

E

R

E

H

W

Y

N

A

3

2

1

9

9 S

U

,

E

R

E

H

W

Y

N

A

W

elcome to UnitedHealthcare Community Plan

W

e're glad to have you as a member

fers many plans in

Arizona.

You should present

Arizona driver

ID, AHCCCS will get your picture from the

ehicle

A Developmentally

Arizona o

ehículos

Transporte de

ARIZONA HEALTH CARE COST CONTAINMENT SYSTEM

Member Identification Card

Member Name:

SUBSCRIBER BROWN

PCP: PROVIDER BROWN

PCP PHONE: (999) 999-9999

DRAFT

AHCCCS ID#:

299999999

Group:

10145

CRS Partially Integrated-Acute

CRS Partially Integrated - Acute

Card Type DD

Member Services: (800) 348-4058

Behavioral Health Services: (999) 999-9999

(4)

new additions

primary care and behavioral health services now provided for many members.

You will still visit your clinic (MSIC) for care as needed. Now,

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

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.

Mem-bers can also receive primary care, specialty and behavioral

health services outside of the MSICs.

4 MulTiSpECialTy inTERdiSCiplinaRy CliniC (MSiC) loCaTionS

METRo PHoEniX REGion

DMG Children’s Rehabilitative Services

*3141 N. 3rd Avenue

Phoenix, AZ 85013

602-914-1520

1-855-598-1871

dmgcrs.org

*This is a new address

Services available:

CRS specialty care

New

primary care services

Expanded

behavioral health

services

noRTHERn REGion

Children’s Rehabilitative Services at

Flagstaff Regional Medical Center

1200 N. Beaver

Flagstaff, AZ 86001

928-773-2054

1-800-232-1018

flagstaffmedicalcenter.com

Services available:

CRS specialty care

SouTHERn REGion

Children’s Clinics for Rehabilitative

Services

2600 N. Wyatt Drive

Tucson, AZ 85712

520-324-5437

1-800-231-8261

childrensclinics.org

Services available:

CRS specialty care

Primary care services

Expanded

behavioral

health services

SouTHwESTERn REGion

Tuscany Medical Plaza

Yuma CRS Clinic

*2851 S Avenue B, Suite 25

Yuma, AZ 85364

928-336-7095

1-800-837-7309

yumaregional.org

*This is a new address

Services available:

CRS specialty care

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

behav-ioral 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.

(5)

it works!

The flu shot keeps millions healthy.

The Centers for Disease Control and Prevention recently

stud-ied 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.

112,900 hospitalizations.

Everyone over the age of 6 months should get a flu shot

each year. New 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.

should get this shot.

Talk to your doctor to find out if you

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

prescrip-tion 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

medica-tions you take regularly. Just get a written prescription from your

doctor for a 90-day supply of each medication. once optumRx

receives your complete order and the prescription(s), your

medi-cations 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 1-877-305-8952 (TTY 711), 24 hours

a day, 7 days a week, to get started.

(6)

Under Titles VI and VII of the Civil Rights Act of 1964

(Title VI and VII) and the Americans with Disabilities

Act of 1990 (ADA) Section 504 of the Rehabilitation

Act of 1973 and the Age Discrimination Act of 1975,

UnitedHealthcare Community Plan prohibits

discrimi-nation 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

avail-able upon request to individuals with disabilities. For

example, this means that if necessary, UnitedHealthcare

Community Plan must provide sign language

interpret-ers 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 1-877-653-7573 (TTY 711).

new! opt in at 21

Beginning oct. 1, 2013, CRS members will be

given a one-time option to stay in the CRS

pro-gram when they turn 21. This is for members who

are enrolled in CRS before age 21.

AHCCCS will send an Advance Notification

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

auto-enroll you into an acute care health plan, and will

give you 30 days to change that plan if you wish.

6 HEALTH TALK

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.

in ThE KiTChEn

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

tele-phone. 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.