MCO's Comparison Chart

7/23/2019 MCO's Comparison Chart

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MCO Comparison Chart: Value-Added Services

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Amerigroup Iowa, Inc. AmeriHealth CaritasIowa, Inc.

UnitedHealthcare Planof the River Valley, Inc.

Family Planning andResources

Bright StartMaternity Program:Offering pregnant momseducation, services, andsupport during and aftertheir pregnancy. Potentialincentives for healthybehaviors.

Baby Blocks: Programkeeps members and theirbabies healthy duringpregnancy and the baby'sfirst 15 months of life.Includes:Email and text messageappointment reminders;Program to keep track ofdoctor visits; Rewards for

visiting the doctor.

Community Baby Showers:Events for pregnant momsthat will give momseducation, information, andsupport through the BrightStart Program.

Community Baby Showers:Participate in fun activitiesand learn important healthinformation for you andyour baby.

Boys and Girls ClubMembership: Free Boysand Girls Clubmembership for kids 6 to

18 at participating clubs

4yourkidscare: Givingmoms and families’education and informationabout caring for children

when they are sick.

Text4baby:To help new and pregnant

moms keep themselvesand their babies healthy.

You’ll get three textmessages each weekduring your pregnancy andyour baby’s first year withhealth and safety




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Healthy Resourcesand Services

Virtual physician visits toNurse HelpLine throughvideo streaming via secureinternet connection orthrough an app on amobile phone.

Telehealth Services andTele-Monitoring: Programprovides in-home healthmonitoring for memberswith chronic conditions.

Amerigroup CommunityResource Link: This is aGPS-based searchable

community-based service

to help ensure membersare aware of all local Iowa

community-basedservices.

Help you find the localservices you need most.Our Community HealthWorkers can help connect

you with resources likehousing, food, healtheducation and supportgroups, job training, homegoods, legal support, out ofschool activities, and more.

Online kiosks in place inrural communities tofurther enhance medicalaccess.

Mobile Health Units: Givingmembers care in theircommunities

KidsHealth: This onlineprogram brings healthfacts, parenting advice andcomfort to children, teensand parents/guardians inIowa. KidsHealth articles,

tools and videos can beaccessed on a desktopcomputer, tablet orsmartphone.




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Healthy Resourcesand Services (Cont.)

School/Camp/SportsPhysicals: Onesports/school/camp every12 months. This helpsdecide whether it is safefor children to join in asport or daytime camp. Anin-network doctor mustcomplete the physical forchildren ages 4-19.

Healthy Hoops: An asthmaeducation and screeningprogram that usesbasketball to teachchildren and parents aboutasthma.Member Wellness Centers(at select locations):Community centers wheremembers can (1) get one-on-one help from anoutreach worker nurse

care manager, and (2) gethealth and fitness programinformation




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Tobacco Cessation Tobacco CessationProgram includes: 1)telephonic tobaccocessation-coachingprogram that includes upto 5 proactive coaching, 2)Print materials formembers including aBreath Easy Guidebookand other educational

materials.

Smoking CessationProgram: Members eligiblefor pharmacy benefits willbe able to get certainmedicines that help youstop smoking or usingother tobacco products.Can assist in finding acounselor or with furtherquestions.

Tobacco CessationProgram:Quit For Life®Program: QuitLine IowaCoaches help membersstop smoking.

Healthy Incentives Healthy Rewards IncentiveProgram: Earn incentivesand rewards for healthyactivities and behaviors.

Earn $10 in rewards forcompleting health riskassessment and up to $30in rewards for completingeligible health screenings/tests. Rewardsare loaded onto an

AmeriHealth Caritas CARECard, which can be usedto purchase items atparticipating stores

Community Rewards:Earn rewards points forhealthy activities. Choosefrom more than 300,000items to redeem points.

Waive Co-Pays forphysical, preventative,wellness, and BehaviorHealth.

There are no co-paysexcept for ER visits.




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Health and Wellness

Weight Watchers:Members 18 or older whomeet the participationrequirements will receivevouchers to attend WeightWatchers

Weight Watchers: Forselect members. Receivecoupons for approvedWeight Watchers meetingsto learn valuable skillsabout healthy eating andweight loss.

Weight ManagementProgram: Wellness centersin select locations. Talk to

someone about your care,take classes, and getinformation about availableprograms and events.

Healthy Families: Amerigroup providesoutreach and education toassist families in takingsmall, doable steps towarda healthier lifestyle forchildren ages 7-13

A Registered Nurse coach

will engage with themember throughout theprogram to encourageheathier eating andincrease activity.. Theprogram is 6 months induration Physicians areprovided notification ofmember enrollment.

Lose to Win: Providescounseling, education, anda gym membership forcertain members withdiabetes.

JOIN for ME is a uniqueprogram to help kids reacha healthy weight.You and your child meetas a small group with otherfamilies and a skilledcoach. Parents also havethe chance to lose weight,

feel better, look better andget the things you reallywant in life.Your child can earn a giftcard upon completion ofJOIN for ME, Children




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Health and Wellness(Cont.)

Personal Exercise Kit:Personal exercise kits toadults with a primary orsecondary clinicaldiagnosis of obesity. Mayinclude exercise band,weights, hydration bottle,and squeeze bottle.

Focus on Fitness-GymMembership: Paidmembership fees after acertain number of visits atselected gym locations.

Liveandworkwell.com:

Members can access thiseducational site or log in tomyuhc.com and link toselect topics such aswork/life balance andweight loss

Family Food Program:

Nutrition counseling formembers with certainhealth conditions, likediabetes.

Sesame Street Food for

Thought :

Learn about food shoppingon a budget, makinghealthy meals and more.

Support to help you makegood food choices that arewithin budget, healthy, andhelp to develop long termhealthy eating habits.

Empowerment Tour: Ahealth and wellness

program educatingmembers and communityon health and topics in afaith-based setting

Nutrition Counseling:

Learn about diet and

health at local events andhealth fairs.

Community Health Fairs:Events within thecommunity to help

AmeriHealth Caritas Iowa,Inc. gets to know membersbetter and provide healtheducation and information.

Community Health Fairs:Get to know membersbetter and provide healtheducation and informationat Community HealthFairs.




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Medical Equipmentand Supplies

Durable MedicalEquipment and Supplies:Helps members whenMedicaid covered benefitsdo not cover or themember has exceededmonthly or annual cap.Include incontinence,ostomy, and diabeticsupplies, and assistive

technology. Available to allmembers participating inHCBS waiver programswith the exception of CMH.Monthly cap of $200.

Amerigroup is offering thisto an expanded group ofmembers above the state’scurrent policy guidelines.

Oral Hygiene Kit:Children Ages 10 andunder and Members 10and older are eligible toreceive an ageappropriate preventativedental hygiene kit oncea year.




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Medical Equipmentand Supplies (Cont.)

Safelink Phone ServiceProgram: Programincludes one freecellphone and plans of upto 350 minutes per monthper household at no cost.Members receiveadditional 200 bonuslifetime minutes and freehealth information text

messages. Members getfree calls to AmerigroupMember Services.

Free Cell Phone andService Program: Free cellphones to qualifiedmembers based onincome. This includes freeminutes and unlimitedtexting to stay connectedto their care manager,doctor, and family.

Free cellphone program:UnitedHealthcareMyHealthLine helpsconnect with our membersand helps members withtheir health and access tocare. Members canquickly and easily reach usto talk about health relatedquestions or concerns or to

locate a doctor. A free phone and 350minutes per month;Unlimited textmessages;Free calls toUnitedHealthcareMember Services thatwill not count towardyour 350 minutes;Text messages withhealth tips and

reminders. All members, except forhawk-i are eligible for thisprogram.




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Additional Benefits HiSet (High SchoolEquivalency Test): Paysfor preparation courses aswell as the full battery oftests for qualifiedmembers.

Mission GED: Support formembers who wish to gettheir GED. This includespaying for testing fees, andproviding motivationalcoaching.

Supported EmploymentProgram: Annual benefitfor members participatingin Brain Injury andIntellectual Disabilitywaiver programs. Anannual cap of 10 hours of

job search activities andtwo job placementsavailable to eligiblemembers. Amerigroup is

offering this to anexpanded group ofmembers above the state’scurrent policy guidelines




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Additional Benefits(Continued)

Financial ManagementSupport: Members andtheir families are eligiblefor a financial healthassessment. This is a self-paced program on keypositive financialbehaviors. All HCBSwaiver participants areeligible including, adult

members, parents ofchildren and legalrepresentatives of childrenand/or adults




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Travel Training Program: Annual benefit formembers participating inBrain Injury, IntellectualDisability and PhysicalDisability waiver programs.This program includes 10hours of annual training.For members who do notmeet state policy

guidelines, Amerigroup willbroaden protocols toprovide travel training topromote independence,supported employment,and access to communityresources

We work with MTM toprovide rides for eligiblemembers to and fromdoctor or therapy visits.This service may beplanned up to 30 daysahead of time. We will payfor a hotel for trips thatneed an overnight staywith prior approval for

eligible members. Visitsover 75 miles may needprior approval.

This benefit is limited toIowa Health and Wellnessmembers, Iowa FamilyPlanning and hawk-i whenstandard transportationbenefits are not covered.

Comfort Item: Comfort item

for members in FosterCare and waiver programssuch as subsidized,adoptions, andguardianships. Serviceincludes a stuffed animalor journal for adolescentand young adult members




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Self-AdvocacyMemberships: Assistsmembers in developingskills to advocate forthemselves throughtraining, resources, andparticipation in one of fournational advocacy groups.Post DischargeStabilization Support:

Includes a mobileapplication and a casemanagement follow upprocess that facilitatesmember education, helpsmaintain appointmentattendance, improvemedication adherence, andimprove treatment planadherence. The mobileapp will support Android oriOS and will allow

members to track doctorappointments andmedication adherence.Medication AdherencePlatform: Medicationadherence throughelectronic pill dispensersthat interfaces with mobiledevices.




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Amerigroup Iowa, Inc. AmeriHealth CaritasIowa, Inc. UnitedHealthcare Planof the River Valley, Inc.


Home Delivered MealsProgram: Home deliveredmeals to members andtheir families who havebeen discharged from thehospital for up to 5 days formembers and up to three(3) family members

Assistive DevicesProgram: Provides

equipment to assist dailyliving such as extra-longshoe horn, transfer boardsand non-slip grippers.(includes all HCBS waivermembers with theexception of CHW).

Amerigroup is offering thisto an expanded group ofmembers above the state’scurrent policy guidelines.Personal Backpack for

Belongings Program:Backpack for members inFoster Care. May includehealth education tipsheets, school supplies,

journal, and drawingsupplies.

Caring for Caregivers: This

free six session program is just for caregivers. Theworkshops focus on theneeds and health of thecaregiver. Participants willlearn about availableresources in theircommunities and meetother caregivers.




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Additional Personal Care Attendant Support: For allHCBS wavier programmembers with theexception of the CMH. Itsupports transition back tothe community formembers residing in NFsand ICF/ID that do notqualify for MFP An annual

cap of 20 hours will beapplied to all memberswho meet eligibility criteria.





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Amerigroup Iowa, Inc. AmeriHealth CaritasIowa, Inc. UnitedHealthcare Planof the River Valley, Inc. Additional Respite CareServices: For HCBSwavier members with theexception of the PD. Isgeared to mitigate out-of-home placement haveexceeded their monthlycap or to support transitionback to the community formembers residing in NFs

and ICF/ID that do notqualify for MFP. An annualcap of 10 in‐home hoursandtwo out‐of ‐home days willbe applied to all memberswho meet eligibility criteria.





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Community ReintegrationBenefit: Available tomembers with a goal oftransitioning into thecommunity who do notmeet MFP eligibility criteriaor whose needs exceedthe MFP benefit. Includegoods and servicesneeded for transition, such

as household goods,deposits for utilities, andrent. Communityintegration is set at a$2,500.00 lifetime benefitcap.

MCO's Comparison Chart

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