Stay Safe on Foot and Bike Around DenverPage 2

Sunburn Prevention and Treatment

Page 4

Safe Summer Fitness

Page 6

Early Periodic Screening, Diagnostic and Treatment (EPSDT)

Page 8

Summer 2017

Administered byDenver Health

Medicaid Choice

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alking and biking is a great way to get around, exercise, have fun and maybe even save some money. There are over twenty miles of dedicated bike lanes in Denver, providing easy access to downtown, as well as many miles of bicycle and hiking trails along Cherry Creek and the Platte River.

With more and more people moving to Denver, auto traffic is more congested and rushed than ever before. We often hear news stories about someone being hit by a car when biking or just crossing the street. If you’re a cyclist, walker or jogger, you have to be on the lookout for cars and distracted drivers because they may not always be looking out for you. Here are a few tips to help keep you safe.

WALKING

» Always walk on sidewalks. Use crosswalks and light signal buttons before you step out into traffic.

» Drivers will sometimes run red lights. Be sure to look in all directions before crossing the street, even if you have a green light or walk signal.

» Don’t walk out from behind or between parked vehicles. A driver may not see you in time to stop.

» Wear light, bright colors at night to make yourself more visible.

» If you must walk on the road, always walk facing oncoming traffic and get out of the roadway as soon as you can.

WStay Safe on Foot and Bikearound Denver

If you need any of the information in this newsletter in Spanish, please call Member Services at 303-602-2100 for DHMP

or 303-602-2111 for Medicare Choice/Select.

Si necesita en Español alguna parte de la información contenida en este boletÍn, llame Servicios de los Miembros

al 303-602-2100 para DHMP o al 303-602-2111 para Medicare Choice/Select.

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CYCLING

» By state law, a bicycle is considered a vehicle and must always brake at stop signs and red lights.

» Use your hand signals when turning. It tells drivers where you’re going.

» Be SEEN! Wear bright colors day and night.

» At night, use white bicycle lights on the front and blinking red lights on the back of your bike.

» Try to make eye contact with drivers in order to know that they see you.

» Do not ride in a car’s rear “blind spot”. If you can see a driver’s face in their side mirror then they are more likely to see you too.

» Your head might be hard as a rock, but your brain is like the inside of an egg. Wear a helmet to protect it against crash injuries.

You, as a bicyclist or pedestrian, have the right of way by law. But if a driver doesn’t see you, it won’t matter. So stay alert and take steps to stay safe when you’re walking or cycling.

DRIVER RESPONSIBILITIES WITH PEDESTRIANS & CYCLISTS

In Colorado, pedestrians and bicycles have the right of way. It is especially important for drivers to use caution and be aware of cyclists, joggers and pedestrians. Here are some general rules to help you anticipate and prevent potential life changing accidents with others sharing the road.

» Allow at least three feet between you and a cyclist you want to pass. Let the biker get to a spot where they can pull over to a safe distance. Be patient and try not to get upset. The consequences are not worth it.

» Be extra careful driving at night when it’s harder to see things. At any point in time a biker could suddenly turn out in front of you. Or a pedestrian may be crossing the street in the middle of the block from between parked cards. You must be ready to stop with very little notice.

» Be street-smart. Your truck or car may weigh up to 2,000 pounds and even the slightest contact with a cyclist, jogger or walker can have a bad outcome. A little caution and patience will go a long way keeping everyone healthy, happy and safe on the streets of Denver.

10 GREAT BICYCLE ROUTES IN AND AROUND DENVER

1. Washington Park - Denver, CO

2. Confluence Park - Denver, CO off of Cherry Creek Path

3. Heron Pond - near Northside Park off of I-70 and I-25

4. Mountain Lion Trail - in Golden Gate State Park near Golden, CO

5. Left Hand Canyon - near Boulder, CO

6. Bear Creek Trail - near Evergreen, CO

7. Hall Ranch - near Boulder, CO

8. Dakota Ridge - near Morrison, CO

9. High Grade Road - Littleton to Conifer, CO

10. Monarch Crest - near Poncha Springs, CO (about 2.5 hour drive from Denver)

Source: http://www.westword.com/news/photos-ten-best-of-

denver-bike-rides-5898692

NurseLine Advice

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By: Bonnie McDonald, RN

Summer is a great time to enjoy the outdoors, but a sunburn can ruin your fun and make you miserable for days. A sunburn is a red, painful skin condition, a burn that appears after too much exposure from UV light either from the sun or artificial sources, like tanning beds. It increases your risk of skin cancer.

PREVENTION IS KEY

» Lather up with sunscreen. » Be extra careful if you are on medications. It may

make you more sensitive to the sun. » Choose a sunscreen that is broad spectrum, at

least 30 SPF, and waterproof. Don’t forget to check the expiration date!

» Sunscreen is meant for year-round use. Even when you’re outside on less sunny days, the sunrays can still cause damage.

» You should apply a generous coat of sunscreen 15 minutes before going outside and then every 2 hours after that.

» In addition to sunscreen, wearing lip balm with SPF is important.

» You should also wear a hat and sunglasses when outside.

» Sunscreen is not advised for infants 6 months or younger. Keep infants in the shade and be sure they are wearing a sun hat.

HYDRATION IS IMPORTANT

» When out in the sun, avoid drinking soda and alcohol. Water is best.

» Drink at least 6-8 glasses of water (unless advised otherwise by your doctor).

TREATMENT

Most sunburns can be treated at home. Here are some suggested remedies…

» Take Tylenol or Ibuprofen for pain as recommended by your doctor.

» Apply moisturizing creams or lotions. » Take a cool bath for 10 minutes or apply a cool

washcloth to the area.

However, if you develop any of the symptoms below, call the NurseLine or seek medical attention.

» Unable to stand » Fever » Large Blisters » Severe Pain » Blurred Vision

WHAT TO EXPECT

» Pain for 2-3 days. » Skin may start to peel after 5-7 days.

The NurseLine is here to help! Contact them at 303-739-1211 if you have any questions or want to speak to an experienced nurse. They are available anytime, 24 hours a day, 7 days a week.

Source:

https://www.aad.org/media/stats/prevention-and-care/sunscreen-faqshttp://www.webmd.com/skin-problems-and-treatments/guide/

sunburn#1

Sunburn Prevention & Treatment

INSTRUCTIONS

In a large bowl, combine beans, tomato, onion and celery. Gently stir in vinegar and sprinkle with parsley or basil; season to taste with salt and pepper. Yields about 1 cup per serving.

NOTES

This recipe is fresh-tasting, quick and flavorful. Keep it basic as written or add fresh lemon or lime juice, capers and/or olive oil (any changes could affect the recipe’s SmartPoints value).

INGREDIENTS

1 cup(s) canned white beans, drained and rinsed

1 cup(s) canned black beans, drained and rinsed

1 large fresh tomato(es), diced

1 small uncooked onion(s), diced

1 rib(s) uncooked celery, diced

2 Tbsp white wine vinegar, or red wine vinegar

3 Tbsp fresh parsley, Italian-variety, or basil, minced

⅛ tsp table salt, or more to taste

⅛ tsp black pepper, or more to taste

©2016 Weight Watchers International, Inc., owner of the WEIGHT WATCHERS and SmartPoints registered trademarks. All rights reserved.

Black-and-White Summer Bean Salad

PREP TIME: 20 min | SERVINGS: 4

SmartPointsvalue

TM

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Sunburn Prevention & Treatment

Safe Summer Fitness: How to keep your cool

when moving around in the summer heat.

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By S. Kirk Walsh

With steadily warming temperatures and more hours of sunlight, summer days simply call to us to go outside. But it’s important to keep some precautions in mind when you’re working up a sweat in the summer heat.

Fitness experts agree that the first step is to moderate the intensity of any strenuous activity – whether you’re just out having fun or engaging in a formal workout. “Increase your exposure to heat slowly, particularly if you live in part of the country where it’s hot and humid,” suggests Melissa Johnson, executive director of the President’s Council on Physical Fitness and Sports in Washington, DC.

Start out with a 30-minute routine. If the heat still feels like too much, break up your workout into two 15-minute intervals, says Johnson, so you can ensure that your body won’t get overheated.

“As you work out, you will build more tolerance to the heat,” explains Meg Jordan, PhD, RN, editor in chief of American Fitness Magazine, the official magazine of the Aerobics & Fitness Association of America. “Your body will acclimate to the heat in terms of sweating more, opening more pores, and the sweat evaporating to cool you off.”

Here are some other tips to keep in mind when moving around during the summer months:

Stay hydrated. Drink water before and after you work out, says Johnson. If you plan to be active for more than an hour and a half, bring water with you and drink it. Also, afterward, try a sports drink to replace electrolytes and glucose. Keep in mind that thirst is not

always a good indicator of hydration, says Jordan, so drink enough fluid to bring your body weight back to pre-exercise levels.

Sweat during off hours. Try activities during the cooler parts of the day, suggests Johnson. Because there are more hours of sunlight, evenings are more doable.

Dress to breathe. “Wear permeable clothing that allows for the evaporation of sweat,” says Jordan. These fabrics are usually made from natural fibers and wick away moisture from the body. “Also wear light colors because they reflect the sun’s heat,” adds Johnson.

Slather on the SPF. Don’t forget to apply a layer of SPF (Sun Protection Factor) lotion — 25 or greater — to all exposed areas before heading outside. And don’t let an overcast sky fool you; ultraviolet rays are still powerful on a cloudy day.

Keep your feet cool. To keep feet comfortable, invest in a pair of walking or running shoes with adequate ventilation, suggests Jordan. Look for sneakers with an upper made from a breathable material like mesh.

Listen to your body. “When you’re feeling dizzy or nauseous, it could be symptoms of heat-related illness,” explains Johnson. “Stop and rest if you need to.”

What’s New With MyPharmacy Benefits?

Your pharmacy benefits are updated many times over the course of the year. To see what’s new or changed on your drug formulary, visit DenverHealthMedicaid.org

Click on the Pharmacy link and then choose the Formulary Updates link from the list. This link will get you up-to-date on any changes in your plan’s formulary, which could be newly added drugs, new generics and more. To learn more about your prescription benefits and a full list of covered drugs, please go to the link for the Formulary/Drug List.

This link will also make clear the formulary restrictions, limits or quotas, and your plan’s process for generic substitution, therapeutic interchange, and step therapies. You can also find out how your provider can ask for a prior authorization or exception request (non-urgent requests may be processed the next business day). If you have questions about your pharmacy benefits, please call Member Services at 303-602-2116 or 1-800-700- 8140. TTY/TDD users should call 711.

Safe Summer Fitness: How to keep your cool

when moving around in the summer heat.

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When you need care todayand can’t get in to see your provider…

The NurseLine is here to help you. Call 303-739-1211 to speak to a Denver Health nurse about your health concerns. Sometimes they can even call in a prescription for you.

Visit a Walgreens Healthcare Clinic. As a member, you have access to all Walgreens Healthcare Clinics in the Denver area. These clinics are a good option for you if you have a sore throat, sinus infection or the flu.

Visit an Urgent Care center. You can visit any urgent care center that is convenient for you. You are covered at any urgent care center in the U.S.

Emergency room. If you need emergency care, go to the nearest hospitalor call 9-1-1. Your plan will cover you at any emergency room, anywhere in the U.S.

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2

DID YOUKnow?Denver Health Pharmacies are here to provide safe,

high-quality medication delivery through all aspects of your care.

WHY SHOULD YOU CHOOSE A DENVER HEALTH PHARMACY?

We offer 10 convenient locations throughout Denver plus free delivery, mail order and 90-day supplies for some patients.

Our highly trained pharmacists work directly with your care team to improve your experience — they can assist with prior authorizations and insurance details more efficiently than pharmacies outside of the Denver Health system.

Our average wait time to fill a prescription is just 25 minutes.

We offer no-cost over the counter medications for Medicaid Choice and Colorado Medicaid patients with a prescription.

COMING SOON! This fall, Denver Health will open a new Specialty Pharmacy to focus on facilitating high-cost, complicated therapies.

LEARN MORE ABOUT OUR LOCATIONS AND SERVICES AT DENVERHEALTH.ORG/PHARMACY.

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Early and Periodic Screening, Diagnostic and Treatment (EPSDT) is a Health First Colorado (Colorado’s Medicaid Program) that covers prevention, diagnostic and treatment services for members age 20 and under. This program is set up to find health problems early. The program goal is for children to get the physical, mental, vision, hearing and dental care they need for their health.

Your child can get these services at no cost:

» Speech » Well Child Check-Ups » Immunizations » Physical or Occupational Therapies » Home Health Services » Substance Use Disorders Treatment » Vision and Eyeglasses » Hearing » Dental Care

The American Academy of Pediatrics Bright Future Schedule is a list of needed care and how often your child needs care.

Age Check-up Frequency0 to 15 months

• Well child/physical - 8 visits• Dental - Every 6 months by age 1 or when first

tooth breaks• Hearing - 1 check-up in hospital (at birth);

2 check-ups• Vision - 1 check-up

18 months to 2 years

• Well child/physical - 8 visits• Dental - Every 6 months • Hearing - 1 check-up after each middle ear

effusion• Vision - 1 check-up at 2 years

3 to 20 years

• Well child/physical - 1 visit per year• Dental - Every 6 months • Hearing - 1 check-up at ages 4-6, 8 and 10• Vision - 1 check-up per year from ages 3-8;

1 check-up every 2 years until age 20

In addition, children that have not had Lead Testing need to get one at 12 and 24 months or between the ages of 36 and 72 months.

You can get these services through your PCP (Primary Care Provider) within 30 days of calling for an appointment. Your PCP may refer you to other special services available at Denver Health. EPSDT screening services do not need approval from DHMC. Diagnostic services as provided when screening suggests more evaluation or treatment is needed. Most medically necessary (least costly, effective, acceptable medical practice) services needed to treat, correct or prevent illness and condition found by screening or diagnostic tests are covered, and DHMC will not put limits (such as the number of visits allowed) on EPSDT services. Maintenance services may also be covered when needed.

Special Considerations or Limitations There are some services not covered for EPSDT members. For a full listing please consult your DHMC Medicaid Choice handbook.

Some EPSDT services are not covered by DHMC but are still a benefit to you through Health First Colorado. This kind of care is called a “wrap around” benefit. Please see the Wrap Around Benefit section of the DHMC Medicaid Choice handbook for more information.

Most EPSDT services will be available within Denver Health. Your doctor may also refer you to services outside Denver Health. If you have questions about EPSDT services, you or your doctor may call DHMC Member Services (303) 602-2116. You can also call Healthy Communities. Healthy Communities is a free community resource to help you with finding EPSDT services outside of Denver Health. For more information please visit www.colorado.gov/pacific/hcpf/healthy-communities or call your coordinator. Tri-County (Adams, Arapahoe) 303-874-4404, Denver County 303-602-6770, or Jefferson County 303-232-6301.

Early and Periodic Screening, Diagnostic and

Treatment (EPSDT)

DID YOUKnow?Denver Health Pharmacies are here to provide safe,

high-quality medication delivery through all aspects of your care.

WHY SHOULD YOU CHOOSE A DENVER HEALTH PHARMACY?

We offer 10 convenient locations throughout Denver plus free delivery, mail order and 90-day supplies for some patients.

Our highly trained pharmacists work directly with your care team to improve your experience — they can assist with prior authorizations and insurance details more efficiently than pharmacies outside of the Denver Health system.

Our average wait time to fill a prescription is just 25 minutes.

We offer no-cost over the counter medications for Medicaid Choice and Colorado Medicaid patients with a prescription.

COMING SOON! This fall, Denver Health will open a new Specialty Pharmacy to focus on facilitating high-cost, complicated therapies.

LEARN MORE ABOUT OUR LOCATIONS AND SERVICES AT DENVERHEALTH.ORG/PHARMACY.

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Being outdoors can be tough when temperatures approach 100º F. Beat the heat with these tips from Denver Health!

» Stay inside during the hottest hours of the day - mid morning to mid afternoon.

» Dress lightly.

» Drink plenty of water and other fluids - at least a gallon of liquid per day. Water is preferred.

» Avoid drinking alcohol and beverages that are carbonated or contain caffeine when temperatures are high, as they can lead to dehydration.

» Try to stay in relatively cool areas, even when outside. Many public places, such as libraries, shopping malls and movie theatres, are air conditioned.

» Keep blinds and curtains closed from morning until the late afternoon to block extra direct heat from sunlight.

» Move your fitness routine to early morning or later in the evening.

» Always take children and pets out of the car in hot conditions while you run to do a quick errand. Animals and children are more at risk for heat exposure and death very quickly in a hot car.

» Supervise children during outdoor play, being sure to check on them closely and often.

» Watch for and stay away from metal playgrounds. Metal slides can burn children.

» Seek medical care right away if you become nauseous, start vomiting or have cramps.

» Use a fan. Place the fan so that it blows in the room and pushes hot air out the window.

» Use small appliances like slow cookers and tabletop grills rather than your traditional oven or stove to reduce kitchen heat.

» Check that seat belts and car seat restraints are not too hot before buckling yourself or others into a car.

It's good to know the signs of heat exhaustion and heat exposure.

HEAT EXHAUSTION SYMPTOMS

» Breathing that is shallow and fast

» Clammy skin

» Dizziness

» Dry mouth

» Extreme sweating

» Fainting

» Headache

» Loss of color in skin

» Nausea

» Pale skin color

» Pulse that is fast and weak

» Skin that feels moist and cool (when touched)

» Sweating

» Exhaustion

» Vomiting

What To Do: Get out of the heat right away. Drink cool fluids and wipe down the person with cool cloths.

HEAT STROKE SYMPTOMS

» Dizziness

» Very high body temperature (over 103 degrees)

» Headache that is throbbing

» Lack of sweating

» Nausea

» Rapid pulse that is strong

» Red skin that is hot and dry (when touched)

Heat stroke always needs medical attention. If you see any of the above signs, get the person out of the heat right away and take them to the nearest hospital or call 911.

Beat the Heat this Summer

Find more information like this at: www.denverhealth.org/public-health-and-wellness

Getting Family Planning Care (To get family planning services directly from any provider duly licensed or certified to provide such services without regard to enrollment in a PCCM, MCO, or PIHP, without approval). You need to get preapproval (written consent) for most visits with non-Denver Health doctors; but, you do not need approval for family planning services. As a part of Medicaid Choice, you have the right to get family planning services at any time. You can get these services from a Denver Health doctor or any doctor that takes Medicaid. Family planning services are pregnancy services or well-women care. Birth control and yearly women health exams are a part of these services. If you have questions about family planning talk to your PCP (main doctor) about them. You can call Member Services at 303-602-2116.

Discrimination is Not Allowed Compliance with Federal and State laws such Title VI of the Civil Rights of 1964, Age Discrimination Act of 1975, Rehabilitation Act of 1973, and titles II and III of Americans with Disabilities Act). It is your right, as a patient, to be treated equally and fairly. There are laws that protect you as a person living in the United States that also protect you as a member of either DHMC or DHMP. These are laws that make sure you are always treated in a good way. Denver Health should always follow these laws. There are many laws that protect your basic rights. These laws must be followed both at Denver Health and any other place you go to. There are laws that prevent that you be treated differently based on your race, color, where you come from, religion, gender, sexual choice, or age. Denver Health cannot deny you care for these reasons. Laws also protect disabled people from being treated differently. Denver Health must also make sure that its buildings and clinics are easy to get to if you are disabled. One example of this is a clinic having a ramp for people in wheelchairs.

We want you to always be treated fairly Because it’s your right! If you have any questions about this or any other of your rights as a member please call Member Services at 303-602-2116 for DHMC or 303-602-2100 for DHMP.

Being on the Consumer Advisory Committee The DHMC Consumer Advisory Committee is a group of DHMC staff, members, and other community health workers who meet regularly to talk about the DHMC Plan. When you join the DHMC Consumer Advisory Committee, you help us change DHMC for the better. Do you want to help make your health plan better? Do you have some ideas about how DHMC should change? Or do you just want to share your experiences with DHMC staff? We want to hear what you have to say! Please call Member Services (number on the bottom of this page) to be part of the DHMC Consumer Advisory Committee.

Do You Have a Member Handbook? You have the right to ask for information about either DHMC or DHMP at any time. Either DHMC or DHMP will give you this information by sending you either a DHMC or DHMP member handbook. The DHMC/ DHMP member handbook has useful information about:

» Covered services » DH phone numbers » Your member rights and responsibilities » And much more

You can ask for a new DHMC or DHMP member handbook by calling Member Services at 303-602-2116 for DHMC or 303-602-2100 for DHMP.

Clinical Practice Guidelines Denver Health Medicaid Choice (DHMC) adopts and disseminates clinical practice guidelines to assist providers in making decisions about appropriate health care for specific clinical conditions. Our clinical practice guidelines produce care recommendations to support the provision of high-quality, evidence-based care, based on existing clinical guidelines and recognized scientific evidence. Clinical practice guidelines are also used to guide efforts to improve the quality of care for our members and facilitate implementation of evidence-based clinical recommendations into practice. A few of the Clinical Guidelines includes management of diabetes, asthma, and high blood pressure. The Preventive Care Guidelines address recommended screenings and immunizations. The Guidelines are reviewed and revised on an annual basis. A full list of guidelines is available on the website: http://www.denverhealthmedicaid.org/quality-improvement-program

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Beat the Heat this Summer

Find more information like this at: www.denverhealth.org/public-health-and-wellness

777 Bannock Street, MC 6000Denver, CO 80204

Administered byDenver Health

Medicaid Choice

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