Molina Healthcare Value Added Services Effective September 1, 2018
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1 Molina Healthcare Value Added Services Effective September 1, 2018 Value Added Service STAR STAR+PLUS 24-hour Nurse Advice Line Our nurses can answer member s questions 24 hours a day, 7 days a week. The phone number is (888) (English)/ (866) (Spanish) School/Sports Physical Members 5 through 18 years of age (CHIP) and 5 through 19 years of age (STAR) can get a physical once a year for school or sports. $20 Gift Card for getting all Annual Immunizations on time For members age 18 months through 20 years $20 Gift Card for getting a Texas Health Steps Checkup each year for Members age 15 months through 20 years $15 itunes Gift Card for Adolescent Well-Care Visit For members age 12 through 18 (CHIP) and ages 12 through 20 (STAR) Weight Watchers Program Meeting Vouchers For members age 15 and older with a BMI of 30 or more and for diabetic members with an A1c lab result of 8 or more $25 Gas Card each year for Texas Health Steps Checkups For members with a confirmed Texas Health Step $20 Gift Card for getting a Mammogram each year For female members age 50 to 74, at average risk, who complete a recommended yearly mammogram. $10 Over-the-Counter (OTC) Gift Card Every three months, upon request, for OTC members and other medical or health related supplies not covered by Medicaid. Limited to non-dual Medicaid only members. STAR+PLUS Nursing Facility CHIP CHIP Perinate (Hidalgo Members
2 $100 eyewear allowance towards upgrades for frames, lenses, or contacts every two years. $100 eyewear allowance towards upgrades for frames, lenses, or contacts each year. Boys & Girls Club Membership For members age 6 through 18, where available in Dallas, El Paso and Hidalgo. Neighborhood Center Membership For members age 14 through 18 in Harris. Stop Smoking Program Free membership in national stop-smoking program, for members age 13 and older (STAR, CHIP, CHIP Perinate Unborn) and members age 18 and older (STAR+PLUS, STAR+PLUS Nursing Facility) and pregnant women of any age who want to stop smoking. $25 Gas Card for Confirmed Early Prenatal Appointment For members with a confirmed early prenatal appointment within 42 days of enrollment or existing members with an appointment within their first trimester and/or for a Confirmed Timely Postpartum Appointment within days of delivery. $30 Gift Card for Early Prenatal Exam For newly enrolled members who complete an early prenatal exam within 42 days of enrollment or existing members who complete an early prenatal exam in the first trimester. $30 Gift Card for Postpartum Exam For members who complete a postpartum exam within days of delivery. $20 gift card For newly enrolled members who complete an early prenatal exam within 42 days of enrollment or existing members who complete an early prenatal exam in the first trimester. (Dallas, Hidalgo, & El Paso (Harris Members (Non-Dual Medicaid Only Only (Dallas and RSA (Harris Members Newborn) Unborn) Unborn)
3 $20 gift card For members who complete a post-partum exam within days of delivery. Baby Blanket One blanket for members in the first trimester of pregnancy through six months following delivery. $50 Gift Card Towards an infant car seat for members in the third trimester of pregnancy through six months following delivery. Adult Dental Services Up to $250 per year for dental checkup, x-rays and cleaning, for members age 21 and older. Allergy-Free Bedding Members with asthma who complete the three-month Breathe with Ease Disease Management Program can get an allergy-free mattress cover and pillow case. $30 Gift Card for getting a Texas Health Steps checkup each year For members who complete all of their child s scheduled Texas Health Steps checkups for ages 0 months through 4 months. $30 Gift Card for getting a Texas Health Steps checkup each year For member age 6 months through 15 months. $20 Gift Card for getting all Childhood Immunizations before 18 months of age For members who complete all of their child s scheduled childhood immunizations before 18 months of age. $20 Gift Card for Completing an Office Visit for a Mental Health Condition after Hospitalization For members who complete an office visit with their PCP or behavioral health specialist within 7 days of a hospitalization for a mental health condition, and an additional $20 gift card for completing an office visit within 30 days of hospitalization for a mental health condition. Newborn)
4 $20 Gift Card for Completing and A1c Diabetic Screening For non-dual Medicaid members only with diagnosis of schizophrenia or bi-polar receiving antipsychotics once a year. $20 Gift Card for Diabetic Eye Exam Each Year For diabetic members after completing a diabetic eye exam. Limited to non-dual Medicaid only members. $20 Gift Card for an A1c Blood Test For diabetic members after completing an A1c blood test each year. Limited to non-dual Medicaid only members. $30 Gift Card for Getting an A1c Blood Test Twice in a Year For diabetic members only. Limited to non-dual Medicaid only members. Four Visits per Year with a Registered Dietitian For Diabetic Members age 21 and older. $10 Gift Card for Members after Completing a Doctor Follow- Up Visit within 30 Days of Hospital Discharge $10 Gift Card Each Year for Members who go to a Follow-Up PCP Visit within three weeks of being in the Emergency Room Limited to Hidalgo Members. $20 Gift Card for Members who go to a Follow-Up Doctor Visit within 7 Days of One Hospital Stay per Year. $25 Gas Card for Doctor Follow-Up Visit One time for members who have a doctor follow-up visit within 30 days of leaving the hospital. $20 Gift Card for Member with Major Depression For members with major depression and who are currently taking antidepressant medication, who remain on their medication for 84 days, and an additional $20 gift card for remaining on medication for 180 days. Home Visits Up to 8 extra hours of respite services per calendar year for members who are unable to care for themselves due to absence of or need for relief for their unpaid caregiver. Service (Hidalgo Members (Non-SPW Members Only Only
5 must be authorized by a Molina Service Coordinator. For non- STAR+PLUS Waiver (non-spw) members 21 and older. Emergency Response System Services For members who are determined to be in need of this service. Service must be authorized by a Molina Service Coordinator. (For non-star+plus Waiver (non-spw) members 21 and older. Home Blood Pressure Monitoring Kit For members with cardiovascular disease and/or hypertension. Home Exercise Kit For members age 12 and older with a BMI of 30 or more and for diabetic members with an A1c lab result of 8 or more. Body Weigh Scale For members with congestive heart failure, once per year. Accessory Tote Bag One Time for Members STAR+PLUS Nursing Facility: within 30 days of enrollment Skid Proof Socks For new Nursing Facility members within 30 days of confirmed enrollment, one time only Personal Blanket For new Nursing Facility members within 30 days of confirmed enrollment, one time only. Pest Control Services Every Three Months For members living in Bexar, El Paso, Harris and Jefferson who complete the three month Breathe with Ease Disease Management Program. (Non-SPW Members Unborn) (Bexar, El Paso, Harris & Jefferson $25 Gas Card for Doctor Visits, Every Three Months $20 Over-the-Counter (OTC) Card Every three months, upon request, for OTC medicines and other medical or health related supplies not covered by CHIP, for RSA members only. $20 Gift Card for Getting All Well-Child Visits on time each year. (RSA Newborn)
6 $20 Gift Card for Getting all Childhood Immunizations on time for members age 18 and younger. $75 Gift Card Each year for non-dual diabetic members who refill their diabetic medication for 6 consecutive months. $25 Gift Card For non-dual female members ages 21-64, at average risk for cervical cancer, who complete a recommended cervical cancer screening. $75 Gift Card Each year for non-dual members with a diagnosis of hypertension who refill their high blood pressure medication for 6 consecutive months. Value Added Services are fulfilled by Molina Healthcare. Members must be enrolled with Molina at the time of the checkups, exams, and/or test. Limitations and restrictions may apply. STAR and STAR+PLUS members may access the Medicaid Transportation Program. Call toll-free (855) for covered transportation services. Have questions? Call Provider Services at (855) , Monday to Friday, 8:00 a.m. 5:00 p.m. CST.
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