Member Resources

Current Member Handbook  

• Member Handbook (PDF)

Forms 

• Authorization to Use / Disclose PHI Form (PDF)
• Authorization to Use / Disclose PHI Form - Spanish (PDF)
• Revocation of Authorization to Use / Disclose PHI Form (PDF)
• Appeal Form (PDF) 
• PCP Change Form - English (PDF)
• PCP Change Form - Spanish (PDF)
• Health Risk Screening Form (PDF)

Transportation

• Home State Expands Transportation Benefit to Include Uber and Lyft (PDF)
• Home State Transportation Benefits (PDF)
• Home State Mileage Log (PDF)

 Telehealth

• Medicaid Telehealth Information (PDF)

Newsletters and Health Resources

2021

• Summer Member Newsletter 2021 (PDF)
• Spring Member Newsletter 2021 (PDF)

2020

• Winter Member Newsletter 2020 (PDF)
• Fall Member Newsletter 2020 (PDF)
• Summer Member Newsletter 2020 (PDF)

Helpful Links 

• https://mydss.mo.gov/media/pdf/missouri-resource-guide
• www.epa.gov/lead
• https://www.epa.gov/lead/protect-your-family-exposures-lead
• http://health.mo.gov/living/environment/lead/publications.php
• http://www.healthychildren.org
• http://www.babycenter.com/baby
• http://www.marchofdimes.com/
• http://www.thehotline.org/
• www.cdc.gov/diabetes
• www.cdc.gov
• www.choosemyplate.gov
• www.healthfinder.gov
• www.lung.org
• www.yourdiseaserisk.wustl.edu
• www.cancer.org
• www.aarp.org
• www.mentalhealth.va.gov
• http://ww5.komen.org/BreastCancer/UnderstandingBreastCancer.html
• www.heart.org
• http://kidshealth.org/
• http://www.nutrition.gov/
• www.eatright.org
• www.sicklecellkids.org
• www.sicklecelldisease.net
• http://sicklecelldisease.org/

Approval Date: March 18, 2014

Approval Code: HSHP14075