Member Resources
Current Member Handbook
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
Newsletters and Health Resources
2021
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
- 2014 Fall Member Newsletter (PDF)
- 2014 Summer Member Newsletter (PDF)
- 2014 Spring Member Newsletter (PDF)
- 2014 Winter Member Newsletter (PDF)
- 2013 Fall Member Newsletter (PDF)
- 2013 Summer Member Newsletter (PDF)
- Raising Well Pediatric Obesity Program (PDF)
- Choose MyPlate Nutrition Tip Sheet (PDF)
- Nutur UpBeat Newsletter - English (PDF)
- Nutur UpBeat Newsletter - Spanish (PDF)
- 2015 Summer Member Newsletter (PDF)
- 2015 Spring Member Newsletter (PDF)
- 2015 Winter Member Newsletter (PDF)
- Fall and Winter Member Newsletter 2016 (PDF)
- Spring Member Newsletter 2016 (PDF)
- Summer Member Newsletter 2016 (PDF)
- Spring Member Newsletter 2017 (PDF)
- Fall Member Newsletter 2017 (PDF)
- Winter Member Newsletter 2017 (PDF)
- Pregnancy and Lead Poisoning - English (PDF)
- Pregnancy and Lead Poisoning - Spanish (PDF)
- Lead Safety: Protect Yourself at Work (PDF)
- Preventing Lead Poisoning - Tips for Families (PDF)
- Winter Member Newsletter 2018 (PDF)
- Spring Member Newsletter 2018 (PDF)
- Summer Member Newsletter 2018 (PDF)
- Fall Member Newsletter 2018 (PDF)