Comm. 480 MCO Comparison Chart: Value-Added Services

MCO Comparison Chart: Value-Added Services

Comm. 480 (1/16) Page 1 of 14

Service Amerigroup Iowa, Inc. AmeriHealth Caritas Iowa, Inc.

UnitedHealthcare Plan of the

River Valley, Inc.

Family Planning

and Resources

Bright Start Maternity Program:

Offering pregnant moms

education, services, and support

during and after their pregnancy.

Potential incentives for healthy

behaviors.

Baby Blocks: Program keeps

members and their babies healthy

during pregnancy and the baby's

first 15 months of life. Includes:

• Email and text message

appointment reminders;

• Program to keep track of doctor

visits;

• Rewards for visiting the doctor.

Community Baby Showers:

Events for pregnant moms that

will give moms education,

information, and support through

the Bright Start Program.

Community Baby Showers:

Participate in fun activities and

learn important health information

for you and your baby.

Boys and Girls Club Membership:

Free Boys and Girls Club member-

ship for kids 6 to 18 at participating

clubs.

4yourkidscare: Giving moms

and families education and

information about caring for

children when they are sick.

Text4baby: To help new and

pregnant moms keep themselves

and their babies healthy. You’ll get

three text messages each week

during your pregnancy and your

baby’s first year with health and

safety tips.

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Service Amerigroup Iowa, Inc. AmeriHealth Caritas Iowa, Inc.

UnitedHealthcare Plan of the

River Valley, Inc.

Family Planning

and Resources

(Cont.)

Virtual physician visits to Nurse

HelpLine through video streaming

via secure internet connection or

through an app on a mobile phone.

Telehealth Services and Tele-

Monitoring: Program provides

in-home health monitoring for

members with chronic conditions.

Amerigroup Community Resource

Link: This is a GPS-based

searchable community-based service

to help ensure members are aware of

all local Iowa community-based

services.

Help you find the local services

you need most. Our community

health workers can help connect

you with resources like housing,

food, health education and support

groups, job training, home goods,

legal support, out-of-school

activities, and more.

Online kiosks in place in rural

communities to further enhance

medical access.

Mobile Health Units: Giving

members care in their

communities.

KidsHealth: This online program

brings health facts, parenting

advice, and comfort to children,

teens, and parents/guardians in

Iowa. KidsHealth articles, tools,

and videos can be accessed on a

desktop computer, tablet or

smartphone.

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Service Amerigroup Iowa, Inc. AmeriHealth Caritas Iowa, Inc.

UnitedHealthcare Plan of the

River Valley, Inc.

Family Planning

and Resources

(Cont.)

School/Camp/Sports Physicals:

One sports/school/camp every 12

months. This helps decide

whether it is safe for children to

join in a sport or daytime camp.

An in-network doctor must

complete the physical for children

ages 4-19.

Healthy Hoops: An asthma

education and screening program

that uses basketball to teach

children and parents about

asthma.

Member Wellness Centers (at

select locations): Community

centers where members can:

• Get one-on-one help from an

outreach worker nurse care

manager, and

• Get health and fitness

program information.

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Service Amerigroup Iowa, Inc. AmeriHealth Caritas Iowa, Inc.

UnitedHealthcare Plan of the

River Valley, Inc.

Tobacco

Cessation

Tobacco Cessation Program

includes:

• Telephonic tobacco cessation-

coaching program that includes up

to five proactive coaching,

• Print materials for members

including a Breath Easy

Guidebook and other educational

materials.

Smoking Cessation Program:

Members eligible for pharmacy

benefits will be able to get certain

medicines that help you stop

smoking or using other tobacco

products. Can assist in finding a

counselor or with further

questions.

Tobacco Cessation Program

(Quit for Life® Program): QuitLine

Iowa coaches help members stop

smoking.

Healthy

Incentives

Healthy Rewards Incentive

Program: Earn incentives and

rewards for healthy activities and

behaviors.

Earn $10 in rewards for

completing health risk

assessment and up to $30 in

rewards for completing eligible

health screenings/tests.

Rewards are loaded onto an

AmeriHealth Caritas CARE Card,

which can be used to purchase

items at participating stores.

Community Rewards: Earn

rewards points for healthy

activities. Choose from more than

300,000 items to redeem points.

Waive Co-Pays for physical,

preventative, wellness, and behavior

health.

There are no co-pays except for

ER visits.

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Service Amerigroup Iowa, Inc. AmeriHealth Caritas Iowa, Inc.

UnitedHealthcare Plan of the

River Valley, Inc.

Health and

Wellness

Weight Watchers: Members 18 or

older who meet the participation

requirements will receive vouchers to

attend Weight Watchers.

Weight Watchers: For select

members. Receive coupons for

approved Weight Watchers

meetings to learn valuable skills

about healthy eating and weight

loss.

Weight Management Program:

Wellness centers in select

locations. Talk to someone about

your care, take classes, and get

information about available

programs and events.

Healthy Families: Amerigroup

provides outreach and education to

assist families in taking small, doable

steps toward a healthier lifestyle for

children aged 7-13.

A registered nurse coach will engage

with the member throughout the

program to encourage heathier

eating and increase activity. The

program is six months in duration.

Physicians are provided notification

of member enrollment.

Lose to Win: Provides

counseling, education, and a gym

membership for certain members

with diabetes.

JOIN for ME is a unique program

to help kids reach a healthy weight.

You and your child meet as a small

group with other families and a

skilled coach. Parents also have

the chance to lose weight, feel

better, look better, and get the

things you really want in life.

Your child can earn a gift card

upon completion of JOIN for ME,

Children.

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Service Amerigroup Iowa, Inc. AmeriHealth Caritas Iowa, Inc.

UnitedHealthcare Plan of the

River Valley, Inc.

Health and

Wellness (Cont.)

Personal Exercise Kit: Personal

exercise kits to adults with a primary

or secondary clinical diagnosis of

obesity. May include exercise band,

weights, hydration bottle, and

squeeze bottle.

Focus on Fitness-Gym

Membership: Paid membership

fees after a certain number of

visits at selected gym locations.

Liveandworkwell.com: Members

can access this educational site or

select topics such as work/life

balance and weight loss.

Family Food Program: Nutrition

counseling for members with

certain health conditions, like

diabetes.

Sesame Street Food for

Thought: Learn about food

shopping on a budget, making

healthy meals, and more.

Support to help you make good

food choices that are within

budget, healthy, and help to

develop long term healthy eating

habits.

Empowerment Tour: A health

and wellness program educating

members and community on

health and topics in a faith-based

setting.

Nutrition Counseling: Learn

about diet and health at local

events and health fairs.

Community Health Fairs:

Events within the community to

help AmeriHealth Caritas Iowa,

Inc. gets to know members better

and provide health education and

information.

Community Health Fairs: Get to

know members better and provide

health education and information at

community health fairs.

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Service Amerigroup Iowa, Inc. AmeriHealth Caritas Iowa, Inc.

UnitedHealthcare Plan of the

River Valley, Inc.

Medical

Equipment and

Supplies

Durable Medical Equipment and

Supplies: Helps members when

Medicaid-covered benefits do not

cover or the member has exceeded

monthly or annual cap. Include

incontinence, ostomy, and diabetic

supplies, and assistive technology.

Available to all members participating

in HCBS waiver programs with the

exception of CMH. Monthly cap of

$200. Amerigroup is offering this to

an expanded group of members

above the state’s current policy

guidelines.

Oral Hygiene Kit: Children aged 10

and under and members 10 and

older are eligible to receive an age

appropriate preventative dental

hygiene kit once a year.

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Service Amerigroup Iowa, Inc. AmeriHealth Caritas Iowa, Inc.

UnitedHealthcare Plan of the

River Valley, Inc.

Medical

Equipment and

Supplies (Cont.)

Safelink Phone Service Program:

Program includes one free cell phone

and plans of up to 350 minutes per

month per household at no cost.

Members receive additional 200

bonus lifetime minutes and free

health information text messages.

Members get free calls to

Amerigroup Member Services.

Free Cell Phone and Service

Program: Free cell phones to

qualified members based on

income. This includes free

minutes and unlimited texting to

stay connected to their care

manager, doctor, and family.

Free Cell Phone Program:

UnitedHealthcare MyHealthLine

helps connect with our members

and helps members with their

health and access to care.

Members can quickly and easily

reach us to talk about health

related questions or concerns or to

locate a doctor.

• A free phone and 350 minutes

per month;

• Unlimited text messages;

• Free calls to UnitedHealthcare

Member Services that will not

count toward your 350 minutes;

• Text messages with health tips

and reminders.

All members, except for hawk-I,

are eligible for this program.

Additional

Benefits

HiSet (High School Equivalency

Test): Pays for preparation courses,

as well as, the full battery of tests for

qualified members.

Mission GED: Support for

members who wish to get their

GED. This includes paying for

testing fees and providing

motivational coaching.

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Service Amerigroup Iowa, Inc. AmeriHealth Caritas Iowa, Inc.

UnitedHealthcare Plan of the

River Valley, Inc.

Additional

Benefits (Cont.)

Supported Employment Program:

Annual benefit for members

participating in Brain Injury and

Intellectual Disability waiver

programs. An annual cap of 10

hours of job search activities and 2

job placements available to eligible

members. Amerigroup is offering this

to an expanded group of members

above the state’s current policy

guidelines.

Financial Management Support:

Members and their families are

eligible for a financial health

assessment. This is a self-paced

program on key positive financial

behaviors. All HCBS waiver

participants are eligible including,

adult members, parents of children,

and legal representatives of children

and/or adults.

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Service Amerigroup Iowa, Inc. AmeriHealth Caritas Iowa, Inc.

UnitedHealthcare Plan of the

River Valley, Inc.

Additional

Benefits (Cont.)

Travel Training Program: Annual

benefit for members participating in

Brain Injury, Intellectual Disability,

and Physical Disability waiver

programs. This program includes 10

hours of annual training. For

members who do not meet state

policy guidelines, Amerigroup will

broaden protocols to provide travel

training to promote independence,

supported employment, and access

to community resources.

We work with MTM to provide rides

for eligible members to and from

doctor or therapy visits. This

service may be planned up to 30

days ahead of time. We will pay

for a hotel for trips that need an

overnight stay with prior approval

for eligible members. Visits over

75 miles may need prior approval.

This benefit is limited to Iowa

Health and Wellness members,

Iowa Family Planning, and hawk-i

when standard transportation

benefits are not covered.

Comfort Item: Comfort item for

members in foster care and waiver

programs such as subsidized,

adoptions, and guardianships.

Service includes a stuffed animal or

journal for adolescent and young

adult members.

Self-Advocacy Memberships:

Assists members in developing skills

to advocate for themselves through

training, resources, and participation

in one of four national advocacy

groups.

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Service Amerigroup Iowa, Inc. AmeriHealth Caritas Iowa, Inc.

UnitedHealthcare Plan of the

River Valley, Inc.

Additional

Benefits (Cont.)

Post Discharge Stabilization

Support: Includes a mobile

application and a case management

follow up process that:

• Facilitates member education,

• Helps maintain appointment

attendance,

• Improves medication adherence,

and

• Improves treatment plan

adherence.

The mobile app will support Android

or iOS and will allow members to

track doctor appointments and

medication adherence.

Medication Adherence Platform:

Medication adherence through

electronic pill dispensers that

interfaces with mobile devices.

Home Delivered Meals Program:

Home delivered meals to members

and their families who have been

discharged from the hospital for up to

five days for members and up to

three family members.

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Service Amerigroup Iowa, Inc. AmeriHealth Caritas Iowa, Inc.

UnitedHealthcare Plan of the

River Valley, Inc.

Additional

Benefits (Cont.)

Assistive Devices Program:

Provides equipment to assist daily

living such as extra-long shoe horn,

transfer boards, and non-slip

grippers. (Includes all HCBS waiver

members with the exception of

CHW). Amerigroup is offering this to

an expanded group of members

above the state’s current policy

guidelines.

Personal Backpack for Belongings

Program: Backpack for members in

foster care. May include health

education tip sheets, school supplies,

journal, and drawing supplies.

Caring for Caregivers: This free

six session program is just for

caregivers. The workshops focus

on the needs and health of the

caregiver. Participants will learn

about available resources in their

communities and meet other

caregivers.

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Service Amerigroup Iowa, Inc. AmeriHealth Caritas Iowa, Inc.

UnitedHealthcare Plan of the

River Valley, Inc.

Additional

Benefits (Cont.)

Additional Personal Care

Attendant Support: For all HCBS

wavier program members with the

exception of the CMH. It supports

transition back to the community for

members residing in NFs and ICF/ID

that do not qualify for MFP. An

annual cap of 20 hours will be

applied to all members who meet

eligibility criteria. Amerigroup is

offering this to an expanded group of

members above the state’s current

policy guidelines.

Additional Respite Care Services:

For HCBS wavier members with the

exception of PD. Is geared to

mitigate out-of-home placement have

exceeded their monthly cap or to

support transition back to the

community for members residing in

NFs and ICF/ID that do not qualify for

MFP. An annual cap of 10 in‐home

hours and two out‐of‐home days will

be applied to all members who meet

eligibility criteria. Amerigroup is

offering this to an expanded group of

members above the state’s current

policy guidelines.

MCO Comparison Chart: Value-Added Services

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Service Amerigroup Iowa, Inc. AmeriHealth Caritas Iowa, Inc.

UnitedHealthcare Plan of the

River Valley, Inc.

Additional

Benefits (Cont.)

Community Reintegration Benefit:

Available to members with a goal of

transitioning into the community who

do not meet MFP eligibility criteria or

whose needs exceed the MFP

benefit. Include goods and services

needed for transition, such as

household goods, deposits for

utilities, and rent. Community

integration is set at a $2,500 lifetime

benefit cap.