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

Transportation

• Home State Transportation Benefits (PDF)
• Home State Mileage Log (PDF)

Telehealth

• Medicaid Telehealth Information (PDF)

Health Resources

• Breast Pump Flyer (PDF)

Newsletters

• Qtr 1 2024 Member Newsletter (PDF)
• Qtr 2 2024 Member Newsletter (PDF)
• Qtr 3 2024 Member Newsletter (PDF)
• Qtr 4 2024 Member Newsletter (PDF)

Helpful Links

• The EPA's webpage on Lead Exposure and Resources
• Protect Your Family From Lead Exposures by EPA
• Missouri Department of Health Publications on Lead
• Healthy Children website by American Academy of Pediatrics
• Baby Center website
• March of Dimes website
• The Hotline website by National Domestic Violence Hotline
• The CDC's webpage on Diabetes
• The CDC website
• My Plate website by the U.S. Department of Agriculture
• My Health Finder website by the U.S. Department of Health and Human Services
• Lung website by American Lung Association
• Your Disease Risk webpage by Siteman Cancer Center and Washington University
• Cancer website by American Cancer Society
• AARP website
• Mental Health Resources webpage by the U.S. Veterans Affairs
• Breast Cancer Resources webpage by Susan G. Komen
• Kids Health website by Nemours Children's Health
• Nutrition website by U.S. Department of Agriculture
• Eat Right website by Academy of Nutrition and Dietetics
• Sickle Cell Disease Educational Repository website by Sickle Cell Disease Association of America
• Sickle Cell Disease website by Sickle Cell Disease Association of America

Approval Date: 11/4/2014

Approval Code: HSHP14075