your child’s checkups - um health partners · your child’s checkups make the most of well-child...

Summer 2017

Your child’s checkupsMake the most of well-child visits

IS MY TEENAGER due for any vaccines? Does my picky preschooler eat enough healthy food?

As a parent, you often have questions like these. Getting answers is just one reason to take your child to regular well-child visits.

Once a yearNo matter how old or young, kids need to see their health care provider at least once a year.

These checkups are a chance for you and your child to ask a health care expert all kinds of questions.

A full examDuring these visits, the provider will often do a physical exam and:

■Check the child’s height and weight. ■ Track growth and development. ■Offer advice on safety, proper eating, sleep and exercise habits. ■Help make sure your child gets their shots and boosters on time.

University of MarylandHealth Partners1966 Greenspring Drive, Suite 100Timonium, MD 21093

Standard U.S. Postage

PAIDWalla Walla, WAPermit No. 44

Kids need to see their health care provider at least once a year.

■ Screen for hearing, vision and other health problems.Remember, it’s a good chance to

talk about what’s on your mind. So just ask. And encourage your child to ask questions too.

Source: American Academy of Pediatrics

Join us!University of Maryland Health Partners is in your community, and we’d love to see you! For a current list of community events we are participating in, check our website at umhealthpartners.com.

Healthy PARTNERS

Prior authorization required for opioidsNew requirement for opioid medication prescriptions

OPIOIDS ARE DRUGS that act on the nervous system to relieve pain. Continued use and abuse can lead to physical dependence and withdrawal symptoms.

Effective July 1, the State of Maryland and every managed care organization (MCO), including University of Maryland Health Partners (UMHP), will require prior authorization (PA) for certain opioid prescriptions. This means that your doctor may be required

to provide information about the purpose of the medication, the dose or the quantity. Once your doctor provides the information, a decision is made within 24 hours.

If you cannot wait for the decision, a three-day emergency fill is available but will use the initial prescription and the doctor will need to provide a new prescription for more medication.

If the PA request is denied, a denial letter will be mailed to you. You or your provider can appeal the denial by using the process outlined in the denial letter.

If you have any questions about this change, call our member services department at 800-730-8530 or 410-779-9369.

Keep your blood pressure below 140/90. If you have a history of high blood pressure, stay healthy by taking your medications as prescribed. Talk to your doctor about a 90-day supply to avoid running out.

Sources: American Heart Association;

National Heart, Lung, and Blood Institute

Summer 2017

HPV shots for preteens What if you could help your child avoid cancer someday? The HPV vaccine lets you do that.

It helps protect against certain types of HPV. They cause many types of cancer, such as those of the cervix, mouth, throat and penis.

The HPV vaccine works best when kids get the shots long before they start having sex. Doctors recommend the HPV vaccine for both girls and boys at ages 11 to 12.

But females up to age 26 and males up to age 21 can still get shots to help guard against HPV and cancer. Sources: American Academy of Pediatrics; Centers for Disease Control and Prevention

Special help for special needs

DID YOU KNOW that there is a Special Needs Department at your fingertips to help with a variety of issues you or your family members may be facing? This is an additional benefit available to you because you are enrolled with University of Maryland Health Partners. Special Needs Coordinators and Licensed Clinical

Social Workers are here to help our members with housing issues or homelessness, coordination of care for mental health and developmental disabilities, substance abuse treatment, HIV/AIDS care planning, assistance with physical disabilities, and other issues that may affect your health and overall well-being.

ENGLISH ATTENTION: If you speak English, language assistance services, free of charge, are available to you. Call 1-800-730-8530 (TTY: 711). SPANISH ATENCIÓN: Si usted habla español, tenemos servicios de asistencia lingüística disponibles para usted sin costo alguno. Llame al 1-800-730-8530 (TTY: 711). CHINESE

小贴士：如果您说普通话，欢迎使用

免费语言协助服务。请拨1-800-730-8530 (TTY: 711). KOREAN

알림: 한국어를 하시는 경우 무료 통역

서비스가 준비되어 있습니다. 1-800-

730-8530 (TTY: 711)로 연락주시기

바랍니다. VIETNAMESE CHÚ Ý: Nếu quy vi nói tiêng Việt, thì có sẵn các dịch vụ trợ giúp ngôn ngữ miễn phí dành cho quy vi. Hãy gọi sô 1-800-730-8530 (TTY: 711). FRENCH ATTENTION : Si vous parlez français, des services gratuits d’interprétation sont à votre disposition. Veuillez appeler le 1-800-730-8530 (TTY: 711).

TAGALOG Pansinin: Kung nagsasalita ka ng Tagalog, mga serbisyo ng tulong sa wika, nang walang bayad, ay magagamit sa iyo. Tawagan ang 1-800-730-8530 (TTY: 711). RUSSIAN ВНИМАНИЕ: Если вы говорите на русском языке, вам будут бесплатно предоставлены услуги переводчика. Звоните по телефону: 1-800-730-8530 (телетайп: 711). AMHARIC ማስታወሻ: የሚናገሩት ቋንቋ ኣማርኛ ከሆነ የትርጉም እርዳታ ድርጅቶች፣ በነጻ ሊያግዝዎት ተዘጋጀተዋል፡ ወደ ሚከተለው ቁጥር ይደውሉ 1-800-730-8530 (መስማት ለተሳናቸው: 711). KRU (Bassa) Dè ɖɛ nìà kɛ dyéɖé gbo: Ɔ jǔ ké m [Ɓàsɔɔ-wùɖù-po-nyɔ] jǔ ní, nìí, à wuɖu kà kò ɖò po-poɔ ɓɛìn m gbo kpáa. Ɖá 1-800-730-8530 (TTY:711) IBO Ntị: Ọ bụrụ na asụ Ibo, asụsụ aka ọasụ n’efu, defu, aka. Call 1-800-730-8530 (TTY: 711). YORUBA AKIYESI: Bi o ba nsọ èdè Yorùbú ọfé ni iranlọwọ lori èdè wa fun yin o. Ẹ pe ẹrọ-ibanisọrọ yi 1-800-730-8530 (TTY: 711).

URDU ،ںیہ ےتلوب یزیرگنا پآ رگا :ہجوت وک پآ تفم ،تامدخ تنواعم نابز لاک 8530-730-800-1 ۔ ںیہ بایتسد ۔ (711 :یئاو یٹ یٹ) ںیرک FARSI

کنید، توجھ: چنانچھ بھ زبان فارسی صحبت میخدمات کمک زبانی، بھ صورت رایگان، در اختیار شما قرار خواھد گرفت. (TTY: 711) 8530-730-800-1با شماره تماس بگیرید. FRENCH CREOLE ATANSYON: Si w pale Kreyòl Ayisyen, gen sèvis èd pou lang ki disponib gratis pou ou. Rele 1-800-730-8530 (TTY: 711). PORTUGUESE ATENÇÃO: Se fala português, estão disponíveis serviços gratuitos de assistência linguística na sua língua. Telefone para 1-800-730-8530 (TTY: 711). ARABIC مالحظة: إذا كنت تتحدث العربیة، تتوفر خدمات

اللغویة مجانا من أجلك. اتصل بالرقمالمساعدة 1-).711(الھاتف النصي: 800-730-8530 GUJARATI

: જો તમ જરાતી બોલતા હો, તો િ◌ન:

ભાષા સહાય સવાઓ તમારા માટ

છ. ફોન કરો 1-800-730-8530 : 711).






730-8530 (TTY: 711)로 연락주시기





اللغویة مجانا من أجلك. اتصل بالرقمالمساعدة 1-).711(الھاتف النصي: 800-730-8530 GUJARATI

: જો તમ જરાતી બોલતા હો, તો િ◌ન:


છ. ફોન કરો 1-800-730-8530 : 711).






730-8530 (TTY: 711)로 연락주시기





اللغویة مجانا من أجلك. اتصل بالرقمالمساعدة 1-).711(الھاتف النصي: 800-730-8530 GUJARATI ના: જો તમ જરાતી બોલતા હો, તો િ◌ન:


ઉપલબધ છ. ફોન કરો 1-800-730-8530 (TTY: 711).

Living SmartIf you are living with a chronic condition, you may be able to benefit from the Living Smart chronic condition management program.

This program is designed with you in mind:

● To help you understand the day-to-day management of your condition.

● To help you follow your doctor’s plan of care. ● To help you improve your quality of life.Visit umhealthpartners.com

to take your wellness screening assessment today. You can also call 844-898-9213 (TTY: 711) and ask to speak to a Living Smart health coach.

Take steps to understand your health! Choose a provider that meets

your cultural needs. Use our online directory to search for a provider by language and/or gender.

If your provider does not speak your language, it’s OK to ask for a translator. Translation services are offered free of charge.

Ask questions during your appointment:

■What is my main health issue? ■What do I need to do? ■Are there any treatment alternatives? ■Are there any side effects? ■How will this help me?

Ask someone to go to your appointment with you. They can help you understand and remember answers to your questions.

Take a list of your current medications to every appointment.

Take a list of your current conditions, past surgeries and illnesses to every appointment.

Nondiscrimination NoticeUniversity of Maryland Health Partners complies with applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability or sex. University of Maryland Health Partners does not exclude people or treat them differently because of race, color, national origin, age, disability or sex.

University of Maryland Health Partners:

■ Provides free aids and services to people with disabilities to communicate effectively with us, such as:

● Qualified sign language interpreters.

● Written information in other formats (large print, audio, accessible electronic formats, other formats).

■ Provides free language services to people whose primary language is not English, such as:

● Qualified interpreters. ● Information written in other languages.

If you need these services, contact Member Services at 410-779-9369, or toll-free at 800-730-8530, 8 a.m. to 5 p.m. EST, Monday through Friday. TTY users should call 711.

If you believe that University of Maryland Health Partners has failed to provide these services or

discriminated in another way on the basis of race, color, national origin, age, disability or sex, you can file a grievance with:

University of Maryland Health Partnersc/o Appeals and Grievance Department1966 Greenspring Drive, Suite 100Timonium, MD 21093Phone: 410-779-9369 or toll-free at 800-730-8530Fax: 410-779-9367

You can file a grievance in person or by mail, fax or email. If you need help filing a grievance, the Appeals and Grievance Department is available to help you. You can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights, electronically through the Office for Civil Rights Complaint Portal, available at https://ocrportal.hhs.gov/ocr/portal/lobby.jsf or by mail or phone at:

U.S. Department of Health and Human Services200 Independence Ave., SWRoom 509F, HHH BuildingWashington, DC 20201800-368-1019, 800-537-7697 (TDD)

Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html.

Did you know?UMHP covers eye exams every year if you’re under 21, and every two years for adults. If you need glasses, we’ll cover those too! Schedule your eye exam today!

410-779-9369 800-730-8530

TTY: 711

Email us: [email protected]

8 a.m. to 5 p.m. Monday–Friday

After hours, listen to our voicemail for information on how to access urgent or emergency care.

You will also hear information on how to access our 24/7 nurse advice line, pharmacy benefits, vision and dental care, behavioral health and substance abuse care, and prior authorization. You can also leave us a secured voicemail. We will return your call the next business day.

Visit MyHealth Portal at umhealthpartners.com to view eligibility, check claims status, view authorizations, request a new ID card or update your information.

STAY CONNECTED umhealthpartners.com

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Make an asthma action plan

CONTACT US

ASTHMA HAS a variety of symptoms: coughing, wheezing, chest tightness, shortness of breath. But there’s one thing it shouldn’t make you feel: powerless.

In fact, there’s a lot you can do to keep asthma symptoms from flaring up in the first place. Your physician can work with you to develop a plan that will help keep your asthma under control so you can live a healthy, active life.

Find your triggersThese are irritants and allergens that cause your asthma symptoms. Triggers vary from person to person but may include dust, animal dander, tobacco smoke, mold, pollen, polluted air and chemicals from products such as hair spray.

Take your medicationsFaithfully take the medicines that help prevent and control your asthma symptoms. Most people with asthma use both long-term and fast-relief medicines.

Long-term medicines help keep the airways open and can prevent asthma symptoms from flaring up. They should be used daily as advised by your doctor. TIP: Ask your doctor for a 90-day prescription.

Fast-relief medicines help control asthma symptoms when they occur. You should carry a quick-relief inhaler throughout the day.

Prepare for emergenciesYou need to know what to do if you have a serious asthma attack.

You should call your doctor if your medicines don’t provide relief.

You should call 911 if:■You have trouble

walking or talkingbecause you’re out ofbreath.

■Your lips or fingernailsare blue.Your doctor can give

you more advice on asthma emergencies.

Check with the expertsSee your doctor regularly to make sure your asthma plan is working well, and be sure to follow up with your doctor within two weeks of having an asthma emergency.

Sources: American College of Allergy, Asthma and Immunology; National Institutes of Health

your child’s checkups - um health partners · your child’s checkups make the most of well-child...

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