MIChild Newsletter...Learn to fill you plate by following MyPlate and you will be on the road to a healthier you! Tips for eating healthy: Balancing Calories • Enjoy your food, but

www.MolinaHealthcare.com 1

In This Issue

Flu Season is Here! pg 1

Yearly Check Ups pg 2

Developmental Screenings pg 2

Healthy Eating pg 3

Let’s Protect Our Loved Ones pg 3

Health Care Fraud pg 4

Get Your Child Lead Tested pg 5

Lemon Velvet Supreme pg 5

Nurse Advice Line pg 6

All rights reserved. All information has been written and reviewed by doctors, nurses, health educators, and registered dietitians. All material in this publication is for information only. This does not replace your doctor’s advice.

Molina Healthcare does not discriminate in providing medical care on the basis of preexisting health conditions, race, color, religion, age, national origin, disability, or sex.

MIChild NewsletterMolina Healthcare of Michigan • Fall 2011

Flu Season is Here!No one likes to be sick. Take a few steps to make sure you stay healthy this flu season.

Get the flu shot!

• Getting the flu shot can reduce your risk of getting the flu. • The Centers for Disease Control and Prevention (CDC) recommends that all

people 6 months of age and older should get an annual flu shot. • The flu shot DOES NOT does not give you the flu! • Please talk with your doctor to see if the flu shot is right for you.

Try to avoid getting the flu!

• Wash your hands with soap and water for 15-20 seconds to kill flu germs. Trying singing the ABC’s with your children to make it fun.

• Don’t touch your face. This is the most common way to transfer germs to your mouth and eyes.

• Don’t share stuff like cups, utensils, phones, keyboards and other objects that can spread flu germs.

• Drink plenty of fluids. This will help flush germs out of your system and keep you hydrated.

Know the symptoms!

• A fever between 102º and 104º F that lasts 3 days• Muscle aches and pains• Feeling very tired• Headache• Chest discomfort• Other symptoms include a cough, stuffy nose, sore throat, and sneezing.

Stay home and take good care of yourself when you are sick!

• Eat well and drink fluids to stay hydrated. Try drinking water and eating soup or popsicles.

• Get plenty of rest. • Over-the-counter medicines may be used to reduce fever, aches and pains. If you

have other medical conditions or take other medicines, ask your doctor or call a nurse before taking additional medicines.

Remember, the flu is a virus. That means antibiotics won’t cure it. They don’t work against things usually caused by viruses like colds, the flu, or most coughs and sore throats.

FLOYD the Flu Bug

MIChild Newsletter • Fall 2011 • Michigan

2 www.MolinaHealthcare.com

Is there a difference between a yearly check up and a sports physical exam? The answer is yes.

Important Developmental Screenings for Your Babies!

Children should have a Well Child visit at the ages of 1, 2, 4, 6, 9, 12, 15, 18, 24, and 30 months. Your child needs at least 6 visits BEFORE the age of 15 months.

At the 9, 18 and 30 month visits, it is important for your child to have a developmental screening done. The screenings help to make sure your child is developing as he or she should. They will let you know if there is anything that may need further care.

Steps for the Screening

• You will answer a few questions about how your child is developing.

• Your child’s doctor will go over your answers during the check-up.

• You may be given a referral to other doctors that will help with learning, development or behavioral problems.

Molina mails postcard reminders for all well child visits. So remember to:• Call early to make the appointment. • Say “I am calling to schedule a Well Child visit.” • Ask for the developmental screening at the 9, 18,

and 30 month visits.

Yearly Check-Up• Get Physical Exam• Discuss Medical History• Covers other topics like:

o Healthy & Safe Habitso Social Responsibilityo Family Relationshipso Schooling Plans

**Can be used as a Sports Physical**

Sports Physical• GetPhysicalExam• DiscussMedicalHistory• Doesnotcountasyouryearly

check-up**Is not covered by MIChild **

VS.

So don’t forget to schedule your yearly check-up and remember to bring the following with you to the visit:•Yourimmunization(shot)records•Anyquestionsorconcernsyoumayhave



A New Approach to Healthy EatingWhat is MyPlate?The USDA (United States Department of Agriculture) has decided to replace the Food Pyramid with the new simpler MyPlate. MyPlate will:

• Help us make better food choices. • Remind us to eat a variety of foods.

• Teaches us the five food groups. • Make it easy for you to see how to fill your plate!

Learn to fill you plate by following MyPlate and you will be on the road to a healthier you!

Tips for eating healthy:

Balancing Calories• Enjoy your food, but eat less.• Avoid oversized portions.

Foods to Increase• Make half your plate fruits and vegetables.• Make at least half your grains whole grains.• Switch to fat-free or low fat (1%) milk.

Foods to Reduce• Compare sodium in food like soup, bread, and frozen meals –

and choose the foods with lower sodium numbers.• Drink water instead of sugary drinks.

To learn more about how MyPlate works visit: http://www.choosemyplate.gov/.

Let’s Protect Our Loved OnesChildren between 11-12 years of age should have a yearly check-up and get the following vaccines (shots) if they haven’t already had them:

• Meningitis (MCV4) vaccine*• Tetanus, Diphtheria, Pertussis (Tdap) vaccine*• Chickenpox (Varicella) vaccine*• Human Papillomavirus (HPV) vaccine

• Hepatitis A (Hep A) vaccine• Hepatitis B (Hep B) vaccine• Polio (IPV or OPV) vaccine• Flu vaccine (every fall or winter)

*All children 11-18 years of age who are changing school districts or who are going to start the 6th grade must have these shots.

Call your doctor now to make an appointment.



Health Care Fraud

What is Health Care Fraud? Health Care Fraud includes but is not limited to making known false statements on any record, bill, claim or any other form in order to obtain payment or repayment for health care services. Molina Healthcare is working with state and federal agencies to help prevent fraud.

Examples of Fraud and AbuseBy a Member By a Provider

Lending your ID card to someone other than yourself. Billing for services, procedures and/or supplies that have not been given.

Changing the number of refills on a prescription. Giving services to patients that are not medically needed.

Making false statements to get medical or pharmacy services.

To falsely change:• the benefits payable for services.• procedures and or supplies.• dates services and/or treatments were given.• medical record of service.• condition treated or diagnosed.• charges or repayment.• non-covered treatments to receive payment and • billing for services not given.

Using someone else’s insurance card. Hiding patients misuse of Molina Healthcare card.

Giving false information to get health care coverage. Leaving out information to get health care coverage. Giving incorrect information, on purpose, to receive benefits.

Not reporting a patient’s changing of a prescription.

Pretending to be someone else to receive services.

If you suspect fraud, report it today. You can call or write, without giving us your name. You can contact:

Molina Healthcare or Michigan Department of Community Health Attn: Compliance Director Attn: Medicaid Integrity Program Section100 W. Big Beaver Road, Suite 600 Capitol Commons Center BuildingTroy, MI 48084 400 S. Pine Street, 6th Floor1-877-372-5361 (hotline) Lansing, MI [email protected] 1-866-428-0005

HELP STOP HEALTH CARE FRAUD!



Protect Your Family! Get Your Child Lead TestedChildren should be tested at the ages of 12 and 24 months old. If your child is between the ages of 3 to 6 years and has never had a lead test, make sure to get one done.

Here are 6 things you can do to protect your child from lead poisoning:• Test children even if they seem healthy.• Wash their hands often.• Make sure they eat healthy low-fat foods high in iron, calcium, and Vitamin C. Fatty foods help lead get into

your child’s blood faster.• Test your home.• Let tap water run 1 minute before using.• Be careful when buying children’s toys and jewelry from all stores.

Please call your child’s doctor to schedule a lead test, if needed.Let’s work together to keep our children healthy and safe!

Chef lLemon Velvet SupremeServing Size: 1/6 of recipeNumber of Servings: 6

Ingredients:

2 cups vanilla yogurt, fat-free3 Tablespoons instant, lemon pudding mix8 squares graham crackers, crushed1 (4 ounce) can mandarin orange slices, drained (or your favorite fruit)

Instructions:

1. Mix vanilla yogurt and pudding mix; gently stir together.

2. Place crushed graham crackers in bottom of serving dish.

3. Pour pudding mixture over cracker crumbs.4. Top with orange slices or your favorite fruit.


#MIC-QI-70/Rev9/8/115944DM1011

Questions about your health?

Call Our Nurse Advice Line!

English: 1-888-275-8750 Spanish: 1-866-648-3537

Nurse Advice Line isOPEN 24 HOURS!

Your family’s health is our priority!

TTY (English): 1-866-735-2929TTY (Spanish): 1-866-833-4703

100 West Big Beaver Road, Suite 600Troy, MI 48084

ATTN: CREDENTIALING COORDINATOR MOLINA HEALTHCARE OF MICHIGAN 100 W BIG BEAVER RD STE 600 TROY MI 48084-9632

NO POSTAGENECESSARY

IF MAILEDIN THE

UNITED STATES

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POSTAGE WILL BE PAID BY ADDRESSEE

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IMPORTANT: DO NOT ENLARGE, REDUCE OR MOVE the FIM and POSTNET barcodes. They are only valid as printed! Special care must be taken to ensure FIM and POSTNET barcode are actual size AND placed properly on the mail piece to meet both USPS regulations and automation compatibility standards.

ATTN: CREDENTIALING COORDINATOR MOLINA HEALTHCARE OF MICHIGAN 100 W BIG BEAVER RD STE 600 TROY MI 48084-9632

NO POSTAGENECESSARY

IF MAILEDIN THE

UNITED STATES

BUSINESS REPLY MAILIM YORTLIAM SSALC-TSRIF PERMIT NO. 708

POSTAGE WILL BE PAID BY ADDRESSEE

Artwork for User Defined (4.25" x 6")Layout: \\troymisxr06\redir\q73tzb\my documents\artwork\brm envelope.lytAugust 23, 2007 12:42:56

Produced by DAZzle Designer 2002, Version 4.3.08(c) Envelope Manager Software, www.EnvelopeManager.com, (800) 576-3279U.S. Postal Service, Serial #NO

IMPORTANT: DO NOT ENLARGE, REDUCE OR MOVE the FIM and POSTNET barcodes. They are only valid as printed! Special care must be taken to ensure FIM and POSTNET barcode are actual size AND placed properly on the mail piece to meet both USPS regulations and automation compatibility standards.

Enrollee Board Member Election Ballet

MEMBER SERVICES DEPARTMENT

Enrollee Board Member Election

Molina Healthcare would like your help picking two new members for our Board of Directors. The elected will take part in meetings and give ideas on how we can better service you.

This is an election ballot provided for you. You may vote for two of the four candidates listed. Please make your selection and return your ballot by December 1, 2011.

Here are the candidates for the Board of Directors:

Linda Betts has been a Molina Healthcare member since 2010. She is a retired nurse and lives in Grand Rapids, Michigan. Linda volunteers at the local health center and a veteran’s home. She says “she would like to provide some input from a senior point of view.”

ETrue Bryant has been a member of Molina Healthcare since 2009. She lives in Detroit, Michigan. ETrue is a member of the Molina Healthcare Member Advisory Council and active in the Farwell Recreational Center. She states “she brings understanding and knowledge and is willing to bring recommendations to the table.”

Willie Ann Johnson has been a Molina Healthcare member since 2007. She lives in Detroit, Michigan. Willie Ann does volunteer work for the city of Detroit and her church. She states “she wants to be the voice of the members and help others.”

Marissa Morgan has been a member of Molina Healthcare since 2004. She lives in Detroit, Michigan. Marissa is a previous Molina Healthcare Board member. Marissa sits on the Virginia Park Citizen Council Board and is active in her community and church. She states her motto is “I live, I learn and I grow.”

Enrollee Board Member Election Ballot

IMPORTANT INSTRUCTIONS:• You must be a Molina Healthcare member, over the age 18 to vote (not a spouse or dependent).• Print your name and Molina Healthcare identification number in the space below• Check the box in front of the name of the candidate of your choice• Do not vote for more than two candidates or your ballot cannot be counted

VOTE FOR ONLY TWO: ☐ Linda Betts ☐ ETrue Bryant ☐ Willie Ann Johnson ☐ Marissa Morgan

For your vote to be counted, we need you to print your name and Molina Healthcare I.D. number

Name_________________________________________________________

Molina Healthcare I.D. No.________________________________________All votes must be received by Dec 1, 2011Fold in half and seal so your information remains private. No postage is needed for mailing. QI-562/Rev9/19/11

5944DM1011

Documents

MIChild Newsletter...Learn to fill you plate by following MyPlate and you will be on the road to a healthier you! Tips for eating healthy: Balancing Calories • Enjoy your food, but