La Rabida Care Coordination by La Rabida Childrens Hospital

Dear Parents,

Welcome to La Rabida Care Coordination! We are looking forward to working with

you and your child’s doctors. Like you, our first concern is helping make YOUR CHILD as healthy as possible. We have teamed up with doctors who are already taking care of your child. Our services are FREE to you and you will get them only if you want them. The choice is yours. We will help you: • Know when to call the doctor • Learn more about your child’s treatment and test results • Sort through conflicting advice • Get extra services to help you manage • Get the appointments your child needs • Give you advice by phone when you need it, even at night or on weekends We will stay in touch with you by phone, home visits or meetings at your doctor’s office. We will call you soon to ask some questions about your child’s health. We also want to hear what you think would help keep your child as healthy as possible. We look forward to talking with you. If you have any questions, call us anytime at 1-855-238-4859. Translators are available if you need them. If you think La Rabida Care Coordination is not the right plan for your child, you can still change to a different plan within 90 days of your enrollment date, by calling the Illinois Client Enrollment Services at 1-877-912-8880 (TTY: 1-866-565-8576) or www.enrollhfs.illinois.gov. You will have a chance to change plans again in one year during your annual open enrollment period. Thank you for allowing us to help improve your child's health! Sincerely, Victoria Thompson, RN, MS, CCM | Clinical Director La Rabida Care Coordination Ph: 1-773-753-8643 Fax: 773-363-6773 TTY: 7-1-1 larabida.org/CCE Si usted necesita esta información en español, favor de llamar a la línea de la enfermera, teléfono 1-855-238-4859 (llamada gratis).

Table of Contents Your Child’s Care Team . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3,4 Your Child’s Care Plan . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 Working with your Child’s Doctors. . . . . . . . . . . . . . . . . . . . . 5,6 When to use the Emergency Room . . . . . . . . . . . . . . . . . . . . . . 7 Regular Check-ups and Immunizations . . . . . . . . . . . . . . 7,16,17 Staying in Touch . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 Keeping Your Child in School . . . . . . . . . . . . . . . . . . . . . . . . . 7 Other Help . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 More Information about La Rabida Care Coordination. . . . . . 8,9 Privacy and Confidentiality. . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 Your Child’s Medicaid Benefits. . . . . . . . . . . . . . . . . . . . . . 10,11 Rights and Responsibilities . . . . . . . . . . . . . . . . . . . . . . . . . . . 12 Grievances . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 Appeals . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 Reporting Abuse and Neglect . . . . . . . . . . . . . . . . . . . . . . . . 15 CDC Immunization Recommendations . . . . . . . . . . . . . . . . 16,17 Helpful Words. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18 Notes and Questions. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19 You can get this information in different languages and formats, including large print and Braille, by calling 1-855-238-4859 (TTY call 711).

Your Child’s Care Team The major players on your child’s care team are:

• You and your child • Your child’s doctor: also called Primary Care Provider (PCP) or “medical home” • Specialists • Community service providers • Care Coordination Team You and Your Child You live with your child day in and day out. You will notice the first signs of growth (hooray!). You’ll also be the first to notice if something is not right. You are the first person your child talks to about how he or she feels. All of these things are important information to tell your Care Team. You are also the person who is carrying out most of the care plan. Your thoughts on what will work and what won’t are important. If there are stumbling blocks, let us know. We’ll talk over options and work with you to make a workable plan. The plan has to be practical to be successful. You and your family have learned a lot taking care of your child – we’ll want to know about that because your knowledge helps all of us create the best possible health plan. Finally, you may have challenges that aren’t related to your child’s health, but still make it harder to carry out the health plan. Tell us about those, too – we can work with you to find solutions. We want you to be as successful as possible.

Your Child’s Doctor: also called Primary Care Provider (PCP) or “Medical Home” Your child’s PCP is the doctor who gets to know you and your child. Your child’s PCP watches your child grow, gives your child check-ups and shots, and refers your child to specialists when needed. The PCP listens to your concerns and is the person to call if your child gets sick. Finally, the PCP organizes all that information into a health care plan. The PCP’s office is your child’s “medical home” – the place your child always goes back to for care. You do not need a referral to see your PCP.

Your Child’s Specialists Your child may have a specialist, a doctor who knows a great deal about a specific condition. Specialists work with your PCP. If specialists and doctors get busy and don’t get a chance to talk to one another, families sometimes receive conflicting advice. If that happens, your Care Coordination Team will help you get that straightened out. Your PCP will give you a referral when you need to see a specialist.

Your Child’s Care Team

(Continued from p.3)

Your Child’s Community Service Providers Some services can make a health plan go more smoothly. Examples include: transportation, special equipment, physical therapy, home tutoring and recreation programs. You can learn more about your child’s condition. You might want to meet others with similar experience. Family supports, such as food assistance or counseling, help also. Many services do not require a referral. As we learn more about your family’s strengths and challenges, we can find ways to help you at home.

Your Child’s Care Coordination Team Your child's Care Manager and Care Coordinator are your child's Care Coordination Team. Our job is to help your child’s experience go smoothly. We also help organize all the recommendations – including yours – into one Care Plan. Call us at 1-855-238-4859 when:

• You notice a change in your child’s health or behavior – good or bad • You wonder if you should call your child’s doctor • You have questions about your child’s treatment or test results • You think some part of the care plan is not working • Your child is missing school • You need more information • You want to learn how to take care of your child better • You feel overwhelmed taking care of your child • Your child needs an appointment or a service • You are upset about something having to do with your child’s care • You can’t get your child to an appointment • You have any other good news, worry, question or concern We may visit you at your house, at your child’s appointment, or at some other place comfortable for you, so we can work with you on your child’s health care plan. Talk with your Care Coordinator at 1-855-238-4859 if you have any questions about a visit.

Your Child’s Care Plan Our job is to make sure that all the plans for your child – the ideas you have, and those of your child’s doctors, specialists, therapists and anyone else helping your child – get sorted out and put in one place. The plan will be the “to do” list for everyone to follow in helping your child be as healthy as possible. We will check with the plan frequently to make sure we are following it. We want you to understand and agree to the plan. After all, the plan will only work if it makes sense to you. So let us know if there is something in the plan that needs to be changed. You will soon be able to look at the plan any time you want by computer – or get a copy of the plan at your next appointment. If you have questions about the plan, call your Care Coordination Team at 1-855-238-4859. Finally, we want to pay special attention to your child’s own goals (and your goals for your child) and how we can help you attain them. So let us know your thoughts.

Working with Your Child’s Doctors Your child or teen should have regular check-ups from his/her PCP. There are no co-pays for this service. The check-up may include a physical exam, immunizations that keep your child from getting certain diseases, tests (such as urine or blood tests) and education about staying healthy. It is also another opportunity to tell the PCP about any concerns you may have. We will help get your child scheduled for these check-ups. We work closely with your child’s doctors to help them be of most help to you. Here’s how you can make best use of your child’s next appointment:

Before the appointment:

• Keep a list of questions as they come up • Write down any changes (good or bad) you notice in your child’s health or behavior • Put all prescriptions, over-the-counter medications, vitamins and anything else your child may be taking into a bag

• Find your insurance card • Bring paper and pencil • Plan your transportation to arrive 10 to 15 minutes early • Call your Care Coordinator at 1-855-238-4859

o if you have questions about your appointment or how to get there

o if you are worried about the appointment

Working with Your Child’s Doctors At the appointment:

(Continued from p.5)

• Ask your most important questions first. • Tell the doctor how many times your child takes each medication, including anything another doctor prescribed or something that no one has prescribed.

• If the doctor recommends a test, procedure, or new medication, ask:

o What is it? Why is it needed?

o How will your child feel afterwards?

o What to do if the child does not feel as expected.

•

If the doctor gives you new instructions for your child:

o Ask what to do and what to expect.

o Repeat back what the doctor said, to make sure you understand.

o Find out who to call if you have more questions later.

•

If the doctor recommends another appointment:

o Ask the reason for the appointment.

o Schedule the appointment before you leave.

o Put the appointment on your calendar.

o Call your Care Coordinator at 1-855-238-4859 if you are worried about getting to the appointment.

• Bring home the written list of instructions (the care plan). After the appointment:

• Follow the doctor’s instructions and the care plan. • Write down any changes you see in your child’s health or behavior. • Call your doctor about any sudden changes. • Call your Care Coordinator at 1-855-238-4859 if you have any other questions or concerns. 6

When to use the Emergency Room Talk with your child’s doctor about when to use the Emergency Room: If your child has a serious medical problem, go to the Emergency Room right away! Emergencies include: seizures, trouble breathing, a broken bone, a serious burn, a high fever, bleeding that won’t stop or any other medical problem you think is serious. Check if your child's doctor has special emergency instructions for your child. If you go to the Emergency Room, call us right away at 1-855-238-4859. We’ll make sure your child’s doctor knows. We’ll work with you and the hospital staff to get what your child needs. Talk with your PCP about when to call the doctor: Call the PCP if your child is sick (fever, cough, runny nose, ear ache, rash) or is running out of medication. Check if your child's PCP has special instructions for your child about when he/she wants to be called. Call your Care Coordination team at 1-855-238-4859 for everything else. Sometimes families wait to call for advice. They don’t want to bother anybody. Call your Care Coordination team even if your worry seems small. Call us even at night or on weekends. We want to help before the problem gets bigger. Remember, you know your child best! You will likely be the first to notice any changes – good or bad – in your child’s health or behavior. Tell us about both kinds of changes.

Regular Check-ups and Immunizations Your child or teen should have regular check-ups from his/her PCP. There are no co-pays for this service. The check-up may include a physical exam, immunizations that keep your child from getting certain diseases, tests (such as urine or blood tests) and education about staying healthy. It is also another opportunity to tell the PCP about any concerns you may have. We will help you get your child scheduled for these check-ups.

Staying in Touch Care Team members stay in touch with each other. Do we have your latest address and phone numbers? Also tell us another way to contact you – such as a relative’s phone number. Call us at 1-800-238-4859 whenever there are changes. Call your providers if you have to change an appointment. We’ll do our part to stay in touch with you.

Keeping Your Child in School Your child’s education is a key part of his or her health. We will work with you and your child’s school to make a plan. Please let us know if this plan is not working, so we can change it. We do not want your child to miss school. We also can arrange for tutoring. Read and talk with your child as much as you can. Talk about the things you see: "Look at that tree! It's big! See the green leaves? What else is green?" Talk even before your child is old enough to understand – and ask other family members to do the same.

Other Help Sometimes the care of a child can be overwhelming – after all, the rest of life doesn’t stop just because you are busy with your child. The rest of your family needs you, too. Part of our job is to talk over how it’s going and identify ways to make it easier. Sometimes there is a specific service or piece of equipment that can make your life easier. Counseling can identify things you can do to make home life go better. Legal advice can solve a problem with the school or with a landlord that is getting in the way of your child’s health. Or maybe you need a rest. Talk these things over with us – between the two of us we will figure out what might be possible.

More Information About Who is eligible for La Rabida Care Coordination? La Rabida Care Coordination serves children with complex conditions in Cook County whose PCPs are working with us. Call 1-855-238-4859 or check larabida.org/CCE to see if your child’s doctor is in our system.

How do I know if my child is eligible for services? The Department of Healthcare and Family Services will tell you in a letter if your child is eligible for “CCE” services. Call Client Enrollment Services at 1-877-912-8880 to find out if a child is eligible. We can also look it up for you on the computer.

Payment Care Coordination services are free to you. They come to you as part of the benefits your child receives from the Department of Health Care and Family Services (Medicaid). See more about your child’s Medicaid benefits on pages 16 and 17.

What if we need an interpreter? Your doctor’s office may have interpreter services. We can also arrange for an interpreter for any healthrelated service. Call 1-855-238-4859 to ask for an interpreter.

What if I need to reach my PCP after hours? Your PCP – or someone assisting him or her – can be reached anytime day or night, by calling the PCP's main office number. But if you are not sure whether to call your PCP – or you need something or someone else – call our 24/7 Heath Advice Line at 1-855-238-4859.

What if I have a problem with my child’s PCP? Can I change PCPs? Tell your Care Manager or Care Coordinator as soon as something doesn’t seem right and we’ll help you straighten things out. Call 1-855-238-4859 if you are not sure what to do next. It’s often best to work through a problem with your PCP. Afterward you may find the relationship is better than before. If you decide to change your PCP, you may pick any other PCP and location we are working with. You can change PCPs as often as once a month. We don’t recommend changing PCPs that often! PCPs work best when they can get to know you and your child over time.

What if I want to change health plans? If you think La Rabida Care Coordination is not the right plan for your child, you can still change to a different plan within 90 days of your enrollment date, by calling the Illinois Client Enrollment Services at 1-877-912-8880. Once 90 days have passed, you may next change plans one year after your enrollment date. You will get a letter in the mail telling you when you can change. But if you have questions, call the Illinois Client Enrollment Services any time at 1-877-912-8880.

Privacy and Confidentiality Your child’s medical information is private. It is our job to keep private:

• The names of everyone in your household, their address and phone • Your child’s recipient identification number (the number on his/her HFS or All Kids medical card) • Your child’s date of birth and social security number • Your child’s admission/discharge date or medical procedure and diagnosis Sometimes we need to share your private information with others, for example:

• • • • •

If the doctor recommends another appointment: To help you get medical care To arrange payment for your care To manage your health care program If we are required by law

Your Medicaid Benefits Medicaid makes the following services available to you. You may use any doctor or other provider who is enrolled as a Medicaid provider. For some services you will need to pay a small fee – called a co-pay – but Medicaid will pay the rest. Here are the services available to your child:

• Doctor services • Dental services • Emergency room services • Hospital services (inpatient and outpatient) • Maternity care (special care during and after pregnancy) • Surgery • Medicines (prescription drugs) • Lab and X-ray services • Mental health treatment (inpatient and outpatient) • Substance abuse treatment (inpatient and outpatient) • Medical supplies and equipment • Transportation for emergency medical care • Home health services • Early intervention services • Audiologist (hearing) services • Eye glasses • Optometrist (eye) services • Podiatric (feet) services • Chiropractic services • Intermediate care for people who are developmentally disabled • Care in skilled pediatric nursing facilities • Nursing home services • Regular checkups and shots for children • Renal (kidney) dialysis services • Nursing care • Physical therapy, occupational therapy, speech therapy • Hospice care • Respiratory (breathing) equipment and supplies 10

Many commonly used providers DO NOT REQUIRE A REFERRAL, such as these below: Dental Services Children should visit the dentist every six months. They should start no later than age 2. The dentist will make sure your child’s teeth are healthy and clean. The dentist will recommend any other services that might be needed. The dentist also will help your child learn how to take good care of his/her teeth. In some cases, there may be a co-pay for services, but there are no co-pays for exams. There may also be limitations on how often you can get a service. If you have any questions about finding a dentist or what is covered under your dental benefit, call your Care Coordination Team at 1-855-238-4859.

Vision Services Children can get eye exams, eyeglasses, and specialty services if needed. There may be co-pays for a vision exam and other services. Some vision services and materials, such as contact lenses and low vision devices, require prior approval before you can get them. Your vision care provider will request prior approval if necessary. If you have questions about finding vision services, call your Care Team at 1-855-238-4859

Prescription Drugs Medicaid covers prescription drugs. Your child will need a doctor’s prescription. There are co-pays for most medications. The amount of the co-pay depends on the type of drug and the specific AllKids program your child is in. Do you wonder whether Medicaid will cover a prescription? Do you want to know if there will be a co-pay? Ask your doctor or call the HFS Health Benefits Hotline at 1-866-468-7543 (TTY 1-877-2041012).

Transportation Sometimes it is hard to get to your child’s medical appointments. You may not have a car. It may be difficult to use public transportation. You may not be able to afford cab fare. You may be able to get help with a ride to your PCP or clinic. Medicaid covers non-emergency transportation to the nearest possible provider only. (This is not for ambulance services.) Talk with your Care Coordination Team about your transportation needs.

OB/GYN Services Some children are old enough for OB/GYN services. We can help your child get whatever services she needs.

FOR MORE INFORMATION ABOUT YOUR MEDICAID BENEFITS

See http://www.allkids.com/customers/handbook.html or call 1-877-255-5437 (TTY: 1-877-204-1012). The call is free. You can call Monday to Friday, 8:30 am to 5:00 pm

Your Rights and Responsibilities You have the right to:

• Be treated with respect, dignity, and privacy • Have your PCP explain your treatment in a way that makes sense to you • Ask questions and have them answered by your PCP • Make decisions about the care you get. This includes saying “no” to care you don’t want • Get a copy of your medical records from your PCP and have the records corrected if needed • Change your PCP as often as once a month • Pick the same PCP for you and your family, or pick different PCPs for each member of your family • Call your PCP and get help • Complain about your PCP • Be free from any means of discrimination or retaliation You have the responsibility to:

• Learn your rights as an Medicaid member • Keep your appointments and cancel in advance the ones you cannot keep • Treat your PCP with respect • Tell your PCP about your health care needs and about any other health care services you are getting • Keep up-to-date on immunizations (shots) • Contact your PCP first for care that is not an emergency • Get a referral from your PCP before getting care that needs a referral • Tell your PCP about other services you get that do not need a referral • Let your caseworker know about important changes, such as changes in your name, address, phone number, income or family size

• Share important information that is needed by your providers • Follow the instructions and guidelines given by your PCP

Grievances If You Have A Problem or Complaint La Rabida Care Coordination wants children to get the best possible service. When something goes wrong or you are not treated well, we want to know.

I. GRIEVANCES

A grievance is a complaint to La Rabida Care Coordination about any matter related to the health, safety or well-being of an enrollee or dissatisfaction about any matter other than a denied, reduced or terminated service or medical item. La Rabida Care Coordination takes enrollee grievances very seriously. We want to know what is wrong so we can make our services better. La Rabida Care Coordination has special procedures in place to help enrollees who file grievances. We will do our best to answer your questions or help to resolve your problem or concern. Filing a grievance will not affect your child’s health care services or benefits coverage. These are examples of when you might want to file a grievance with La Rabida Care Coordination:

• Your child’s medical provider or a

La Rabida Care Coordination staff member did not respect your rights.

•

You had trouble getting an appointment with your child’s provider or Care Coordinator, or you weren’t able to talk with your provider or Care Coordinator, in an appropriate amount of time.

• You were unhappy with the quality of care or treatment your child received.

1. You call the La Rabida Care Coordination Helpline at toll free 855-238-4859, or 711 – Voice/TTY to report it. 2. You can put your grievance in writing and mail, email or fax it to: La Rabida Care Coordination 6501 S. Promontory Drive Chicago, IL 60649 Fax Number 1-773-363-6773 vithompson@larabida.org 3. You can also register your grievance on the La Rabida Care Coordination website, larabida.org/CCE. When you file your grievance, give us as much information as you can. For example, include the date and place the incident happened, the names of the people involved, and details about what happened. Be sure to include your own name and the best way for us to contact you. You can choose another person to help you file a grievance with us, and represent you in the grievance process. You will need to fill out the Authorized Representative Designation form. This form is on the La Rabida Care Coordination website, larabida.org/CCE]. You can also obtain this form by calling: La Rabida Care Coordination Helpline at 1-855-238-4859

Step 2: Reviewing your grievance

We will make a record of your grievance. We will have someone not involved with the matter you are complaining about review your grievance and try to find a solution. Your satisfaction is important to us.

Step 3: Taking action on your grievance

We take action on all grievances within 30 days of receiving it. We will let you know what we decide.

• Your child’s provider or a La Rabida Care

Step 4: If you are not satisfied with the action we take on your grievance, you may write to:

• Your child’s provider or a La Rabida Care

Illinois Department of Healthcare and Family Services Bureau of Managed Care Attn: CCE Grievances 401 South Clinton Street, 6th Floor Chicago, IL 60607

Coordination staff member was rude to you.

Coordination staff member was insensitive to your cultural needs or other special needs you may have.

Step 1: How to file a grievance.

If you have a grievance about your child’s Primary Care Provider, La Rabida Care Coordination, or the service you have received:

Someone from HFS will review the matter and follow up with you as quickly as possible.

Appeals II. APPEALS

You may not agree with a decision or an action made by the Illinois Department of Healthcare and Family Services (HFS) or the Illinois Department of Human Services (DHS). An appeal is a way for you to ask for a review of actions and decisions by HFS or DHS (both are called “the Department” here). For example, you may not agree with a decision made or an action by the Department about your services or a medical item you requested. You may appeal within sixty (60) calendar days of the date on the letter from the Department informing you of its denial or action. If you want your services to stay the same while you appeal, you must file your appeal no later than ten (10) calendar days from the date on the Department’s letter informing you of its denial or action. When you appeal, you are asking for a hearing to review the Department’s action or decision that you disagree with. The person reviewing the Department’s action or decision will be a hearing officer. The list below includes examples of when you might want to file an appeal. You may want to appeal if the Department:

• Does not approve or pay for a service or item that you or your provider asks for

• Stops your benefits (coverage) • Says that you will start to get fewer benefits • Changes your co-payments You can also appeal if you think the Department made a mistake about any action or decision. You may not get a hearing on your appeal if the Department’s action or decision was because of a change in the law. How to Make an Appeal When you file your appeal, tell the Department what action or decision you disagree with and want them to review. Be sure to include your name, address, phone number, email, and your HFS Medical Card Identification Number (the “ID#” next to your name on the Medical Card). An appeal is filed either with HFS or DHS, depending on the Department that made the decision you are contest-

ing. Generally, an appeal is filed with the agency that made the decision and sent you the letter informing you of its denial or action.

• If you want to file an appeal related to your medical

services or items, Developmental Disability(DD), or Elderly Waiver (Community Care Program (CCP)) services, send your request in writing via mail, fax, or email to: Illinois Department of Healthcare & Family Services Attn: Fair Hearings Section 401 South Clinton, 6th Floor Chicago, IL 60607 Fax: 1-312-793-2005 Email: HFS.FairHearings@illinois.gov Or you may call HFS at 1-855-418-4421. If you use a TTY, call HFS at 1-877-734-7429. The call is free.

• If you want to file an appeal related to your Medicaid

application eligibility, food stamps, TANF, Persons with Disabilities Waiver services, Traumatic Brain Injury Waiver services, HIV/AIDS Waiver services, or any Home Service Program (HSP) services, send your request in writing via mail, fax, or email to: Illinois Department of Human Services Attn: Bureau of Hearings 401 South Clinton, 6th Floor Chicago, IL 60607 Fax: 1-312-793-3387 Email: DHS.BAHNewAppeal@illinois.gov Or you may call DHS at 1-800-435-0774. If you use a TTY, call DHS at 1-877-734-7429. The call is free.

Reporting Abuse and Neglect Let us know right away if your child may have been abused or neglected. Call us at 1-855-238-4859. Call us even if you are not sure. Please do not wait more than four hours to call us. ABUSE Abuse is when someone causes physical, mental or sexual harm to a person, or steals their money.

Physical Abuse is hurting another person on purpose. Mental Abuse is using words to hurt or scare a person. Sexual Abuse is tricking or forcing a person to have sex. Financial Abuse is using a personâ&#x20AC;&#x2122;s money without their okay. NEGLECT Neglect is when a person is taking care of someone else, but does not give that person food, clothes, a place to live or medical care. FRAUD Tell us also if you think a person is committing fraud. Fraud is accepting money that is not meant for you. Some samples of fraud that you may see are not telling the truth on an application or pretending to be someone else in order to receive money. Sending a bill when services were not done is also fraud. Health Advice Line is available 24 hours a day, 7 days a week at 1-855-238-4859

month

For more information, call toll free 1-800-CDC-INFO (1-800-232-4636) or visit http://www.cdc.gov/vaccines

you don’t need to start over, just go back to your child’s doctor for the next shot. Talk with your child’s doctor if you have questions about vaccines.

NOTE: If your child misses a shot,

months

19–23

Two doses of HepA vaccine are needed for lasting protection. The first dose of HepA vaccine should be given between 12 months and 23 months of age. The second dose should be given 6 to 18 months later. HepA vaccination may be given to any child 12 months and older to protect against HepA. Children and adolescents who did not receive the HepA vaccine and are at high-risk, should be vaccinated against HepA.

* Two doses given at least four weeks apart are recommended for children aged 6 months through 8 years of age who are getting a flu vaccine for the first time and for some other children in this age group.

HepA§ See back page for more information on vaccine preventable diseases and the vaccines that prevent them.

Varicella

IPV

DTaP

4–6

years

Varicella

2–3

years

MMR

Influenza (Yearly)*

DTaP

months

MMR

IPV

PCV

Hib

months

HepB

months

If your child has any medical conditions that put him at risk for infection or is traveling outside the United States, talk to your child’s doctor about additional vaccines that he may need.

FOOTNOTES:

IPV

PCV

Hib

Hib PCV

DTaP

PCV

months

Shaded boxes indicate the vaccine can be given during shown age range.

your new baby and yourself against whooping cough, get a Tdap vaccine in the third trimester of each pregnancy. Talk to your doctor for more details.

months

HepB

Is your family growing? To protect

HepB

Birth

2014 Recommended Immunizations for Children from Birth Through 6 Years Old

CDC Immunization Schedule

0 through 6 Years Old

These shaded boxes indicate the vaccine should be given if a child is catching-up on missed vaccines.

For more information, call toll free 1-800-CDC-INFO (1-800-232-4636) or visit http://www.cdc.gov/vaccines/teens

MCV4 Dose 13

Booster at age 16 years

These shaded boxes indicate the vaccine is recommended for children with certain health conditions that put them at high risk for serious diseases. Note that healthy children can get the HepA series6. See vaccine-specific recommendations at www.cdc.gov/vaccines/pubs/ACIP-list.htm.

Tdap vaccine is combination vaccine that is recommended at age 11 or 12 to protect against tetanus, diphtheria and pertussis. If your child has not

received any or all of the DTaP vaccine series, or if you don’t know if your child has received these shots, your child needs a single dose of Tdap when they

are 7 -10 years old. Talk to your child’s health care provider to find out if they need additional catch-up vaccines.

2 All 11 or 12 year olds – both girls and boys – should receive 3 doses of HPV vaccine to protect against HPV-related disease. Either HPV vaccine (Cervarix®

or Gardasil®) can be given to girls and young women; only one HPV vaccine (Gardasil®) can be given to boys and young men.

3 Meningococcal conjugate vaccine (MCV) is recommended at age 11 or 12. A booster shot is recommended at age 16. Teens who received MCV for the

first time at age 13 through 15 years will need a one-time booster dose between the ages of 16 and 18 years. If your teenager missed getting the vaccine

altogether, ask their health care provider about getting it now, especially if your teenager is about to move into a college dorm or military barracks.

4 Everyone 6 months of age and older—including preteens and teens—should get a flu vaccine every year. Children under the age of 9 years may require

more than one dose. Talk to your child’s health care provider to find out if they need more than one dose.

5 Pneumococcal Conjugate Vaccine (PCV13) and Pneumococcal Polysaccharide Vaccine (PPSV23) are recommended for some children 6 through 18 years old with certain medical conditions that place them at high risk. Talk to your healthcare provider about pneumococcal vaccines and what factors may place your child at high risk for pneumococcal disease.

6 Hepatitis A vaccination is recommended for older children with certain medical conditions that place them at high risk. HepA vaccine is licensed, safe,

and effective for all children of all ages. Even if your child is not at high risk, you may decide you want your child protected against HepA. Talk to your

healthcare provider about HepA vaccine and what factors may place your child at high risk for HepA.

FOOTNOTES

These shaded boxes indicate when the vaccine is recommended for all children unless your doctor tells you that your child cannot safely receive the vaccine.

Varicella Vaccine Series

Measles, Mumps, Rubella (MMR) Vaccine Series

Inactivated Polio Vaccine (IPV) Series

Hepatitis B (HepB) Vaccine Series

Hepatitis A (HepA) Vaccine Series6

Pneumococcal Vaccine5

Influenza (Yearly)

Meningococcal Conjugate Vaccine (MCV4) Dose 13

HPV

Human Papillomavirus (HPV) Vaccine (3 Doses)2

MCV4

Tdap

Tetanus, Diphtheria, Pertussis (Tdap) Vaccine

Tdap 1

13-18 YEARS

11-12 YEARS

7–10 YEARS

2014 Recommended Immunizations for Children from 7 Through 18 Years Old

CDC Immunization Schedule

7 through 18 Years Old

Helpful Words Care Coordination – Your La Rabida Care Coordination Team will help you arrange medical care and other services that you need. Co-payment/Co-pay – This is a small fee that you may have to pay for some services, such as prescription drugs. Your co-payments depend on your age and the service you receive through your HFS Medical Card. Covered Services – The services you get through the HFS Medical Card. Call the HFS Health Benefits Hotline at 1-866-468-7543 (TTY: 1-877-204-1012) to find out what services are covered for you. The call is free. Helpline –You can call the Illinois Health Connect Helpline for information about enrollment or picking a doctor. Call 1-877-912-1999 (TTY:1-866-565-8577) Monday – Friday, 8 am to 7 pm. The call is free.

The Illinois Department of Healthcare and Family Services (HFS) The state agency that runs the HFS Medical Programs (Medicaid).

Illinois Health Connect (IHC) – A Medicaid health care program which helps you pick a PCP, a medical home, and Care Coordination services.

Immunizations – Shots that help prevent sicknesses like measles, mumps and chicken pox. Medical Home – A medical home is the place you go for your healthcare needs. Your medical home is where all of your records are kept. You and your family will go to your medical home to see your Primary Care Provider (PCP) when you are sick or it is time for a checkup.

Primary Care Provider (PCP) – Your family doctor, nurse or other healthcare provider at your medical home who takes care of you and your family.

Referral – May be required when you seek services with a provider that is not your PCP. Your Care Coordinator will work with you to get the referrals that you need.

Specialist – A doctor who practices a special kind of medicine, like an ear, nose and throat doctor or a

foot doctor.

What do you wish for your child?

Questions for your Childâ&#x20AC;&#x2122;s Doctor:

Notes

Numbers You Should Know Care Coordinator: Case Manager: Primary Care Doctor (PCP): Specialist Doctor 1: Specialist Doctor 2: Specialist Doctor 3: Other Service 1: Other Service 2: Pharmacy Number: Transportation Services: Emergency Contact Person: Emergency: 911 Poison Control Number: 1-800-222-1222

REMEMBER YOU are the first to know when something is not quite right.

CALL US ANYTIME 1-855-238-4859 TTY call 711 larabida.org/CCE Health Advice Line is available 24 hours, 7 days a week. Consejos de Salud Line está disponible 24 horas, 7 días a la semana.

6501 S. Promontory Drive, Chicago, IL 60649

Eligibility Eligible children are identified as “CCE eligible” by Medicaid. Ask your doctor’s office to check your child’s eligibility or call the Illinois Client Enrollment Services at 1-877-912-8880 (TTY 1-866-565-8576) to see if your child qualifies.

How to Enroll

1. List which doctors you want your child to be able to see. 2. List what hospitals and other services (such as a physical

therapist or a counselor) you want your child to be able to use.

3. Call the Illinois Client Enrollment Services at 1-877-912-8880 to ask which plans will allow you to use the doctors, hospitals and other services you listed.

4. Pick the plan that allows you to get the services you want from the providers you have chosen.

Si usted necesita esta información en español, favor de llamar a la línea de la enfermera, teléfono 1-855-238-4859 (llamada gratis).