Friday, December 21, 2012

Manage holiday stress and depression with these tips

Stress and depression can be a big part of the holiday season. There is so much going on this time of year. On top of normal activities, you have to shop, prepare, clean, bake and visit with relatives and friends.

It can be too much sometimes.

Don't let the holidays become something you dread. Take steps to prevent stress and depression. Learn to recognize your triggers such as money problems or personal demands. Be positive. Plan ahead. Seek support.

Here are some tips that should help you manage your holiday stress or depression.

Acknowledge your feelings. It's normal to be sad or grieve when you have lost someone you love. It's normal to miss a friend or family member who you can't visit this year. It's OK to cry or express your feelings.

Reach out. Seek out community, religious or other social events if you feel lonely or isolated. Volunteering to help others is a great way to lift your spirits.

Be realistic and set aside differences. You shouldn't expect everything to be perfect. Traditions often change as our families grow and change. Be open to new traditions and find new ways to celebrate. Try to accept family and friends for who they are. Pick another time to discuss grievances.

Stick to a budget and plan ahead. Decide how much you can afford to spend before you go shopping. Don't try to buy happiness with gifts you can't afford. Set aside specific days for shopping, baking and preparing for guests. Plan menus and make a shopping list. This will help you avoid scrambling around at the last minute.

Don't abandon healthy habits. The holidays should not be your excuse to go wild with food and drinks. This can add to your stress or depression.

Learn to say "No," and take a breather when you need it. Always saying yes can make you feel bitter or overwhelmed. Budget your time. You can't control everything, but say, "No," if you need to, when you can. Your friends will understand. Make time for yourself. Listen to music. Go for a walk. Calm your breathing. Clear your mind and relax.

Seek professional help if you need it. If you are constantly sad, anxious, irritable, hopeless, or can't sleep, talk to your Primary Care Provider (PCP) at your medical home.

Your PCP will help you decide on a treatment plan. If needed, your PCP will refer you to mental health specialists. Illinois Health Connect can help you locate mental health specialists. Call 1-877-912-1999 (TTY 1-866-565-8577). This call is free.

If you are in a crisis or think you may hurt someone, including you, call 911 or go to the emergency room.

If you are not in crisis, but want to speak with someone, there are options.

NAMI Illinois and NAMI Chicago offer peer support groups. The support groups draw on the experience of people living with mental illness, family members and mental health professionals.

The Warm Line is a service that offers peer and family support. It is open Monday-Friday from 8 a.m. to 5 p.m. Call 1-866-359-7953 (TTY 1-886-880-4459). This call is free. Select option 2 for consumers and families and then option 5 for the Warm Line.

Thursday, December 20, 2012

CDPH report shows positive changes in Chicago birth data

Illinois Health Connect would like to congratulate the Chicago Department of Public Health (CDPH) on the encouraging results presented in its recent report titled "Births in Chicago 1999-2009," which provides comprehensive data related to births in the city during that 11-year period.

Data presented in the report includes the number of births, fertility rates, age and health of mothers, and infant birth weight. The data is presented by age, race-ethnicity and Chicago community area. Among the findings:

  • Chicago's teen birth rate decreased 33 percent during the period. This decrease is outpacing the 21 percent national decrease.
  • Women seeking prenatal care during the first trimester increased 10 percent to a new high of 84.3 percent.
  • The percentage of babies delivered at low birth weight decreased to 9.7 percent.
  • The number of births to Chicago women who reported smoking while pregnant was cut by more than half to 3.8 percent in 2009.
  • Birth rates for women 35-44 years old increased 40 percent.

Watch what and how much you eat at holiday gatherings

Especially around the holidays, it's not just what you eat, it's how much. It's important to control the amount you eat. It all adds up even a little at a time.

It is easy to lose track of calories in a party situation. The buffet table usually offers every possible bad choice. Since those bad choices are tasty, this makes it easy to keep eating more and more.

Little plates and cocktail napkins can serve up big meals!


A good tip for holiday parties is to focus on the activities. Food and beverages should be a part of the event, not the center of attention. Get people moving and enjoying each other. Dance! Play active games!

Make smart choices with the dishes you prepare. Serve a raw vegetable tray with a spicy bean dip. Offer fresh fruits. Use whole grains and veggies to make a savory, healthy salad. Offer non-fat or light dressings.

Make small changes to your old recipes to make them healthier. There are plenty of ways to make healthier food choices. Use olive oil, soybean or canola instead of butter, shortening or margarine. Use brown rice instead of white. Try whole wheat flour instead of all-purpose flour. Use non-fat or 1 percent milk instead of whole or 2 percent milk.

When you attend a party, be mindful of the food choices you make. Limit the amount of indulgences in sweets as well as fried, salty snacks.

Instead of potato chips, try popcorn with light butter or unsalted pretzels. Avoid lunch meats like salami, pepperoni and bologna. Instead, eat lean options like turkey, chicken and ham. If you have a choice, pick a baked potato or baked sweet potato instead of French fries. When it comes to sweets, one cookie is OK, not one cookie every ten minutes!

Think about these choices before the party and stick to your plan. Have fun! Enjoy your family and friends! That's what the party should be about.

Tuesday, December 18, 2012

After-hours access reduces emergency department use

The Center for Studying Health Systems Change recently published its findings from a national survey that found that people reporting difficulty reaching their Primary Care Provider (PCP) after hours were significantly more likely to use the emergency department or go without needed care.

Of the 9,577 survey respondents who said they have a usual source of primary care (PCP), 1,470 reported that they attempted to contact their PCP after hours in the past year. Of that group, 20.8 percent said it was "very difficult" or "somewhat difficult" to reach their PCP after hours.

The reported use of the emergency department was 37.7 percent for people who had a difficult time contacting their PCP after hours versus 30.4 percent for those reporting less difficulty with after-hours access. The rate of people going without needed care was also higher for those reporting difficulty with after-hours access: 13.7 percent versus 6.1 percent for those reporting less difficulty.

Illinois Health Connect requires its enrolled PCPs and medical homes to provide 24/7 coverage for IHC clients. This after-hours access must be in the form of an answering service/paging mechanism, or other approved arrangements. Automatic referral to a hospital emergency department does not qualify.

PCPs who do not comply with this component of the IHC Primary Care Provider Agreement are at risk of termination from the IHC program. IHC Quality Assurance Nurses (QAN) will work with practices to help them meet this requirement and avoid unnecessary emergency department use.

QANs are available to meet with IHC providers on an appointment basis to support the work of medical homes through the use of IHC Quality Tools and other clinical trainings. Contact information for QANs is available on the IHC Provider Portal, which can be accessed through the HFS MEDI System, or by calling the IHC Provider Services Help Desk at 1-877-912-1999, extension 3.

Friday, December 14, 2012

Adults can improve health at any age!

It is possible to improve your health at any age. Adults can get back to how they felt when they were younger. They can also feel better at 60 years old than they did at 50 or 40!

Small changes can make a big difference. Adding exercise to your routine is one way to feel better.

Falls are a common cause of injury for older adults. Being active can prevent these falls. Regular exercise strengthens bones and muscles. This will make you less prone to falls and bones are less likely to break when a fall occurs. Keeping your muscles strong can make everyday tasks easier.

Regular exercise is also good for your brain. People who exercise on a regular basis are better able to make decisions than those who are inactive. It is recommended to get 30 minutes of exercise a day. You don't have to do it all at once.

Try a brisk walk. Do something else if walking doesn't sound like fun. Dancing, gardening, fishing and swimming are other great options. Talk to your Primary Care Provider (PCP) if you have questions about exercise.

Another way to improve your health is to eat more fiber. Fiber helps you in three ways. It helps your colon. It reduces the risk of diseases like cancer, heart disease and Type-2 diabetes. It may help lower your cholesterol level.

You can add fiber into your diet with small changes. Eat whole grain bread in place of white bread. Eat an orange instead of drinking orange juice. Eat popcorn instead of potato chips. There are lots of tasty foods that are high in fiber. Fresh vegetables, fresh fruits and dried fruits are great options. So are legumes, such as chickpeas, lentils or baked beans.

Start making some little changes to your routine today. If you stick with it, you will feel better for years to come!

Thursday, December 13, 2012

VFC providers must register with I-CARE

All providers who participate with the Vaccines For Children (VFC) Program must get registered with I-CARE in anticipation of a merger between VFC Illinois and the I-CARE immunization database. The deadline for submitting an I-CARE application is December 31, 2012, for VFC Illinois providers.

The I-CARE registration does not need to be completed prior to December 31, but providers need to have proof they submitted the application. If an I-CARE application has not been submitted by December 31, providers will not be able to order vaccines.

Registration with I-CARE is mandatory for VFC providers as the ordering of VFC vaccines will be strictly online through I-CARE. The VFC Illinois roll out date is expected to be June 2013.

The merger for VFC Chicago providers will roll out once VFC Illinois merger is finalized. VFC Chicago will notify all of its providers with sufficient time to register and train on the I-CARE online odering module.

IHC has a webinar about VFC and I-CARE scheduled for January 23, 2012. Go the IHC webinar page or call the IHC Provider Help Desk at 1-877-912-1999, extension 3 for more information.

I-CARE is a statewide immunization database operated by the Illinois Department of Public Health. I-Care is free and web-based, meaning there is no additional software required. Technical assistance is available at no charge. Registration takes 4-6 weeks to complete.

To request an I-CARE application and get started with registration, send an email to dph.icare@illinois.gov. For additional I-CARE training, complete this survey to be added to the training promotion list.

If you are currently using Electronic Health Records (EHR), you can transfer your immunization records to I-CARE through a secure data exchange. If your EHR vendor can create HL7 immunization messages and can transfer the messages securely, please have your vendor contact Robin Holding at IDPH (robin.holding@illinois.gov).

If your EHR vendor cannot create HL7 messages or cannot transfer them securely, a public health node has been developed to assist your vendor with transferring immunization records to I-CARE. Please contact Mike Jadala at IDPH (mike.jadala@illinois.gov). 

Friday, December 7, 2012

HIV Care Connect offers free services for clients

Illinois HIV Care Connect offers free medical case management services for HIV-positive clients regardless of income. There are eight regional offices throughout the state.

Individuals may qualify for other HIV Care Connect services based on income and insurance status. Services available include, but are not limited to, outpatient healthcare, mental health, oral health, medical nutritional therapy, and outpatient substance abuse counseling.

Providers should contact the regional project director for referral to a case manager. Case managers will inform clients of which services are available to them.

Those interested in providing services through HIV Care Connect should contact the regional director in their area. IHC has a webinar about HIV Care Connect scheduled for February 27, 2013. Go to the IHC webinar page or call the IHC Provider Services Help Desk at 877-912-1999, extension 3 to get further information.

There is free and low-cost clinical training programs and consultation services available for Primary Care Providers through the Midwest AIDS Training and Education Center.

Wednesday, December 5, 2012

Drug Prior Approval policy moves to seven prescriptions per month

The Illinois Department of Healthcare and Family Services (HFS) has announced a continued implementation of the Four Prescription Policy. Effective December 5, HFS clients will need prior approval to fill more than seven prescriptions in a 30-day period.

Prescribers are strongly encouraged to submit prior approval requests using the HFS MEDI System. Entering PA requests via MEDI results in a more efficient review process as it does not require HFS to do data entry. PA requests are typically reviewed within two hours if entered via MEDI, but can sometimes take longer. If a PA request is sent using MEDI application, prescribers can check the status using the confirmation number provided in MEDI.

PA requests can also be submitted using the online form on the HFS Four Prescription Policy page. The HFS Pharmacy phone and fax number, along with the fax form and the online form to check the status of a non-MEDI request, are also available on the Four Prescription Policy Page. Prescribers are strongly discouraged to send PA requests via phone and should not call the HFS Pharmacy number to check the status of a PA request.

Medications exempt from the policy include antibiotics, contraceptives, oncology agents, immunosuppressives, anti-retroviral agents, over-the-counter drugs and non-drug items such as blood glucose test strips and monitors. At this time, this policy does not apply to clients less than 19 years old.

Tuesday, December 4, 2012

Getting a flu shot won't give you the flu

Getting a flu shot won't give you the flu. Flu shots do not have live virus in them. Nasal sprays have weak viruses that can't cause illness.

If you suffer flu symptoms after getting a flu shot, it doesn't mean the shot caused the flu. It can take two weeks after the shot for immunization to build. Prior to that, you can still get sick. It could also be another illness other than flu.

Everyone older than six months old should get a flu shot. It is especially important for those with health conditions such as diabetes and asthma. Children less than five years old and seniors are also at higher risk of the flu.

But even healthy adults and children can get very sick from the flu. You can also protect yourself and others with these tips.

Wash your hands frequently. Cover your cough and sneeze. Stay at home if you are sick.

Talk to your Primary Care Provider at your medical home about getting a flu shot. It is a covered service for all HFS medical card holders. Flu shots are also available from health departments and pharmacies.

It is not too late to get a flu shot. Flu season lasts until May. If you need help finding a provider that offers flu shots, call Illinois Health Connect at 1-877-912-1999. This call is free.

Monday, December 3, 2012

IHC Provider Spotlight: Rural Physician of Excellence Award winners

This post is part of the IHC Provider Spotlight series that will periodically highlight IHC providers for their achievements or for their approach to providing medical homes to IHC clients.

The Illinois Rural Health Association (IRHA) has honored five physicians with the 2012 Rural Physician of Excellence Award, including four doctors who work at Rural Health Centers (RHC) enrolled as medical homes with Illinois Health Connect.

The 2012 honorees are: Dr. Katherine Austman (Family Healthcare of Gibson), Dr. Philip Siefken (Greenville Medical Associates), Dr. Reid Sutton (Family Medical Center in Paris), Dr. Penelope Tippy (West Frankfort Family Medicine) and Dr. Timothy Garrett. Each of the winners were honored this fall in a ceremony in their community.

Calling the shortage of physicians in rural areas one of the nation's "biggest challenges in healthcare," the IRHA developed the Rural Physician of Excellence Award to recognize those doctors who have accepted the calling to serve rural communities and go out of their way to make an impact. Illinois Health Connect, SIU Medical School and Gibson Area Hospital & Health Services were the award sponsors for 2012.

Dr. Austman is the Chief of Medical Staff at Gibson Area Hospital. Serving a rural community has been her focus since she graduated from the University of Illinois College of Medicine at Rockford's R-Med Program, which prepares doctors to practice in a rural setting.

Dr. Austman is certified in neonatal resuscitation, advanced life support for obstetrics, pediatric advanced life support and advanced cardiac life support. In servicing her community, Dr. Austman sometimes treats patients at her home when her clinic is closed.

"It is an honor to accept this award on behalf of my profession," Dr. Austman said. "Though I feel very grateful to receive this accomplishment, I would also like to recognize the staff of Family Health Care of Gibson City -- Nela Medina, Rikki Ricketts, and Sherry McCrants -- who help me every day in providing such a high level of care to our patients. This would also not be possible without the support of my family, friends and community."

Dr. Siefken is board certified in both pediatrics and family practice. According to IRHA, Dr. Siefken is the only pediatrician in Bond County. He was honored in recognition of his dedication to improving healthcare in southern Illinois.

In addition to working at Greenville Medical Associates, Dr. Siefken is on staff at Greenville Regional Hospital. He previously worked and taught in Indiana after completing his residency at Methodist Hospital in Indianapolis. He returned to his hometown of Greenville in 2006.

"I really appreciated the opportunity to win this award amongst my family, friends, patients and co-workers," Siefken said. "It is wonderful that the IRHA recognizes the hard work rural physicians provide."

Dr. Sutton, a family physician, is the Chief Medical Director at Paris Community Hospital/Family Medical Center where he has worked for 35 years. He is the supervising physician for the PCH/FMC weekend walk-in clinic, is the medical director at several nursing homes and works closely with a home for the disabled.

The IRHA cited him for the compassion he shows for his county's most vulnerable citizens residents: the seniors and those with developmental disabilities.

"On behalf of the medical staff, we couldn't be more proud," said Dr. Leland Phipps, who is a colleague at PCH/FMC. "(Dr. Sutton) is astute, kind, and always a gentleman. His excellence doesn't just start and stop at the clinic door. It also includes his service to the community and this institution."

Dr. Tippy, who recently retired as the Director of the Southern Illinois University Family Medicine Residency Program, is the medical director for the SIU Family Practice Centers in Carbondale, Sesser and West Frankfort. She also is the Medical Director for the Physician Assistant Programs at SIU and St. Louis University.

The IRHA noted that Dr. Tippy's affect on healthcare extends beyond the patients she treated. Through teaching in the family practice residency program and the physician assistant programs, Dr. Tippy has indirectly improved the health of numerous others.

"Dr. Tippy's contribution to the healthcare system in Southern Illinois is beyond measure," said Dr. Robert Wesley, who is a IRHA board member and the Executive Director for Regional Medical Programs at SIU Medical School. "When she assumed directorship, the SIU Carbondale Family Practice Residency Program was in perilous straits. Her strength, determination and dedication saved the program from tumbling over the brink. Under her guidance, the program became one of the premier rural family medicine residency programs in the nation."

Sunday, December 2, 2012

IHC catches up with osteopathic providers

Making a fifth consecutive appearance at the Illinois State Osteopathic Medical Society (IOMS) Annual Meeting, Illinois Health Connect staffed a booth in the exhibit hall at the event held November 30 and December 1 in Lombard.

IHC Provider Training Specialist Danielle Parrillo interacted with a variety of osteopathic providers, educating them further about the IHC program.

The learning objectives during the two days IHC was at the event included: integrative therapies, nutrition communication, cardiac emergencies, pulmonary embolisms, podiatric skin conditions, rheumatology injections and aspirations for primary care, and interventional modalities to treat chronic pain.

Friday, November 30, 2012

ISMS discusses the business side of health practices

Illinois Health Connect Provider Services Trainer Danielle Parrillo staffed a booth in the exhibit hall at an Illinois State Medical Society (ISMS) and Chicago Medical Society CME event titled "Time For a Checkup: Improving the Business Side of Your Practice," which was held November 29 in Des Plaines.

It was the second consecutive year IHC attended this event. Ms. Parrillo educated primary care providers and specialists in attendance about the IHC program.

The learning objectives for the event included: assessing important trends in managed care contracting, building and sustaining a productive and positive work environment and distinguishing hidden sources of stress in a practice and learning how to eliminate them.

Thursday, November 29, 2012

Updated HFS co-payment chart is available online

The Illinois Department of Healthcare and Family Services (HFS) recently issued a Provider Release that clarifies the client cost sharing changes that have resulted from the Saving Medicaid Access and Resources Together (SMART) Act.

HFS has also amended its client co-payment chart for All Kids (Assist, Share, Premium Level 1, Premium Level 2), Medicaid Adults, the Breast and Cervical Cancer Program, Illinois Healthy Women and Illinois Veterans Care.

The All Kids website also has a co-payment chart for clients that includes co-payment information for All Kids Share, All Kids Premium Level 1 and All Kids Premium Level 2. There is also a printable version. All Kids Assist co-payment information is not included. All Kids Assist clients do not have co-payments for office or clinic visits.

There are never co-payments for well child visits, immunizations, preventive visit for clients of all ages, diagnostic services or family planning. Family planning related services require a co-payment for office visits.

Starting with dates of service on and after July 16, 2012, HFS will deduct all co-payments from provider reimbursements.

IHC encourages all providers to sign up to receive HFS Provider Releases via E-mail as HFS no longer mails these notices. To sign up for E-mail notification, go to http://www.hfs.illinois.gov/provrel/ and select the appropriate categories.

November 29 UPDATE: This entry was originally posted on August 21, 2012. It was updated to notify providers of the new All Kids co-payment chart for clients and to clarify that there are not co-payments for preventive visits, regardless of age. 

Printable co-payment chart available for All Kids clients

There is an updated co-payment chart on the All Kids website. It was updated to reflect the changes to your benefits.

This new chart can be printed out. It does not have All Kids Assist information. It has co-pays listed for All Kids Share. It also has co-pays for All Kids Premium Level 1 and Premium Level 2.

All Kids Assist clients do not have a co-pay for office or clinic visits.

There are never co-pays for well child visits. There are never co-pays for immunizations. This is true for all levels of All Kids.

For more information, call the All Kids Hotline at 1-866-255-5437 (TTY 877-204-1012).

Monday, November 26, 2012

New website offers consolidated tobacco cessation resources

BeTobaccoFree is a new online resource from the U.S. Department of Health and Human Services that provides the most up to date information about tobacco, health statistics and evidence-based methods on how to quit using tobacco.

The Quit Now page includes a live chat feature, mobile apps, a toll-free quitline number, a quitting guide, as well as resources for parents, educators and healthcare professionals.

Friday, November 23, 2012

Call to see if you qualify for non-emergency transportation

If it is hard for you to get to medical appointments because you do not have a car or cannot afford the gas, you may be able to get a ride with your medical card. This is not for ambulance services.

The Illinois Department of Healthcare and Family Services (HFS) covers non-emergency transportation to the nearest possible provider only. To see if you qualify for non-emergency transportation, call 1-877-725-0569 (TTY: 877-204-1012). Call between 8 a.m. and 5 p.m., Monday through Friday.

You must call at least two business days before your trip. You will need to have your HFS medical card when you call. You will be asked for the name of the doctor or clinic and the address. You will be asked for the reason for the appointment as well as the date and time of appointment.

Monday, November 19, 2012

You can update your address with DHS online

It is important to update the Illinois Department of Human Services (DHS) when you move. This will ensure that your medical card is mailed to your new address.

You can update your address online using this form. A Spanish form is also available. To complete the form, you will need to enter all information with a star (*) next to it. This includes name, new address, date of birth and social security number.

Cases cannot be transferred to another state. You must call your DHS office to close your case. Once case is closed, you must apply for benefits with new state.

To report a change in income or family size, call DHS at 1-800-720-4166. You can also report these changes in person at a DHS office. To find your local DHS office online, use the Office Locator at the bottom of the DHS home page.

You can also update your address and phone number with Illinois Health Connect. This will ensure your Primary Care Provider (PCP) at your medical home can reach you. Call 1-877-912-1999 to speak with IHC about these changes.

Friday, November 16, 2012

Break the pattern of domestic violence today

Get help if you are suffering from domestic violence. Get help now!

Speak with your Primary Care Provider (PCP) at your medical home. Talk with someone you trust. Call 911 in an emergency.

Domestic violence includes all harmful acts within the family or in an intimate relationship. The abuse can be physical or mental. It can happen with relationships of any age.

Children who witness this violence are harmed. Intimate violence can lead to depression. It can lead to substance abuse. It can lead to suicide.

You can get help. Call the DHS Domestic Violence Hotline if you are not in immediate danger. The number is 1-877-863-6338.

Thursday, November 15, 2012

Adults can get well visits too!

Adults can fall into the bad habit of only going to the doctor when they are sick. But, it is just as important for adults to schedule annual well visits as it is for children to do so.

HFS Medical Card holders can get one well visit per year. If you would like help scheduling this appointment, call Illinois Health Connect at 877-912-1999, extension 2.

An adult well visit allows your primary care provider (PCP) to check your health and catch any problems as early as possible. Your PCP will ask questions about your family health history. You will get advice on healthy living. Your blood pressure and cholesterol will be checked.

During your well visit, talk to your PCP about any medications (and herbs) you take. You should ask questions about any health concerns you have.

If you are due for immunizations (shots), you can get those shots at this visit. Many adults assume that the shots they got as kids will protect them as adults. This may not be the case. Adults often need updated vaccinations.

Some adults did not get all of their shots as kids. Newer vaccines were not available when some adults were children. Immunity can begin to fade over time. Adults become more at risk for serious disease caused by common infections such as the flu. Ask you doctor if you are due for adult vaccines.

Your PCP may also give you other tests and send you to a specialist if needed. For example, some women may be sent for a mammogram (an X-ray of the breasts). Some men may be sent for a prostate exam.

Monday, November 12, 2012

Everyone should get a flu shot, including adults

If you have not had a flu shot this year, talk to your Primary Care Provider (PCP). Everyone should get a flu shot every year.

The Chicago Department of Public Health offers an online tool that shows you where you can get a flu shot.

The flu shot can help prevent you from getting the flu. Some people, including older adults, are at higher risk of getting the flu. It is especially important for those with a newborn to get a flu shot. This will protect the baby.

If possible, you should get the flu shot as soon as it is available. The flu shot will not give you the flu.

Washing your hands often will help prevent the flu. This prevents the spread of germs. Other ways to boost your immune system are exercise, proper sleep and a healthy diet.

The HFS medical card covers all medically necessary vaccines for adults. This includes flu shots.

Ask your PCP about other vaccines you may need. Your PCP will review your medical record. If other shots are needed, your HFS medical card will cover them.

IHC Provider Portal offers update request function

The Illinois Health Connect Provider Portal has been updated with two enhancements that enable IHC providers to request updates to their provider information through online submission.

Providers can now request changes to their Location of Service Information, such as office contact information, office hours and location of service indicators. Changes to address or panel restrictions require signed documents and cannot be updated online.

To request Location of Service Information changes, navigate to the Provider Portal from the MEDI Home Page and click on the Location of Service Information link. Then click on the "Edit" button next to the location of service you wish to update. The name, phone number and email address of the person submitting the changes are required fields.

You will receive a confirmation email listing the changes submitted. The IHC Provider Services Help Desk will follow up with the provider office within three business days to verify the changes.

It is also now possible to change the MEDI Contact Phone Number that displays in MEDI client eligibility searches for the assigned Primary Care Provider. From the Provider Portal menu, click on the Provider Settings link. Then enter the new 10-digit phone number you want to display in MEDI client searches and click the "Update MEDI Contact Number" button to submit. HFS will update this phone number within two business days. Please note, providers can only have one phone number listed in MEDI.

MEDI access is required to navigate to the IHC Provider Portal. Step-by-step screenshots on how to register for MEDI are available online, and IHC Provider Services Representatives can assist you with MEDI registration and training.

Improve your health and avoid Type-2 diabetes

November is American Diabetes Month. Making lifestyle changes is the best way to reduce your risk of developing this chronic disease.

Be active. Exercise more often. Make healthy, nutritious choices when you eat. Limit alcohol use. Quit smoking.

Diabetes is a serious disease. An unhealthy lifestyle can contribute to Type-2 diabetes.

Many people have diabetes and don't know it. This can lead to serious health problems. Some examples are heart attack, stroke, amputation, blindness or kidney failure. A simple blood test can determine if you have diabetes.

Diabetes can be treated. If you are diabetic, talk to your PCP at your medical home. Your PCP will help you manage your disease.

Schedule an annual check-up with your Primary Care Provider (PCP). If you don't know who your PCP is, call Illinois Health Connect at 877-912-1999.

Saturday, November 10, 2012

Illinois Health Connect helps sponsor IAFP annual meeting

Making a fifth consecutive appearance as conference exhibitor, Illinois Health Connect participated in the Illinois Academy of Family Physicians Annual Meeting on November 9 in Itasca.

IHC Quality Assurance Nurse Greta Bradley, RN, and IHC Provider Training Specialist Danielle Parrillo staffed a booth in the exhibit hall, speaking to family physicians from across the state and the country about the IHC program.

Illinois Health Connect was a platinum sponsor of the meeting.

Friday, November 9, 2012

Call your PCP before using the emergency room!

Your medical card will pay for emergency services at the emergency room (ER). It is important that you use the ER only for an emergency.

There is now a co-payment for using the ER for non-emergency services. You will be charged a higher co-payment if it is not an emergency.

Adults will pay $3.65. Children also have increased co-payments. A co-payment chart is posted on All Kids Web site.

All Kids Assist children will pay $3.65. All Kids Share children will pay $10 for non-emergency. All Kids Premium Level 1 children will pay $25 for non-emergency.

If you are not sure you have an emergency, you should call your Primary Care Provider (PCP) first. If the problem is not serious, make an appointment to see your PCP. Only go to the ER if the problem is serious.

An emergency is a health problem that is life threatening or one that will seriously affect your health if not treated right away. Examples are chest pains, poisoning, or seizures. An emergency can be from an accident or sudden illness.

Talk to your PCP during your regular check-ups about what to do if you need medical advice when the office is closed. Your PCP will tell you how to contact the "on-call" doctor or nurse.

If you are unable to reach your PCP after hours or 24 hours on weekends, you can call the Illinois Nurse Helpline at 1-877-912-1999 (TTY 1-866-565-8577). During the week, the Illinois Nurse Helpline is open from 8 p.m. to 7 a.m. The call is free. The nurse will answer your medical questions and give you information to help you decide if you need to go to the Emergency Room or call 9-1-1 (if available in your area).


In an emergency, you can use any hospital or other emergency provider. If you need a list of emergency providers in your area, call Illinois Health Connect at 1-877-912-1999 (TTY: 1-866-565-8577). This call is free.

ICAHN conference offers great opportunity for dialogue

Illinois Health Connect Provider Training Specialist Danielle Parrillo and IHC Quality Assurance Nurse Amy Calvin, RN, participated as exhibitors in the Illinois Critical Access Hospital Network's 12th Annual Critical Access Hospital Conference. It was the first time IHC has attended the conference, which was held November 8 in Springfield.

It was a great opportunity to meet with hospital executives, hospital management and clinical leaders. Ms. Parrillo and Ms. Calvin answered questions about IHC and the IHC staffers left the conference with a better understanding of how critical access hospitals and the IHC program can collaborate in the future.

Thursday, November 8, 2012

Providers can now send prior approval requests online without MEDI

The Illinois Department of Healthcare and Family Services (HFS) has developed an online entry system for Prior Approval (PA) requests to exceed the Four Prescription Per Month policy. It is available on the Four Prescription Limit page of the HFS Web site.

The new online entry system does not require a login or password and allows providers to enter multiple drugs in one submission. Providers can also check the status of a PA request online.

Providers can continue to use the HFS MEDI System to enter and check the status of PA requests submitted through MEDI. Illinois Health Connect highly encourages providers to use MEDI for PA requests.

If online submission is not possible at your office, HFS continues to accept submissions via fax and phone. However, the fax and phone submissions will require an additional four hours for data entry once received.

Wednesday, November 7, 2012

HFS provides answers to questions from billing webinars

The Illinois Department of Healthcare and Family Services (HFS) has provided answers to questions from participants of the two billing Webinars HFS presented in September.

HFS issued a Q&A document for both presentations: the HFS Billing Overview and Updates for Practitioners presentation from September 19 as well as the HFS Billing Overview and Updates for Encounter Clinics presentation from September 26.

If you would like to receive email notifications for future Illinois Health Connect Webinars, you can enroll on the IHC Webinar page.

Monday, November 5, 2012

IHC team presents at IPHCA leadership conference

Illinois Health Connect Quality Assurance Manager Cari VonderHaar and Carmen Vergara, who is the Clinical Quality Improvement Cordinator at Centro de Salud Esperanza, gave a presentation entitled "Population-Based Healthcare and Illinois Health Connect Quality Tools" at the Illinois Primary Health Care Association 30th Annual Leadership Conference, which was held October 17-19 in Lake Geneva, Wisc.

IHC Medical Director Dr. Margaret Kirkegaard assisted them with the presentation.

While controlling cost has been the central theme of Medicaid reform in Illinois, the healthcare community remains committed to providing high quality care. One of the cardinal features of the medical home model is implementation of population-based management strategies. In addition to reviewing the attributes of the medical home that contribute to population-based management, this panel discussion provided a broad overview of the Bureau of Primary Care's Uniform Data Systems.

IHC provides multiple Quality Tools to assist the medical home with population-based management. This presentation demonstrated how to access and described the features of the IHC Quality Tools, including IHC Panel Rosters, the IHC Provider Profiles, the IHC Bonus Payment Program and Claims History.

Ms. Vergara described the outreach and quality improvement strategies used at Centro de Salud Esperanza as well as their outcomes utilizing IHC Quality Tools.

Wednesday, October 31, 2012

HFS provides update on implementation of drug prior approval policy

The Illinois Department of Healthcare and Family Services (HFS) issued a Provider Release to update providers about the implementation of the prior approval policy for medications.

The purpose of this policy is to have providers review their patients' entire profile of maintenance medications, and where possible and clinically appropriate, reduce duplication, eliminate unnecessary medications and poly-pharmacy, and avoid other problems. Antibiotics, immunosuppressives, oncology agents, anti-retroviral agents and contraceptives are excluded from needing prior approval. PA is required for name brand and generic drugs.

This statutory requirement was signed into law on June 30 as part of the SMART Act legislation and will eventually apply to all adults and children who have coverage through HFS medical programs.

The implementation of the policy is being phased in gradually as HFS determines its capacity to process the Prior Approval (PA) requests.

At this time, HFS clients less than 19 years old will not be affected. Until further notice from HFS, PA requests are not necessary for All Kids clients. HFS is currently requiring prior approval requests for adult clients who fill more than nine prescriptions in the previous 30-day period.

Pharmacies are able to dispense a 72-hour supply of medications in an emergency situation when HFS is closed and not able to process PA requests.


PA requests will generally be granted for a period of one year.

Providers are highly encouraged to use the new Drug Prior Approval/Refill Too Soon application on the
MEDI System to submit PA requests. While PA requests can be submitted through fax or phone, these requests require HFS to do data entry which is adding an average of four hours to the review process.

Providers can check the status of a PA request using MEDI if the request was submitted via MEDI. If the PA request was sent via fax or phone, providers are encouraged to use the HFS
online status inquiry system. Providers should not call the HFS Pharmacy Hotline to check on the status of a PA request.

If you need assistance with MEDI registration, please contact your IHC Provider Services Representative or the IHC Provider Services Help Desk at 877-912-1999, extension 3.
A step-by-step guide to MEDI registration is available on the IHC Web site.

The
HFS Pharmacy page contains the PA request form, a link to the online status inquiry system as well as the phone and fax numbers for HFS Pharmacy.

IHC also posted information on the Bulletin Board about this policy on
October 11, September 25 and September 11. Check back to the Bulletin Board for more updates on this policy is implemented.

Saturday, October 27, 2012

IHC attends APN Midwest Conference for first time

Illinois Health Connect Provider Services Recruiter Sonya Harper attended the Illinois Society for Advanced Practice Nursing (ISAPN) 2012 APN Midwest Conference in Lombard on October 25 and October 26.

This was the first year IHC has attended this conference, staffing a booth in the exhibit hall to educate attendees about the IHC program. The topics addressed at the conference during the days IHC attended included: current legislation, policy and politics; diabetes care; atrial fibulation management; sexual transmitted infections from acute to primary care; pharmacology; trauma resuscitation.

Friday, October 26, 2012

IHC exhibits at Illinois Statewide Transition Conference

Illinois Health Connect Provider Services Trainer Danielle Parrillo and IHC Enrollee Services team members Lynn Kramer and Glenn Nye staffed a table in the exhibit hall of the 8th Annual Illinois Statewide Transition Conference in St. Charles on October 25 and October 26. It was the second consecutive year IHC has attended this conference to educate attendees about the IHC program.

The goals of the conference were to promote effective, person-centered transition planning to address all aspects of adult life for youth with disabilities. Practical and evidenced-based strategies were presented in relation to family involvement, student self-determination, inter-agency collaboration and effective program structures.

IHC staff members interacted with a variety of attendees, including high school students, young adults with disabilities, family members of youth with disabilities, teachers, vocational professionals, caregivers, healthcare professionals, community advocates and college students pursuing careers in special education.

Wednesday, October 24, 2012

NAMI Illinois Conference offers chance to explain IHC

Illinois Health Connect attended the NAMI Illinois 2012 Conference on October 19-20 in Lisle, sponsoring a table as an exhibitor for the first time at this conference.

IHC Communications Specialist Sean Fuchs and IHC Provider Services Trainer Danielle Parrillo met with mental health professionals, advocates and NAMI members and other attendees at the conference, answering questions about the IHC primary care case management program and how IHC can assist clients with accessing mental health services.

IDPH has mailed educational materials about lead screening

The Illinois Department of Public Health (IDPH) has recently mailed provider education materials about lead poisoning to Medicaid providers who serve young children. These mailings are dated October 10, 2012 and include a cover letter from IDPH, a poster and information about the Illinois Health Connect Bonus Payment for High Performance, which has a bonus measure for lead screening.

As Illinois has the highest incidence of lead poisoning of children in the nation, IDPH wants to remind providers that federal mandates and Illinois Department of Healthcare and Family Services (HFS) policy recommend that all children who receive All Kids benefits from HFS be considered at risk for lead poisoning. Children should be screened prior to 12 months of age and again prior to 24 months. All children enrolled in HFS medical programs are expected to be screened for lead poisoning regardless of where they live.

The 2012 IHC bonus measure for lead screening has a benchmark of 72.2 percent of children who have had at least one capillary or venous lead screening prior to age 24 months.

For more information, education materials about lead screening or to schedule an in-service training, contact IDPH at 217-782-3517. For specific questions about IHC bonus measure, contact an IHC Quality Assurance Nurse or the IHC Provider Services Help Desk at 877-912-1999, extension 3.

Thursday, October 11, 2012

HFS Q&A: Drug Prior Approval policy, part two

In an effort to fully explain the SMART Act mandated prior approval policy for medications, the Illinois Department of Healthcare and Family Services (HFS) has provided the following answers to questions that providers recently asked of Illinois Health Connect. The answers in this post were sent to IHC on October 10. HFS answered a previous set of questions in a IHC Bulletin Board post on September 25.

Q: Has HFS started to enforce the limit of four prescriptions per month?

HFS: The Department is currently rejecting prescriptions billed for patients who exceed eight (8) prescriptions in a 30-day period. Once a script rejects and after reviewing a patient's profile to reduce duplication and unnecessary medications where clinically appropriate, the prescriber should request Prior Approval for any medication contained on the approvable drug list that the patient needs. UPDATE: HFS reported on November 16 that there is no longer an "approvable drug list." Prior Approval requests can be submitted and will be clinically reviewed for approval for any drug.

Q: How can a provider determine if an additional provider is prescribing drugs for a patient?

HFS: Prescribers can access a patient's Claims History on the IHC Provider Portal via the HFS MEDI System to identify all prescriptions being filled by the patient that are being reimbursed by the HFS Medicaid program.

Q: Does HFS have a schedule for Prior Approval to drop from 10-8-6-4 on specific dates?

HFS: The Department is currently rejecting prescriptions billed for patients that exceed eight (8) prescriptions in a 30 day period. The Department is working toward the four per month limit over time to assess its capability of handling the Prior Approval requests and to respond to situations that arise, which could not have been anticipated prior to implementation.

Q: When a Prior Approval request is submitted via phone or fax, is there a approval confirmation sent to provider by fax or phone?

HFS: No.

Q: How are providers notified when Prior Approval requests are approved?

HFS: The HFS pharmacist reviewing the PA request may contact the prescriber to request additional information necessary to make the determination, but prescribers are not specifically notified of whether or not a request has been approved. The provider can determine approval status using MEDI or the Pharmacy Prior Approval Hotline at 1-800-252-8942. If PA is denied, a denial letter is sent to the patient.

Q: Are PA requests processed at different speeds when submitted by phone, fax or MEDI?

HFS: There is no significant variance in processing time based on how PA request was received. PA requests are reviewed in the order they are received unless the reviewing pharmacist is waiting on additional information from prescriber or pharmacy.

Q: Where can a provider get further information that is not detailed in the HFS Provider Release or the Four Prescription Limit page on HFS Web site?

HFS: Providers should call the HFS Bureau of Pharmacy Services at 877-782-5565, extension 7.

Wednesday, October 10, 2012

Breast Cancer Awareness: Get a screening mammogram

Mammograms are an important service for women. Women should get screenings every two years beginning at age 40. Getting a mammogram can lead to the early detection of breast cancer, which is the most common cancer for women.

October is Breast Cancer Awareness Month. Ask your PCP about scheduling a mammogram appointment today.

Mammograms are a covered service with your HFS medical card. Illinois Health Connect can help you schedule an appointment.

A mammogram is a low-dose X-ray. This X-ray shows the inside of your breast. Mammograms can find cancer up to two years before lumps can be felt. Finding the cancer early is important. Early detection provides women with better treatment options and results.

An average mammogram appointment takes roughly 20 minutes. Your breast will be placed on a shelf between two smooth, plastic plates. The breast needs to be spread flat for the X-ray to work properly. You will feel pressure, which can be somewhat uncomfortable.

Two or more X-rays will be taken of each breast. The doctor who reads your mammogram will compare the X-rays to your previous mammograms.

Thursday, October 4, 2012

New VFC eligibility rules announced for 2013

The Illinois Department of Public Health (IDPH) has announced that due to budgetary concerns, the eligible population for the Vaccines For Children (VFC) Program will restricted effective January 1, 2013.

Underinsured children will no longer be allowed to get VFC immunizations at a private provider office. These children will need to get VFC immunizations from a Federally Qualified Health Center (FQHC), a Rural Health Center (RHC) or a local health department.

An underinsured client is a child who has commercial (private) insurance, but the insurance plan does not cover immunizations; a child whose insurance plan only covers certain immunizations (VFC eligible only for non-covered immunizations); or, a child whose insurance caps vaccine coverage at a certain amount.

These children have been VFC eligible through the VFC Plus Program. However, funds are not sufficient to support the Plus Program. This change is effective statewide and includes providers who participate in the VFC Chicago Program.

Children with All Kids coverage from Illinois Department of Healthcare and Family Services (HFS), the un-insured (self pay) and Native Americans will continue to be eligible to receive all VFC immunizations at private provider offices.

Wednesday, October 3, 2012

Adults do not have co-payment for preventive visits

The Illinois Department of Healthcare and Family Services (HFS) Bureau of Comprehensive Health Services issued a clarification to Illinois Health Connect on October 1 stating that there are no co-payments for preventive visits for HFS clients of any age, regardless of their eligibility type.

This means that adults do not have a co-payment for preventive visits, including annual well visits.

An Illinois Health Connect memo titled "HFS Cost Sharing Provider Release" issued in August incorrectly stated that "co-payments will apply for adult preventive visits, including annual well visits." A revised memo will be posted to the IHC Provider Notices page.

Tuesday, September 25, 2012

HFS Q&A: Drug Prior Approval Policy

The Illinois Department of Healthcare and Family Services (HFS) has responded to three questions about the SMART Act mandated prior approval policy for medications that were asked during the most recent Illinois Health Connect Provider Network Subcommittee Meeting.

1. What is the turn-around time for pharmacy prior approvals?

HFS response: Currently, the Bureau of Pharmacy Services processes requests for prior approval within approximately one hour. Prior approval request decisions are not carried over to the next day unless the review staff is waiting on information from the provider.

2. Currently, prior approval requests to exceed the four prescription limit must be made by the prescriber. How is that handled if the prescriber is an ER physician?

HFS response: In the case of a script written by an ER physician, HFS would allow a prior approval request from a pharmacy. HFS is in the process of publishing a clarification on this issue.

3. What is the criteria for denial of a request to exceed the four prescription limit?

HFS response: If the drug is on the Four Prescription Limit Approvable Medications List, the request will be approved unless the reviewing pharmacist identifies the drug is duplicative of other drugs in the profile, or if it is being used inappropriately, in which case, the reviewing pharmacist will notify the prescriber of the denial. Update: HFS reported on November 16 that there is no longer an "approvable drug list." Prior Approval requests can be submitted and will be clinically reviewed for approval for any drug.

Tuesday, September 18, 2012

Payments issued for 2011 IHC Bonus Program

The Illinois Department of Healthcare and Family Services (HFS) and Automated Health Systems (AHS) are pleased to announce that more than $5.3 million in payments have been issued for the 2011 Illinois Health Connect Bonus Payment for High Performance Program.
 
All bonus payments were mailed this week to the payee address of each qualifying IHC Primary Care Provider (PCP).

PCPs can access the patient specific detail of their bonus payments via the IHC Provider Portal through the secure HFS MEDI System. A new feature this year is a column that lists the potential payment for each bonus measure, which shows what a PCP could have earned for that measure with a 100 percent score.

The bonus payments for care provided in 2011 were $25 per qualifying patient, per qualifying event. Providers with multiple IHC locations of service were eligible for independent bonuses at each location.

For more information on the IHC Bonus Payment, please call an IHC Quality Assurance Nurse, an IHC Provider Services Representative or the IHC Provider Services Help Desk at 1-877-912-1999, extension 3.

Monday, September 17, 2012

High blood pressure is a silent killer

High blood pressure puts you at risk for heart disease, stroke, vision loss, and sexual problems in men. It is one of the leading causes of death in the United States. One in three Americans have high blood pressure, but only half of those have it under control.

So, what is high blood pressure?

As your heart pumps blood, the blood pushes against the walls of blood vessels. This force is called blood pressure. The higher your blood pressure is, the more the blood pushes on the the blood vessels, and the harder your heart has to work to pump blood to all of your body.

How do you know if you have high blood pressure?

To find if you have high blood pressure, visit your Primary Care Provider (PCP) at your medical home for a check-up.  This is very important because high blood pressure has no symptoms. That is why it is called the silent killer.

If your PCP at your medical home tells you that you have high blood pressure, there are many ways you can help control it.

Choosing a healthy diet low in salt is a great start. An easy way to eat healthy is to divide your plate into four equal parts. Two parts should be filled with fruits and vegetables, preferably raw or steamed. Fill one part with protein, such as chicken breast. The last part is your starch, like a piece of whole wheat bread or brown rice. Avoid fried foods and sugary sweets.

Exercise helps you strengthen your heart, feel better, and reduce stress. Your PCP can guide you on appropriate exercise routines.

If you smoke, try to quit. Everytime you smoke, your blood vessels constrict, causing your blood pressure to rise even higher. If you need help quitting, call the Illinois Tobacco Quitline at 1-866-Quit-Yes. The call is free.

If blood pressure medicine is prescribed by your doctor, be sure to take it as prescribed. Ask your PCP or pharmacist for help if the directions are not clear to you. Make a plan to help you remember to take your medicine every day. Use a calendar and check off when you have taken your pill.

If you miss your dose, contact your PCP for instructions on what to do. If your PCP prescribes more than one medicine, write these medicines down in a chart, and check them off as you take them.

The American Heart Association offers a free medicine chart to make this easy for you.
Be sure to take this chart with you when you visit any medical or dental provider.
Your PCP may order a blood pressure monitor for you if he feels that you need one. Take your blood pressure at the same time every day and write down your results. There is a handy blood pressure chart you can use for this. Take this chart with you when you visit your medical home. And be sure to bring in your blood pressure monitor so your PCP can check its accuracy.

There is no safe level of high blood pressure. High blood pressure does not go away after time, it is a life-long disease. Work with your PCP and follow your PCP’s advice to help keep your blood pressure under control.

Sources: Centers for Disease Control and Prevention, American Heart Association, Choosemyplate.gov

Thursday, September 13, 2012

IHC Fall 2012 Provider Profiles are available online

The Illinois Health Connect Fall 2012 Provider Profiles have been posted to the IHC Provider Portal, which can be viewed using the MEDI System. Hard copies are being mailed to each IHC medical home.

Data in the IHC Provider Profiles is gathered from adjudicated claims from the Illinois Department of Healthcare and Family Services (HFS). Dates of service covered on the Fall 2012 Provider Profiles range from April 1, 2011 through March 31, 2012. This is not the same data used to calculate the 2011 or 2012 IHC Bonus Payment for High Performance.

The Provider Profiles are sent semi-annually to each IHC Primary Care Provider (PCP). The profiles are an overview of each PCP's performance in several clinical indicators and are issued to assist medical homes with quality assurance efforts.

IHC Quality Assurance Nurses (QAN) are available to meet with PCPs by appointment to discuss Provider Profiles and other IHC Quality Tools. Call your QAN or the IHC Provider Services Help Desk at 1-877-912-1999, extension 3, to schedule an appointment with a QAN.

The Provider Profiles are created with input from the Quality Management Subcommittee. Anyone interested in participating in this subcommittee should contact IHC Quality Assurance Manager Cari VonderHaar.

Tuesday, September 11, 2012

HFS starting to enforce prior apporval policy for medications

The Illinois Department of Healthcare and Family Services (HFS) has started to review prescriptions for HFS clients in accordance with the prior approval policy for medications established by the Save Medicaid Access and Resources Together (SMART) Act. HFS started the review with clients who fill more than 10 prescriptions per month and will gradually expand the review.

HFS will allow clients to exceed four prescriptions per month in certain situations, with prior approval. HFS will review each request on a case-by-case basis. If approved, each prior approval request will be valid for one year.

Prior approval can be done via telephone (1-800-252-8942), fax (217-524-7264 or 217-524-0404) or a new application on the HFS MEDI System
.
When a pharmacy bills for prescription that exceeds the limit, the claim will reject with some exceptions. The monthly limitation applies to name brand and generic drugs. Over-the-counter drugs and non-drug items such as blood glucose test strips are not subject to the limit.

The following classes of drugs are exempt from the limit: oncolytics, anti-retroviral agents, contraceptives, immunosuppressives and antibiotics. Compounds will count as one prescription.
In an emergency situation, a pharmacy may dispense a 72-hour supply and HFS will pay for that 72-hour supply.

The prior approval form and and an online request application are posted on this HFS Pharmacy page
. Providers can also check the status of their requests through and online application. HFS asks that providers do not call to check the status of requests.

Wednesday, September 5, 2012

Asking questions is the key to great health!

A great team of doctors, nurses and other healthcare staff can create a good medical home. The key to a great medical home is you! A great medical home is based on great communication.

As a patient, you can help get the best possible care by being an active member of your healthcare team. Being involved means being prepared and asking questions.

Before you go to the doctor:

1) Make a list of all your questions and concerns. That way you won’t forget to ask any important questions. Your Primary Care Provider (PCP) at your medical home may not be able to tackle all of your health concerns in one visit. Your PCP should be able to let you know how to make a follow-up appointment.

2) If you have seen any other doctors, such as specialists, had any tests or gone to the Emergency Room, bring all the names, dates, phone numbers and any reports with you to share with your PCP.

3) Make a list of all your medications including dosages. Or better yet, bring all of your pills with you (including those prescribed by other doctors). Your PCP can ensure that you are taking the right medicines and that there are no interactions.
  
During your visit:

1) Take notes during your visit. If you have a serious medical condition, bring a trusted relative or friend with you to help you listen and take notes.

2) Ask your PCP for any handouts about your medical conditions.

3) Ask your doctor if he/she can recommend some safe Web sites if you plan to do some research at home. A lot of medical information on the web is false so don’t think Google is going to answer all your questions. A good Web site for basic health information is
http://www.familydoctor.org.
4) Ask your PCP questions like: What is my diagnosis? What are my treatment options? What are the benefits of each option? What are the side effects?

Will I need a test? What is the test for? What will the results tell me?
What will the medicine you are prescribing do? How do I take it? Are there any side effects?

After your visit:

If you have any remaining questions or your doctor was not able to address all of your medical concerns, make a follow-up appointment. If you are uncertain about how to take your medicines or get a recommended test, call your PCP. All Illinois Health Connect PCPs with must be available 24 hours per day.

Great health starts with a great medical home, and a great medical home starts with great communication. Asking questions until you thoroughly understand your health and your doctor’s recommendations is the key. Check out the AHRQ Web site for more information about doctor-patient communication.

Monday, September 3, 2012

Pregnant? Get off to a good start with these resources

It is best to get prenatal care as soon as you know you are pregnant and continue to get care throughout your pregnancy. You should use the same doctor or clinic for all your prenatal care. Take good care of yourself while you are pregnant. Take prenatal vitamins with folic acid. Exercise regularly. Don’t smoke, drink alcohol or use drugs.

It is also very important to continue to see your Primary Care Physician (PCP) at your medical home or your OB/GYN after the baby is born. You can talk to your PCP or OB/GYN about family planning and birth control.


WIC/Breastfeeding
Eating healthy foods is important when you are pregnant! WIC is a food assistance program for Women, Infants and Children. WIC helps pregnant women, new moms, babies and young children eat well and stay healthy.
Make sure you sign up for WIC while you are pregnant!

WIC can help you learn how to eat well for your growing baby. It is also important that babies and young children eat right. This helps them grow up healthy and strong. With WIC, you can get healthy foods. Foods available are whole grains, milk, eggs, cheese, fruits and vegetables, juice, cereal, dried beans or peas, baby foods, peanut butter and iron-fortified infant formula for babies who are not breastfed.

WIC helps women understand how to breastfeed. You can get answers to questions about breastfeeding, support and counseling. If you are pregnant or thinking about having a baby, make plans now to breastfeed your baby for the first year of life. Breastfeeding is the normal and natural way to feed your baby. Breast milk is all your baby needs for the first six months. You can keep your baby healthier by breastfeeding. Breast milk protects babies from ear infections, colds, allergies, diarrhea and constipation. Your baby will be sick less and have fewer doctor visits.

Breastfed children are less likely to have diabetes or become overweight in childhood. Breastfeeding saves money, because there are no formula or bottle costs. You may also have fewer doctor bills and medication costs.
Breastfeeding helps you bond with your baby. Holding your baby while you nurse makes your baby feel loved and close to you. Breastfeeding has health benefits for moms, too. Breastfeeding lowers the risk of ovarian cancer, breast cancer and osteoporosis.

To see if you qualify for WIC, visit a WIC Clinic. To locate a WIC office near you, call 1-800-323-4769 (TTY: 1-866-295-6817) or go online at http://www.dhs.state.il.us and click on “Food”.

Family Case Management
Family Case Management (FCM) is an Illinois Department of Human Services (DHS) program that helps pregnant women, infants and children get needed services. Help with healthcare and transportation is available. FCM can provide education on issues such as pregnancy, childbirth, parenting, family planning and birth control. For more information, visit your local DHS office. Or call 1-800-843-6154 (TTY: 1-800-447-6404) or go online at http://www.dhs.state.il.us.

text4baby
To help you during your pregnancy with information about caring for your health and giving your baby the best possible start in life, check out text4baby. Text4baby is free. It provides important health information and resources in simple text messages.

Registration is easy and can be done from your cell phone. Just text “Baby” (or “Bebe” for Spanish) to 511411. You’ll be asked to enter your baby’s due date or your baby’s birthday, and your zip code. Once registered, you will receive three text messages a week, until your baby is a year old, with tips for your pregnancy or caring for your baby.

Quit Smoking
Quitting smoking will improve your chances of having a healthy baby. During pregnancy, moms who quit smoking are proud of themselves for breaking the addiction. By quitting, former smokers get many health benefits. They cut down on their risk of having lung disease, a heart attack or getting cancer.

The people who you live with, especially your children, will also be healthier. You will have extra money to spend on other important things for your family. Quitting smoking is one of the most important things you will ever do.

However, it is not easy. For help and support, contact a medical professional at the Illinois Tobacco Quitline. The Quitline is open seven days a week from 7 a.m. to 11 p.m.  The number is 1-866-Quit-Yes (TTY: 1-800-501-1068). This call is free.
 
Post Partum Depression
Pay attention to your feelings during and after pregnancy. Do you feel sad nearly all the time? Have you stopped feeling pleasure or worry too much? Have you lost interest in food? Talk to your PCP right away.

If you need help finding a PCP, Illinois Health Connect can locate a medical home for you while you are pregnant and after you have the baby. Call IHC between 8 a.m. and 7 p.m., Monday through Friday. The number is 1-877-912-1999 (TTY: 1-866-565-8577). The call is free.

Sources: Illinois Department of Human Services, text4baby.org, Illinois Department of Public Health

Thursday, August 16, 2012

New rule requires students have Tdap prior to 6th and 9th grades

Illinois students entering 6th grade and 9th grade will now need to show proof of getting a Tdap immunization. This rule will be enforced starting with the 2012-2013 school year.

The Illinois Department of Public Health (IDPH) will require students to have one dose of Tdap prior to 6th and 9th grades. Students can show proof of Tdap three ways. The exact date of the Tdap shot is needed.

• A signed letter or note from their doctor.
• A printout from electronic health records.
• An IDPH certificate of child health examination.


Students entering 6th grade and 9th grade must also have school physicals.

The Tdap vaccine protects against three bacteria-based diseases. Tetanus, diphtheria and pertussis can cause serious illness. Pertussis and diphtheria spread from person to person. Tetanus enters the body through wounds.

Another name for pertussis is whooping cough. Children who have had whooping cough should still get Tdap. The shot protects against future illness.

Tdap can be given any time after a recent tetanus shot.

The Tdap deadline is October 15, 2012. Exemptions can be made for medical or religious reasons. Without an exemption, children need proof of Tdap, or proof of an appointment to get the Tdap shot during the school year. Children without proof of Tdap risk exclusion from school.

Children can get Tdap from their Primary Care Provider (PCP) at their medical home. Call Illinois Health Connect at 1-877-912-1999 (TTY: 1-866-565-8577) to find your PCP. IHC can help you schedule an appointment for Tdap shot. The call is free!

Local health departments and pharmacies also offer Tdap. Children must be older than 14 years old to get Tdap at a pharmacy.

Thursday, August 2, 2012

Stick to the Three Ps to eat well without spending a lot

Eating a healthy diet doesn't have to be expensive. You can get the right foods without spending a lot of money. The key is to eating well on a budget are the Three Ps.

Plan
Plan meals and snacks for the week.
Stick to an established budget.
Find quick and easy recipes online.
Make a grocery list.
Check for sales and coupons.
Consider discount stores.
Ask about loyalty programs at local grocery store.

Purchase
Don't go shopping when hungry or rushed.
Stick to your list.
Stay out of aisles with items not on list.
Buy store brands if cheaper.
Compare unit prices on shelves to get best price.
Buy items that will stay fresh in bulk to save money.
Buy fresh fruits and vegetables in season.
Buy canned vegetables with less salt.
Avoid pre-cut vegetables, and individual cups of yogurt or hot cereal. They are convenient, but more expensive.
Good year round items are beans, carrots, greens, potatoes, apples and bananas.

Prepare
Some meal items can be prepared in advance.
Pre-cook on days you have time.
Double or triple up on recipes and freeze meal-sized containers. You can do this with soups or casseroles, for example.
Try a few meatless meals. Substitute beans or peas.
Try no-cook meals like salads.
Use leftovers in your next recipe.
Be creative with a fruit or vegetable. Use it in different ways in the same week.

Source: Choosemyplate.gov