Medicaid Programs

Since April, 1998, Health Right, Inc. has been entrusted with the responsibility for overseeing the quality of health care services provided to an array of District residents. Eight years later, HRI continues in it s commitment to ensuring that all its members receive optimum quality health care. We offer an array of preventative and wellness programs that are committed to assist our members to improve their quality of life. dd

Prenatal Program
The Healthy Beginnings Prenatal and Postpartum Care Program, which is for expectant mothers, is designed to assist women to have a healthy pregnancy and delivery. The goal of the program is to encourage pregnant mothers to seek timely prenatal care..

Healthy Beginnings Prenatal Program includes:

• A prenatal packet containing important information about having a healthy baby
• Assistance and support throughout the pregnancy
• Referrals to agencies that provide various services such as prenatal classes, WIC, home health nurse visits, and counseling services
• Information on Health Right?s benefits related to the pregnancy

Please contact Health Right's Maternal Health Coordinator for more information at 202-218-0373 extension 114 to enroll in this program.

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Health Check Program
The Health Check Program known as the Early Periodic Screening Diagnosis and Treatment (EPSDT), provides check-ups for children under 21 by their Primary Care Provider. The purpose of these check-ups is to prevent and detect health problems before they occur.

The Health Check Program provides your child with:

• Complete physical exams
• Dental exams
• Eye and hearing check-ups
• Eye glasses and hearing aids
• Blood and urine tests
• Sickle cell anemia tests
• Nutritional check-ups
• Mental Health screenings and treatment
• Immunizations (shots)
• Blood Lead screenings
• Health Education Classes

Please refer to the Health Check brochure included in your welcome packet. It contains a pocket-sized card that shows which immunizations (shots) and visits your child needs to help him or her stay healthy. Please tear off this card and keep it in your wallet. If you have any questions or need help with transportation or scheduling an appointment, please call Member Services at 202-218-0380.

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Resource Workers Program
Resource Workers play an important role at bridging the gap between Health Right members, the community and needed services. They are placed throughout the Unity Clinics and Shelters to answer questions and concerns. Resource workers also attend various community events such as health fairs and community outreach.

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Behavioral Health Management Program
Overall, Health Right Inc (HRI) Behavioral Health Management program is designed to assist behavioral health providers and primary care physicians in the delivery of quality behavioral health services to all HRI members. Health Right's policies and procedures are designed to facilitate communication between the provider, members and their family. Our Behavioral Health program works closely with the Quality Management Committee to ensure that the care and services provided are medically necessary and appropriate for the members in accordance with state of the art regulatory and accrediting entity standards.

Additionally, HRI offers an array of behavioral health services to meet our member?s needs. The following is a comprehensive list of services that are covered under the HRI benefit plan:

• Diagnostic Evaluation/Assessment

• a comprehensive face-to-face interview inclusive of history, mental status examination, treatment planning and interventions

• Psychiatric Inpatient Hospitalization

• 24 hour supervised hospital setting with a full range therapeutic services

• Partial Hospitalization

• Stabilization in structured environment outside hospital minimum of 3-4 hours /day, 5 days /wk. (usually time limited). For children & adolescents- education component required

• Day Treatment

• Structured setting usually for those individuals requiring longer term placement in order to maintain optimal levels of functioning and/or activities of daily living

• Residential Treatment Services

• 24-hour supervision w/full range therapeutic services for those (for 30-60 days) requiring supervision and structure but not at the intensity of an acute inpatient level of care.

• Outpatient Clinic Services

• Medication Management
• Interactive Individual Therapy (Play)
• Insight Individual Psychotherapy
• Group (>2 persons) Psychotherapy
• Family Psychotherapy
• Intensive Outpatient- 2hr/day, 6hr/wk

• Psychological Testing/Laboratory

• A series of tests to validate or support clinical diagnoses, formulation and treatment

Diabetes Information

For additional information click here : www.diabeteswatch.com

Quality Management

Health Right’s (HRI) Quality Management Program, is established to provide the structure and key processes that enable the health plan to carry out its commitment to ongoing improvement of care and service to its members. It is an evolving program that is responsive to the changing needs of our members and the standard established by the medical community, regulatory and accrediting bodies.

The ultimate goal of HRI’s QMP is to assure that our members receive the highest quality of care and service. Information regarding the program and activities is available upon request by calling 202-218-0380.

Back to Top

Prenatal Program
The Healthy Beginnings Prenatal and Postpartum Care Program, which is for expectant mothers, is designed to assist women to have a healthy pregnancy and delivery. The goal of the program is to encourage pregnant mothers to seek timely prenatal care..

Healthy Beginnings Prenatal Program includes:

• A prenatal packet containing important information about having a healthy baby
• Assistance and support throughout the pregnancy
• Referrals to agencies that provide various services such as prenatal classes, WIC, home health nurse visits, and counseling services
• Information on Health Right?s benefits related to the pregnancy

Please contact Health Right's Maternal Health Coordinator for more information at 202-218-0373 extension 114 to enroll in this program.

Back to Top

Health Check Program
The Health Check Program known as the Early Periodic Screening Diagnosis and Treatment (EPSDT), provides check-ups for children under 21 by their Primary Care Provider. The purpose of these check-ups is to prevent and detect health problems before they occur.

The Health Check Program provides your child with:

• Complete physical exams
• Dental exams
• Eye and hearing check-ups
• Eye glasses and hearing aids
• Blood and urine tests
• Sickle cell anemia tests
• Nutritional check-ups
• Mental Health screenings and treatment
• Immunizations (shots)
• Blood Lead screenings
• Health Education Classes

Please refer to the Health Check brochure included in your welcome packet. It contains a pocket-sized card that shows which immunizations (shots) and visits your child needs to help him or her stay healthy. Please tear off this card and keep it in your wallet. If you have any questions or need help with transportation or scheduling an appointment, please call Member Services at 202-218-0380.

Back to Top

Resource Workers Program
Resource Workers play an important role at bridging the gap between Health Right members, the community and needed services. They are placed throughout the Unity Clinics and Shelters to answer questions and concerns. Resource workers also attend various community events such as health fairs and community outreach.

Back to Top

Behavioral Health Management Program
Overall, Health Right Inc (HRI) Behavioral Health Management program is designed to assist behavioral health providers and primary care physicians in the delivery of quality behavioral health services to all HRI members. Health Right's policies and procedures are designed to facilitate communication between the provider, members and their family. Our Behavioral Health program works closely with the Quality Management Committee to ensure that the care and services provided are medically necessary and appropriate for the members in accordance with state of the art regulatory and accrediting entity standards.

Additionally, HRI offers an array of behavioral health services to meet our member?s needs. The following is a comprehensive list of services that are covered under the HRI benefit plan:

• Diagnostic Evaluation/Assessment

• a comprehensive face-to-face interview inclusive of history, mental status examination, treatment planning and interventions

• Psychiatric Inpatient Hospitalization

• 24 hour supervised hospital setting with a full range therapeutic services

• Partial Hospitalization

• Stabilization in structured environment outside hospital minimum of 3-4 hours /day, 5 days /wk. (usually time limited). For children & adolescents- education component required

• Day Treatment

• Structured setting usually for those individuals requiring longer term placement in order to maintain optimal levels of functioning and/or activities of daily living

• Residential Treatment Services

• 24-hour supervision w/full range therapeutic services for those (for 30-60 days) requiring supervision and structure but not at the intensity of an acute inpatient level of care.

• Outpatient Clinic Services

• Medication Management
• Interactive Individual Therapy (Play)
• Insight Individual Psychotherapy
• Group (>2 persons) Psychotherapy
• Family Psychotherapy
• Intensive Outpatient- 2hr/day, 6hr/wk

• Psychological Testing/Laboratory

• A series of tests to validate or support clinical diagnoses, formulation and treatment

Diabetes Information

For additional information click here : www.diabeteswatch.com

Quality Management

Health Right’s (HRI) Quality Management Program, is established to provide the structure and key processes that enable the health plan to carry out its commitment to ongoing improvement of care and service to its members. It is an evolving program that is responsive to the changing needs of our members and the standard established by the medical community, regulatory and accrediting bodies.

The ultimate goal of HRI’s QMP is to assure that our members receive the highest quality of care and service. Information regarding the program and activities is available upon request by calling 202-218-0380.