If you wish to Change to Unifour Pediatrics:

1. Call your Case Worker at the Dept Social Service in your county:
    (tell them that this is about changing your Carolina AccessCare
     provider to a new pediatrics office ... to Unifour Peds - Dr. Millsaps)

   - Catawba County DSS: (828) 695-5600
   - Burke County DSS: (828) 439-2000
   - Caldwell County DSS: (828) 426-8200
   - Alexander County DSS: (828) 632-1080
   - Iredell County DSS: (704) 873-5631
   - Lincoln County County DSS: (704) 732-0738

2. Tell DSS that you wish to change to Unifour Pediatrics:

           * Items below are OPTIONAL ... but will speed your visit *

3. Fill out this change of provider form: (this will save you time)

4. Schedule an appointment
    Call 328-1118 during regular office hours.

5. Fill out a records transfer form (this will save you time in the office)
       - From Catawba Pediatrics
       - From other practices
   - and mail it to us (as soon as possible) to:
       - POB 1347, Hickory, NC 28603-1347.
   - or deliver it to us.

6. Fill out a New Patient Intake Form (this will save you time in the office)
   - and mail it to us (as soon as possible) - POB 1347, Hickory, NC 28603.
   - or deliver it to us.

7. Fill out a Medical History Form (this will save you time in the office)
   - and mail it to us (as soon as possible) - POB 1347, Hickory, NC 28603.
   - or deliver it to us.

8. Print out this Unifour Peds Contact Information Packet (PDF)
   - Great help in getting the best office appointments and in locating us
      after hours and on weekend and holidays.
   - Read it over thoroughly once then keep it as a reference guide.
   - "Magnet up" on your refrigerator door or keep by your telephone.

• Unifour Pediatrics information:
• Bring to visits, Policies, Contact Names, Transfer Here
  
  Local County Carolina Access information
• Contact the DSS worker in the county of residence for assistance. Alternatively, call Unifour Pediatrics and ask for Lisa, Robin or Susan.
  
  Medicaid - Carolina Access information from the State level:
• Carolina Access Recipient Handbook in English?
• Carolina ACCESS Recipient Handbook en Español?
• What is Carolina Access?
• Why Your Medicaid Card Important?
• What are the Advantages of Carolina Access?
• Getting Medical Care With Your PCP - What to do?
• Are there things I do not need to get approved by my doctor?
• What is "Health Check" and Special Services For Children?
• What are your Rights as a Carolina Access recipient?
• What are Your Responsibilities as a Carolina Access recipient?
• What about Grievances?   Complaints?
• What are the most important Numbers to Remember?
  
  For general Medicaid Information:
• How do you apply for Medicaid - Carolina Access and/or North Carolina Health Choice for Children
• What is the Basic Medicaid Eligibility Chart?
• Notice of Privacy Practices? (28 KB Adobe Acrobat Reader)
• Notice of Privacy Practices en Español?
• Who are NC Medicaid Dental Provider?
• What is Medicaid Managed Care
  
  For the "Health Choice" program (NOT Carolina Access):
• What is the "Carolina Health Choice" Program?
• Why is health insurance important?
• Who is eligible for the "Health Choice" Program?
• What does it cost for "Health Choice"?
• What is covered by "Health Choice"?
• How do you apply for "Health Choice" ?

What is covered? (as copied from NC DMA site 5/05)  

"This is a comprehensive health insurance plan which covers not only hospitalization but outpatient care. Preventive dental, vision and hearing benefits are available. The following is a summary of benefits: 

• Hospital Care - Semiprivate room, medications, laboratory texts, x-rays, surgeries, and professional care.
• Outpatient care - includes diagnostic services, therapies, laboratory services, X rays, and outpatient services.
• Physician and clinic services - office visits; preventive services such as four well-baby visits up to one year of age, three visits per year between one and two years of age and one visit per year between 2 and 7, and once every three years between 7 and 19. Immunizations are covered.
• Surgical services - includes standard surgical procedures, related services, surgeon’s fees, anesthesia.
• Prescription drugs
• Laboratory and radiology services
• Inpatient mental health services - requires precertification
• Outpatient mental health services - requires precertification after 26 outpatient visits per year.
• Durable medical equipment and supplies such as wheelchairs
• Vision
• Hearing
• Home health care - limited to patients who are homebound and need care that can only be provided by licensed health care professionals or in the case that a physician certifies that the patient would other wise be confined to a hospital or skilled nursing facility. Professional health care is covered, care provided by an unlicensed caregiver is not.
• Nursing care
• Dental care Dental services (Section 2110(a)(17)) Oral examinations, teeth cleaning, and scaling twice during a 12month period, full mouth X rays once every 60 months, supplemental bitewing X rays showing the back of the teeth once during a 12-month period, fluroide applications twice during a 12-month period, sealants, simple extractions, therapeutic pulpotomies, prefabricated stainless steel crowns, and routine fillings of amalgam or other tooth colored filling material to restore diseased teeth.
• Inpatient substance abuse treatment and outpatient substance abuse treatment -is covered. See the mental health inpatient and outpatient notes above.
• Physical therapy, occupational therapy and therapy for individuals with speech, hearing and language disorders
• Hospice care
• Special needs children with chronic mental or physical conditions or illness may receive services beyond those listed above if services are medically necessary and receive precertification.

Once a child has been covered under this plan, should family economic conditions change so that the child is no longer eligible, but the family wants the child to continue in the program, the family will be allowed to purchase the plan at full premium for one year."
This quote comes from this web-page.

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