The following materials provide information about RiverSpring MAP (HMO D-SNP) Services. Feel free to Contact us at 1-800-362-2266 and TTY/TDD: 711 if you have questions.

• 2025

• Enrollment Application
  • English  Spanish (Pending)
• Notice of Availability of Member Materials
  • English  Spanish
• Annual Notice of Change
  
  • English  Spanish
  • Chinese Russian
• Summary of Benefits
  
  • English Spanish
  • Chinese Russian
  • Bengali  Hatian Creole
  • Urdu  Hindi
• MAP Brochure
  • Spanish Russian
  • Chinese Haitian Creole
  • Bengali Urdu
  • Hindi
• LIS
  • English  Spanish
• Medicaid Member Handbook
  • 2025 Member Handbook
    • Spanish
    • Russian
    • Chinese
  • Behavioral Health Addendum (Effective 1/1/2023)
  • Dental Addendum (Effective 1/31/2024)
  • Mobile Crisis (Effective 3/1/2024)
  • Non-Emergency Transportation Addendum (Effective 3/1/2024)
  • Electronic Notice Option
  • Social Care Network Member Notice
• Evidence of Coverage
  
  • English Spanish
• List of Covered Drugs (Formulary)
  
  • English Spanish (Effective 5/1/2025)
  • Russian  Chinese
• OTC Flyer
• Healthy Food Information
• Provider and Pharmacy Directory
• Getting Care During an Emergency
• Medicare Star Rating
  • English  Spanish