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.
-
2024
- Enrollment Application
- English Spanish
- Notice of Availability of Member Materials
- Annual Notice of Change
- Summary of Benefits
- LIS
- English Spanish
- Medicaid Member Handbook
- 2024 Member Handbook
- 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
- Evidence of Coverage
- List of Covered Drugs (Formulary)
- OTC Brochure
- Healthy Food Information
- Provider and Pharmacy Directory
- Getting Care During an Emergency
- Medicare Star Rating
-
2025
- Enrollment Application
- English Spanish (Pending)
- Notice of Availability of Member Materials
- Annual Notice of Change
- English Spanish (Pending)
- Summary of Benefits
- English Spanish (Pending)
- Chinese (Pending) Russian (Pending)
- LIS
- English Spanish
- Medicaid Member Handbook
- 2025 Member Handbook (Pending)
- Spanish (Pending)
- Russian (Pending)
- Chinese (Pending)
- 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
- 2025 Member Handbook (Pending)
- Evidence of Coverage
- English Spanish
- List of Covered Drugs (Formulary)
- English Spanish
- OTC Brochure (Pending)
- Healthy Food Information
- Provider and Pharmacy Directory
- Getting Care During an Emergency
- Medicare Star Rating