Materials and forms

Your member handbook English (PDF) | Español (PDF) pусский (PDF) العربية (PDF) can help you understand your benefits. 

Your handbook has info on:

• Our phone numbers

• Your rights and responsibilities 

• Which services we cover

• How to get the care you need

• How to get help with appointments

• How to find a doctor and pharmacy

Take time to read this helpful guide. You can also get the member handbook at no cost in:

• Print

• Other languages

• Other formats like large print or audio

Just call ${MS_phone_1} or ${MS_phone_2} (TTY 711). We’re here for you ${member_services_hours}.

Looking for pharmacies, dental care or the Nurse Line? You can find these and more in our online provider directory. We update it daily. 

You can find the providers you need, as well as other helpful info and resources. 

The more you know, the easier it’ll be to make the best choices for your health. From health tips to ideas for managing your care, each newsletter has info to help you. Want a newsletter mailed to you? Just call ${MS_phone_1} or ${MS_phone_2} (TTY 711). We’re here for you ${member_services_hours}. 

Staying Healthy

• Staying Healthy 2023 member newsletter –  English (PDF) | Español (PDF)

Health Matters

• Health Matters Fall/Winter 2023 – English (PDF)| Español (PDF) | العربية (PDF)

• Health Matters Spring/Summer 2023 – English (PDF) | Español (PDF) | العربية (PDF)

Long Term Care Connection

• Fall/Winter 2023 English (PDF) | Español (PDF)

• Spring/Summer 2023 English (PDF) | Español (PDF)

• Fall/Winter 2022 English (PDF) | Español (PDF)

• Spring/Summer 2022 English (PDF) | Español (PDF)

• Fall/Winter 2021 English (PDF)  | Español (PDF)

• Spring/Summer 2021 English (PDF) | Español (PDF)

Learn more about advance directives and how to find the forms you need for your legal health decisions.

• Authorization to Release Protected Health Information (PHI) – English (PDF) | Español (PDF) | العربية (PDF)

• Authorization to Release Psychotherapy Notes – English (PDF) | Español (PDF) | العربية (PDF)

• Privacy Request form – English (PDF) | Español (PDF)

• Protected Health Information (PHI) Access Request – English (PDF) | Español (PDF) |  العربية (PDF)

• Removal of Authorization Previously Given to Mercy Care – English (PDF) | Español (PDF) |  العربية (PDF)

• Request for an Accounting of Disclosures of Protected Health Information – (PHI) English (PDF) | Español (PDF) |العربية (PDF)

Mileage/Food Reimbursement form – English (PDF) | Español (PDF)