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Member materials
Medallion (Medicaid)/FAMIS Member handbook ― English (PDF) | Spanish (PDF)
CCC Plus Member handbook ― English (PDF) | Spanish (PDF)
A woman's guide to health screenings ― Medallion (Medicaid)/FAMIS (PDF) | CCC Plus (PDF)
A man's guide to health screenings ― Medallion (Medicaid)/FAMIS (PDF) | CCC Plus (PDF)
Member Vaccine Incentive Letter Form ― English (PDF) | Spanish (PDF)
Forms
CCC Plus wellness rewards flyer ― English (PDF) | Spanish (PDF)
Diabetes wellness exam flyer ― English (PDF) | Spanish (PDF)
Medallion (Medicaid) well woman flyer ― English (PDF) | Spanish (PDF)
Nursing facility transition brochure (PDF)
CCC Plus wellness rewards flyer (PDF)
Diabetes wellness exam flyer (PDF)
Medallion (Medicaid) well woman flyer (PDF)
Maternity Incentive Program form ― English (PDF) | Spanish (PDF)
Important information regarding PPL (Public Partnerships, LLC) (PDF)
Member reimbursement request form for non-traditional Indian medicine (PDF)
Authorization to release protected health information (PHI) ― English (PDF) | Spanish (PDF)
Authorization to release psychotherapy notes ― English (PDF) | Spanish (PDF)
Ted E. Bear M.D. Wellness Club coloring book (PDF)
Print-at-home Ted E. Bear M.D. Wellness Club bookmark for your favorite book (PDF)
Ted E. Bear, M.D., Wellness Club enrollment and incentive form ― English (PDF) | Spanish (PDF)