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Latest News - IEHP Announces Angelica Baltazar as New Foundation President

it Medicare-Medicaid plan in the country, today announced that Angelica Baltazar, MSW, has been named as president of the newly created IEHP Foundation. The Foundation is the philanthropic arm of IEHP and is uniquely positioned to increase philanthropy and generosity in the region, helping to fill the void for those most vulnerable and keeping dollars in the community.  The Foundation’s work is centered around achieving what IEHP calls Vibrant Health for the Inland Empire. Vibrant Health means that IEHP’s Members and the residents of the Inland Empire will have access to a better, more joyful life through programs that address the root causes of illness, health equity, and the core needs of the community.  Baltazar has more than 20 years of experience in the public health and human services sectors. She joins IEHP from San Antonio Regional Hospital where she most recently served as the Executive Lead for Health Equity and the Executive Director of the Lewis-San Antonio Healthy Communities Institute.  Baltazar holds a bachelor’s in social work from Cal Poly Pomona and master’s in policy planning and administration from Loma Linda University. She is a community advisory member for Inland SoCal United Way, and a board member of Partners for Better Health and Promise Scholars.  “Finding the right person to lead the IEHP Foundation was a critical first step in its development,” said IEHP Chief Executive Officer Jarrod McNaughton. “Angelica’s expertise in this field will support our efforts to improve the health of the IE for decades into the future.”

Latest News - IEHP Partners with Community Organizations to Vaccinate 38,000+ I.E. Residents

es through an IEHP sponsored or supported clinic. Clinics are made possible through partnerships with community-based organizations like Loma Linda University Health, SAC Health System, St. Paul African Methodist Episcopal Church, Inland Regional Center, and San Bernardino County and are expected to continue to combat the surging rates of COVID-19 cases. Approximately 36,900 vaccines have been administered through San Bernardino County’s super vaccination site, held at the health plan’s corporate headquarters in Rancho Cucamonga. In addition, more than 1,500 vaccines have been distributed at community events, like Que Buena’s 2021 Fiestas Patrias community event, and church or organization-hosted clinics over the past six months. “We do everything we can to meet residents where they are,” said Marci Coffey, IEHP’s Director of Community Partnerships. “For some, it comes down to convenience and accessibility. For others, it’s all about education and awareness. We’re thrilled to offer these services and resources to residents in the I.E. and are actively working to develop additional opportunities for our teams to connect with and support the community!” With funding from the state’s Medi-Cal COVID-19 Vaccination Incentive Program, IEHP plans on expanding partnerships to ensure continued vaccine clinics. The health plan is also developing provider incentive programs to encourage physician intervention among patients, increasing vaccination rates. “The facts are crystal clear. Everyone is safer when everyone is vaccinated,” said Jarrod McNaughton, IEHP Chief Executive Officer. “While we are proud of the number of vaccines we’ve helped to administer, we still have plenty of work ahead to ensure our communities can enjoy optimal care and vibrant health. We understand receiving a vaccine is a personal choice, however the community impacts are astounding. Just as this pandemic began through community spread, it must end through community collaboration and response.” For COVID-19 vaccine sites near you, visit myturn.ca.gov.

Latest News - IEHP Responds to the Department of Health Care Services

vices PO Box 997413 Sacramento, CA 95899-7413 ContractPolicyAdmin@dhcs.ca.gov RE: Inland Empire Health Plan – Contractor and Grantee Report on Compliance with Economic Sanctions in Response to Russia’s Actions in Ukraine Dear Michelle, We have taken the following actions in response to Executive Order N-6-22 (EO) regarding sanctions in response to Russian aggression in Ukraine. We have reviewed our investments and contracts and confirmed they comply with economic sanctions imposed by the U.S. government in response to Russia's actions in Ukraine, as well as any sanctions imposed under state law. We have requested our contractors with agreements for commodities, services, and technology to comply with existing economic sanctions. We have notified all contractors and grantees of their obligations to comply with economic sanctions. We have directed grantees, and contractors with agreements valued at $5 million or more, to report to the agency or department regarding their compliance with economic sanctions. We have directed all grantees, and contractors with agreements valued at $5 million or more, to report on steps they have taken in response to Russia's actions in Ukraine, including, but not limited to, desisting from making new investments in, or engaging in financial transactions with, Russian entities, not transferring technology to Russia or Russian entities, and directly providing support to the government and people of Ukraine. Sincerely, Jarrod McNaughton, MBA, FACHE Chief Executive Officer

Latest News - IEHP Promotes Balance with Youth Activities

l, family and friends, Inland Empire Health Plan (IEHP) offers a regular schedule of fun – and free – classes at its community resource centers.  “Extracurricular activities decrease the potential for risky behaviors in children and young adults and provide an increased sense of connectedness and belonging,” said IEHP Community Behavioral Health Clinical Director Amrita Rai. “Any kind of opportunity to engage in activities supporting healthy emotional development can increase self-esteem and the ability to interact with peers, which offers benefits well into adulthood.” IEHP’s community resource centers can help nurture and improve mental health for young Inland Empire residents. The centers offer classes and activities including Zumba, creative arts, cooking and gardening across its three locations in Riverside, San Bernardino and Victorville. Sessions are held Monday through Saturday and can be found on iehp.org. The U.S Surgeon General’s 2021 Advisory  further highlights COVID-19’s impact to the ongoing youth mental health crisis, citing the urgent need to address these challenges head-on through coordinated action by community and federal organizations and by recognizing mental health as an essential part of overall health. This concept is not new to IEHP, which is currently partnering with several community organizations and Local Education Agencies to expand behavioral health services in and near schools (Student Behavioral Health Incentive Program).  The health plan is also exploring opportunities to add even more free classes and activities for teens and young adults to their centers through a partnership with Young Visionaries Youth Leadership Academy.   “We’re looking forward to adding more fun to our center schedules in the weeks and months to come,” said IEHP Victorville Community Resource Center Manager Delia Orosco. “Our centers serve as a safe space for all who enter, regardless of age, to truly express themselves and we take that very seriously.” To learn more about IEHP Community Resource Centers and class schedules, visit iehp.org.  

Latest News - IEHP team helps break mental health stigma, one new mom at a time

he challenges it brings – can be overwhelming. After the birth of her daughter, Gerti struggled with her mental health and recognized she needed help – so she turned to IEHP.  Through her connection to Katia, a behavioral health specialist on IEHP’s maternal mental health team, Gerti learned she was experiencing postpartum depression and was connected to various resources, including supportive therapy.  Although common (the CDC cites 1 in 8 women who recently gave birth suffer from it), postpartum depression is more severe and long-lasting than the “baby blues,” which can include short-lived bouts of mood swings, crying spells, anxiety and difficulty sleeping.  “I was just really looking for help, because it gets overwhelming – especially becoming a new mom,” explained Gerti. “Sometimes the depression just catches you. I just want to get through this, so I can push through for my baby, for my sanity, for my happiness.” As Katia explains, no mother with these challenges should ever feel ashamed. Feeling anxious, overwhelmed and depressed are all considered typical emotions during pregnancy and after birth.  “It’s normal [for new moms] to feel the way they do; there is nothing wrong with feeling that way,” said Katia, who also personally experienced postpartum depression. “They should be proud of themselves for reaching out for help – and that is where we come in.” IEHP’s maternal mental health team is a small, but mighty unit within the behavioral health department that connects Members with mental health services such as therapy and psychiatry.  The maternal mental health team regularly checks in with Members to ask how they are feeling, what they need and to help them make those sometimes hard, but life-altering first steps of scheduling and attending therapy appointments.  The team supports Members like Gerti through every step of their recovery and journey through motherhood – even if it’s to simply ask how they are doing.   “If I am able to take care of myself better, I will be able to take care of my baby much more,” explained Gerti. “I know that every time I am having trouble, help is just one phone call away.” To learn more about Gerti’s story, visit: https://youtu.be/8IRKPmIk2CM If you or someone you know is struggling with postpartum depression or mental health, IEHP is here for you. IEHP Members can call Member Services to connect with our behavioral health team. For a mental health emergency, please call the Mental Health and Suicide Crisis Hotline at 988.  

Latest News - Together with EASE: IEHP Partners to Promote Awareness and Early Childhood Detection of Diabetes

spread awareness about Type 1 diabetes and the detection of the chronic health condition in children. Together, the two organizations will actively distribute and promote educational material and work to connect the community with supportive resources. According to the Centers for Disease Control, the frequency of both Type 1 and Type 2 diabetes in young people is a growing clinical and public health concern. While Type 2 diabetes is preventable, Type 1 diabetes is not. Type 1 diabetes is characterized by deficient insulin production and requires daily doses of the key hormone that converts glucose into energy. Diabetes has the potential to damage the heart, blood vessels, eyes, kidneys and nerves, according to the World Health Organization. EASE T1D is the joint effort of two mothers, Debbie George and Michelle Thornburg, who have children with Type 1 (T1D) diabetes. Through their more than 25 years of combined experience, they have come to recognize areas of significant need and have joined forces to apply their knowledge as parents of young diabetics through Education, Awareness, Support and Empowerment (EASE). “The goal of EASE T1D is to raise public awareness of what Type 1 diabetes is and the onset symptoms,” said Debbie George, who co-founded EASE T1D. “So many times, children go undiagnosed because a parent thought it was a simple virus.” “Excessive thirst, frequent urination, weakness and weight loss are the top four symptoms,” added George. “And because there are so many illnesses these symptoms could be attributed to, awareness is critical.”     The non-profit group is also active in shaping state law, recently partnering with Poison lead singer and reality TV star Bret Michaels – diagnosed with Type 1 diabetes at 6 years old – in support of California’s Senate Bill 97, which requires Type 1 diabetes information to be available on the California Department of Education’s website and to be distributed to parents and guardians of K-12 students. The bill was signed into law in October 2021 as a part of Gov. Gavin Newsom’s $123.9 billion K-12 package.   “Empowering parents and guardians with this information is a great step in extending preventive health care services to our community,” said Dr. Wada, IEHP’s chief medical officer. “This partnership will help us to fill in the gaps and truly meet our members where they are.” To learn more about EASE T1D, visit EASET1D.org.  

Latest News - Medi-Cal Expands Services to 185,000 More Adults

ible for full-scope Medi-Cal benefits, regardless of their immigration status. Under California Assembly Bill 133, health plans like Inland Empire Health Plan (IEHP) are now able to provide these adults access to services like preventive healthcare, behavioral health services, vision care and more. In 2019, the state made its first historic move to provide full-scope Medi-Cal services to all California residents 0-26 years old. AB 133 is now the state’s boldest move toward health equity and provides the most inclusive health care policy for low-income persons in the nation. “Everyone deserves access to health and wellness services they can trust,” said Dr. Takashi Wada, IEHP Chief Medical Officer. “We’ve seen the impacts of community health firsthand over the last two years. When more residents have access to coordinated care and preventive services, health and wellness improves, and communities thrive. All communities, regardless of immigration status, deserve the opportunity to achieve vibrant health.”  IEHP understands the fears associated with applying for Medi-Cal as an undocumented resident and is making every effort to connect residents to trusted information, resources and support to aid in making the best decision for them. These efforts include community events, partnerships with legal organizations like TODEC and more.  “IEHP is eager to do all we can to support these older adults so that they may receive the care and benefits they need to live fruitful lives as residents of the Inland Empire,” said Jarrod McNaughton, IEHP Chief Executive Officer. For more information and to enroll into Medi-Cal, residents can call IEHP’s Enrollment Advisors at 1-866-294-4347 (1-800-720-4347 TTY) or visit iehp.org.

Latest News - IEHP Physicians Encourage COVID-19 Vaccines for Youth

ren (ages 5-11) against COVID-19 as cases continue to surge across the state. The health plan is supporting access to the vaccine for Inland Empire families through sponsorships of child-friendly vaccine clinics across Riverside and San Bernardino counties. Members who receive their first COVID-19 vaccine are also eligible to receive a free $50 gift card at IEHP-sponsored clinics listed on the health plan’s website. IEHP is also providing fact-based information for parents and guardians on their website and across the plan’s social media accounts. “IEHP is joining forces with several partners to ensure the community has access to vaccines and clinical information to stay healthy,” said Dr. Priya Batra, IEHP’s Senior Medical Director for Family and Community Health. “Vaccinating children who are eligible can protect unvaccinated younger siblings and family Members who are vulnerable to COVID-19. The risk of hospitalization and health complications is greatly reduced in children who are vaccinated.”  According to the CDC, the approved complete Pfizer dose for children aged 5-11 is 20 micrograms (a third of the 60 micrograms for adults) – administered at 10 micrograms per dose 21 days apart – and has undergone rigorous testing to prove it is safe and effective.  “It’s no secret the vaccine is effective in dramatically reducing contraction of COVID-19 and symptoms requiring hospitalization,” said Dr. Takashi Wada, IEHP’s Chief Medical Officer. “Providing our children that protection is essential, especially as our communities continue to open and try to return to normal operations. Vaccinating children will encourage and allow the safe return of all our children’s favorite sporting activities, play dates, school functions and more.”  Click here to learn more about where to receive COVID-19 vaccines for you and your child.   

Latest News - IEHP Expands Healthcare Services to Entire Inland Empire

are services for more than 11,000 residents in Needles, Big River, Red Mountain, Blythe, Trona and surrounding areas in California.  The expanded coverage, directed through the CalAIM initiative, will transition traditional services to managed care plans like IEHP and provide a new coordinated care service offering supporting all 27,408 miles of the Inland Empire. Prior to the expansion, residents in these rural areas received health coverage through Medi-Cal’s traditional fee-for-service model but did not have access to services like health education programs, telephone advice nurses, and coordinated care support.  IEHP is currently in the process of contracting and credentialing available Providers in these areas to ensure Members are assigned to the Primary Care Providers nearest to their areas.   “Just like the rest of our Membership, these new Members deserve the best care possible and should have access to a solid network of Providers and community supports,” said Susie White, IEHP Chief Operating Officer. “We’re thrilled some of our trusted Provider partners have made their way into our new service area and opened clinics to welcome our new Members. Teams across our organization continue to work on building a sustainable network for our entire community.”  To help new Members become familiar with the health plan and the resources they now have access to, IEHP’s Community Health Teams have attended and hosted various events in the community, with the commitment to continue the support efforts moving forward. Earlier this year, IEHP joined community partners Young Visionaries, the Family & Kids Foundation, and Food Forward, to provide food, toys, household items, fresh produce, and vaccine opportunities for more than 300 residents in Trona.  “As an IEHP Member, you can absolutely trust that we will do the right thing for you and your family and get you connected to the care you need,” said Jarrod McNaughton, IEHP Chief Executive Officer. “We are so excited to welcome our neighbors in these rural areas and support them in a way that complements and enhances their quality of life for years to come.”  

Latest News - SAC Health Receives IEHP’s Mission INSPIRE AWARD

C), received Inland Empire Health Plan’s (IEHP) Mission INSPIRE Award this month at the health plan’s second Annual Mission Conference. The award recognized SAC Health’s ongoing support and service to residents in Riverside and San Bernardino counties. SAC Health’s roots reach back as far as the 1960s, which have led to 35 specialties offered today at 10 locations, including a mobile unit that supports more than 144,000 patient visits each year. SAC Health is also one of IEHP’s most prominent partners, providing care to more than 50,000 of the Inland Empire’s most vulnerable residents and educating future physicians in the region.  In collaboration with SAC Health, new health care clinics were developed in brand new service areas, supporting thousands of residents in Blythe and Barstow. “You can’t do this kind of work and truly impact the community and those that need the care without really strong partnerships. It takes a whole community to do that,” said Dr. Jason Lohr, CEO of SAC Health. “We are overwhelmed with gratitude and humility to be honored with this award.” SAC Health is one of the first recipients of the IEHP Mission INSPIRE Award. The award honors providers, community organizations and partners for their commitment to the health plan’s mission to “heal and inspire the human spirit.”  “We are thrilled to honor SAC Health’s dedication and determination to consistently do the right thing for our communities and Members,” said Jarrod McNaughton, IEHP Chief Executive Officer.  To learn more about the IEHP Mission Conference and how the health plan is charting a collaborative path forward, visit iehp.org.  

Latest News - IEHP Earns Industry CORE Certification for Data Security

Operating Rules for Information Exchange (CORE®) Eligibility, Claim Status, and Payment & Remittance Certification Seals. This means IEHP successfully completed an extensive testing process and review of national operating standards, enabling health plans and providers to electronically share large quantities of administrative data quickly and accurately. These rules and guidelines aim to improve the efficiency and improve national health care system costs. “Exceeding these standards is critical to ensuring our providers have the necessary information to provide the very best care to our members,” said Vinil Devabhaktuni, IEHP’s Chief Information Officer. “Our teams work tirelessly to build sustainable systems and processes to support this effort and will continue to find innovative solutions to support the ongoing needs of our members and providers.” Widely viewed as the industry “gold standard,” the CORE Certification illustrates IEHP’s commitment to the secure exchange of member data and timely provisions of health care services. The certification also demonstrates IEHP’s ongoing work effort adhering to the operating rules and their underlying standards, plus going above and beyond what is required. “Inland Empire Health Plan is demonstrating industry leadership,” said Robin J. Thomashauer, CAQH president. “Operating rules are most effective when everyone follows them, and today, thanks to IEHP, our nation’s health care system has taken another important step forward.” CAQH CORE is a collaboration of more than 130 participating organizations that work together to develop operating rules. Participants represent health care providers, health plans, vendors, associations, government entities and the organizations that set standards for health care and data exchange. CORE Certification is currently available for all currently published Operating Rule Sets. To learn more about IEHP visit  iehp.org. For more information about CAQH CORE, visit www.caqhcore.org. 

Latest News - Team IEHP sparks end-of-year cheer with community giving in the Inland Empire

will not rest until our communities enjoy Optimal Care and Vibrant Health.  So year after year, #TeamIEHP does what they do best – heal and inspire the human spirit by giving back to the Inland Empire community. Between turkey distributions, vaccine clinics and senior citizen holiday gift drives, 2022 is no different.  Over the Thanksgiving holiday, IEHP distributed 200 free turkeys through its community resource centers, while the remaining holiday season of giving will include a company toy drive for the city of Trona, handwritten cards to local children in the foster system, and community vaccine clinics at holiday events, including Motivating Action Leadership Opportunity’s (MALO) Christmas Extravaganza. IEHP is also hosting an internal holiday gift drive to support senior citizens who have been identified as isolated, neglected or abused. Last year, IEHP team members provided cash donations and filled several boxes with items like blankets, socks, home décor, hygiene products and slippers. All donations were given to the Office on Aging. This year, IEHP team members are looking forward to exceeding last year’s contributions. “It’s the right thing to do,” said IEHP Behavioral Health and Care Management Support Services Manager Ben Jauregui. “Each year, our teams look forward to giving back in this way and reminding our local seniors they are cared for and loved.” For seniors who are isolated, vulnerable or medically at-risk, the holiday season can be challenging – even lonely – according to Jewel Lee, director of the Riverside County Office on Aging.  “This is an opportunity for us to highlight to everyone that even short moments of joy are very valuable to those who have no family or live alone,” Lee added. “We are fortunate to have community partners – like IEHP – who help us touch the lives of people in need of hope and positivity at this time of year.”      

Latest News - IEHP supports new moms with mental health events

ew moms and moms-to-be are invited to visit IEHP’s Community Resource Centers in December for free maternal mental health events, which will offer health and wellness resources and connections to prenatal and postpartum care. Events will be hosted by IEHP’s Maternal Mental Health Team at all three of the health plan’s Community Resource Centers: Thursday, Dec. 1, 9 a.m.- 1 p.m. at IEHP’s Victorville center, 12353 Mariposa Road, Suites C-2 & C-3, Victorville, Calif., 92395 Saturday, Dec. 3, 9 a.m.- noon at IEHP’s San Bernardino center, 805 W. Second St., Suite C, San Bernardino, Calif., 92410 Friday, Dec. 9, 2- 5 p.m. at IEHP’s Riverside center, 3590 Tyler St., Suite 101, Riverside, Calif., 92503 Registration is encouraged by visiting Connect I.E. or IEHP’s Events page on Facebook. In addition to information on community resources for prenatal and postpartum care, attendees will receive baby items and will be eligible for raffle prizes. Members will also learn more about their maternal health benefits and the services they can access.  “The pregnancy process doesn’t end once the baby is born,” said IEHP Manager Heather Waters, LCSW. “Postpartum care is just as important as prenatal care. Our team at IEHP can assist you with linkage to your postpartum appointment and any additional services, such as transportation and behavioral health.”  A recent report from the CDC also highlights this need, citing that more than 80% of pregnancy-related deaths between 2017-2019 were preventable and 53% of deaths occurred between seven days and one year after delivery. The report also notes the leading underlying causes of pregnancy-related deaths include mental health conditions.  “Our Maternal Mental Health team at IEHP is serious about improving maternal health outcomes in our communities, and we look forward to equipping our members with the necessary tools, benefit information and resources they need to deliver healthy babies and remain well after delivery,” added Waters. 

Latest News - Celebrity Chef Provides Healthy Cooking Demos to I.E. Residents

althy cooking to the Inland Empire (I.E.) by showing Members and community residents how to cook delicious, traditional meals with a healthy and spicy twist at the health plan’s Victorville Community Resource Center.   A 2018 MasterChef Latino judge, Chef Mario is a Boyle Heights native and has expertise elevating the culinary experience of residents in and around the Los Angeles area. Chef Mario’s demonstrations highlight cooking with both new and familiar ingredients that are proven to address common health issues in the region, including diabetes and hypertension.  “Healthy eating doesn’t need to mean bland or boring food and Chef Mario knows how to make that possible,” said IEHP’s Community Health Senior Director Cesar Armendariz. “We’re thrilled to connect Chef Mario to our Members and communities to learn how to better utilize spices and well-known ingredients to better manage our health and wellness in a vibrant, delicious manner.” Chef Mario’s cooking demonstrations are open to the community and take place in July every Tuesday from 12:30 p.m. - 1:30 p.m. Classes in August will be every Thursday from 10:30 a.m. - 11:30 a.m. at the health plan’s Victorville center, located at 12353 Mariposa Road, Suites C-2 & C-3. IEHP also plans to record demonstrations for public use in the coming months.  “This partnership means so much to me on a personal level. A healthy way of life should be available to all – it’s such an important component of health care that is often ignored,” said Chef Mario. “Food is the connection to everything, from our physical well-being to our mental well-being. There has been no greater time than now to embrace healthy eating but not sacrifice the flavor. I'm so excited to partner with IEHP and have so many fun demos, recipes and other surprises coming.” In addition, IEHP will connect Chef Mario to community partners for additional cooking demonstrations and civic events. “IEHP is proud to provide education and resources to Members and community residents who want to learn how to better manage their health through cooking. We’re excited to have Chef Mario’s help as we continue to look for ways to serve our community,” said IEHP Chief Executive Officer Jarrod McNaughton. To learn more about IEHP’s Community Resource Centers or to find a nutrition class, visit the community resource page.  alt=" "="" src="-/media/dc4dca59a6f446009bdb09836af76cc9.ashx?h=400&w=300" class="" />

Latest News - Statewide Initiative Supports Behavioral Health of I.E. Youth

h Molina Healthcare, County Behavioral Health, the Offices of Education in Riverside and San Bernardino counties, and select local school districts and charter schools to implement the Student Behavioral Health Incentive Program (SBHIP).  The three-year program is in accordance with the California Department of Health Care Services’ (DHCS) goal to expand prevention and early intervention behavioral health services in schools and provides financial incentives to partnering school districts and charter schools. A total of $389 million has been allocated for California. Between both IEHP and Molina Healthcare, up to $50,845,334 can be utilized to support this program. According to the American Psychological Association, one in five young women and one in ten young men experience a major depressive episode before the age of 25. The COVID Collaborative also notes one in 330 California children have lost either a parent or caregiver in the last two years, adding significant stress and trauma to the lives of California’s youth, along with stay-at-home orders and remote learning.  “If the past few years have taught us anything, it’s that we need to be proactive in addressing mental health and wellness needs early on, before traumas have a chance to manifest later in life,” said Amrita Rai, IEHP’s clinical director of community behavioral health.  Through SBHIP efforts, existing mental health initiatives will be bolstered, and coordination between schools, managed care plans, county behavioral health and community partners aim to address the equity gap and improve access to mental health prevention and treatment for students.  Resources will be directed to fill gaps in these areas throughout the participating schools and their respective communities. Services will be limited to schools who are participating in SBHIP and who receive funding.   “We are well into a crisis when it comes to the mental health and wellness of our youth. Now is the time to be bold and work tirelessly for our children because what we do now will affect generations to come,” said Rai. “Why not focus our resources, our passion, and our commitment back into the community and schools? Our children spend most of their lives in school, which makes this multi-organizational partnership so worthwhile.” Partnerships with local education agencies and school sites include San Bernardino County Superintendent of Schools (SBCSS); Riverside County of Education; Palm Springs Unified School District; Hemet Unified School District; San Bernardino City Unified School District; Rialto Unified School District; Victor Valley Union High School; Ontario-Montclair School District; Leadership Military Academy; Nuview Union School District; Provisional Accelerated Learning Academy; and Riverside County Office of Education Alternative Education Program.  While the initiative will begin at these partner sites, it is anticipated that learnings would benefit other schools and districts interested in implementing similar programs in the future.   “San Bernardino County Superintendent of Schools recognizes the growing mental health crisis among our youth and supports this joint effort to address this critical issue,” said County Superintendent Ted Alejandre. “SBCSS seeks to build capacity within countywide systems and increase access to much needed support to ensure every child receives the services they need when they need them.”  “Educators at the Riverside County Office of Education and within all Local Educational Agencies (LEA) in Riverside County, are vitally interested in addressing the needs of the whole student beyond the classroom. Linking arms with partners across the county via the Student Behavioral Health Incentive Program (SBHIP) will equitably provide mental health services to those who might not otherwise have access to this level of support,” said Riverside County Superintendent of Schools, Dr. Edwin Gomez. Selection of school districts and charter schools was dependent on DHCS guidelines and considered specific criteria, such as the number of students who received Medi-Cal, were foster youth or English learners, received free or reduced priced meals, were interested in participating in the program and other factors.  “It’s the right thing to do. This program gives us a great opportunity to extend both heart and hand to children in our community,” said Dr. Takashi Wada, IEHP’s chief medical officer. “Working together, we can equip them with necessary skills, habits and care they can use today and through adulthood, setting them up for a healthier and happier tomorrow.”  “The COVID-19 pandemic has exacerbated and elevated behavioral health needs in our communities, including in young people. Mental and emotional wellbeing make up a significant portion of overall health and healthy youth lead to improved community wellness. We are proud to partner with IEHP, local offices of education and mental health professionals to address the youth behavioral health crisis in tangible, preventative ways.” said Dr. Sayeed Khan, chief medical officer at Molina Healthcare. Program preparation began this year and will support a January 2023 launch at all 10 participating local education agencies. Through careful planning and implementation, the program will aim to build and support a sustainable system beyond the life of the program, which will end in December 2024. alt=" "="" src="-/media/7c6d40e217094fb1be8ec6cec9473878.ashx?h=233&w=350" class="" />

Senior Health - Senior Health

This includes making a plan to improve safety and taking routine tests and health screenings to detect health problems and treat them early. Advanced Care Directive What’s an Advanced Care Directive and why do I need someone else to help me? Advanced Care Directive is a specific type of power of attorney or health care proxy, in which the person authorizes someone (an agent) to make decisions on their behalf when they are unable to do so. Decisions can be large and small.  For example, “Who will be responsible for communicating with your family?” or “In the final stages of living, do you want to be at home?” IEHP offers free Advanced Care Directive Workshops to help you. Call IEHP Health Education Department at 1-866-224-IEHP (4347) or 1-800-718-4347 for TTY users to see if a workshop is coming up near you! See also: Advanced Care Directive Guide (PDF) Advanced Care Directive Form (PDF) PREPARE: A California program to help you make medical decisions for yourself and others. National Library of Medicine: Seniors' Health You will need Adobe Acrobat Reader 6.0 or later to view the PDF files. Download Adobe Acrobat Reader.

COVID-19 - Coronavirus

VID-19? The Coronavirus, also known as COVID-19, is a virus that causes breathing problems in people. What is the Delta Variant? According to the CDC, Delta variant is more than 2x as contagious as previous COVID-19 variants. Some data suggest the Delta variant might cause more severe illness than previous variants in unvaccinated people. What is the Omicron Variant? According to the CDC, the Omicron variant will likely spread more easily than the first SARS-CoV-2 virus, even those who are vaccinated or don’t have symptoms. While, COVID vaccines help to protect against severe illness, hospitalizations, and deaths due to infection with the Omicron variant, breakthrough infections in fully vaccinated people are likely to happen. Though Omicron is a new variant, the same tools used to fight COVID-19 can protect yourself and others against Omicron. How can I get COVID-19? The virus passes from person to person through close contact and droplets in the air from coughing or sneezing (like the common cold or flu). You may be more at risk if you’ve traveled to infected regions or were around people who recently came back from those areas. Visit reliable online sources like the Centers for Disease Control and Prevention (www.cdc.gov) regularly to find out f you may be at risk. What are the symptoms? Most people who get COVID-19 feel like they have the flu. Older people, especially those who are already sick or have another disease like, COPD, heart conditions, and/or diabetes, are in danger of getting the most severe forms of this virus. Symptoms can range from mild to severe. They include fever, cough, breathing problems, and more. How can I protect myself and my family? The best protection is getting your COVID vaccines and booster shots. In addition, to lower your risk, follow these steps:  Wash your hands with soap and water for at least 20 seconds to prevent the spread of the virus. Alcohol-based hand sanitizers are your next best choice. Cover your mouth and nose with a tissue when you cough or sneeze. If you do not have a tissue, cough or sneeze into your upper sleeve and not into your hands. Keep your hands away from your nose, mouth and eyes as much as you can.  Get a flu shot! It’s not too late!  as well. The flu shot doesn’t directly protect you from COVID-19, but it will can help ease the impact of the flu.' Stay home if you are feeling sick until you feel better or are cleared by a Doctor. Most people who get COVID-19 get better with good self-care and rest. Use over-the-counter cold and flu medicines to control fever and ease your symptoms. Keep at least 6 feet away from others whenever possible. When should I call my Doctor? If you think you might have COVID-19, call your Doctor’s office. Tell them your symptoms and if you’ve traveled to the infected regions or were around people who recently came back from those areas. Your Doctor will tell you what to do next so you can get the care you need and not risk passing the virus to your friends and family. What if I can't get a hold of my Doctor or the office is closed? If you can’t reach your Doctor or if it’s after-hours, you can call IEHP’s 24-Hour Nurse Advice Line at 1-888-244-4347 or 711 for TTY users, 24 hours a day, seven days a week. Our trained Nurses offer medical advice and, if needed, will connect you with a Doctor via phone or video chat. How much will I have to pay to get tested? IEHP covers standard* COVID-19 testing and provider-ordered tests. Members will not be charged for either of these tests. IEHP will pay for provider-ordered tests, regardless of whether it’s PCR, rapid, at-home rapid, etc. If your doctor orders the test for you, IEHP will cover the cost of the test. Your provider is required to bill IEHP directly for these tests.  IEHP does NOT reimburse Members who choose to pay for COVID tests. This includes rapid COVID-19 tests with same-day results. Click here for more information about COVID‐19 tests and testing locations. *Test results for standard COVID-19 testing are often ready within two days.  

Plan Updates - Updates

l Notes for DY 2 to 8 (PDF) Core Quality Withhold Technical Notes for DY 2 to 10 (PDF) Riverside University Health System - Health Advisory Influenza (PDF) A Message From IEHP Medical Director, Dr. Takashi Wada The 2022-2023 influenza season continues to coincide with circulation of COVID-19 virus (SARS-CoV-2). As of August 2022, approximately 94.2 million cases of COVID-19 had been reported in the United States. Influenza vaccination remains an important tool for the prevention of potentially severe respiratory illness, which helps decrease the stress on the U.S. health care system. IEHP DualChoice members who are 18 years of age or older may obtain flu vaccines through the IEHP Pharmacy Vaccine Network. Flu Vaccine Notice: Access to Pharmacy Vaccine Network (PDF) Frequently Asked Influenza (Flu) Questions: 2022-2023 Season (CDC Recommendations) What’s New for 2022-2023  By clicking on these links, you will be leaving the IEHP website. The composition of flu vaccines has been updated. For the 2022-2023 flu season, there are three flu vaccines that are preferentially recommended for people 65 years and older. These are Fluzone High-Dose Quadrivalent vaccine, Flublok Quadrivalent recombinant flu vaccine and Fluad Quadrivalent adjuvanted flu vaccine. The recommended timing of vaccination is similar to last season. For most people who need only one dose for the season, September and October are generally good times to get vaccinated. Vaccination in July and August is not recommended for most adults but can be considered for some groups. While ideally it’s recommended to get vaccinated by the end of October, it’s important to know that vaccination after October can still provide protection during the peak of flu season. The age indication for the cell culture-based inactivated flu vaccine, Flucelvax Quadrivalent (ccIIV4), changed from 2 years and older to 6 months and older. Pre-filled Afluria Quadrivalent flu shots for children are not expected to be available this season. However, children can receive this vaccine from a multidose vial at the recommended dose. Preventive Services Immunizations  By clicking on these links, you will be leaving the IEHP website. CDC ACIP Vaccine Recommendations and Guidelines: https://www.cdc.gov/vaccines/hcp/acip-recs/index.html CDC ACIP Immunization Schedule for Children: https://www.cdc.gov/vaccines/schedules/hcp/child-adolescent.html CDC ACIP Immunization Schedule for Adults: https://www.cdc.gov/vaccines/schedules/hcp/adult.html USPSTF Task Force's Immunization Recommendations: https://www.uspreventiveservicestaskforce.org/BrowseRec/Search?s=immunization California Immunization Registry Portal (CAIR): https://cair.cdph.ca.gov/CAPRD/portalInfoManager.do Immunization Timing 2022 (PDF) You will need Adobe Acrobat Reader 6.0 or later to view the PDF files. You can download a free copy by clicking here.

Pharmacy Pain Management - Pharmacy Pain Management

ively manage members on multiple opioid therapies to prevent overutilization, identify unsafe and inappropriate opioid use, and address potential fraud, waste, and abuse. Identified members at risk of opioid overutilization will be evaluation through our Pharmacy Pain Management Program (PPM). A clinical team will be reviewing member therapy and reaching out to the primary provider to discuss the existence of multiple prescribing providers, member's total opioid utilization, appropriate level of opioid use for the member, and considerations for implementation of a member-level claim edit. After review and consultation with the prescribing provider, if the member's therapy is determined to be appropriate and medically necessary, no further action will be taken.  Results of consultation with provider and findings will be documented. After review and consultation with the prescribing provider, if the member's therapy is determined to be inappropriate, and the provider recommends member-level point of sale claim edit, the member will be mailed a notification letter-that entrails the provider's recommendation.  Medicare members will receive the notice 30 days in advance of the point of sale claim edit implementation. Member may also be referred for evaluation and monitoring by a pain management specialist.   You will need Adobe Acrobat Reader 6.0 or later to view the PDF files. You can download a free copy by clicking Adobe Acrobat Reader. By clicking on this link, you will be leaving the IEHP website. Resources and Tools: Pain Management CPG (PDF) Pain Quick Reference Guide (PDF) For convenience, the URL link to the State of California Department of Justice's Controlled Substance Utilization Review and Evaluation Systems (CURES), California Prescription Drug Monitoring Program (PDMP) site. By clicking on this link, you will be leaving the IEHP website. http://oag.ca.gov/cures-pdmp   Information on this page is current as of January 1, 2022