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rents of Members to feel confident in advocating for themselves, their children, and family members to access the behavioral healthcare they need. The health plan supports more than 7,500 Members who are utilizing behavioral health treatment services for autism spectrum disorder (ASD) and related conditions. Such services may include: applied behavioral analysis, speech therapy, physical therapy, occupational therapy, psychiatry services and more. “Having Autism or being on the spectrum is nothing to be afraid of,” said Heather Waters, IEHP’s Manager of Behavioral Health and Care Management. “As a health plan, we want to take the stigma out of asking or seeking behavioral healthcare and encourage our Members or parents of Members to trust their gut and ask for support as soon as they spot any signs or symptoms of possible developmental delays.” Waters shared that early treatment and recognition of symptoms, as early as one year of age and before a child enters school, can result in better health outcomes, especially for children. Signs and symptoms vary and can range from obsessive or compulsive behaviors to poor social skills, delayed milestones, and more. IEHP Medi-Cal Members can be referred to services and treatment for ASD symptoms by a Medical Doctor or a Licensed Psychologist. This allows Members under 21 years of age to access critically important behavioral and developmental therapies immediately, while they undergo the autism evaluation process.   IEHP’s Internal Behavioral Health Team helps Members and their families navigate an ASD diagnosis through actively coordinating services and additional resources through partnerships with several provider groups and local agencies across the region. Recently, IEHP collaborated with the Inland Empire Autism Assessment Center of Excellence (AAC) to provide a Member in Indio with a complete Autism Diagnostic Evaluation through telehealth appointments. “Even with care coordination challenges like location and Member condition, the situation wasn’t impossible,” said Waters. “As the Member and their family connected with the AAC, our team checked in regularly to make sure the services were effective and to remind the family and Member that they were not alone in this journey.” To receive an evaluation or additional services, Members are encouraged to call IEHP’s Member Services at 1-800-440-4347 and ask for the Behavioral Health Department.

in their upcoming event, MALO ‘E OFA Christmas 2022 Extravaganza Resource Fair and Vaccine Clinic, from 10 a.m. to 4 p.m. on Saturday, Dec. 17, at First United Methodist Church of Ontario, in Ontario, Calif. The event will provide attendees with free vaccines, groceries, children’s toys and gifts, afternoon Zumba and lots of holiday cheer. Vaccines will include Moderna, Johnson & Johnson and Pfizer COVID-19 vaccines and boosters. Pediatric Moderna vaccines and boosters for children 6 months through 11 years old will also be available. Those who would like to receive a free COVID-19 vaccine are encouraged to make an appointment online here. MALO, a non-profit organization established in 2017, serves more than 2,000 Tongan Americans in the Inland Empire through youth mentorship, job readiness, resource literacy and cultural gathering events. “Our community has been under-resourced for decades – these partnerships are a sign of hope that our beautiful and deserving community will get the resources needed to live a life with good health and accessible health care,” said Lolofi Soakai, MALO founder and executive director. “Having partners in health care gives a peace of mind knowing that current health concerns are addressed, and preventive care is accessible” Through their years of partnership, MALO and IEHP have collaborated to distribute back-to-school backpacks, hosted various vaccine clinics, and provided personal protective equipment and household items during the COVID-19 pandemic. IEHP has also assisted MALO by providing information on health and wellness benefits. “Meeting our communities where they are and ensuring their access to vaccines and health and wellness resources is a cornerstone of who IEHP is,” said LuAnna Jauregui, IEHP community partnerships manager. “Partnering with organizations like MALO allows us to deliver on our promise to ‘heal and inspire the human spirit’ and support health equity in our region.” To learn more about MALO and their important work in the Inland Empire, visit malotongaie.org

rst social worker Dennis Kaney, who served residents of the Inland Empire for 16 years before his passing earlier this month. In speaking with Kaney earlier this year to learn more about his experience as an IEHP Team Member, he described his role as "doing what he loved most”—providing individualized, quality care and support to the region’s most vulnerable Members through his work as an IEHP Case Manager.  In January, Kaney met an IEHP Member who had sustained life-threatening injuries in a car accident, leaving the Member with paralysis in their limbs (known as a quadriplegia).   Kaney, who was wheelchair-bound himself, understood the need for multi-level support and wasted no time connecting the Member to resources to aid in the massive life transition. “I believe through my work at IEHP, I am able to do exactly what I am meant to do and use my personal experiences to help someone navigate their new beginning,” Kaney said. Through this connection, Kaney helped the Member discover new ways to manage daily life, including how to travel with a chair, how to write, talk, and how to best utilize available resources and tools. This ultimately provided the Member with hope and a reminder that their life was in no way over. “A heartfelt connection provides more care to the human spirit than we realize,” said Jarrod McNaughton, IEHP’s Chief Executive Officer. “As we honor Dennis and observe Social Work Month, we celebrate the spirit of all social workers who bring courage and empathy to a world that desperately needs their light and love.”  

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.

tients in Barstow to primary care physicians, needed social services, and more.  "Through our collaboration with Barstow Community Hospital, we realized that there was an additional benefit to our members through post-discharge calls from IEHP’s Health Services and Community Health teams." said Sylvia Lozano, IEHP's Vice President of Hospital Relations. "A follow-up telephone call upon discharge is an essential activity to improve the transition from hospitalization to their return home," said Lozano. "This partnership with Barstow Community Hospital shows IEHP's unwavering commitment to our Members and Providers and demonstrates how the power of collaboration and dreaming of better ways to deliver care and services can ultimately lead to optimal care and vibrant health for our communities." IEHP Health Navigators provide referrals to other health plan services based on needs expressed during the calls, including organizing doctor’s appointments for members.  The pilot program also connects both hospital and health plan teams for weekly huddles to share insights, data trends, and discuss additional points of partnership to meet the needs of both organizations and the populations they serve.  "Our post-discharge call from trained hospital staff allows the patient's questions and misunderstandings, including discrepancies in the discharge plan, to be identified and addressed, as well as any concerns from caregivers or family members,” Margaret Ventura, Case Management Director for Barstow Community Hospital. "Additional follow-up calls post-discharge from IEHP to their members will only further benefit their members by improving the continuum of care for patients," added Ventura. Since the pilot program began in early October, more than 30 IEHP Members have been supported. While Member needs vary, IEHP's Health Navigators have reported cases where the need for resources and social support has been critical. "This pilot began with a compassionate team who saw an unmet need and found an innovative way to solve it," said Jarrod McNaughton, IEHP Chief Executive Officer. "We are developing this pilot to further demonstrate our commitment to the optimal care and vibrant health of our communities."   

ional ranking for provider satisfaction. Administered in July 2022 to the health plan’s provider network by mail and email through a third party vendor, the annual survey measures provider satisfaction with the services and support received directly from IEHP. The survey included responses from the health plan’s primary care physicians, specialists and behavioral health providers. The survey focused on key drivers of provider satisfaction, including: overall satisfaction with IEHP’s call center service, access to knowledgeable staff, and procedures for obtaining pre-certification/referral/authorization information. “Every response we receive from our providers directly impacts our collaborative and continued work forward,” said Susie White, IEHP’s chief operating officer. “We truly value our providers’ feedback as it help us identify areas to better serve and improve, so they can offer the best care possible with the confidence and support they need.” Consistent with 2021’s survey results, 98.2% of providers shared they would recommend IEHP to other physician practices. Broken down by category, IEHP ranked within the 99th percentile for pharmacy and call center support and saw great improvements in the telehealth category of the survey. In addition to outlining improvements, the survey also highlighted new opportunities for growth. “Like our providers, we never want to stay stagnant in our service quality,” said White. “Together, we’ve identified new areas to focus on, like provider relations and timely access to support, and look forward to implementing new processes, strategies and touchpoints to meet providers where they are.”

ted town of Trona, California, is gearing up for much more than the holidays this year, making way for a healthier future.  With community partners and a team of volunteers, Inland Empire Health Plan (IEHP) met Trona residents in the heart of their community to provide fresh produce, dental services, vaccines and other health resources at a Winter Wonderland event on Dec. 14.  This is not the first, second or even third time IEHP has visited Trona – and it definitely won’t be the last, IEHP’s Senior Community Health Director Cesar Armendariz shared.    Even before officially expanding its coverage to rural areas in January 2022, the health plan has worked closely with Trona residents. In fact, IEHP started regular feedback sessions in 2021 to listen and learn more about the area’s overall needs and care gaps.  Through these engagements, IEHP helped establish bi-weekly fresh produce distributions in the area. Next up: connecting Trona residents to telehealth services and regular wellness programing.  “As the leading health plan serving the Inland Empire, our goal is to help establish access to much needed resources and empower residents to advocate for their own health and well-being,” said Armendariz. “We do that by making connections between providers and communities and helping to create affinity between the two.”  One of these new collaborations to support the Trona community is with Omni Family Health, which will provide residents with telehealth services and pharmacy needs.   “In addition to providing services, vaccines and groceries at our Winter Wonderland event, we really wanted to take the time and teach the community how they can use their IEHP benefits to receive care from partners like Omni Family Health,” said LuAnna Jauregui, IEHP community partnerships manager.   “Health is personal and being physically present to teach, share and guide the development of sustainable wellness in Trona is incredibly important to IEHP and the future of our care system,” added Jauregui.   “To me, IEHP means stability,” said Rene, a Trona Resident and Senior Center volunteer.  “It [IEHP] makes my foundation stronger. It helps me offer things to people that they’ve never heard they could apply for or even come and get. So as far as IEHP goes for me, it brings my stance, my foundation, my feet together in a really strong, thankful way,” added Rene.  To learn more about IEHP, visit iehp.org.  

helping to enhance access to testing in the region. Distributions were organized through the health plan’s Community Resource Centers in Riverside, San Bernardino and Victorville. In addition to the state’s on-going effort to provide tests to Medi-Cal Members through Medi-Cal enrolled pharmacies, IEHP was eager to provide additional testing access by purchasing and distributing tests directly to their Membership. Members received two test kits per family, which includes a total of four antigen tests. Earlier this year, at the height of the Omicron variant’s surge, rapid COVID-19 testing opportunities were in high demand while the supply was very limited.  “Access to testing is essential to community health,” said Dr. Gabriel Uribe, IEHP’s Community Health Director. “Having access to COVID-19 testing reduces transmission in our region by helping residents make informed decisions about their health. Knowing whether or not you are positive for COVID-19 can make all the difference in the lives of your friends and family.” Tests distributed by the health plan are not PCR tests and are not acceptable for travel or events, but can be used for quick results. While only IEHP Members were eligible to receive COVID-19 tests through the health plan, Non-Members are encouraged to visit Riverside or San Bernardino County’s websites for test kit distribution locations.   IEHP is also reminding Members that in-home COVID-19 test kits purchased between 3/11/21 and 1/31/22 can be reimbursed with a receipt using the DHCS claims process. “Providing our Members access to quality tests, care and support remains our largest priority,” said Dr. Takashi Wada, IEHP’s Chief Medical Officer. “As a community-based health plan, we are actively looking for new and innovative ways to fulfill our mission to heal and inspire spirit and will continue to do so, even in the face of this uncertain pandemic.”   Upcoming distributions are scheduled for Tuesday, February 15 at all IEHP Community Resource Centers from 1:00pm to 5:00pm. Visit IEHP’s Facebook page for details.  

irtual tour video of the health plan’s Victorville Community Resource Center.  “Everyone who walks through our door is family,” said Delia Orosco, IEHP’s Victorville Community Resource Center manager. “Regardless if you’re an IEHP Member or not, your care and your health matter to us, and we can’t wait to welcome you into our centers soon!” With locations also in Riverside and San Bernardino, Calif., the virtual tour highlights some of the centers’ most popular offerings, including free fitness classes, cooking demonstrations and computer labs.  “The centers conduct education classes on a variety of health and wellness topics,” shared Carmen Ramirez, IEHP’s Community Behavioral Health and Social Supports manager, as she further explained the range of free course topics, from nutrition, diabetes control, managing asthma and stress to general benefit information for Members.  The tour also features an in-depth look at cooking demonstrations and a peek into the computer labs, which can be used for job searches, various educational courses and to further access to no-cost resources like legal support and housing.  “There are people here who will help with resumes, job searches, interviews and placement. And the best part is, it won’t cost anything,” said IEHP’s Health Educator Allita Watkins.  For locations, class schedules and more information about IEHP’s Community Resource Center, visit iehp.org. 

the health plan in the 99th percentile for provider satisfaction nationwide.  Administered to the health plan’s provider network by phone through a third party vendor, the annual survey measures provider satisfaction with the services and support received directly from IEHP. The survey included responses from primary care physicians, specialists and behavioral health providers.  “To deliver the best care to our members, our providers need ongoing support from their health plan partner,” said Susie White, IEHP Chief Operating Officer. “Survey responses alert us to what areas we need to improve upon and where gaps lie so we can be effective in applying strategic solutions to support our providers. Ultimately we want to ensure our Providers are feeling secure and confident in the work and services they provide to our members. This survey provides great insight into that.” To gain actionable feedback from the plan’s provider network, the survey focused on key drivers of provider satisfaction. Top drivers included: access to case and care managers, timeliness of claims processing, and number of specialists in the network.  A notable 98.1% of providers shared they would recommend IEHP to other physician practices. Broken down by category, IEHP ranked within the 99th percentile for provider relations, health plan call center staff, pharmacy, utilization and quality management, and coordination of care. The health plan also scored in the 99th percentile in the financial category, highlighting the health plan’s ability to resolve questions or discrepancies of payment.  The survey provided additional insight for ways to improve support activities. “Our provider feedback pointed us to a really great opportunity to enhance access to resources and information supporting telehealth services,” said White. “As we continue to navigate our way through this pandemic together, reinforcing efforts in this area will be critical for our communities.” “The last two years have been an extraordinarily difficult time for our Providers as healthcare professionals and as human beings,” said Jarrod McNaughton, IEHP Chief Executive Officer. “I can’t begin to say how grateful we are for their work in our community and IEHP is committed to make every effort to support our Providers so our Members and Communities can enjoy the optimal care they deserve.”  

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. 

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.”      

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. 

Indio, Calif., on Dec. 4 and 5.  A long-time supporter of the festival, IEHP will provide health education resources and host a free vaccine clinic near the festival. In partnership with Kaiser Permanente, IEHP’s vaccine clinic will be located just two blocks away from the festival at 45720 Smurr St. in Indio and will offer free COVID-19 and flu vaccines to adults and children from 12-6 p.m. Appointments are not required. Indio’s International Tamale Festival began in 1992 and welcomes diverse crowds to enjoy handmade tamales from around the world. In addition to world-famous tamales, this year’s festival will feature live musical performances, entry to the World’s Biggest Bounce House, a roller rink, carnival rides and hundreds of booths. “Supporting the Indio Tamale Festival has become a tradition for IEHP for more than 15 years,” said Marci Coffey, IEHP’s Community Partnerships Director. “The festival provides fun, family-centered time for our community, and we’re always eager to provide benefit information and connections to resources. This year, we’re especially eager to get back to the festival and offer vaccines to the community.” Historically, hundreds of IEHP Team Members and their family members volunteered for the annual event and were bussed from the health plan’s corporate headquarters in Rancho Cucamonga to Indio. This year, IEHP’s community health teams will be spread throughout the region to support Indio’s Tamale Festival and additional community events in Rialto, Victorville and Needles.  “We want our members and communities to enjoy all the fun during the holidays in the safest way possible,” said Cesar Armendariz, IEHP’s Senior Director of Community Health. “We’re grateful to have the resources and strategic partnerships in place to make vaccines accessible to those who need them and look forward to continuing to encourage optimal care and vibrant health in our region.”  

Inland Empire Health Plan (IEHP) had officially opened its doors.  Twenty-six years later, a small cohort of team members hired during the health plan’s opening year – self-proclaimed, “The Originals” – continue to serve their community as IEHP team members.  Comprised of team members from various departments across the health plan, the Originals have contributed to some of IEHP’s most critical projects, supporting the health plan’s innovative spirit and providing optimal care for more than 1.6 million members.  “Our IEHP Originals continue to push us forward through their deep commitment and understanding of what it means to be an IEHP team member,” said IEHP Chief Executive Officer Jarrod McNaughton. “This group reminds us each and every day of where we’ve been, and why we must continue to move forward.” As IEHP celebrates and reflects on the organization’s 26th anniversary this year, the health plan is also honoring its Originals to share more about their commitment and their unique place in IEHP’s history.  “If we worked late or on the weekends, you’d often find our kids at work – they’d play in the open spaces or at the desks while we kept working,” recalled IEHP IT Test Governance and Coordination Manager Imelda Ramirez. “My son used to play under my desk with his Matchbox cars. I still have them at my desk. It was a family adventure getting ready for go-live in 1996 and those first few years.”   To learn more about IEHP’s Originals and their stories, visit IEHP on LinkedIn.  

community residents for its first AfroNoon celebration and mini-museum exhibition launch in White Park earlier this month. Inland Empire Health Plan (IEHP) was thrilled to join the city of Riverside as a sponsor, supporting The Bibbs and its mission to cultivate, collect and showcase expressions of African American arts and culture in the region. AfroNoon served the community as a Black arts festival, highlighting local talent from various artistic elements: music, traditional arts, food, live performances, and craft vendors.  Also featured, pieces by the center’s namesake Charles A. Bibbs, an internationally renowned contemporary visual artist, entrepreneur, and philanthropist whose work is found in museums, galleries, organizations and homes of many collectors, including Riverside City Hall.  “The AfroNoon in White Park was successful!” said Bibbs. “The highly attended event was strongly indicative of the interest and cultural impact the Charles A. Bibbs African American Museum and Cultural Center will have on the community. Many people participated in the event to learn more about the upcoming museum and others came with excitement and support.” “Our presentation of our mini-museum exhibit, featuring the art of local award-winning artists Maurice Howard, Diana Shannon and Charles Bibbs provided a small taste of what is to come when The Bibbs finds a gallery space of its own,” added Bibbs. For IEHP, partnering with The Bibbs represents an opportunity to enhance cultural connections. “Inclusivity is just as critical as medicine is to healing and inspiring the human spirit,” said Michael Deering, IEHP vice president of Innovation Acceleration and Diversity. “The Bibbs is a beacon to our community’s ongoing dedication to diversity, equity and inclusion and also provides space to actively facilitate, honor and celebrate that commitment on the level it deserves.” In addition to sponsorship, the health plan served on the AfroNoon planning committee, provided giveaways and volunteers to support various booths.  Once a permanent location is secured, The Bibbs plans to continue their work to promote permanent and revolving world-class collections from Mr. Bibbs and other African American artists, providing inclusive spaces for community expression. “The Bibbs will be a cultural destination in Riverside.  It will be a ‘voice of empowerment’ wherein established, emerging and youth African American artists will be able to showcase their work in every discipline. For the community it will be a place for individuals and families to collaborate and connect with others in an enjoyable, inclusive environment of creativity and culture,” said Bibbs.  The Bibbs is currently working on a collaboration with Riverside’s Mission Inn Foundation to install a fine arts exhibition before November’s Festival of Lights, in addition to beginning a capital campaign to build its permanent home.  To learn more about The Bibbs, visit thebibbs.org 

th care visionaries and thought leaders at the health plan’s headquarters on Oct. 13, to share supportive acceleration strategies for a more integrated and sustainable health system. The one-day event featured keynote conversations from industry leaders on trends and changes that are impacting the health care environment in the state and region.  Featured speakers included: Author and Health Care Futurist Ian Morrison; California Health & Human Services Agency Secretary Dr. Mark Ghaly; University California Los Angeles Hospital and Clinic System Chief of Health Equity, Diversity and Inclusion Dr. Medell Briggs-Malonson; IEHP Chief Quality Officer Dr. Edward Juhn; President and Founder of MEDIS, LLC Dr. Michael Barr; and President of HC2 Strategies and Co-Chair of Stakeholder Health Dora Barilla.   “The idea that this isn’t the summit of health care is really key. It’s the future of health. Health is more than health care,” shared Dr. Ghaly in his talk about California Health & Human Services’ vision and efforts. “There is an opportunity to constantly push ourselves and push our partners to think differently about how public and private partnerships can advance this concept of deep community health. It starts with conversations like this and bringing people together.” IEHP Chief Executive Officer Jarrod McNaughton said he hoped the day’s discussions will lead to real reflection and specific action plans. “We’re very serious about moving this community, in partnership with our providers, forward and moving the quality needle,” McNaughton added. “This kind of work can’t happen alone, and we are grateful for the tremendous showing of support and collaboration to ensure vibrant health in our communities for generations to come.”  

MTM is a term to describe a broad range of services offered by Pharmacists on our health care team.  The IEHP Clinical Pharmacy Team reviews the Members’ medicines, making sure they’re taking the right ones for their health conditions. If you are a Provider for IEHP Members who qualify for the MTM Program, you can let them know to look out for a letter from us. They will be enrolled automatically—unless they opt-out. MTM is offered to Members at no additional cost. IEHP's MTM services include these core elements: Medication therapy reviews Medication education Disease management A team of Pharmacists and Doctors developed these MTM services to help provide better prescription drug coverage for our Members. For example, MTM also helps identify possible medication errors. Medicare MTM Program This is a free program under Medicare Part D for IEHP DualChoice Members who have multiple medical conditions, take many prescription drugs, and have high drug costs to assist with better medication management and overall health. IEHP DualChoice Members’ enrollment includes a yearly comprehensive medication review (CMR) and regular targeted medication review (TMR) services throughout the year. MTM services include: Comprehensive Medication Review (CMR) An IEHP Clinical Pharmacist will provide an annual comprehensive review of the IEHP DualChoice Member’s medications over the phone. The Pharmacist will review IEHP DualChoice Member’s medications and make clinical recommendations to IEHP DualChoice Members and Providers. Targeted Medication Review (TMR) The IEHP Clinical Pharmacy Team will also offer TMRs through the year by reviewing issues with the participating IEHP DualChoice Member’s medicines. The team will perform TMRs for all enrolled beneficiaries every three months. The beneficiary may get TMR recommendations by mail and their Primary Care Provider may receive recommendations by fax—if the IEHP Clinical Pharmacy Team deems it necessary. For more information, IEHP DualChoice Members eligible for CMR or TMR services can call 1-877-273-IEHP (4347), 8am-5pm (PST), 7 days a week, including holidays. TTY users should call 1-800-718-4347.  Click here for a blank personal medication list. Medicare MTM Program services may have limited eligibility criteria. They are available for the following conditions: 1.   The IEHP DualChoice Member has a minimum of three (3) disease states: Bone Disease-Arthritis-Osteoporosis Bone Disease-Arthritis-Rheumatoid Arthritis Chronic Heart Failure (CHF) Diabetes Dyslipidemia End-Stage Renal Disease (ESRD) Hypertension Mental Health Chronic/ Disabling Mental Health Conditions Respiratory Disease – Asthma Respiratory Disease – Chronic Obstructive Pulmonary Disease (COPD) 2.   The IEHP DualChoice Member is prescribed a minimum of five (5) different medications to treat those disease states: ACE-Inhibitors Angiotensin II Receptor Blockers (ARBs) Antidepressants Antihyperlipidemic Antihypertensives Antipsychotics Beta Blockers Bronchodilators Calcium Channel Blockers Disease-Modifying Anti-Rheumatic Drugs (DMARDs) Diuretics Insulins Oral Hypoglycemics Selective Serotonin Reuptake Inhibitors (SSRIs) Tumor Necrosis Factors (TNFs) Inhaled Corticosteroids Calcimimetic Cardiac Glycoside Colony Stimulating Factors Glucagon-Like Peptide-1 Glucocorticosteroids Neprilysin Inhibitor NSAIDs Phosphate Binders Vitamin D Analogs 3. Drug costs of $1,233.75 (one-fourth of $4,935) for the previous three months are likely to be incurred. To learn more about MTM, call IEHP DualChoice (HMO-DSNP) at 1-877-IEHP (4347), 8am-8pm (PST), 7 days a week, including holidays. TTY users should call 1-800-718-4347.   For answers to frequently asked questions, please download the FAQ document below: MTM FAQs (PDF) For details, contact the IEHP Pharmaceutical Services Department at (909) 890-2049, Monday-Friday, 8am-5pm. IEHP DualChoice (HMO-D-SNP) [Medicare-Medicaid Plan] is a Health Plan that contracts with both Medicare and Medi-Cal to provide benefits of both programs to enrollees. Information on this page is current as of March 2023. H5355_CMC_20_1900233_Accepted 

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="" />

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="" />