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Leadership Team - Keenan Freeman, MBA
executive role, Mr. Freeman is responsible for the overall financial management of IEHP, its financial reporting and transparency, and for multiple plan financial functions including accounting, purchasing, capitation, cost recovery, risk management, and the coordination of fiscal and other operational audits. Mr. Freeman brings over 28 years of professional finance experience to IEHP which includes 16 years of strategic leadership in multiple functions including financial, operational and strategy development in a provider-owned health plan and a multi-specialty medical group with over 4,000 providers. Mr. Freeman served as Chief Financial Officer for Providence Medical Group in Oregon where he spent 5 years providing operational and financial leadership for over 1,200 physicians, physician assistants and nurse practitioners. In addition, he served for eight years as Chief Financial Officer and two years as Chief Operational Officer for First Care Health Plans in Austin Texas. Mr. Freeman understands the importance of developing external relationships with key physicians, health systems, and governmental entities. He enjoys building cross-functional teams to achieve short and long-term objectives and values the importance of developing external relationships with key physicians, health systems, and governmental entities. Mr. Freeman’s leadership in these areas, and in the annual budget process, keeps IEHP financially stable amid healthcare changes and economic volatility. Mr. Freeman holds a Bachelor’s degree in Administration and Accounting and a MBA from Texas Tech University.
Governing Board - Dawn Rowe
d to the Board of Supervisors in December of 2018. Prior to joining the Board of Supervisors, Dawn served on the Yucca Valley Town Council from 2010 to 2014. Dawn was re-elected by her Third District constituents and began her first elected four-year term on the Board of Supervisors in December 2020. In January 2021 she was appointed to the IEHP Governing Board. As the San Bernardino County Third District Supervisor, Rowe represents one of the largest districts in in the county, spanning the Mojave Basin to the mountain communities, and the city of Barstow to the valley communities. As County Supervisor, Rowe is focused on making San Bernardino County a business-friendly environment, improving infrastructure, and strengthening public safety.
Special Programs - Independent Living and Diversity Resources
A resource for health providers, IPAs and others interested in the Americans with Disabilities Act, California law as it related to accessibility and Universal Design. In partnership with our Provider Network, IEHP strives to break down barriers to medical care and promote health and wellness for Members with disabilities. With accessibility issues often cited as an obstacle to care, we publish this site to help all stakeholders in the health care system understand the barriers and in some cases the solutions. We invite you to browse these topics: Information on the Americans with Disabilities Act (ADA) Accessibility of Doctor's offices, clinics, and other health care providers is essential in providing medical care to people with Disabilities. Find out more by following the link to the ADA's Access Guide (PDF). The Federal Americans with Disabilities Act (ADA) of 1990 prohibits discrimination on the basis of disability and sets national standards for accessibility. Each page in this section gives you a summary of ADA related documents and a link to the actual Federal resource. By clicking on this link, you will be leaving the IEHP website. View the full text of the law at the ADA Website. Enforcement Lawsuits for ADA Violations U.S. Department of Justice (DOJ) 1994 Status reports, briefs, and settlement information will help you stay up-to-date on precedent-setting ADA litigation. Unsuccessful negotiations or mediation may lead to federal lawsuits. Courts can order compensatory damages, back pay, or civil penalties up to $55,000 for the first violation and $110,000 for any subsequent one. Read more about DOJ Litigation Alternative to Litigation U.S. Department of Justice (DOJ) Mediation Program Established: 1994 Mediation, which is confidential and voluntary, can resolve some ADA disputes quickly and satisfactorily – without the expense and delay of formal investigation and litigation. Read more about DOJ Mediation Facts and Information Diagnosing & Treating Members with Auditory Disability Communicating with People Who Are Deaf or Hard of Hearing in Hospital Settings U.S. Department of Justice (DOJ) Disability Rights Section, Civil Rights Division Published 2003 Interactive doctor-patient discussions with individuals who are deaf or hard-of-hearing may require an interpreter to ensure proper diagnosis and treatment. DOJ’s brief outlines the types of interpreter services including sign language, oral interpretation, cued speech, and Computer Assisted Real-time Transcription (CART). Read the Full Article: HTM PDF Phone Calls & Auditory/Speech Disabilities Phone Calls & Auditory/Speech Disabilities - Technology Breaks Communication Barriers Created by IEHP, 2006 Learn about FREE options for effective telephone communication with individuals who have auditory and/or speech disabilities: National Telecommunication Relay Service (TRS) – two-way translation between individuals using a TTY and a standard telephone Speech-to-Speech (STS) Relay Service – assistance for individuals with speech disabilities by repeating their message verbatim. Read the Full Article Fact Sheet - PDF Fact Sheet - TXT Dispelling ADA Myths Just the Facts on the ADA Adapted from 1995 DOJ fact sheet IEHP, 2006 Get the facts on common ADA misconceptions. ADA Myths & Facts PDF Text Accessibility Pays Off at Tax Time Tax Incentives for ADA Compliance Take advantage tax incentives that help eligible businesses comply with the Americans with Disabilities Act. The Federal and California state governments offer Tax Credits and/or Deductions for improving accessibility and/or employing persons with disabilities. Attorney General’s ADA Tax Incentives Packet Your practice/health care facility may be eligible for tax credits and/or deductions to help offset the costs of improving accessibility for patients and employees with disabilities. The Attorney General’s packet includes a fact sheet and Internal Revenue Service (IRS) form and instructions. Download IEHP's Fact Sheet PDF Text Download the Attorney General's information packet: Website Legal Obligations Standards for Accessible Design ADA Accessibility Guidelines U.S. Department of Justice (DOJ) 1991 The ADA Accessibility Guidelines (ADAAG) include stringent criteria for health care Providers as well as additional requirements based on building use (special application 6 – Medical Care Facilities). The Standards for Accessible Design apply to the architecture and construction of new buildings/facilities as well as alterations to existing structures. Download the Standards Standards - PDF Standards - HTM Download Special Application 6 (Health Care Facilities) Access to Medical Care for Individuals with Mobility Disabilities (PDF) Access to Medical Care for Individuals with Mobility Disabilities (HTM) Removing Existing Barriers Checklist for Readily Achievable Barrier Removal Adaptive Environments Center, Inc. and Barrier Free Environments, Inc. 1995 Identify accessibility problems and solutions for eliminating physical/architectural and communication barriers. Use this informal checklist as a guide to meet your obligations under the ADA (for existing facilities only, not new construction or alterations). Download the checklist for readily achievable barrier removal Checklist - PDF Checklist - HTM ADA Regulations for Health Care Providers Nondiscrimination on the Basis of Disability U.S. Department of Justice (DOJ) 1991 Federal regulations for accessibility at Health care facilities include standards for the architecture of buildings, alterations, and new construction (ADA, Title III). DOJ article - PDF DOJ article - HTM Basic ADA Requirements for Health Care Providers ADA Title III Highlights U.S. Department of Justice (DOJ) Disability Rights Section, Civil Rights Division Published 1990 This functional outline of the ADA’s Title III (section covering health care providers) helps you become familiar with key requirements that impact you and your patients. DOJ’s overview provides details in bullet format for quick reference. See the Full DOJ Article Practical Guidance for ADA Compliance Title III Technical Assistance Manual U.S. Department of Justice (DOJ) 1993 and 1994 This manual (with supplement) outlines ADA requirements for businesses to ensure access to goods, services, and facilities. The reader-friendly format offers: Lay terms and practical examples (limited legalese) Focused, systematic description of requirements Questions/answers and illustrations Read the full Manual Read the Supplement Technical Assistance DOJ ADA Information and Technical Assistance on the Americans with Disabilities Act The official ADA website of the U.S. Department of Justice (DOJ) offers the most up-to-date information and practical guidance on design, construction, and operation: Regulations and standards impacting Providers and Members Accessibility and reasonable accommodations guidelines Solutions for ensuring access within your budget Tax credits and incentives Technical assistance and materials/publications Visit DOJ's ADA Homepage Avoid Costly Building Mistakes Common ADA Errors and Omissions in New Construction and Alterations U.S. Department of Justice (DOJ) Disability Rights Section, Civil Rights Division Published 1997 Incorporating ADA Standards into initial building/alteration plans helps ensure patient safety as well as cost-effectiveness. Review some of the most common accessibility errors/omissions identified through DOJ’s ongoing enforcement efforts. Following each error/omission, you’ll find an explanation of its significance and reference to the appropriate requirement under the ADA Standards for Accessible Design. Online ADA Course Reaching Out to Customers with Disabilities U.S. Department of Justice (DOJ) with Representatives of Business and Disability Communities 2005 Learn about ADA compliance in an online course with 10 short lessons. Policies, Practices, and Procedures Communicating with Customers Who Have Disabilities New Buildings, Additions, and Remodeling Removing Barriers in Buildings That Are Not Being Remodeled Providing Access When Removing Barriers Is Not Readily Achievable Maintaining Accessibility Transporting Customers ADA Compliance Costs and Tax Incentives Enforcement of the ADA Information Sources Take the ADA online course Pacific Region ADA Technical Assistance Disability Business Technical Assistance Center (DBTAC) Region IX National Institute on Disability and Rehabilitation Research U.S. Department of Education 1995 Get information on your compliance obligations, problem-solving assistance, and referrals from ADA experts – without the high cost of a consultant. The 10 regional ADA & IT Technical Assistance Centers serve strictly as educational entities to help you understand your rights and responsibilities and have no enforcement or advocacy responsibilities. Federal Region IX, Pacific, serves: Arizona, California, Hawaii, Nevada, and the Pacific Basin. Visit Pacific ADA Center Visit DBTAC Homepage Visit NIDRR Community Based Adult Services (CBAS) Reminder: Community-Based Adult Center (PDF) SPD Awareness Training By clicking on these links, you may be leaving the IEHP website. By making your facilities accessible you convey a sense of welcome for people with disabilities. Most of all, you comply with the requirements set by the Americans with Disabilities Act (ADA) of 1990. This is a civil rights law that prohibits discrimination against persons with disabilities on the basis of their disability in programs and services that receive federal financial assistance. Please see the resources below for more detailed information. Office Accessibility How to Make Your Medical Office More Accessible (PDF) Guidebook: How to Safely Transfer Patients with Disabilities to an Exam Table (PDF) Video #1: How to Safely Transfer Patients with Disabilities to an Exam Table Video #2: Using an Accessible Scale to Weigh Patients with Disabilities Accessibility Checklist (PDF) Community Resources Community Resources Guide (PDF) Disability Competency and Sensitive Training Disability Etiquette Guide (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.
Helpful Information and Resources - Medical and Government Links
alth information. All the links will open in a new window and you will leave the IEHP website. Medical Links Medscape: free medical news, journal articles, and more. Yahoo! Health: medical dictionary, disease symptoms, and treatments. KidsHealth: animations, games, and articles for parents, teens, and kids. First 5 San Bernardino: statewide initiative to improve the early development of children. First 5 Riverside: statewide initiative to improve the early development of children. Text4Baby: get FREE messages each week on your cell phone to help you through your pregnancy and your baby's first year. Government Links San Bernardino County Department of Public Health: get information on WIC, child car seat safety and more. Riverside County Department of Public Health: get information on injury prevention, WIC, HIV, family health and more. PubMed: life science journals from the United States National Library of Medicine. Healthy Finder: 1600 health-related topics. NCQA (National Committee for Quality Assurance): reports on the quality of care delivered by managed care plans. NIH (National Institutes of Health): get health information, clinical trials, research, and more. CDC (Centers for Disease Control and Prevention): get information on healthy living, disease, Zika virus, emergencies, workplace safety, and environmental health. Quality of Care Report Card: get quality ratings of health plans. California Department of Managed Health Care California Department of Health Care Services
Medi-Cal Dental Coverage Insurance Information - Medi-Cal Dental Coverage Insurance Information
ms can start in our mouths, that's why Medi-Cal dental coverage is so vital to California residents. Medi-Cal is the name for the California Medi-Cal Assistance Program, the regions Medicaid program. Medi-Cal provides health and medical dental insurance coverage for qualified families and individuals in California. Does Medi-Cal Cover Dental? Yes, Medi-Cal covers a wide range of dental services through their Medi-Cal Dental Program. This benefit is included with your Medi-Cal coverage at little to no cost to you. To access Medi-Cal's dental services, you can visit a Medi-Cal dental provider. They will let you know what the best form of treatment is under your Medi-Cal dental coverage. If you have any questions or need help finding a Medi-Cal dental provider, call the Medi-Cal Dental Customer Service Line at 1-800-322-6384, or visit www.smilecalifornia.org. What Does Medi-Cal Cover for Dental? Medi-Cal dental coverage includes the following: Diagnostic and preventive dental hygiene (e.g., examinations, x-rays, and teeth cleanings) Emergency services for pain control Tooth extractions Fillings Root canal treatments (anterior/posterior) Crowns (prefabricated/laboratory) Scaling and root planing Periodontal maintenance Complete and partial dentures; and Orthodontics for kids who qualify Does Medi-Cal cover root canals? Yes, Medi-Cal dental will cover both anterior and posterior root canals. Does Medi-Cal cover braces? Orthodontics are only covered for kids who qualify for this type of specialist treatment under Medi-Cal's dental services. Why You Need Dental Insurance It is a fact that your mouth can give a clear sign of your overall health. This is because dental health and hygiene link to other areas of the body, including the heart. It is vital to visit the dentist on a regular basis, to make sure your oral health is not causing you any problems. That said, dental work can be costly. Even more costly as we get older, and our teeth and gums start to weaken. Medi-Cal dental helps all Medi-Cal members save money on preventative and restorative dental work. Here are some reasons why dental health insurance is so important: Insurance pays for expensive dental care. For some people, dental care means two visits a year for checkups and teeth cleaning. For others, it means thousands of dollars in restorative surgery bills. Whether you brush your teeth three times a day or not, dental problems can come without notice. To prevent paying expensive dental bills apply for Medi-Cal coverage and visit a Medi-Cal registered dentist. Medi-Cal will pay some or all of the costs of your dental procedures. Keep great oral health and hygiene. The best way to save money on dental health bills (besides applying for Medi-Cal coverage) is to keep up to date on the overall health of your mouth. Regular dental checkups will help to make sure that your oral health is checked. Medi-Cal dental will cover *routine checkups. Give your kids a head start. According to the Pew Center on the States, about 20% of a child's healthcare expenses come from dental costs. Tooth decay is one of the most common and preventable childhood diseases. It's five times more common than asthma and seven times more prevalent than fever in U.S kids. Twenty percent of kids 0-5 do not get yearly dental checkups. Kids with oral health problems have a hard time learning in school. The U.S Department of Health and Human Services estimates that kids lose over 51 million school hours per year due to dental issues. How to Apply for Medi-Cal Dental Coverage If you have Medi-Cal, you will be able to use your dental benefits at any Medi-Cal Dental provider in California. All you need to do is make an appointment and show your Medi-Cal card when you visit the dentist. To apply to Medi-Cal, call our professional Enrollment Advisors at (866) 294-4347, Monday – Friday, 8am – 5pm. TTY users should call (800) 720-4347. You can also call Health Care Options at 1-800-430-4263 or visit www.healthcareoptions.dhcs.ca.gov. TTY users should call 1-800-430-7077. At IEHP, we are happy to answer any questions you may have regarding Medi-Cal dental coverage. We can also help you apply for Medi-Cal online. *For more information on guidelines and coverage for Medi-Cal Dental age groups, please visit the covered services section on the Smile California website.
How to Renew MediCal - Medical Renewal Form
members meet the guidelines to renew your Medi-Cal insurance program. You can renew your Medi-Cal online. You must fill out a Medi-Cal renewal form. This step is known as Medi-Cal redetermination. Be sure to look over your health plan during the Medi-Cal renewal process. This may help you get extra aid from the state of California. If your situation changed, the government could help you to lower your monthly health insurance costs. The amount of aid depends on where you live, your family income, and the number of people in your household. How to Check Medi-Cal Status Once your Medi-Cal is approved, the California Department of Health Care Services (DHCS) will send you a Benefits Identification Card (BIC) in the mail. If you do not get your BIC in the mail, or a letter from DHSC asking for more information, call or visit your local Social Services Office to ask for status. You can also check your Medi-Cal status on the Covered California website. How to Check if My Medi-Cal is Active Visit the Social Services agency in person In Riverside County visit the Riverside County Department of Public Services for a local office. If you live in San Bernardino County visit the Transition Assistance Department – San Bernardino to find a local office. Call Medi-Cal by phone Before you renew your Medi-Cal, check the status of your Medi-Cal by calling the Medi-Cal hotline at (800) 541-5555. If you don’t have your Benefits Identification Card, the automated system will ask for the last four numbers of your Social Security number and the month and year of your birth. You can also call your local county office. Send a request by mail To check the status of your Medi-Cal by mail send a letter to: Medi-Cal Eligibility Division, P.O. Box 997417, MS 4607, Sacramento, CA 95899-7417 How to Renew Medi-Cal As a Medi-Cal member, you must renew your Medi-Cal each year to keep your health care benefits. For most members Medi-Cal is automatically renewed. If your county cannot confirm all your information to automate the renewal, a packet will be mailed to you. All forms inside this packet must be filled out and returned. As a Medi-Cal member, you can return this information over the phone, by mail, or by fax. You can also return your packet to your local Social Services office. If you do not complete this renewal process your Medi-Cal benefits can be canceled. Medi-Cal Redetermination Form As stated above, Medi-Cal must be renewed each year. The county runs a review to find out if people or households still can get Medi-Cal. This review is known as annual redetermination. If you’ve changed jobs, had a pay rise, lost your job, or the number of people living in your house has changed, it may or may not help you get Medi-Cal. The purpose of an annual redetermination is for the state to get as much data from you to find out what aid you should be able to get. Or what amount, if any, you should pay for Medi-Cal. The Medi-Cal office will try to renew your households’ Medi-Cal automatically. But, if your personal data cannot be verified, your Medi-Cal redetermination package will come in the mail. Once the packet comes, you need to fill out all the data needed and send the forms back ASAP. This helps avoid any delay in Medi-Cal renewal and keeps you covered in case of an emergency. What Happens After I Return My Form? The county will send you a letter letting you know if you still qualify for Medi-Cal coverage. How long do I have before I get disenrolled from Medi-Cal? If you do not renew your Medi-Cal on time, you only have 90 days after your Medi-Cal benefits expire to file for renewal. After 90 days, you will have to submit a brand new Medi-Cal application. To apply for Medi-Cal or discuss your Medi-Cal renewal, call our IEHP Enrollment Advisors at (866) 294-4347, Monday – Friday, 8am – 5pm. TTY users should call (800) 720-4347. *Due to the COVID-19 health crisis, Riverside and San Bernardino County continue to delay the processing of Medi-Cal annual redeterminations.
How to Get Care - Medicine Safety
Answers What can happen if I take a few medicines at the same time? When you take two or more medicines, they will likely mix well. On certain occasions, you might have what’s called a “drug-to-drug interaction.” This means that some medicines you take together may cause an adverse reaction in your body. For example, a “drug-to-drug” interaction could: make your medicines not work as well (weaken them) make one or more of the medicines too strong and cause unwanted side effects, which could be deadly TIP: Talk to your Pharmacist about all medicines you take and ask if they mix well together. What are some reasons that I might have a harmful effect from taking one or more medicines at the same time? These reasons might include: dose may be too high interaction with other drugs Note: Everyone can react differently – based on age, weight, gender, etc. TIP: To avoid problems when taking two or more medicines together, tell your health care Provider and Pharmacist about all the medicines (and other remedies) you are taking. How do I know if I’m taking the right medicine – at the right dose, at the right time to control my symptoms? Any medicine taken the wrong way might put your health at risk. A drug maker has to show research data to the FDA to get each medicine approved. This research could be about: how the medicine works why it is safe to take (or not) what dose works best with the fewest side effects Could a medicine taken at a high dose be harmful? Yes. That is why your Pharmacist checks your medicines to make sure you are on the right dose. Don’t forget to ask your Doctor or Pharmacist any questions about your medicine. Taking higher than recommended doses of certain over-the-counter (OTC) and prescription medicines – including abuse or misuse of the medicines – can cause serious health problems. It could even lead to death. Also, a dose that is safe for you may not be safe for someone else. Who most often needs to have their medicine dose changed and why? Certain people need to have their dose changed, so that they don’t take too much (called “overdosing”). These include the elderly, children, and women who are pregnant or mothers who are breastfeeding, and people with chronic health conditions. Always ask your Pharmacist if the medicines are safe for you to take at the prescribed doses. Don’t share your medicines with friends or family. What are “duplicate drug therapies”? Why do I need to know about this? You might have different Doctors who have prescribed medicines that work in the same way for you. When medicines have similar active ingredients, they could be: the same medicine with different names (for example, one could have a brand name and the other might have a generic name), or two medicines of similar nature TIP: Be cautious about taking the same medicine twice – as you could have two bottles of the same medicine! TIP: It’s important for you to keep a full list of each medicine, vitamin and herbal remedy you are taking. Please show this list to your Pharmacist or your Doctor. The list helps your health care Provider check for any unwanted effects between drugs and check that the two or more medicines work well for you or not. What happens if my medicine is recalled? A recall may be issued if a medication is: A health hazard: If there is some health risk associated with the medication. Mislabeled or packaged poorly: If there is a problem with the dosing tool provided with the drug. Poorly manufactured: If there are defects related to poor quality, impurities, and incorrectly potency of the drug from the manufacturer. Please click here to view an up-to-date list of drug recall notifications. Why are some medicines “high risk” for the elderly? Some medicines can be too strong for a certain group of people and are considered “high risk” for them. This special group may include older people, pregnant women or mothers who are breastfeeding, children, and people with other medical conditions affecting their kidney or liver. For example, certain medicines prescribed for memory issues may have a side-effect that causes dizziness in some seniors who are at “high risk” for falling. In that case, an alternative medicine (or no medicine) for this condition would be better. Where can I find details about medicines that might be harmful for older people? If you are over 65 years old, ask your Doctor or Pharmacist if the medicines you are taking may not be right for you. Please see the short list below of the most common medicines prescribed that may be harmful for older people. Older adults (age 65+): Check with your Doctor first before taking these medicines: Medicine or Medicine Class Potential Risks Sliding scale insulin May make your blood sugar level too low – without improving the condition Glyburide May cause a long period of excessively low blood sugar Muscle relaxants May be poorly tolerated Barbiturates May increase risk of dependence and overdose Benzodiazepines (alprazolam, temazepam, lorazepam) May increase risk of falls and fractures To learn more, visit: https://www.pharmacytoday.org/article/S1042-0991(19)31235-6/fulltext Pharmacy Benefits: Medi-Cal Members IEHP Dual Choice Cal MediConnect Members
Report an Issue - Report Fraud and HIPAA Privacy Issues
ay have. To ensure that our Members receive the best care, we need them to report any issues. Issues can be, witnessing any type of fraud, or if a Member feels that their personal and private information has been misused. How Do I Report an Issue? To report fraud the following resources are available: waste or abuse, privacy issues, and other compliance issues. Compliance Hotline: (866) 355-9038 Fax: (909) 477-8536 E-mail: firstname.lastname@example.org Mail: IEHP Compliance Officer P.O. Box 1800 Rancho Cucamonga, CA 91729-1800 Click Report a Compliance Issue to report online. What is the Privacy Incident/Breach? IEHP has established a HIPAA Privacy Program to ensure that Member’s health information is properly protected, while allowing the flow of health information needed to provide and promote high-quality health care. What is a privacy breach? An unauthorized acquisition, access, use, or disclosure of protected health information (PHI) which puts at risk the security or privacy of such information. PHI is health information that relates to a Member’s past, present or future physical or mental health or condition. This includes the services of his/her health care, or payment for that care and contains personally identifiable information (PII) such as name, SSN, DOB, Member ID, address, or any other unique identifier related to the Member. This generally means that a breach occurs when PHI is accessed, used, or disclosed to an individual or entity that does not have a business reason to know that information. The law does allow information to be accessed, used, or disclosed when it is related to treatment, payment, or healthcare operations directly associated with the work that we do at IEHP on behalf of our Members. Click Report a Privacy Incident/Breach to report online. What is the Fraud, Waste, and Abuse (FWA) Program? IEHP has established a fraud, waste, and abuse program to detect, correct, and prevent fraud, waste, and abuse on part of IEHP Employees, IEHP Members, Providers, Vendors, delegated entities and any other entity doing business with IEHP. What is Fraud? Fraud is knowingly and willfully executing, or attempting to execute, a scheme or artifice to defraud any health care benefit program, or to obtain, by means of false or fraudulent pretenses, representations, or promises, any of the money or property owned by, or under the custody or control of, any health care benefit program. Examples include: The use of someone else's identification or insurance card to obtain services. Falsifying income or location to obtain insurance. Selling of prescription medication or medical equipment obtained through IEHP. What is Waste? Waste includes overuse of services, or other practices that, directly or indirectly, result in unnecessary costs. Waste is generally not considered to be caused by actions of criminal neglect but rather by the misuse of resources. Examples include: Frequent visits to the ER or Urgent care for standard doctor visits. Visiting multiple doctors or hospitals to obtain controlled medications. What is Abuse? Abuse includes actions that may, directly or indirectly, result in unnecessary costs and improper payment or services. Abuse involves payment for items or services when there is no legal entitlement to that payment and the provider has not knowingly and/or intentionally misrepresented facts to obtain payment. Examples include: Use of transportation benefits for non-medical purposes. Click Report Fraud/Waste/Abuse to report online.
Coronavirus (COVID-19) Announcements
of Phase 1A of its vaccination roadmap, vaccines will be distributed to caregivers with In-Home Support Services (IHSS), intermediate care centers, and public and community health centers, including facilities for mental health. Click here to learn more. 1/12/21: San Bernardino County introduces a coronavirus quarantine and isolation calculator. This tool allows people to determine how long they should self-isolate after testing positive for COVID-19, being sick with COVID-19, or being exposed to someone with COVID-19. Click here for more info. 12/7/20: The governor announced a stay at home order for Southern California regions, including Riverside and San Bernardino County, for a minimum of three weeks. This order is in response to a rapid growth in COVID-19 cases and a substantial increase in hospitalizations and ICU admissions. Click here to learn more. 9/11/20: To continue to help slow the spread of COVID-19, Riverside County is urging residents to get tested. In addition, increased testing will help the county move into the next level of the state’s reopening plan. For testing locations, visit gettested.ruhealth.org. 8/21/20: Health officials urge Riverside County residents to get tested for COVID-19, whether or not they are experiencing symptoms. For testing locations, visit gettested.ruhealth.org. 8/21/20: To stop the spread of COVID-19, San Bernardino County Public Health Director urges all residents to get tested. Watch this video to learn more. 7/24/20: Fraud reports have increased due to uncertainty surrounding COVID-19, leaving many San Bernardino residents unsure how to avoid scams or report them to authorities. Scams include fake at-home COVID-19 testing kits or vaccinations, IRS impersonators, illegal robocalls and fake charities. For more information visit the San Bernardino County Public Website. 6/29/20: San Bernardino County is encouraging all residents, including those who have not experienced symptoms of COVID-19, to be testing for the Coronavirus. Click here for testing locations. 6/19/20: Governor Newsom requires California residents to wear face coverings while in public. Click here to learn more. For information on how to wear a proper face covering, watch this short video. 6/12/20: A COVID-19 testing site returns to Blythe. Testing started on June 10th and will continue for two weeks. In addition, a testing site opens at the Edgemont Women’s Club in Moreno Valley and will operate June 17 through June 19th. Click here for more information. 5/29/20: Cooling Centers open throughout Riverside County, offering residents an escape from extreme heat and are open to the public at no cost. The centers will be available through October. Click here for more information. 5/29/20: New COVID-19 testing sites open in San Bernardino County. They are scheduled to run through June with appointment registrations opening weekly. For a complete list of testing locations click here: Click here for a complete list of testing locations. 5/27/20: A drive up COVID-19 testing site will be opened at the old Sears parking lot in Riverside, replacing the testing location at Harvest Christian Fellowship that is closing. Click here for a complete list of testing. 5/22/20: Riverside County added three new COVID-19 testing sites in Corona, San Jacinto and Temecula. Click here for a complete list of testing locations. 4/30/20: Riverside County’s Public Health Officer is extending his order requiring residents to wear face coverings when outside and to continue practicing social distancing through June 19. Residents are still required to remain in their primary residence under Governor Newsom’s existing “stay at home” order unless they are engaged in an essential business or activity, such as grocery shopping or visiting the doctor. Click here for more information. 4/28/20: San Bernardino County opens up criteria for COVID-19 testing. Beginning April 30th, residents 65 and older, healthcare workers, emergency responders, and law enforcement can get tested without displaying symptoms of COVID-19. For testing information, visit the San Bernardino County website. 4/24/20: In response to an increasing number of requests for resources, Riverside County released an online map to connect residents to local food resources. Resources include senior meal sites, school district meal sites and food pantries. Click here to find food resources. 4/20/20: Testing for COVID-19 has been expanded to all Riverside County residents, including those who do not have any COVID-19 symptoms. In addition, a fifth COVID-19 testing site will be established at the Blythe Fairgrounds on April 22nd. All residents interested in testing must call 800-945-6171 for an appointment. Click here for more information. 4/13/20: A fourth drive-up COVID-19 testing site opens in Riverside County on Tuesday, April 14th. The site has been established at the Perris Fairgrounds, located at 18700 Lake Perris Drive. Perris, California. Residents who want to get tested must have symptoms to make an appointment, symptoms include fever, cough, sore throat, runny nose or cough. Residents must call 800-945-6171 to make an appointment. For more information on testing locations, visit the Riverside County Public Health website. 4/13/20: San Bernardino County Public Health will conduct a community drive-through event for COVID-19 testing in Montclair on Tuesday, April 14. This event is open to San Bernardino County residents by appointment only. Residents can make an appointment online at http://wp.sbcounty.gov/dph/coronavirus/ at 2 p.m. on Monday, April 13 or by calling (909) 387-3911. Additional community drive-through events are scheduled throughout this month in Yucaipa, Big Bear Lake, Joshua Tree, and Rancho Cucamonga, California. For more information visit the San Bernardino County website. 4/8/20: Arrowhead Regional Medical Center will begin a COVID-19 drive-thru testing site on Thursday, April 9th. Appointments are required. To make an appointment call 855-422-8029. For more information visit Arrowhead Regional Medical Center. 4/7/20: CalWORKs and CalFresh renewals and SAR 7 status reports do not need to be submitted for March, April or May. This does not apply to Transitional CalFresh or Transitional Nutrition benefits. To access your benefits, visit: c4youself.com or call 877-410-8829 (San Bernardino County) 877-410-8827 (Riverside County). 4/7/20: The San Bernardino County’s Acting Health Officer ordered everyone in San Bernardino County to wear face coverings when leaving home and interacting with other people. Face coverings may include homemade cloth ear loop covers, bandannas and handkerchiefs, and neck gaiters. Also, orders all religious services to be done electronically, including upcoming Easter celebrations.Click here for more information. 4/4/20: The Riverside County Public Health Officer orders the public to stay home and cover their face when leaving and interacting with other people, including essential workers. Face coverings can be bandanas, scarves, neck gaiters or other clothing that does not have visible holes. Click here to learn more. 4/4/20: The Small Business Association (SBA) is offering forgivable loans that help businesses keep their workforce employed during the Coronavirus (COVID-19) crisis. The Paycheck Protection Program is a loan designed to provide a direct incentive for small businesses to keep their workers on the payroll. The loan application period opens on Friday, April 3, 2020. For more information visit the SBA website. 3/31/20: San Bernardino County will conduct a drive-thru sample collection event for COVID-19 in the High Desert on April 2nd. This event is open to San Bernardino County residents only. Residents can request an appointment online at sbcovid19.com or by calling (909) 387-3911. For more information on this event visit: http://www.sbcounty.gov/main/default.aspx 3/30/20 – A third drive-up COVID-19 testing site opens in Riverside County on April 1st. The site has been established at Harvest Christian Fellowship church in Riverside. Residents must have symptoms to make an appointment, which include fever, cough, sore throat, runny nose or cough. Residents must call 800-945-6171 to make an appointment. For more information on testing locations, visit the Riverside County Public Health website. 3/30/20 – A COVID-19 testing site in Indian Wells will be relocated to the Riverside County Fairgrounds in Indio. The first day of testing at the fairgrounds is Tuesday (March 31). Residents must have symptoms to make an appointment, which include fever, cough, sore throat, runny nose or cough. Appointments must be scheduled by calling 800-945-6171. For more information on testing locations, visit the Riverside County Public Health website. 3/27/20: San Bernardino County Public Health will conduct a drive-thru specimen collection for COVID-19 on Friday, March 27. The specimen collection for COVID-19 testing will be available for the public by appointment only. Appointment sign-up and details will be available on the county website. 3/25/20: COVID-19 testing for IEHP Members is now available at SAC Health Systems in San Bernardino. IEHP Members must call (909) 771-2911 to schedule a telephone appointment with a Doctor. The Doctor will evaluate the Member and determine if they need COVID-19 testing and will provide details on how to obtain testing. 3/20/2020: Gov Gavin Newsom announces a California statewide order for residents to “stay at home,” excluding essential entities which include grocery stores, take-out and delivery and health care organizations. IEHP is an essential entity and will continue operations to support our Members and Providers through telephonic contact only. OUR BUILDINGS ARE CLOSED TO NON-EMPLOYEES. We highly encourage you (our Members and Providers) to call us if you need any services or have any questions. Continue to visit our website for frequent updates and news from Gov Gavin Newsom. 3/19/2020: IEHP Chief Medical Officer, Dr. Hansberger, has an important message for our Members in the Coachella Valley region about the COVID-19 situation and ways for them to protect their health. Click here. 3/18/2020: To help our IEHP Members stay home and avoid public places, we encourage Members to use mail order delivery service for both new and refill prescriptions. By using this service, Members can get medicines mailed to their home at no cost by using standard shipping. 3/13/2020: We are requesting when you (including Members, Providers, Community Partners, Vendors, and all Visitors) need IEHP services, please call IEHP or your IEHP contact directly to get the help you need. If you must visit IEHP in person, please ensure that you do not have a fever, cough or breathing problem. 3/13/2020: All classes and events at IEHP’s Community Resource Centers are canceled until further notice for the protection and safety of our community during the Coronavirus (COVID-19) situation. We apologize for any inconvenience and expect to resume classes as soon as possible.
Leadership Team - Edward Juhn, MD, MBA, MPH
ement of the quality journey in transformative ways to ensure the health plan’s commitment in providing the highest quality of care for the communities they serve. Dr. Juhn brings over 15 years of experience in optimizing the intersection between clinical services, public health, and data and technology. As a mission-driven servant leader, he has had multiple layers of healthcare system experience, including the payer, medical group and hospital. He has been involved in both enterprise strategy and tactical operations and has had success in building private and public sector partnerships. Prior to joining IEHP, Dr. Juhn served as Sr. Medical Director at Blue Shield of California where he worked on innovative initiatives leveraging big data, advanced analytics and technology-enabled service offerings impacting the quadruple aim and health equity. With this payer, he also managed ACO and non-ACO groups in Northern California and served on the clinical advisory group for the Blue Venture Fund. Additionally, Dr. Juhn has experience as a clinical scientist at an Intel-funded startup company and served as Chief of Healthcare Innovation and Strategy at Premier HealthCare, where he was part of the Accountable Care Coalition of Greater New York that helped establish one of the first ACO’s in the country focusing on the needs of adults with intellectual and developmental disabilities. Dr. Juhn received his BA and MD from George Washington University, his executive MBA from New York University, and his MPH from Johns Hopkins University. He is board certified in Internal Medicine, a fellow of the American College of Physicians, and was a clinical instructor at Stanford Medicine. He has also served as a member of the Interoperability Standards Priorities Task Force, a subcommittee under the Health Information Technology Advisory Committee (HITAC).
Testimonials - Jean
ely a part of that village. She first signed up with the health plan when she became pregnant with her daughter, Sophia. Regular prenatal check-ups lead to the discovery that Jean had gestational diabetes. But the diabetes didn’t go away after Sophia was born. As a new mom, Jean was hesitant to take medications. So she asked her Doctors if she could try to control her diabetes with lifestyle and diet changes instead. They agreed and set her up with a nutritionist and a company that mails glucose testing strips directly to her home. “My Doctors actually listened to my concerns and were very supportive,” the 41-year-old Rancho Cucamonga resident said. “It meant a lot to me because it showed they weren’t just treating my condition, they were treating me – the person.” When Jean struggled with behavioral health issues, her Doctors listened to her again. IEHP approved referrals for a therapist and continues to approve them as needed. Jean said she noticed a huge difference after attending sessions regularly. “If you’re not okay emotionally, then you can’t be okay physically,” she explained. And Jean added that Sophia’s Doctors are just as amazing as hers. Getting immunizations, check-ups and medicines for her 5-year-old are never an issue. And that goes a long way toward keeping both mom and daughter healthy and happy. “They know us by name whenever we go into the office for an appointment,” she said. “They’ve seen my daughter grow up and it’s like they’re part of our family now. Everyone there and at IEHP are taking very good care of us.”
Testimonials - Jason Lohr
es a huge impact on quality. “Our partnership with IEHP means that our patients can get the care they need, when they need it,” said Dr. Lohr, who specializes in Family Medicine and is the CEO of SAC Health System. SAC Health System has five sites in both Riverside and San Bernardino counties and sees about 12,000 visits per month – 90 percent of which are covered under IEHP. Specialists are housed under the same roof which results in more efficient referrals, quicker follow-up appointments and limits unnecessary testing. Unless, a Member can’t get there at all. “We had a patient, a man in his mid-thirties, who was completely blind and living with uncontrolled diabetes. Although we would schedule appointments for him, he had a very high no-show rate,” Dr. Lohr explained. Further investigation into his case revealed that this IEHP Member had problems with transportation and literacy, coupled with some behavioral health and depression issues. Dr. Lohr knew that his health would not improve unless the other barriers to care were addressed as well. “He was at the point where he was basically giving up on his health. It was just too hard,” he said. That’s when the IEHP Member was referred to the Health Homes program. “The Behavioral Health team provided wellness coaching to help him with his depression, a nurse educated him on how to control his sugars and social workers connected him with transportation assistance,” he said. “His diabetes is now controlled for the first time. He’s a great testament to the team’s care. Even he will tell you that the way he feels now is the difference between night and day.” While Dr. Lohr appreciates IEHP’s innovative programs like Health Homes, he also believes the basic day-to-day responsiveness by IEHP also makes a huge impact on how he and other Providers deliver quality care. “When you get answers back in a timely manner, then care doesn’t have to be delayed. That’s important when it comes to keeping the trust of our patients. That makes a difference,” he said.
technologies for individuals with disabilities by generating content that conforms to the Web Content Accessibility Guidelines (WCAG) 2.0, and Section 508 of the Rehabilitation Act meeting the requirements within the Americans with Disabilities Act. As part of the development process and ongoing website maintenance, IEHP tests the site using assistive technologies, including screen readers, screen magnifiers, speech recognition software and text-only browsers. IEHP uses tools, such as the W3C HTML. Validator, WAVE by WebAIM and the Color Contrast Analyzer, to ensure the best experience possible for all visitors. Should you have any feedback or concerns related to the accessibility of this webpage and resources contained within it, please contact us via email at email@example.com If applicable, please include the web address, brief description of the issue encountered and your contact information.
Special Programs - Baby-N-Me
ne of 2018. This free app provides expectant mothers with clinically approved information and access to exclusive content based on their due date. IEHP Members can download this app in Google Play or Apple App stores. Flyers for Members: 2021 Baby-N-Me App - English (PDF) 2021 Baby-N-Me App - Spanish (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.
Special Programs - My Path Palliative Care
centered care that optimizes quality of life by anticipating, preventing, and treating suffering. My Path addresses the Member’s needs, including physical, emotional, and spiritual, while facilitating Member autonomy, access to information, and choice. The My Path program consists of: a palliative care assessment and consultation; advanced care planning; individualized written plan of care; pain and symptom management; mental health and medical social services; care coordination; and a palliative care team. My Path Program Brochure (PDF) My Path Program - Pediatric Brochure (PDF) My Path Program Guidelines (PDF) My Path Program FAQs (PDF) My Path - A Palliative Care Approach (PDF) Certification of Advanced Disease (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.