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ur health goals. Eat Healthy, Be Active Class A class for Members who want to learn how to eat healthy and be active. Members will learn about reading food labels, meal planning, and making healthier choices. Format: Group Duration: 4 weeks (2 hours per week) Ages: Any age (anyone under 18 years old must be accompanied by parent or guardian)  Call IEHP Health Education Department at 1-866-224-IEHP (4347) or 1-800-718-4347 for TTY users to sign up.  Diabetes Prevention Program (DPP) - Live the Life You Love Format: Online (small group) Duration: One year Ages: 18 years and over This online year-long lifestyle change program helps you make real changes that last.  During the first 6 months, you will meet weekly with a small online group to learn how to make healthy choices into your life. In the second 6 months, you will meet monthly to practice what you have learned. No person is alike, so the program will be tailored to meet your needs and honor your customs and values. You will also be paired with a health coach for one year to help you set your goals, such as how to: Eat healthier Add physical activity into your daily life Reduce stress Improve problem-solving and coping skills Studies have shown that those who finish the program can lose weight and prevent Type 2 Diabetes. Small changes can have big results! Let's start living the best version of you and living the life you love.  Find out if you qualify! Click here to visit the Skinny Gene Project online, or Text “DPP” to 313131, or Call Skinny Gene Project at (909) 922- 0022, Monday - Friday 8am – 5pm., or Email hello@skinnygeneproject.org Click on the video below to learn more about this program. 

HP!   In early 2022, IEHP launched an innovative technology called IEHP Voice ID. This voice recognition system uses your voiceprints to identify you.  Your speech tones can be stored in safe databases and later used to identify your unique voice—like fingerprints or facial scans.  How will I benefit from using IEHP Voice ID?  By opting in to IEHP Voice ID, you can save the time it would take to go through the series of questions to prove your identity. Each Member who uses IEHP Voice ID could cut the time to verify their identity from 3 minutes to less than 30 seconds! Using IEHP Voice ID streamlines each call—our Member Services representatives will know right away that they are talking to the right member.  Is it safe?  IEHP Voice ID is more secure than passwords, PINS, security questions, and older forms of security. The IEHP Voice ID system will send an alert if it finds copied speech or a recorded voiceprint. Voice biometrics experts say that a voiceprint is safer. It includes more than 100 unique behavioral traits of each person, such as accent, pitch, length of the vocal tract, and so on. How can I sign up for IEHP Voice ID? IEHP Members can call IEHP Member Services at 1-800-440-IEHP (4347), Monday–Friday, 7am–7pm, and Saturday–Sunday, 8am–5pm. TTY users should call 1-800-718-4347 to sign up for IEHP Voice ID. The use of this service is optional. It does not cost you anything to sign up. 

t Doctor visit? IEHP offers language interpreter services to all IEHP Members - and it's free! We will send an interpreter to your Doctor's office, so you'll have someone there who knows your language. We schedule interpreters for most any language, including American Sign Language. To schedule a language interpreter, call IEHP Member Services at least 5 days before your Doctor visit. To cancel your request, call at least 2 days before your Doctor visit.  Call IEHP Member Services at 1-800-440-IEHP (4347), Monday–Friday, 7am–7pm, and Saturday–Sunday, 8am–5pm. TTY users should call 1-800-718-4347.

le Members to help them live independently in the community. You may qualify for the LTSS services listed below. In-Home Supportive Services (IHSS) If you have a disability, are blind, or over 65 years old and not able to live in your home without help, you may qualify. Get help around the house and other daily care needs. With IHSS, you find your own caregivers to help with: Cooking meals and cleaning up Personal care services (such as bowel and bladder care, bathing, and grooming) Laundry and household cleaning, grocery shopping and errands, rides to Doctors visits To learn more about IHSS: San Bernardino County In-Home Supportive Services (877) 800-4544 (909) 252-4703 TTY, Monday-Friday, from 8am – 5pm Riverside County In-Home Supportive Services  (888) 960-4477 (TTY 711), Monday - Friday, from 8am – 5pm Multipurpose Senior Services Program (MSSP) MSSP is a case management program that provides Home and Community-Based Services to Medi-Cal eligible individuals. To be eligible, you must be 65 years of age or older, live within a site’s service area, be able to be served with MSSP’s cost limitations, be appropriate for care management services, currently eligible for Medi-Cal, and certified or certifiable for placement in a nursing facility. Services include: Adult day care/support center Housing assistance Chore and personal care assistance Protective supervision Care management Respite Transportation Meal Services Social Services This benefit is covered up to $4,285 per year. To learn more about MSSP: San Bernardino County Multipurpose Senior Services Program (877) 565-2020, 24-Hour Hotline (909) 891-3900 TTY, Monday-Friday, from 8am – 5pm Riverside County Multipurpose Senior Services Program (800) 510-2020 (951) 867-3800 (951) 697-4699 TTY, Monday-Friday, 8am – 5pm Community Based Adult Services (CBAS) CBAS is an outpatient, facility-based service program where people attend based on a schedule. It offers skilled nursing care, social services, therapies (including occupational, physical, and speech), personal care, family/caregiver training and support, nutrition services, transportation, and other services. We will pay for CBAS if you meet the eligibility criteria. Learn about Community Based Adult Services (PDF) Nursing Facility (NF) A NF is a place that provides care for people who cannot get care at home but who do not need to be in a hospital. Nursing care Care management Bed and board (daily meals) X-ray and laboratory Physical, speech and occupational therapy Drugs given to you as part of your plan of care.  To learn more about these programs, call IEHP Member Services at 1-800-440-IEHP (4347), Monday–Friday, 7am–7pm, and Saturday–Sunday, 8am–5pm, TTY users should call 1-800-718-4347, and ask for the Long-Term Services and Supports (LTSS) Unit.  Learn how IEHP helps Members transition back home (PDF) Here is placed a youtube LTSS Custodial Transitions Video Caregiver Resources in the Inland Empire By clicking on any of the links below, you will be leaving the IEHP website.  Inland Caregiver Resource Center 1430 E Cooley Dr. Colton, CA 92324 (909) 514-1404 https://www.inlandcaregivers.com      Services: Information and referral, family consultation, support groups, short-term counseling, educational workshops, respite and supplemental services. Alzheimer’s Greater Los Angeles  002 Iowa Ave, Suite 1072 Riverside, CA 92509 (909) 944-9146 https://www.alzgla.org      Services: information and referral, 24/7 Hotline, Care Counselors, Early Stage Services, Memory Mornings, Support Groups, Community Education, and Advocacy. Senior Companions 600 West Fifth St. San Bernardino, CA 92410 (909) 384-5413 http://www.sbcity.org/cityhall/parks/senior_services/default.asp#SCP Senior Companions provide support to family caregivers. They assist with grocery shopping, transportation to medical appointments, meal preparation, encouraging clients to participate in daily activities, reminiscing, providing companionship and love. San Bernardino County Department of Aging and Adult Services 686 E. Mill St. San Bernardino, CA 92415 (909) 891-3900 http://hss.sbcounty.gov/daas/Default.aspx Services: Adult Protective Services, Family Caregiver Support, Long-Term Care Ombudsmen, Nutrition Services, Senior Employment Program, Information and Assistance Riverside County Office on Aging 6296 River Crest Dr., Suite K Riverside, CA 92507-0738 (951) 867-3800 https://www.rcaging.org Services: Care Coordination, Caregiving Resources, Care Transitions Intervention (CTI), Elder Abuse Education, Health Insurance Counseling and Advocacy Program (HICAP), Fit After 50,  Grandparents Raising Grandchildren, Health Promotion, Legal Assistance, Nutrition, Senior Employment, Volunteer Services   Community Access Center 6848 Magnolia Avenue, Suite 150 Riverside, CA, 92506 (951) 274-0358 http://www.ilcac.org/ Services: supportive services and independent living skills training. Rolling Start 1955 S. Hunt Street, Suite 101 San Bernardino, CA 92408 (909) 890-9516 http://www.rollingstart.com Services: disability information and referral, housing, independent living skills training, assistive technology, and advocacy. Alzheimer’s Association Ontario Office 3200 Inland Empire Blvd., Suite 280 Ontario, CA 91764 (909) 406-5376 https://alz.org/socal/about_us/our_regional_offices Palm Desert Office 74020 Alessandro Dr., Suite A Palm Desert, CA 92260 (760) 996-0006 https://alz.org/socal/about_us/our_regional_offices You will need Adobe Acrobat Reader 6.0 or later to view the PDF files. Download a free copy by clicking Adobe Acrobat Reader.  

ghts: To be treated with respect, giving due consideration to your right to privacy and the need to maintain confidentiality of your medical records. To be given information about the plan and its services, including Covered Services, Practitioners, Providers, and Member rights and responsibilities. To be able to choose a PCP within IEHP’s network. To take part in decisions about your health care, including the right to refuse treatment. To voice grievances, verbally or in writing, about the organization or the care given. To provide feedback about the organization’s Member rights and responsibilities policies. To get care coordination. To request an appeal of decisions to deny, defer or limit services or benefits. To get oral interpretation services for their language. To get free legal help at your local legal aid office or other groups. To create advance directives. To have access to family planning services, Federally Qualified Health Centers, Indian Health Service Facilities, sexually transmitted disease services and Emergency Services outside IEHP’s network pursuant to federal law. To request a State Hearing, including instructions on how an expedited hearing is possible. To have access to, and where legal and appropriate, get copies of, amend or correct your Medical Record. To disenroll upon request. Members who can request expedited disenrollment include, but are not limited to, those getting services under the Foster Care or Adoption Assistance Programs and those with special health care needs. To access Minor Consent Services. To get written Member-informing materials in other formats (such as braille, large-size print and audio) upon request and in a timely fashion appropriate for the format being requested and in accordance with Welfare & Institutions Code Section 14182 (b)(12). To be free from any form of restraint or seclusion used as a means of coercion, discipline, convenience or retaliation. To learn about and discuss available treatment options and alternatives with regard to cost or benefit coverage, presented in a manner appropriate to your condition and ability to understand. To get a copy of your medical records, and request amendments or corrections, as specified in 45 Code of Federal Regulations §164.524 and 164.526. To freely exercise these rights without adversely affecting how you are treated by IEHP, Providers or the State. To have access to family planning services, Freestanding Birth Centers, Federally Qualified Health Centers, Indian Health Service Facilities, midwifery services, Rural Health Centers, sexually transmitted disease services and Emergency Services outside IEHP’s network pursuant to the federal law. If you have been getting care from a health care provider, you may have a right to keep him or her for a certain time period. Please contact IEHP Member Services, and if you have more questions, please contact the Department of Managed Health Care, which protects HMO consumers, by telephone at its toll-free number, 1-888-466-2219 (TTY) 1-877-688-9891, or online at https://www.dmhc.ca.gov/. As a Member of IEHP, you are responsible to: Be familiar with and ask questions about your health plan options, your health plan coverage limitations and exclusions, rules about the use of network providers, coverage and exclusions, rules, appropriate process to obtain information and process to appeal coverage decisions. If you have a question about your coverage, call IEHP Member Services at 1-800-440-IEHP (4347), Monday–Friday, 7am–7pm, and Saturday–Sunday, 8am–5pm. TTY users should call 1-800-718-4347. Follow the advice and care procedures requested by your Doctor and IEHP. If you have a question about these procedures, call IEHP Member Services at 1-800-440-IEHP (4347), Monday–Friday, 7am–7pm, and Saturday–Sunday, 8am–5pm. TTY users should call 1-800-718-4347. Request interpreter services at least 5 working days before a scheduled appointment. Call your Doctor or pharmacy at least 3 days before you run out of medicine. Cooperate with your Doctor and staff and treat them and other patients with respect. This includes being on time for your visits or calling your Doctor if you need to cancel or set up a new appointment. Understand that your Doctor’s office may have limited seating for patients and caregivers only. Give accurate data to IEHP, your Doctor, and any other provider. This helps you get better care. Understand your health care needs and be part of your health care decisions. Ask your Doctor questions if you do not understand. Work with your Doctor to make plans for your health care. Follow the plans and instructions for care that you have agreed on with your Doctor. Notify IEHP and your Doctor if you want to stop the plans and instructions you have agreed on or no longer want to participate in health management programs. Immunize your children by age 2 years and always keep your children’s vaccines up to date. Call your Doctor when you need routine or urgent health care. Care for your own health. Live an active life, exercise, have a good diet, and don’t smoke. Avoid knowingly spreading disease to others. Use IEHP’s grievance process to file a complaint. Call IEHP Member Services at 1-800-440-IEHP (4347), Monday–Friday, 7am–7pm, and Saturday–Sunday, 8am–5pm. TTY users should call 1-800-718-4347 to file a complaint (grievance or appeal). Report any fraud, waste or abuse to IEHP by calling the Compliance Hotline at (866) 355-9038 or the proper authorities. Understand that there are risks in getting health care and limits to what can be done for you medically. Understand that it is a health care provider’s duty to be efficient and fair in caring for you as well as other patients.

ur top priority. We’ll continue to update this web page with the latest information and instruction regarding Coronavirus (COVID-19). Announcements 5/02/22: The FDA extended the expiration dates for a number of antigen over-the-counter COVID-19 test kits. Watch this video to learn more. 2/15/21: Effective February 16, 2022, the state of California will no longer require vaccinated people to wear masks indoors in public places. Unvaccinated people are still required to wear masks indoors. Masking indoors will only be “strongly recommended” by the State for those who are vaccinated. Click here to learn more. 2/4/21: On January 31, 2022, the Food and Drug Administration (FDA) approved the second COVID-19 vaccine - Moderna’s Spikevax vaccine (widely known as the Moderna vaccine). The Spikevax vaccine, is now approved for use in people ages 18 and older. Click here to learn more. 1/19/21: Every home in the U.S. is eligible to order one free COVID-19 test kit, which includes four at-home tests. The tests are completely free. Click here to order your free at-home tests. 1/07/21: The recent rise of the Omicron variant further stresses the importance of COVID vaccines, boosters, and preventive efforts (use of masks) are needed to protect against COVID-19. Schedule your vaccine today: www.myturn.ca.gov 1/06/21: The Centers for Disease Control and Prevention expands booster shot eligibility for 12–17-year-olds. Click here to learn more.  10/29/21: The Food and Drug Administration authorizes Pfizer-BioNTech COVID-19 vaccine for emergency use in children 5 through 11 years of age. Click the link to make an appointment. https://myturn.ca.gov/ 9/23/21: The Food and Drug Administration (FDA) authorizes a booster shot of Pfizer BioNTech COVID vaccine for the following populations: people 65 years of age or older, people 18-64 years of age at high risk of severe COVID-19, and people 18-64 years of age whose frequent institutional or occupational exposure to SARS-CoV-2 puts them at high risk of serious complications of COVID-19. Click here to learn more. 8/17/21: The FDA amended the emergency use of Pfizer and Moderna COVID-19 vaccine to allow an additional dose to be given to people with moderately to severely compromised immune systems after the initial 2-dose series. Click here to learn more. 8/17/21: The CDC recommends the COVID-19 vaccine for people who are pregnant, breastfeeding, trying to get pregnant or may become pregnant in the future. Unvaccinated women who are pregnant or were recently pregnant are more likely to get severely ill with COVID-19 compared with non-pregnant women. Click here to learn more.   8/06/21: Nearly all COVID deaths in the US are now among the unvaccinated. Protect yourself from the new surge in our region. Get vaccinated. Click here to make an appointment. 5/20/21: On June 15th, fully vaccinated Californians can go mask-free in most indoor settings. Click here for more information. 5/20/21: San Bernardino County urges residents to get vaccinated for COVID-19. Walk-ups are now allowed at all County-operated sites and many  private-run sites.  Getting protected could not be easier. Click here for more information. 5/13/21: The Pfizer COVID-19 vaccine is now available for children ages 12-15. Click here to make an appointment. 4/26/21: Riverside County reinstates the use of the Johnson and Johnson vaccine. Click here to learn more. 4/16/21: Riverside and San Bernardino County temporarily pause the use of the Johnson & Johnson COVID-19 vaccine in accordance with recommendations made by state and federal health agencies. Click here to learn more.  4/7/21: San Bernardino County residents ages 16+ are now eligible to get the COVID-19 vaccine. Click here to make an appointment. 4/6/21: Riverside County residents ages 16+ are now eligible to get the COVID-19 vaccine. Click here to make an appointment. 4/1/21: Omnitrans is offering San Bernardino county residents two FREE shuttle services to those with COVID-19 vaccine appointments in Ontario and San Bernardino. Click here for more information. 3/29/21: Starting April 1st, Riverside and San Bernardino County residents 50+ can get the COVID-19 vaccine and on April 15th all residents 16+ can get the vaccine. To make appointment, click on your county below. Riverside county San Bernardino county 3/29/21: San Bernardino County residents who accompany an eligible family member to an appointment are now eligible to receive the COVID-19 vaccine, even if they don’t fall into an eligible category. Residents must have an appointment at the same location and at approximately the same time as their eligible family member. Click here to make an appointment. 3/19/21: San Bernardino County residents that are high risk or disabled do not need to show proof of eligibility to get the COVID-19 vaccine. Residents will only be asked to self-attest to their eligibility. Click here to learn more. 3/12/21: Starting next week, San Bernardino County residents ages 16-64 with underlying medical conditions and/or a disability will be eligible for the COVID-19 vaccine. Click here to learn more.  3/10/21: The Centers for Disease Control and Prevention (CDC) has issued new guidance that allows people who are fully vaccinated to gather with each other without wearing masks. Click here to learn more. 3/03/21: San Bernardino County opens COVID vaccine appointments for food and agriculture workers. Click here to learn more. 2/26/21: To support COVID-19 vaccination efforts, IEHP partnered with San Bernardino County to open a new vaccine site at our headquarters in Rancho Cucamonga. Appointments are required and can be made at SBCovid19.com/vaccine. 2/17/21: San Bernardino County announces additional vaccine sites for seniors 65+ interested in getting the COVID-19 vaccine. Click here for more information. 2/10/21: San Bernardino County residents 65+ are urged to sign up to be notified when new COVID-19 vaccine appointments become available. Click here to sign up.  2/1/21: Riverside County residents who received their first dose of the COVID-19 vaccine at a county clinic will be contacted by the county health officials to schedule their second dose. Click here to learn more.  1/29/21: Riverside County has appointments available for residents 85+ who are interested in getting the COVID-19 vaccine. Click here to view available appointments. 1/25/21: California has lifted the regional stay-at-home orders issued in December, moving San Bernardino and Riverside County back into the purple tier. Residents are urged to continue safe practices, avoiding crowds, and wearing a mask when leaving home. In addition, increased testing will help the counties move into the next level of the state’s reopening plan.    1/22/21: Riverside County will open appointments Saturday, January 23rd for the upcoming COVID-19 vaccine clinics. Click here to register. 1/15/21: San Bernardino County residents ages 65 and over are now eligible for the COVID-19 vaccine. Click here for vaccine locations and registration. 1/14/21: Riverside county residents 65 and over can now get vaccinated for COVID-19 at various locations throughout the county. Click here for more information. Click here to view additional announcements Local Resources San Bernardino County 2-1-1 San Bernardino County Wic Riverside County Wic

ence and access to care for the low-income working residents of the Inland Empire. These recognitions honor our steadfast commitment to improving access to quality, wellness-based healthcare services when and where members need it. NCQA Accreditation IEHP was the first Medicaid-only health plan in California to earn accreditation from the National Committee for Quality Assurance (NCQA) for its Medi-Cal health plan, in 2000. We have retained NCQA accreditation every year since. Innovation Awards from DHCS In November 2021, IEHP received the “Innovation Award - Runner Up 2021” for the Medi-Cal PCP Auto Assignment Redesign, which focused on directing Members to Providers with higher quality scores. In November 2020, IEHP was awarded the prestigious California Department of Healthcare Services (DHCS) Innovation Award. The award was based on IEHP’s groundbreaking work using location intelligence to reach high-risk members and providers in geographic areas affected by power outages, wildfires, and other natural disasters. This is the fourth time the health plan has received this honor. In 2018, IEHP received the Innovation Award from Department of Health Care Services (DHCS), for its Housing Initiative, which provides permanent supportive housing and intensive case management services to homeless, high utilizing Members. In October 2017 IEHP won a California Department of Health Care Services (DHCS) Innovation Award for improving the health of low-income members through a program that coordinates their complex physical and behavioral health care needs across the healthcare system in Riverside and San Bernardino counties. In 2015 IEHP won the first annual Innovation Award from DHCS for its Transitional Care Program, which strives to reduce emergency room usage and curtails the re-admission rates of members recently discharged from the hospital IEHP Receives the CORE Certification Seal  In April 2022, IEHP received the CORE Certification Seal for the Eligibility & Benefits, Claim Status, and Payment & Remittance CAQH CORE Operating Rule Sets. As a CAQH CORE-certified entity, IEHP has demonstrated that they follow a set of national operating rules and standards which improve business processes in healthcare — going above and beyond what is federally required.  The CORE Seal is widely recognized as the industry gold standard. IEHP Receives Rancho Cucamonga Fire District’s Business Partner of the Year Award In September 2021, IEHP was awarded Business Partner of the Year by the Rancho Cucamonga Fire District at the City’s Fire and Police Recognition. The distinguished award recognizes the health plan’s partnership with the City and County of San Bernardino to host an ongoing super vaccine clinic at the health plan’s headquarters. IEHP Receives Health Equity Award for Engaging Communication In 2020, IEHP received the Health Equity Award for their ability to engage and connect with members via text message during Governor Newsom’s social isolation order. The award was given by mPulse Mobile, a leader in conversational AI solutions for healthcare, during their annual Activate Awards. Click here to learn more. IEHP DualChoice Cal MediConnect Plan Earns Top Customer Satisfaction Score in the Nation The IEHP DualChoice Cal MediConnect Plan had the third-highest score in the country in the 2016 MMP CAHPS survey from the Centers for Medicare and Medicaid Services (CMS), which assesses the experiences patients have with their health plans. In 2016 there were 40 Medicare-Medicaid Plans (MMP) in the nation (called Cal MediConnect plans in California). Annual Excellence Award In 2016, IEHP received the Excellence Award from the Pharmacy Benefit Management Institute (PBMI) for its Pharmacy Pay for Performance Program, which leverages IEHP network pharmacies to offer clinical education to its members. Top Physician Satisfaction  Doctors and other medical providers ranked IEHP at or above the 90th percentile in most areas on a 2016 satisfaction survey administered by an independent survey vendor. They ranked IEHP at the:  99th percentile for “IEHP Compared to All Other Health Plans” 98th percentile for “Overall Satisfaction with Call Center Staff” 98th percentile for “Overall Satisfaction with Financial Services”   97th percentile for “Recommend IEHP to Other Physicians’ Practices” IEHP Receives Workplace of the Year Award from Advisory Board in March 2018 Inland Empire Health Plan (IEHP) has been awarded the Advisory Board 2018 Workplace of the Year Award. The annual award recognizes hospitals and health systems nationwide that have outstanding levels of employee engagement. IEHP is one of only 20 organizations nationwide to receive the award. Favorite Employer IEHP was voted “Favorite Overall Company to Work For,” “Favorite Training Program” and “Favorite Workplace Culture” by Los Angeles News Group Readers in the 2014 Winning Workplaces survey. “Access to Caring” Award IEHP was recognized for making a difference in advancing health care access and availability to people with disabilities by the Western University of Health Sciences, in 2014. Energy Star Award for Superior Energy Performance IEHP’s corporate headquarters (“The Atrium”) in Rancho Cucamonga, Calif. earned the U.S. Environmental Protection Agency’s ENERGY STAR® certification for superior energy performance in 2017, demonstrating IEHP’s commitment to continued energy savings and environmental responsibility. “Gold Standard” Certification for Electronic Payments and Claims Processing In 2016 IEHP achieved Phase III certification for accurate and efficient electronic provider payments and claims reconciliation from the Council for Affordable Quality Healthcare (CAQH) and the Committee on Operating Rules for Information Exchange (CORE). The voluntary certification is widely viewed as the industry “gold standard” for provider payments and claims processing.

y for healthcare coverage through Medi-Cal, Covered California, or for county-based programs. Apply for health coverage through Medi-Cal and choose IEHP, your Inland Empire Health Plan. Get quality medical, behavioral health and wellness services and no cost.  What is Medi-Cal? Medi-Cal is a no-cost or low-cost health coverage program. It provides health, dental and vision coverage to qualified low-income California residents. How do I apply for Medi-Cal: Apply for no-cost health coverage right over the phone. Call the IEHP Enrollment Advisors at (866) 294-4347, Monday – Friday, 8am – 5pm. TTY users should call (800) 720-4347.  You may also call Health Care Options at 1-800-430-4263 or visit or visit www.healthcareoptions.dhcs.ca.gov. TTY users should call 1-800-430-7077. Click here to learn more. What is Covered California? Covered California is a free service that connects Californians with brand-name health insurance under the Patient Protection and Affordable Care Act. It’s the only place where you can get financial help when you buy health insurance from well-known companies.  Click here to learn more.https://www.coveredca.com/ County Health Clinics If you are uninsured and do not qualify for IEHP you can find free/low cost health clinics and prescription drug assistance programs in Riverside and San Bernardino counties with our Healthcare Connections PDFs:  San Bernardino (PDF) Riverside (PDF) How can I find resources in my community? IEHP Community Resource Centers The IEHP Community Resource Centers (CRC) are your local resource for healthcare information in Riverside, San Bernardino and Victorville. Our bilingual staff can help you to take free classes, learn about health care & learn about health coverage. Click here to learn more. Connect IE Connect IE is a new one-stop, interactive website that makes it easy to link people to community resources in the Inland Empire. By clicking on the link below you will be leaving the IEHP site. Visit ConnectIE to find out more! Resources for the undocumented Public Charge Information The ABC's of Public Charge You will need Adobe Acrobat Reader 6.0 or later to view the PDF files. Download Adobe Acrobat Reader.

HP) directly contracted provider. Prior to extending a contract, we must receive the following documents. Please completely fill out all required documents. Any delay in receiving the below stated documents will affect the effective date of the contract that will be mailed to you. New Contract Existing Contract (Adding New Provider) Physician Network Form (PDF) Medical-Number (Physicians and Medical Groups should be enrolled in the State's Medi-Cal Program) Physicians and Specialists (PDF) (M.D., D.O., D.P.M., D.C., O.D., S.P., AuD., P.T., etc) Pre-Contractual Letter (PDF) (Only applies to PCPs. Please review and return signed if all outlined criteria is met) Mid Level Practitioners (PDF) (P.A., N.P., and C.N.M.) Supervisor Agreement (PDF) (Only Applies to Physician Assistants) Medical-Number (Physicians and Medical Groups should be enrolled in the State's Medi-Cal Program) All documents should be e-mailed to contract@iehp.org. All documents should be e-mailed to contract@iehp.org. Provider Maintenance Request Form (PCP, OB/GYN, and Mid-Levels ONLY) can be found here (PDF). Contracts Maintenance Request Form (Specialists ONLY) can be found here (PDF). Individual W-9 form can be found here (PDF). Direct Deposit Frequently Asked Questions can be found here (PDF). National Plan & Provider Enumeration System (NPPES) Portal login: https://nppes.cms.hhs.gov/#/. NPI Address Update Instructions can be found here (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.

tions in compliance with ethical standards, contractual obligations under State and Federal programs, laws, and regulations applicable to Medi-Cal and IEHP DualChoice. This commitment extends to our business associates and delegated entities that support IEHP’s mission to improve the delivery of quality, accessible, and wellness based healthcare services for our community.  Our Compliance Program is designed to: Ensure we comply with applicable laws, rules, and regulations Reduce or eliminate Fraud, Waste, and Abuse (FWA) Prevent, detect, and correct non-compliance Reinforce our commitment to culture of compliance for which we strive Establish and implement our shared commitment to honesty, integrity, transparency, and accountability FDR Information What is an FDR? A First Tier, Downstream or Related Entity (FDR) is a delegated entity subcontracted on behalf of IEHP to provide health plan related services.  FDR Requirements FDRs are required* to follow IEHP’s policies and procedures, Code of Business Conduct and Ethics, and other contractual requirements.   FDR Resources First Tier and Downstream Entities/Compliance Program Requirements Manual – This manual doesn’t pertain to IPA’s IEHP Vendor FDR Manual Policy_Compliance Program Requirements_2021 IEHP Vendor FDR Manual Policy_FWA Requirements_2021 IEHP Vendor FDR Manual Policy_HIPAA Requirements  IEHP Code of Business Conduct and Ethics  Non Retaliation Policy FDR Compliance Program Attestation CMS Compliance, FWA, and HIPAA training material ICE FWA Training ICE General Compliance Training *For IPA requirements, visit the Provider Resources page.  Code of Business Conduct and Ethics Inland Empire Health Plan (IEHP) expects Team Members and business entities doing business with IEHP to conduct business activities in an ethical and professional manner that promotes public trust and confidence in the integrity of IEHP. The Code provides guidance about the compliance culture at IEHP and the role that each Team Member, including Senior Management, Chief Officers, the Governing Board, and our business partners, play in building and preserving that culture. IEHP Code of Business Conduct and Ethics Compliance, Fraud, Waste, and Abuse (FWA), and Privacy Program Training The IEHP Compliance, FWA, and Privacy Training Program focuses on to the elements of an effective Compliance Program, conduct & ethics, and the Fraud, Waste and Abuse and Privacy Programs. IEHP requires delegated entities to provide Compliance Training to  their employees, Providers, downstream entities, Board of Directors, and Contractors within 90 days of hire/start date. IEHP is committed to a culture of compliance, ethics, and integrity, the goal of Compliance Training is to provide all associated parties the ability to demonstrate awareness of IEHP’s requirements, including regulations and policies & procedures associated with Compliance as it relates to daily work. If you have questions or additional suggestions, please e-mail The IEHP Compliance Department at compliance@iehp.org General Compliance Training Compliance Fraud, Waste and Abuse (FWA) HIPAA Privacy and Security (PDF) Reporting Information IEHP has the following resources available for reporting fraud, waste or abuse, Privacy issues, and other compliance issues: Compliance Hotline: (866) 355-9038 Fax: (909) 477-8536 E-mail: compliance@iehp.org Mail: IEHP Compliance Officer P.O. Box 1800 Rancho Cucamonga, CA 91729-1800 Online: Report a Compliance Issue

ights laws. IEHP does not unlawfully discriminate, exclude people, or treat them differently because of sex, race, color, religion, ancestry, national origin, ethnic group identification, age, mental disability, physical disability, medical condition, genetic information, marital status, gender, gender identity, or sexual orientation. IEHP provides: Free aids and services to people with disabilities to communicate effectively with us, such as: Qualified sign language interpreters Written information in other formats (large print, audio, accessible electronic formats, other formats)   Free language services to people whose primary language is not English, such as: Qualified interpreters Information written in other languages If you need these services, contact IEHP Member Services between 8am-5pm (PST), by calling 1-800-440-IEHP (4347), 7 days a week, including holidays. If you cannot hear or speak well, please call 1-800-718-4347. Upon request, this document can be made available to you in braille, large print, audiocassette, or electronic form. To obtain a copy in one of these alternative formats, please call or write to: Inland Empire Health Plan 10801 6th St., Rancho Cucamonga, CA 91730-5987 1-800-440-4347 (TTY: 1-800-718-4347/California Relay 711) How to file a grievance If you believe that IEHP has failed to provide these services or unlawfully discriminated in another way on the basis of sex, race, color, religion, ancestry, national origin, ethnic group identification, age, mental disability, physical disability, medical condition, genetic information, marital status, gender, gender identity, or sexual orientation, you can file a grievance with IEHP’s Civil Rights Coordinator. You can file a grievance by phone, in writing, in person, or electronically: By phone: Contact IEHP’s Civil Rights Coordinator between 8am-5pm (PST), by calling 1- 800-440-4347. Or, if you cannot hear or speak well, please call TTY: 1-800-718-4347/California Relay 711. In writing: Fill out a complaint form or write a letter and send it to - IEHP’s Civil Rights Coordinator, 10801 6th St., Rancho Cucamonga, CA 91730-5987 In person: Visit your doctor’s office or IEHP and say you want to file a grievance. Electronically: File a grievance online. Office of Civil Rights - California Department of Health Care Services You can also file a civil rights complaint with the California Department of Health Care Services, Office of Civil Rights by phone, in writing, or electronically: By phone: Call (916) 440-7370. If you cannot speak or hear well, please call 711 (Telecommunications Relay Service). In writing: Fill out a complaint form or send a letter to - Deputy Director, Office of Civil Rights Department of Health Care Services Office of Civil Rights, P.O. Box 997413, MS 0009 Sacramento, CA 95899-7413 Electronically: Send an email to CivilRights@dhcs.ca.gov. Office of Civil Rights - U.S. Department of Health and Human Services If you believe you have been discriminated against on the basis of race, color, national origin, age, disability or sex, you can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights by phone, in writing, or electronically: By phone: Call 1-800-368-1019. If you cannot speak or hear well, please call TTY/TDD 1-800- 537-7697. In writing: Fill out a complaint form or send a letter to - U.S. Department of Health and Human Services, 200 Independence Avenue, SW Room 509F, HHH Building Washington, D.C. 20201 Electronically: Visit the Office for Civil Rights Complaint Portal at https://ocrportal.hhs.gov/ocr/portal/lobby.jsf LANGUAGE ASSISTANCE English ATTENTION: If you need help in your language call 1-800-440-4347 (TTY: 1-800-718-4347). Aids and services for people with disabilities, like documents in braille and large print, are also available. Call 1-800-440-4347 (TTY: 1-800-718-4347). These services are free of charge. الشعار بالعربي ة (Arabic) يُر جى الانتباه:ى إذا احتجت إلى المساعدة بلغتك، فاتصل ب 1-800-440-4347 (TTY: 1-800-718-4347) .ى تتوفر ا ً أيض المساعدات والخدمات للأشخاص ذوي الإعاقة، مث ى ل المستندات المكتوبة بطريقة بريل والخ ى ط الكب ري.ى اتصل ب 1-800-440-4347 (TTY: 1-800-718-4347) . هذه الخدمات مجانيةى. Հայերեն պիտակ (Armenian) ՈՒՇԱԴՐՈՒԹՅՈՒՆ: Եթե Ձեզ օգնություն է հարկավոր Ձեր լեզվով, զանգահարեք 1-800-440-4347 (TTY: 1-800-718-4347)։ Կան նաև օժանդակ միջոցներ ու ծառայություններ հաշմանդամություն ունեցող անձանց համար, օրինակ` Բրայլի գրատիպով ու խոշորատառ տպագրված նյութեր։ Զանգահարեք 1-800-440-4347 (TTY: 1-800-718-4347)։ Այդ ծառայություններն անվճար են։ ឃ្លាសម្គាល់ជាភាសាខ្មែរ (Cambodian) ចំណំ៖ ប ើអ្នក ត្រូវ ការជំនួយ ជាភាសា រ ស់អ្នក សូម ទូរស័ព្ទបៅបេខ 1-800-440-4347 (TTY: 1-800-718-4347)។ ជំនួយ និង បសវាកមម សត្ា ់ ជនព្ិការ ដូចជាឯកសារសរបសរជាអ្កសរផុស សត្ា ់ជនព្ិការភ្ននក ឬឯកសារសរបសរជាអ្កសរព្ុមពធំ ក៏អាចរកបានផងភ្ដរ។ ទូរស័ព្ទមកបេខ 1-800-440-4347 (TTY: 1-800-718-4347)។ បសវាកមមទំងបនេះមិនគិរថ្លៃប ើយ។ 简体中文标语(Chinese) 请注意：如果您需要以您的母语提供帮助，请致电1-800-440-4347 (TTY: 1-800-718-4347)。另外还提供针对残疾人士的帮助和服务，例如盲文和需要较大字体阅读，也是方便取用的。请致电1-800-440-4347 (TTY: 1-800-718-4347)。这些服务都是免费的。 (Farsi) مطلب به زبان فارسی توجه: اگر میخواهید به زبان خود کمک دریافت کنید، با 1-800-440-4347 (TTY: 1-800-718-4347) تماس بگیرید. کمکها و خدمات مخصوص افراد دارای معلولیت، مانند نسخههای خط بریل و چاپ با حروف بزرگ، نیز موجود است. با 1-800-440-4347 (TTY: 1-800-718-4347) تماس بگیرید. این خدمات رایگان ارائه میشوند. ह िंदी टैगलाइन (Hindi) ध्यान दें: अगर आपको अपनी भाषा में सहायता की आवश्यकता है 1-800-440-4347 (TTY: 1-800-718-4347) पर कॉल करें। अशक्तता वाले लोगोों के ललए सहायता और सेवाएों, जैसे ब्रेल और बडे लरोंट में भी दस्तावेज़ उपलब्ध हैं। 1-800-440-4347 (TTY: 1-800-718-4347) पर कॉल करें। ये सेवाएों लन: शुल्क हैं। Nqe Lus Hmoob Cob (Hmong) CEEB TOOM: Yog koj xav tau kev pab txhais koj hom lus hu rau 1-800-440-4347 (TTY: 1-800-718-4347). Muaj cov kev pab txhawb thiab kev pab cuam rau cov neeg xiam oob qhab, xws li puav leej muaj ua cov ntawv su thiab luam tawm ua tus ntawv loj. Hu rau 1-800-440-4347 (TTY: 1-800-718-4347). Cov kev pab cuam no yog pab dawb xwb. 日本語表記 (Japanese) 注意日本語での対応が必要な場合は 1-800-440-4347 (TTY: 1-800-718-4347)へお電話ください。点字の資料や文字の拡大表示など、障がいをお持ちの方のためのサービスも用意しています。1-800-440-4347 (TTY: 1-800-718-4347) へお電話ください。これらのサービスは無料で提供しています。 한국어 태그라인 (Korean) 유의사항: 귀하의 언어로 도움을 받고 싶으시면 1-800-440-4347 (TTY: 1-800-718-4347) 번으로 문의하십시오. 점자나 큰 활자로 된 문서와 같이 장애가 있는 분들을 위한 도움과 서비스도 이용 가능합니다. 1-800-440-4347 (TTY: 1-800-718-4347) 번으로 ___________문의하십시오. 이러한 서비스는 무료로 제공됩니다. ແທກໄລພາສາລາວ (Laotian) ປະກາດ: ຖ້າທ່ານຕ້ອງການຄວາມຊ່ວຍເຫ ຼືອໃນພາສາຂອງທ່ານໃຫ້ໂທຫາເບີ 1-800-440-4347 (TTY: 1-800-718-4347). ຍັງມີຄວາມຊ່ວຍເຫ ຼືອແລະການບໍລິການສໍາລັບຄົນພິການ ເຊັ່ນເອກະສານທີ່ເປັນອັກສອນນູນແລະມີໂຕພິມໃຫຍ່ ໃຫ້ໂທຫາເບີ 1-800-440-4347 (TTY: 1-800-718-4347). ການບໍລິການເຫ ົ່ານີ້ບໍ່ຕ້ອງເສຍຄ່າໃຊ້ຈ່າຍໃດໆ. Mien Tagline (Mien) LONGC HNYOUV JANGX LONGX OC: Beiv taux meih qiemx longc mienh tengx faan benx meih nyei waac nor douc waac daaih lorx taux 1-800-440-4347 (TTY: 1-800-718-4347). Liouh lorx jauv-louc tengx aengx caux nzie gong bun taux ninh mbuo wuaaic fangx mienh, beiv taux longc benx nzangc-pokc bun hluo mbiutc aengx caux aamz mborqv benx domh sou se mbenc nzoih bun longc. Douc waac daaih lorx 1-800-440-4347 (TTY: 1-800-718-4347). Naaiv deix nzie weih gong-bou jauv-louc se benx wang-henh tengx mv zuqc cuotv nyaanh oc. ਪੰਜਾਬੀ ਟੈਗਲਾਈਨ (Punjabi) ਧਿਆਨ ਧਿਓ: ਜੇ ਤੁਹਾਨ ੂੰ ਆਪਣੀ ਭਾਸਾ ਧ ਿੱਚ ਮਿਿ ਿੀ ਲੋੜ ਹੈ ਤਾਂ ਕਾਲ 1-800-440-4347 (TTY: 1-800-718-4347). ਅਪਾਹਜ ਲੋਕਾਂ ਲਈ ਸਹਾਇਤਾ ਅਤੇ ਸੇ ਾ ਾਂ, ਧਜ ੇਂ ਧਕ ਬ੍ਰੇਲ ਅਤੇ ਮੋਟੀ ਛਪਾਈ ਧ ਿੱਚ ਿਸਤਾ ੇਜ਼, ੀ ਉਪਲਬ੍ਿ ਹਨ| ਕਾਲ ਕਰੋ 1-800-440-4347 (TTY: 1-800-718-4347). ਇਹ ਸੇ ਾ ਾਂ ਮੁਫਤ ਹਨ| Русский слоган (Russian) ВНИМАНИЕ! Если вам нужна помощь на вашем родном языке, звоните по номеру 1-800-440-4347 (TTY: 1-800-718-4347). Также предоставляются средства и услуги для людей с ограниченными возможностями, например документы крупным шрифтом или шрифтом Брайля. Звоните по номеру 1-800-440-4347 (TTY: 1-800-718-4347). Такие услуги предоставляются бесплатно. Mensaje en español (Spanish) ATENCIÓN: si necesita ayuda en su idioma, llame al 1-800-440-4347 (TTY: 1-800-718-4347). También ofrecemos asistencia y servicios para personas con discapacidades, como documentos en braille y con letras grandes. Llame al 1-800-440-4347 (TTY: 1-800-718-4347). Estos servicios son gratuitos. Tagalog Tagline (Tagalog) ATENSIYON: Kung kailangan mo ng tulong sa iyong wika, tumawag sa 1-800-440-4347 (TTY: 1-800-718-4347). Mayroon ding mga tulong at serbisyo para sa mga taong may kapansanan,tulad ng mga dokumento sa braille at malaking print. Tumawag sa 1-800-440-4347 (TTY: 1-800-718-4347). Libre ang mga serbisyong ito. แท็กไลน์ภาษาไทย (Thai) โปรดทราบ: หากคุณต้องการความช่วยเหลือเป็นภาษาของคุณ กรุณาโทรศัพท์ไปที่หมายเลข 1-800-440-4347 (TTY: 1-800-718-4347)นอกจากนี้ ยังพร้อมให้ความช่วยเหลือและบริการต่าง ๆ สาหรับบุคคลที่มีความพิการ เช่น เอกสารต่าง ๆ ที่เป็นอักษรเบรลล์และเอกสารที่พิมพ์ด้วยตัวอักษรขนาดใหญ่ กรุณาโทรศัพท์ไปที่หมายเลข 1-800-440-4347 (TTY: 1-800-718-4347) ไม่มีค่าใช้จ่ายสาหรับบริการเหล่านี้ Примітка українською (Ukrainian) УВАГА! Якщо вам потрібна допомога вашою рідною мовою, телефонуйте на номер 1-800-440-4347 (TTY: 1-800-718-4347). Люди з обмеженими можливостями також можуть скористатися допоміжними засобами та послугами, наприклад, отримати документи, надруковані шрифтом Брайля та великим шрифтом. Телефонуйте на номер 1-800-440-4347 (TTY: 1-800-718-4347). Ці послуги безкоштовні. Khẩu hiệu tiếng Việt (Vietnamese) CHÚ Ý: Nếu quý vị cần trợ giúp bằng ngôn ngữ của mình, vui lòng gọi số 1-800-440-4347 (TTY: 1-800-718-4347). Chúng tôi cũng hỗ trợ và cung cấp các dịch vụ dành cho người khuyết tật, như tài liệu bằng chữ nổi Braille và chữ khổ lớn (chữ hoa). Vui lòng gọi số 1-800-440-4347 (TTY: 1-800-718-4347). Các dịch vụ này đều miễn phí.    

members with highly complex needs. ECM is a benefit that provides extra services to help you get the care you need to stay healthy.  It coordinates the care you get from different doctors and others involved in your care. At IEHP, we understand that certain health conditions like diabetes, hypertension, or substance use disorder can be complex, confusing, and hard to manage. IEHP’s ECM offers supportive services to address your whole health–to care for your body and mind. You may qualify for ECM with IEHP if you meet certain criteria shown below and need more help with managing your health. Who is eligible? The IEHP ECM is for Members who have: Homelessness with complex health and/ or behavioral health needs Frequent hospital admissions, short-term skilled nursing facility stays, or emergency room visits A serious mental illness or substance use disorder with complex social needs Complex needs and are transitioning from incarceration in Riverside County If you qualify for ECM, you will have your own care team with a lead care manager that coordinates no-cost services, such as primary care, behavioral health, community-based long-term services and supports (LTSS), developmental health, oral health, and social services. Who is on your care team: Nurse Care Manager Behavioral Health Care Manager Care Coordinator Community Health Worker What IEHP’s ECM includes If you join ECM, your benefits will not change.  You can keep your Doctors and Providers and your care team will help: Find Doctors and get an appointment for physical, mental, and substance use health needs Keep all your Providers fully informed Set up transportation to your Doctor visits Get follow-up services after you leave the hospital Manage all your medicines Get help connecting to local resources such as food or other social services The ECM services are provided at no cost, and you can join or stop ECM at any time. Support when you need it Your care team can support you by phone or in person and may even go to your location. You are not alone with the IEHP ECM.  To join or stop ECM, call IEHP Member Services at 1-800-440-IEHP (4347), Monday–Friday, 7am–7pm, and Saturday–Sunday, 8am–5pm. TTY users should call 1-800-718-4347.  

IEHP GOVERNING YOUR USE OF THE DEVELOPER PORTAL AND THE IEHP APIS (DEFINED BELOW). BY CLICKING “I AGREE” OR ACCESSING THE DEVELOPER PORTAL OR USING IEHPS APIS YOU ARE AGREEING TO BE BOUND BY THE TERMS OF THIS DEVELOPER AGREEMENT AND ANY OTHER APPLICABLE TERMS AND CONDITIONS POSTED ON IEHPS WEBSITE LOCATED AT WWW.IEHP.ORG/EN/ABOUT/PRIVACY-POLICY. IF YOU DO NOT AGREE TO THE TERMS OF THIS AGREEMENT, YOU MAY NOT ACCESS THE DEVELOPER PORTAL OR USE THE IEHP APIs. By entering into this Agreement, you affirm that you are at least 13 years old and of legal age to enter into this Agreement and are authorized to enter into this Agreement on behalf of your Company. No legal partnership or agency relationship is created between IEHP and you or your Company by virtue of this Agreement. We may update this Agreement by posting the updated version(s) on this Website. Updated versions of the Agreement will apply to your use of the IEHP APIs occurring on or after the date of the last update. The "Last Updated" legend above indicates when this Agreement was last changed. You should periodically review this page to determine if this Agreement has been updated. Your continued use of the IEHP APIs following any updates to this Agreement shall constitute notice and acceptance of any such updates. PERMISSIBLE USE OF IEHP APIS We provide access to Our application programming interfaces (“APIs”), including Our Patient Access API, Provider Directory API and Promoting Interoperability API, and their associated documentation and sandbox (collectively, the “IEHP APIs”) on the Developer Portal. We may update, change, discontinue or add IEHP APIs or functionality or features to the IEHP APIs in Our discretion with or without providing notice to you. Subject to the terms of this Agreement, IEHP grants you a limited, non-sublicensable, non-assignable, non- transferable, royalty-free, non-exclusive license only to use: (a) the Patient Access API to retrieve certain health plan information maintained by Inland Empire Health Plan, a local public entity of the State of California, and its subsidiary health plans with the approval and at the direction of the applicable member or their personal representative consistent with applicable law; (b) the Provider Directory API to retrieve certain provider and pharmacy directory information; and (c) the Promoting Interoperability API to retrieve certain health care information with the consent of the applicable patient or their personal representative consistent with applicable law. You may only access the Patient Access API and Promoting Interoperability API by means of an application that has been registered with IEHP to access them. You agree to comply with all applicable laws, regulations, and governmental issuances. RESTRICTIONS You may not: (a) decompile, disassemble, reverse engineer, or otherwise attempt to derive, reconstruct, identify, or discover any source code, underlying ideas, or algorithms of the IEHP APIs by any means, except to the extent that the foregoing restriction is prohibited by applicable law; (b) remove any proprietary notices, labels, or marks from the IEHP APIs; (c) interrupt or attempt to interrupt the operation of the IEHP APIs in any way, including, without limitation, by restricting, inhibiting, or interfering with the ability of any other user to use the IEHP APIs (including by means of hacking or defacing any portion of the IEHP APIs, or by engaging in spamming, flooding, or other disruptive activities); (d) disrupt, interfere with, modify, bypass, or otherwise circumvent IEHP APIs functionality or features, limitations, security measures, technical processes, availability, integrity, or performance (or attempt the same); (e) transmit or attempt to transmit data over a IEHP APIs unless such transmission is authorized and formatted in accordance with applicable specifications in the IEHP APIs implementation guide; (f) transmit or otherwise make available through or in connection with the IEHP APIs any malicious, harmful or invasive code; (g) attempt to exceed IEHP APIs rate limits; (h) conduct security research on or testing against IEHP APIs, services, applications, systems, devices, or networks without prior written approval from IEHP; or (i) use the IEHP APIs (1) for any unlawful purpose or in any manner not authorized or intended in the IEHP APIs implementation guide, (2) in any way that could pose a threat to, disrupt, interfere with, harm, or impair the IEHP APIs, IEHP or other IEHP services, applications, systems, devices, or networks, or Inland Empire Health Plan members’, patients’, customers’, or other users’ use of IEHP APIs, (3) in any manner that, in IEHP’s reasonable determination, constitutes excessive or abusive usage, (4) to gain unauthorized access to any IEHP service, application, system, device, or network, or (5) to transmit malicious code or exploit security flaws, vulnerabilities, or deficiencies. MONITORING Your use of this Website and the IEHP APIs may be monitored by IEHP to ensure compliance with this Agreement. You consent to such monitoring. REPORTING SECURITY ISSUES You agree to promptly report to IEHP any security flaws, vulnerabilities, or deficiencies identified through normal use of IEHP APIs by calling the Inland Empire Compliance Hotline at 1-866-355-9038. You may not publicly disclose security flaws, vulnerabilities, or deficiencies in the IEHP APIs or other IEHP applications, systems, devices, or networks of which you become aware. ACCOUNTS/REGISTRATION You agree to promptly report to IEHP any security flaws, vulnerabilities, or deficiencies identified through normal use of IEHP APIs by calling the Inland Empire Health Plan Compliance Hotline at 1-866-355-9038. You may not publicly disclose security flaws, vulnerabilities, or deficiencies in the IEHP APIs or other IEHP applications, systems, devices, or networks of which you become aware. PROPRIETARY RIGHTS IEHP or its licensors own the IEHP APIs and the content on this Website and all intellectual property rights therein. You may not use any Inland Empire Health Plan entity’s name, trademarks, service marks, tradenames, logos or other distinctive brand features except as necessary to comply with your obligation, above, and agree not to remove any proprietary notices, labels, or marks from the IEHP APIs, and, in any case, you may not use those notices, labels or marks to imply affiliation with or endorsement by Inland Empire Health Plan. You have only those rights to access and use the IEHP APIs as are expressly granted by IEHP under this Agreement and all other rights in the IEHP APIs are reserved to IEHP or its licensors. You acknowledge that these rights are valid and protected in all forms, media, and technologies existing now or hereinafter developed. “Inland Empire Health Plan, a local public entity of the State of California,” means the health care organization doing business as Inland Empire Health Plan including, without limitation, Inland Empire Health Plan, and the subsidiaries, partners, and successors of the foregoing. PUBLIC ENTITY STATUS; BROWN ACT/PUBLIC RECORDS ACT The parties hereby acknowledge and agree that IEHP is a local public entity of the State of California subject to the Brown Act, California Government Code Sections 54950 et seq., and the Public Records Act, California Government Code Sections 6250 et seq. PRIVACY Your submission of information through the Website is governed by our Privacy Policy. RESPONSIBILITY FOR HARDWARE, SOFTWARE, TELECOMMUNICATIONS AND OTHER SERVICES You are responsible for obtaining, maintaining, and paying for all hardware, software, and all telecommunications and other services, needed for you to use the IEHP APIs. DISCLAIMER OF WARRANTY IEHP AND ITS SERVICE PROVIDERS DISCLAIM ALL EXPRESS OR IMPLIED REPRESENTATIONS OR WARRANTIES REGARDING THE IEHP APIS, INFORMATION, CONTENT, SERVICES, FUNCTIONALITY, AND ANY OTHER RESOURCES AVAILABLE ON OR ACCESSIBLE THROUGH THIS WEBSITE, INCLUDING, WITHOUT LIMITATION, ANY IMPLIED WARRANTIES OF MERCHANTABILITY, FITNESS FOR A PARTICULAR PURPOSE, OR NON- INFRINGEMENT. ALL SUCH IEHP APIS, INFORMATION, CONTENT, SERVICES, FUNCTIONALITY AND RESOURCES ARE MADE AVAILABLE "AS IS" AND "AS AVAILABLE", AT YOUR SOLE RISK, WITHOUT WARRANTY OF ANY KIND. IEHP DOES NOT WARRANT THAT THE WEBSITE OR IEHP APIS WILL BE ACCURATE OR OPERATE WITHOUT INTERRUPTION OR ERROR. LIMITATION OF LIABILITY TO THE MAXIMUM EXTENT PERMITTED BY APPLICABLE LAW, IN NO EVENT SHALL IEHP, INLAND EMPRIE HEALTH PLAN OR THEIR SERVICE PROVIDERS, LICENSORS OR RESPECTIVE EMPLOYEES, OFFICERS, DIRECTORS, AGENTS, AFFILIATES, SUPPLIERS, VENDORS, LICENSORS, CO-BRANDERS OR PARTNERS (COLLECTIVELY, THE “INLAND EMPRIE HEALTH PLAN PARTIES") BE LIABLE FOR ANY DIRECT, INDIRECT, SPECIAL, PUNITIVE, INCIDENTAL, EXEMPLARY, OR CONSEQUENTIAL DAMAGES, OR ANY DAMAGES WHATSOEVER RESULTING FROM ANY LOSS OF USE, LOSS OF DATA, LOSS OF PROFITS, BUSINESS INTERRUPTION, LITIGATION, OR ANY OTHER PECUNIARY LOSS, WHETHER BASED ON BREACH OF CONTRACT, TORT (INCLUDING NEGLIGENCE), PRODUCT LIABILITY, OR OTHERWISE ARISING OUT OF OR IN ANY WAY CONNECTED WITH THE USE, OPERATION OR PERFORMANCE OF THE IEHP APIS, WITH THE DELAY OR INABILITY TO USE THE IEHP APIS, ANY DEFECTS IN THE IEHP APIS, OR WITH THE PROVISION OF, OR FAILURE TO MAKE AVAILABLE, ANY INFORMATION, SERVICES, PRODUCTS, MATERIALS, OR OTHER RESOURCES AVAILABLE ON OR ACCESSIBLE THROUGH THE IEHP APIS, EVEN IF ADVISED OF THE POSSIBILITY OF SUCH DAMAGES. You acknowledge and agree that the limitations set forth above are fundamental elements of this Agreement. INDEMNIFICATION You agree to indemnify, defend, and hold the Inland Empire Health Plan Parties harmless from any liability, loss, claim, and expense (including reasonable attorneys' fees) actually or allegedly related to or arising out of your use of the IEHP APIs or this Website, your use or disclosure of information obtained through the IEHP APIs, your violation of this Agreement, and/or your violation of the rights of any other person. TERM, TERMINATION, SUSPENSION AND REVOCATION This Agreement is effective until terminated by either party. If you no longer agree to be bound by this Agreement, you must cease your use of the IEHP APIs. If you breach any provision of this Agreement, then you may no longer use the IEHP APIs. IEHP may suspend or revoke your Credentials or access to the IEHP APIs without prior notice for your failure to comply with this Agreement or if IEHP determines that your access to the IEHP APIs would present an unacceptable level of risk to the security of IEHP’s systems. IEHP may terminate this Agreement if you fail to comply with its terms and, to the extent permitted by law, for any or no reason. If this Agreement is terminated for any reason, then: (a) this Agreement will continue to apply and be binding upon you in respect of your prior use of the IEHP APIs (and any unauthorized further use of the IEHP APIs); and (b) any rights granted to us under this Agreement will survive such termination. GENERAL LEGAL TERMS This Agreement constitutes the entire agreement between you and IEHP with respect to its subject matter IEHP’s failure to exercise or enforce any right or provision of this Agreement shall not constitute a waiver of such right or provision. If a court of competent jurisdiction rules that any provision of the Agreement is invalid, then that provision will be removed from the Agreement without affecting the rest of the Agreement and the remaining provisions will continue to be valid and enforceable. There are no third- party beneficiaries to this Agreement. The rights granted in this Agreement may not be assigned or transferred by You without the prior written approval of IEHP. You may not delegate your responsibilities or obligations under this Agreement without the prior written approval of IEHP. This Agreement shall be governed by the laws of the State of California without regard to its conflict of laws provisions. You agree to submit to the exclusive jurisdiction of the courts located within the county of San Bernardino, California to resolve any legal matter arising from this Agreement. IEHP may, notwithstanding this, seek injunctive remedies in any jurisdiction.

} .uenroll-hero-wrapper{ } .uenroll-hero-column-left { background: #1e95d3; padding: 2em; padding-right: 56px; } .uenroll-hero-headline { color: #ffffff !important; font-size: 1.953rem; font-weight: bold; } .uenroll-hero-subheadline { color: #fdb913 !important; font-size: 1.563rem; } .uenroll-hero-body-text { color: #ffffff; font-size: 1.25rem; padding-top: 1em; padding-bottom: 1em; width: 80%; } .uenroll-cta-btn{ background: #fdb913 !important; padding-right: 2em; padding-left: 2em; padding-bottom: 0.6em; padding-top: 0.6em; border-radius: 8px; font-weight: bold; font-size: 1.25rem; } .uenroll-hero-img { height: 100% !important; object-fit: cover !important; } .uenroll-sidebar-img { height: 90% !important; object-fit: cover !important; text-align: right; } /** BEGIN MOBILE STYLES - Screens less than 769px **/ @media only screen and (max-width: 769px) { .uenroll-hero-column-left { background: #1e95d3; padding: 2em; padding-right: 2em; } .uenroll-hero-headline { color: #ffffff !important; font-size: 1.653rem; font-weight: bold; } .uenroll-hero-subheadline { color: #fdb913 !important; font-size: 1.263rem; } .uenroll-hero-body-text { color: #ffffff; font-size: 1.1rem; padding-top: 1em; padding-bottom: 1em; width: 100%; } .uenroll-cta-btn{ background: #fdb913 !important; padding-right: 0em; padding-left: 0em; padding-bottom: 0.6em; padding-top: 0.6em; border-radius: 8px; font-weight: bold; font-size: 1.1rem; } .uenroll-hero-img { height: auto !important; } .uenroll-sidebar-img { height: auto !important; } } Your Health Matters. Not your Immigration Status. Apply for no-cost health coverage right over the phone. Call Today! 1-866-294-4347 State Law Expands Medi-Cal Services to More Adults For the first time in history, low-income Californians aged 50 and up are eligible for full-scope Medi-Cal benefits, regardless of their immigration status.  Under the law (California Assembly Bill 133), health plans like Inland Empire Health Plan (IEHP) are now able to provide these adults access to preventive health care, behavioral health services, vision care and more. In 2019, in a historic move toward health equity, the state expanded full-scope Medi-Cal services to all California residents 0-26 years old. Now, in 2022, this new law provides the most inclusive health care policy for low-income persons in the nation. Nearly 185,000 people across the state could benefit.   “When more residents have access to coordinated care and preventive services, health and wellness improves, and communities thrive,” said IEHP Chief Medical Officer Dr. Takashi Wada. “All communities, regardless of immigration status, deserve the opportunity to achieve vibrant health.” IEHP understands the fears involved when an undocumented resident applies for Medi-Cal. That is why we are making every effort to connect residents to trusted resources and support. This includes community events, partnerships with legal help like TODEC and more. “IEHP is eager to do all we can to support these adults so that they can get the care and benefits they need,” said IEHP Chief Executive Officer Jarrod McNaughton. To apply for Medi-Cal, call IEHP’s helpful Enrollment Advisors at 1-866-294-IEHP (4347), Monday-Friday, 8 a.m.-5 p.m. TTY users should call 1-800-718-4347. Call Today! 1-866-294-4347

verside County residents under the age of 65 were uninsured based on the last count of the US census. Join the Riverside County health plan that puts its members at the center of their universe. IEHP will not rest until our communities enjoy optimal care and vibrant health. Together with state Medi-Cal, you can get access to thousands of doctors in your local area, all providing medical, dental, and vision services. Learn more about IEHP and Medi-Cal by calling us now. Medical Services in Riverside County Uninsured Americans are less likely to seek healthcare when they need it, which could increase existing medical problems. By choosing IEHP as your health plan through Medi-Cal, you have the chance to protect your health and the health of your family.   Low or no income is no longer a barrier to great healthcare. Get the coverage you deserve, with Medi-Cal managed by IEHP. Complete Medical Services Medi-Cal covers more than just basic medical services such as outpatient services, palliative care, emergency coverage, and hospitalization care. With IEHP and Medi-Cal coverage, Members have access to: Addiction treatment Pediatric care Newborn care Transgender support services Radiology coverage Laboratory services Through IEHP, you have access to over 8,000 doctors and specialists that are part of our network. Call IEHP today to find out about the benefits that are available to IEHP Members and learn how you can apply for Medi-Cal. Vision Services Poor vision can affect the quality of life. Getting the care you need is within reach with IEHP and Medi-Cal. When you become a member of the IEHP family, you get a free vision exam every 24 months, additional or more frequent eye exams are covered if medically necessary, such as those with diabetes. You also get a pair of eyeglasses, with both frames and lenses every 24 months, when you have a valid prescription. Contact lens testing and contact lenses may be covered if the use of eyeglasses is not possible due to eye disease or condition (i.e., missing an ear). Dental Services with Your Riverside County Medi-Cal Medi-Cal (through the Medi-Cal Dental Program) covers some dental services, including: Diagnostic and preventive dental hygiene (such as examinations, X-rays, and teeth cleanings) Emergency services for pain control Tooth extractions Root canal treatments (anterior/posterior Scaling and root planning Crowns (prefabricated/laboratory) Orthodontics for children who quality Complete and partial dentures Topical fluoride Dental care is as important as your medical care. If you have questions or want to learn more about dental services, call the Medi-Cal Dental Program at 1-800-322-6384 (TTY 1-800-735-2922 or 711). You may also visit the Medi-Cal Dental Program website at https://www.dental.dhcs.ca.gov or https://smilecalifornia.org/. Applying for Medi-Cal in Riverside County IEHP’s mission to heal and inspire the human spirit is made possible through its Vision—to not rest until our communities enjoy optimal care and vibrant health.   Everyone should have access to health care, and now more than ever, it is easy to get coverage. How to apply for Medi-Cal in Riverside County You have many options to apply for Medi-Cal, these include: Call IEHP Call 1-866-294-4347, 8am-5pm Monday-Friday. TTY users should call 1-800-720-4347. You’ll speak to one of IEHP’s friendly bilingual Enrollment Advisors. By Mail You can mail your completed and signed application to:   Covered California P.O. Box 989725 West Sacramento, CA 95798-9725 Or mail it to the Riverside County Medi-Cal Office. Apply in Person Click here to find the Riverside County Medi-Cal Office. Apply Online Click here to apply online. Get Health Coverage Now Become a member of the IEHP family and get access to the top-rated California state medical insurance. For more than 25 years, IEHP has proudly served hard-working citizens and their families. Join IEHP now and make your health our priority.

oncerns without the support and care they need. But there is hope. The 988 Lifeline offers the opportunity to help a countless number of people struggling with suicidal thoughts and health-related distress each day.  What is 988? This is an easy-to-remember number that people in crisis can call. It will route them to the National Suicide Prevention Lifeline (now known as the 988 Suicide & Crisis Lifeline). It is a life-saving resource for people in crisis. It is a number to call to get in touch with trained crisis counselors, not police. When people call or text 988, they will be connected to trained counselors who are part of the existing Lifeline network. These counselors will listen, understand how problems are affecting the callers, provide support, and connect them to resources if necessary. How is 988 different than 911? 988 is not a new service, just a new number. The 988 code was set up to improve access to crisis services in a way that meets our country’s growing suicide and mental health-related crisis care needs. It provides easier access to the Lifeline network and related crisis resources, which are distinct from the public safety purposes of 911 (where the focus is on dispatching Emergency Medical Services, fire and police as needed). Is 988 available for substance use crisis? The Lifeline accepts calls from anyone who needs support for a suicidal, mental health and/or substance use crisis. Is the 988 Lifeline a free service? Yes, the Lifeline answers calls 24/7 in multiple languages. The 988 service also answers texts or chats (English only). Standard data rates from mobile carriers may apply to those who text to the Lifeline. If monetary help is needed for communications needs, please see www.fcc.gov/lifeline-consumers for details. Calls, texts, and chats are available to anyone who needs mental health-related or suicide crisis support.  Is Lifeline available for everyone?  It is offered to everyone in the United States, providing 24/7, free and confidential support to people in suicidal crisis or emotional distress. The 988 Lifeline offers the opportunity to help a countless number of people struggling with suicidal thoughts and health-related distress each day. If you or someone you know is in crisis, call your local crisis number below. 988 services nationwide continue to be in development, utilize your local resources as needed.  Riverside 1-800-273-TALK (951) 686-HELP (4357) 1-877-727-4747 and Crisis text line: 741-741. San Bernardino 24-Hour Crisis Line: (760) 365-6558 East Valley: (909) 421-9233 West Valley: (909) 458-9628 High Desert: (760) 956-2345 Mental Health Urgent Care Clinics Riverside Urgent Care Clinics Riverside (Adults ages 18 and over) 9990 County Farm Rd. Bldg. 2, Riverside, CA 92503 (951) 509-2499 Perris (Youth and Adults ages 13 and older) 85 Ramona Expressway, Suites 1-3, Perris, CA 92571 (951) 349-4195 San Bernardino Urgent Care Clinics Victorville (Crisis Walk-in Center) 12240 Hesperia Rd., Ste. A, Victorville, CA 92395 (760) 245-8837 Yucca Valley (Crisis Walk-in Center) 7293 Dumosa Ave., Ste. 2, Yucca Valley, CA 92284 (760) 365-2233 Merrill Center - Fontana (Crisis Stabilization Units) 14677 Merrill Ave., Fontana, CA 92335 (951) 643-2340 Windsor Center - San Bernardino (Crisis Stabilization Units) 1481 N. Windsor Dr., San Bernardino, CA 92404 (909) 361-6470 Additional Resources Take My Hand, a Mental Health Peer Support Chat Line Medi-Cal Mental Health Services CARES LINE 1-800-499-3008.

(the “Services”) is governed by the terms and conditions below.  Use of the Services means that you have agreed to accept these terms, which are effective on the date you agree to participate. When you opt-in, you can expect to receive different healthcare notifications, such as, how to access care with IEHP, important health reminders, and we will inform you about health education and wellness program. Message frequency varies.  These terms and conditions may be subject to change.  IEHP reserves the right to update or amend these Terms and Conditions at any time. IEHP or its service provider may, at its sole discretion, terminate, adjust, or suspend the Services or any portion thereof, for any user for any reason.  You can also terminate or suspend the Services at any time by texting the word “STOP” to 90902 or by email at texthelp@iehp.org to unsubscribe. For Help text HELP to 90902 or you can also call 1-800-440-4347 to reach IEHP Member Services. You must be at least 13 years old to be eligible to use the Services. However, if you are at least 13 years old but not yet 18, you may use the Services if, and only if, you have your parents' or guardians' prior permission. No one under age 13 may use the Services under any circumstances.  IEHP does not charge for the Services, however, message and data rates may apply. For example, your pager or cellular phone service provider may charge you to receive Wireless Text Messages. Neither IEHP, nor its contractors, will be held responsible for any charges related to the use of the Services.  You agree that you are responsible for paying your carrier’s charges to use the Services, or if you are under 18, you have permission to use the Services from the adult responsible for paying the carrier’s charges. Carriers are not liable for delayed or undelivered messages. IEHP PROVIDES THE SERVICES "AS IS" WITH NO WARRANTIES OF ANY KIND. IEHP EXPRESSLY DISCLAIMS ANY WARRANTY, EXPRESS OR IMPLIED, REGARDING THE SERVICES, INCLUDING ANY IMPLIED WARRANTY OF MERCHANTABILITY, FITNESS FOR A PARTICULAR PURPOSE, NON-INFRINGEMENT, OR THAT THE SERVICES WILL BE SECURE, UNINTERRUPTED OR FREE OF ERRORS, VIRUSES OR OTHER HARMFUL COMPONENTS. * Some states do not allow the disclaimer of implied warranties, so the foregoing disclaimer may not apply to you. UNDER NO CIRCUMSTANCES WILL IEHP OR ITS EMPLOYEES, OFFICERS, OR DIRECTORS BE LIABLE TO YOU FOR ANY INDIRECT, INCIDENTAL, CONSEQUENTIAL, SPECIAL OR EXEMPLARY DAMAGES ARISING OUT OF OR IN CONNECTION WITH USE OF THE SERVICES WHETHER OR NOT IEHP HAS BEEN ADVISED OF THE POSSIBILITY OF SUCH DAMAGES. If you are dissatisfied with the Services or any content on any of IEHP website properties, or with these Terms and Conditions, your sole and exclusive remedy is to discontinue using the Services. You acknowledge, by your use of the Services, that your use of the Services is at your sole risk. You agree to indemnify, defend and hold harmless IEHP, its partners, clients, employees, officers and directors, from and against any and all claims, liabilities, penalties, settlements, judgments, fees (including reasonable attorneys' fees) arising from (i) any content that you or anyone using your account may submit, post or transmit to the web site; (ii) your use of the Services; (iii) your violation of the terms of these Terms and Conditions; and (iv) any violation or failure by you to comply with all laws and regulations in connection with the Services. You may not assign any of your rights or delegate any obligations hereunder, in whole or in part, whether voluntarily or by operation of law, without the prior written consent of IEHP. Any such purported assignment or delegation by you without the appropriate prior written consent of IEHP will be null and void and of no force or effect. IEHP is committed to your privacy. Our Privacy Policy can be found here. Contact Info 10801 Sixth Street, Rancho Cucamonga, CA 91730 1-800-440-IEHP (4347) 1-800-718-IEHP (4347) for TTY Users 8AM-5PM PST    

d by APL 19-004, all Providers currently in IEHP's network and those looking to join the network are mandated to enroll in the Medi-Cal Program. This requirement to enroll in the Medi-Cal Program applies to all IEHP Providers, including those participating through an IPA. If a Provider currently active with IEHP fails or declines to complete their enrollment in the Medi-Cal Program, IEHP will be required to terminate their participation from the network.  How to Enroll The Provider Enrollment Division (PED), a unit within the Department of Health Care Services (DHCS), is responsible for the timely enrollment of Providers into the Medi-Cal Program. PED now offers an improved web-based application via their Provider Application and Validation Enrollment (PAVE) portal. Please note the current PAVE release may not support specific Provider types or submissions from new out-of-state Providers. PAVE is being implemented in a series of releases to include Provider types and enrollment actions. Here is a current list of Provider types supported in PAVE. Provider Resources All Plan Letter 19-004 This APL supersedes 17-019, the APL mandating Providers to enroll in the Medi-Cal Program. All Plan Letter 17-019 Access the APL on DHCS's website regarding the screening and enrollment of all Providers rendering services to Medi-Cal beneficiaries.  California Health & Human Services (CHHS) Agency Open Data Portal Utilize the Open Data Portal to identify Providers who have successfully enrolled in the Medi-Cal Program through DHCS. The portal is maintained and updated by PED monthly. Frequently Asked Questions (FAQ) The document contains responses from DHCS to frequently asked questions regarding screening and enrollment requirements. Provider Resources from DHCS Access to PAVE Provider Types, PAVE 101 Training Slides, Provider Job Aides, FAQs, PAVE Support Resources Contact Information Department of Healthcare Services Attn:  Provider Enrollment Division MS4704 PO BOX 997412 Sacramento, CA 95899-7412 PED Message Center (916) 323-1945 After reaching the welcome message, please select Option 4, then Option 1 to speak with a live agent. PAVE Technical Assistance (866) 252-1949 PAVE@dhcs.ca.gov PED Policy Assistance PEDCORR@dhcs.ca.gov IEHP Provider Assistance ProviderNetwork@iehp.org

h plan operations in compliance with ethical standards, contractual obligations under State and Federal programs, laws, and regulations applicable to Medi-Cal and IEHP DualChoice. This commitment extends to our business associates and delegated entities that support IEHP’s mission to organize and improve the delivery of quality, accessible, and wellness based healthcare services for our community.   Our Compliance Program is designed to: Ensure we comply with applicable laws, rules, and regulations Reduce or eliminate Fraud, Waste, and Abuse (FWA) Prevent, detect, and correct non-compliance Reinforce our commitment to culture of compliance for which we strive Establish and implement our shared commitment to honesty, integrity, transparency, and accountability Code of Business Conduct and Ethics Inland Empire Health Plan (IEHP) expects Team Members and business entities doing business with IEHP to conduct business activities in an ethical and professional manner that promotes public trust and confidence in the integrity of IEHP. The Code is meant to provide guidance about the compliance culture at IEHP and the role that each Team Member, including management, Chief Officers and the Governing Board, plays in building and preserving that culture. IEHP Code of Business Conduct and Ethics (PDF) Compliance, Fraud, Waste, and Abuse (FWA), and Privacy Program Training The IEHP Compliance, FWA, and Privacy Training Program focuses on the elements of an effective Compliance Program, conduct & ethics, and the Fraud, Waste and Abuse and Privacy Programs. IEHP requires delegated entities to provide Compliance Training to their employees, Providers, downstream entities, Board of Directors, and Contractors within 90 days of hire/start, and annually thereafter. IEHP is committed to a culture of compliance, ethics, and integrity. The goal of Compliance Training is to provide all associated parties the ability to demonstrate awareness of IEHP’s requirements, including regulations and policies & procedures associated with Compliance as it relates to daily work. If you have questions or additional suggestions, please e-mail the IEHP Compliance Department at compliance@iehp.org. Compliance Training FWA HIPAA Privacy and Security (PDF) Eligibility to Participate in Federal and State Health Care Programs Inland Empire Health Plan (IEHP) is prohibited from issuing payment for services provided, ordered, or prescribed by an individual or entity that is excluded, ineligible, or terminated from participation in State and Federal health care programs in accordance with regulatory and contractual requirements. IEHP conducts regular reviews of Federal and State exclusionary databases and lists, including but not limited to: Office of Inspector General (OIG) List of Excluded Individuals and Entities (LEIE list) GSA Excluded Parties List System (EPLS) DHCS Medi-Cal Suspended and Ineligible Provider List CMS Preclusion List Restricted Provider Database (RPD) Exclusion Screening IEHP has implemented a screening process to identify individuals and entities that appear on the DHHS OIG LEIE, the GSA EPLS, the CMS Preclusion List and the DHCS Medi-Cal Suspended and Ineligible Provider List prior to appointment, contracting, and/or employment and monthly thereafter to ensure that none of these individuals or entities are excluded, ineligible or terminated from participation in State and Federal health care programs. Delegated entities must implement a screening program for employees, Board Members, contractors, and business partners to avoid relationships with individuals and/or entities that tend toward inappropriate conduct. This program includes but is not limited to: Prior to contract and monthly thereafter, review of the GSA System for Award Management (SAM), the Department of Health Care Services Medi-Cal Suspended and Ineligible list, and the Office of Inspector General’s (OIG) List of Excluded Individuals and Entities (LEIE) that are excluded from participation in government health care programs (42 CFR §10011901). A monthly review of the Department of Health Care Services Medi-Cal Suspended and Ineligible list. Criminal record checks when appropriate or as required by law. Review of the National Practitioner Databank (NPDB). Review of professional license status for sanctions and/or adverse actions. Reporting results to Compliance Committee, Governing Body, and IEHP as necessary. Fraud, Waste, and Abuse (FWA) IEHP has established a Fraud, Waste, and Abuse Program to detect, correct, and prevent fraud, waste, and abuse on part of Team Members, IEHP Members, Providers, Vendors, delegated entities and any other entity doing business with IEHP. Fraud Prevention Fraud Prevention, it’s a Team Effort In an effort to prevent fraud and abuse, IEHP encourages Providers and their staff to report any suspicious circumstances when they arise. You may want to ask for another form of identification in addition to the IEHP Member identification card. Identification with both a picture and a signature, such as a valid driver’s license or State identification card, are suggested. We are informing Members of this concern and are requesting that they have additional identification available when they come to you. To obtain more compliance guidelines, the Department of Health and Human Services (HHS) offers assistance (by clicking on this link you will be leaving the IEHP website). 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: Knowingly billing for services or prescriptions not furnished or supplies not provided Knowingly altering claim forms for a higher payment Selling medicine, medical equipment, or other things received through IEHP 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 criminally negligent actions but rather by the misuse of resources. Examples include: Conducting excessive office visits Writing excessive prescriptions or ordering excessive tests Prescribing more medications than necessary for the treatment of a specific condition 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: Billing for unnecessary medical services or medical equipment Billing for brand name drugs when generics are dispensed Misusing codes on a claim, such as upcoding and unbundling codes. Report potential FWA Click Here (By clicking on this link, you will be leaving the IEHP website). 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. A privacy breach is defined as unauthorized acquisition, access, use, or disclosure of protected health information (PHI) which compromises 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, including the provision 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. Report a Privacy Incident/Breach Click Here (By clicking on this link, you will be leaving the IEHP website). Reporting Information IEHP has the following resources available for reporting fraud, waste or abuse, privacy issues, and other compliance issues: Compliance Hotline: (866) 355-9038 Fax: (909) 477-8536 E-mail: compliance@iehp.org. Mail: IEHP Compliance Officer P.O. Box 1800 Rancho Cucamonga, CA 91729-1800 Online: (By clicking on this link, you will be leaving the IEHP website) Report a Compliance Issue: Click Here Report a Privacy Incident/Breach: Click Here Report potential FWA: Click Here Frequently Asked Questions (FAQs) What are some common examples of fraud? Providers Billing for services not rendered Paying a "kickback" in exchange for a referral for medical services or goods Unbundling Overcharging for services or goods  Using false credentials Members Allowing unauthorized individuals to use ID card to obtain benefits Altering prescriptions Falsifying residence information to obtain benefits Drug seeking or doctor shopping to obtain narcotics What do I do if I suspect an IEHP Member is engaging in possible fraud, waste, or abuse? First, document your suspicions. Then, contact IEHP’s Compliance Department at (866) 355-9038 and make a report with one of our Representatives. At times, IEHP may request additional information that is necessary to investigate. IEHP also has the following resources available for reporting fraud, waste or abuse, privacy issues, and other compliance issues: Compliance Hotline: (866) 355-9038 Fax: (909) 477-8536 E-mail: compliance@iehp.org Mail: IEHP Compliance Officer P.O. Box 1800 Rancho Cucamonga, CA 91729-1800 Online: (By clicking on the following links, you will be leaving the IEHP website) Report a Compliance Issue Click Here Report a Privacy Incident/Breach Click Here Report potential FWA Click Here What do I do if my facility has made some billing errors? If you suspect that errors in billing may have occurred, contact your IEHP Provider Services Representative at (909) 890-2054. What are some other things I can do as a Provider? Periodically perform internal audits of billing practices and compare billing records with payments received. Do not leave prescription pads, which include a Provider's identification and license number, out in the open. For example, do not store prescription pads in exam room cabinets or leave on office counters. IEHP DualChoice (HMO D-SNP) Model of Care Training The Centers for Medicare & Medicaid Services (CMS), the Department of Health Care Services (DHCS) and the National Committee for Quality Assurance (NCQA) require that IEHP staff and contracted consultants/vendors, our Medicare IPAs, Hospitals/SNFs, and Providers, receive training on the Plan’s Model of Care for our D-SNP Members: Interdisciplinary Care Team (ICT) Fact Sheet (PDF) IEHP DualChoice (HMO D-SNP) Model of Care Training (PDF) IEHP DualChoice (HMO D-SNP) Model of Care Training (HTML)   *We recommend opening file in: Mozilla Firefox, MS Edge or MS Internet Explorer Contact the OIG The Office of the Inspector General (OIG) is there to assist you and maintains a hotline, which offers a confidential means for reporting vital information. For information on confidentiality, please contact the hotline and ask about their confidential source program. Each caller is encouraged to assist the OIG by providing information on how they can be contacted for additional information but the caller may remain anonymous. Contacting the Office of the Inspector General Phone: (800) HHS-TIPS (447-8477) E-mail: Htips@oc.dhhs.gov Additional Hotlines DHCS Medi-Cal Fraud Hotline Phone: (800) 822-6222 E-mail: fraud@dhcs.ca.gov Web: https://apps.dhcs.ca.gov/stopfraud/Default.aspx  The recorded message may be heard in English and 10 other languages: Spanish, Vietnamese, Cantonese, Armenian, Hmong, Cambodian, Laotian, Farsi, Korean and Russian. The call is free and the caller may remain anonymous.    You will need Adobe Acrobat Reader 6.0 or later to view the PDF files. You can download a free copy by clicking here.

healthcare needs of our Members for more than two decades. With our Strategic Priorities guiding us, we will continue to seek opportunities for innovation and improvement – putting access to quality healthcare and our Members, Providers and Community above all else. Community Health Assessment The 2022 Inland Empire Community Health Assessment Stakeholder Committee, comprised of over 40 representatives across 25 community organizations, united over the past year to collect and analyze the region’s health and wellness data. The group identified those four at-risk population groups, Senior citizens, communities of color, individuals with low incomes and those living in remote and rural areas, as well as six priority areas of focus: Basic Needs for Health and Safety, Human Housing, Meaningful Work and Wealth, Cardiovascular Disease and Diabetes, Maternal and Infant Health and Mental and Behavioral Health. The committee shared the findings in a first-of-its-kind joint regional Community Health Assessment report. Community Health Needs Assessment (CHNA) The 2022 Inland Empire Community Health Needs Assessment (CHNA) identifies the top health and well-being needs of Inland Empire residents. The findings in the CHNA will be used to build community interventions that generate collective investments addressing the identified priorities. There are seven assessments within the CHNA, the first three target the entire Inland Empire region, along with Riverside and San Bernardino counties. The remaining four assessments comprise drilled-down analyses for Montclair Hospital Medical Center, Redlands Community Hospital, San Antonio Regional Hospital and San Gorgonio Memorial Hospital service areas. Click here to view the assessment. Provider Recruitment IEHP’s innovative Network Expansion Fund (NEF) was the first program of its kind in the state. Established in 2014, the NEF allocates $30 million in specially designated funds to attract board-certified PCPs, Specialists and mid-level Providers to the Inland Empire, addressing the region’s chronic Provider shortage and improving access to care for more than 1.2 million IEHP Members. To date, more than 280 Providers have been recruited as a direct result of this program. Behavioral Health Integration Complex Care Initiative The Behavioral Health Integration Complex Care Initiative (BHICCI) is a collaboration between IEHP and more than 30 clinics in the Inland Empire that provides a footprint for the California Department of Health Care Services (DHCS) Health Homes Program, going live January 1, 2019. The goal is to improve Members’ health outcomes by staffing a complex care team to provide comprehensive care management and by coordinating complex physical and behavioral health needs across multiple Providers and health care systems in Riverside and San Bernardino counties. BHICCI care teams are currently transitioning into community-based care management entities (CB-CMEs) that provide Health Homes services in preparation for Health Homes go-live. Health Homes Program The Health Homes program (HHP) is an integrated care management program for patients with complex needs that builds on IEHP’s Behavioral Health Integration Complex Care Initiative (BHICCI), as legislated by the Department of Health Care Services (DHCS). The HHP coordinates the physical, behavioral, and community-based Long-Term Services and Supports (LTSS) needs of Members with severe chronic physical and/or mental health conditions. The primary goal of HHP is to improve the overall health outcomes of members through the delivery of care coordination and complex care management. Since the launch of the program in January 2019, more than 9,000 Members have seen overwhelmingly positive clinical health outcomes related to blood pressure, diabetes and depression. Click here to learn more about the Health Homes Program.  EHR and Health Information Exchange IEHP has partnered with the San Bernardino County Medical Society and the Riverside County Medical Association to form the Inland Empire EHR Resource Center, to assist Providers and clinics in selecting and implementing electronic health record systems. Additionally, IEHP was part of the Inland Empire Health Information Exchange, which merged with the CalIndex Health Information Exchange to form Manifest Medex (MX). MX is a statewide health information exchange that has significant penetration and use in the Inland Empire, with all Inland Empire acute care hospitals and many medical groups and Physicians contributing patient clinical and administrative data. MX brings needed technology to access and securely share electronic patient health records for most of the 4.4 million people living in the Inland Empire. It allows Doctors, clinics, hospitals and other health care Providers to electronically review and access medical records, resulting in timely and improved quality of health care for patients in our community. DocOnline This innovative program provides another option for Members to receive medical advice after hours from a Physician. IEHP Members can speak to a board-certified Physician by phone or via video chat, quickly and easily. The Physician can access the IEHP formulary and the IEHP Pharmacy Network to e-prescribe medications for IEHP Members if needed. When fully implemented, this service will enhance Member access and convenience while reducing unnecessary emergency room and urgent care visits. Telehealth IEHP is supporting the expansion of telehealth services throughout the Inland Empire, to improve access to critically needed specialty care and to aid in rapid diagnosis and treatment. Telehealth eliminates one of the Inland Empire’s longstanding barriers to care – geographic distance to health care resources. With telehealth’s information and communication technologies, the treatment and prevention of disease or injury can occur long-distance, erasing geography as a critical factor impeding care. Telehealth can also be used to support Provider training and Member education. IEHP is currently supporting telehealth for certain services: behavioral health, retinal examinations, dermatology, and orthopedic consultations. Plans are underway to expand to additional services in alignment with Member needs. eConsult eConsult, a collaboration among IEHP, Arrowhead Regional Medical Center and Riverside University Health Care System, allows PCPs to connect directly with specialists electronically when a patient may need a specialist referral. Through a private, secure system, PCPs can receive timely clinical advice from specialists that may allow them to manage a majority of patients in the primary care setting (some patients may need a face-to-face visit with a specialist). IEHP is sponsoring the initiative for the first 24 months and will design, implement and evaluate eConsult at more than 70 clinic sites throughout Riverside and San Bernardino counties. Secure Online Member Portal and App IEHP Members can take an active role in managing their own health 24/7 via a secure online account that can be accessed through the IEHP website or mobile app. Members can view and print their IEHP Member Cards; view lab tests, Immunization Cards and authorizations; find or change Doctors; search the Provider Directory; enroll in health education classes; check eligibility; and more. The separate Baby-N-Me prenatal care app helps improve maternity health outcomes by making it easy for expectant moms to track pregnancy milestones, identify health issues, and stay healthy with reminders and helpful tools. Texting and Alerts IEHP uses two-way texting and Short Message Service (SMS) alerts to educate Members about their plan benefits and how to navigate the health care system. These alerts are targeted approaches that communicate seasonal health information about topics such as immunizations, preventive care, medication adherence, and new health plan features. Long-Term Services and Supports (LTSS) IEHP’s Long-Term Services and Supports (LTSS) program enables seniors and persons with disabilities to live independently in their homes as long as safely possible, and provides care in a Skilled Nursing Facility (SNF) when they cannot. LTSS includes the Multipurpose Senior Services Program (MSSP) and Community-Based Adult Services (CBAS), as well as SNF services when required. IEHP also helps coordinate any In-Home Supportive Services (IHSS) benefits. Since May 2018, IEHP has helped transition 750 Members out of long-term care facilities and back into the community. A 24-hour in-home emergency caregiver program and a case management program, developed in partnership with the Riverside County Department of Social Services, received the 2017 and 2018 Achievement Award from the National Association of Counties. IEHP has also partnered with the University of California, Los Angeles on a Geriatric Workforce Enhancement Program to provide patients, families and caregivers with the knowledge and skills they need to improve health outcomes and increase the quality of care for older adults.