Search Results For : " DIPLOMA IN ENVIRONMENTAL SCIE "
Upcoming Events - Advance Care Planning: My Life, My Choice (Victorville)
Who will decide your medical care when you can’t? Do your loved ones know how to decide for you? This class will help you answer these two questions. We will also show you where you can get a form called an Advance Directive, how to fill it out, and why we should have one. We plan for birthday parties and weddings, why not plan for our future medical care?
Click here to register for this in-person class
Location
IEHP Community Resource Center (Victorville)
12353 Mariposa Rd Suites C-2 & C-3
Victorville, CA 92395
Upcoming Events - Eat Healthy, Be Active Workshop (Perris)
the whole family! No need for expensive gym memberships. Join us for a fun class where everyone can enjoy physical activity through SPARK (Sports, Play, and Active Recreation for Kids). All ages and abilities are welcome.
Click here to register for this in-person class
Location
Mead Valley Family Resource Center
21091 Rider Street.
Perris, CA 92570
Upcoming Events - Advance Care Planning: My Life, My Choice (Perris)
Who will decide your medical care when you can’t? Do your loved ones know how to decide for you? This class will help you answer these two questions. We will also show you where you can get a form called an Advance Directive, how to fill it out, and why we should have one. We plan for birthday parties and weddings, why not plan for our future medical care?
Click here to register for this in-person class
Location
Mead Valley Family Resource Center
21091 Rider Street.
Perris, CA 92570
Rx Prior Authorization Drug Treatment Criteria - Prior Authorization Drug Treatment
You will need Adobe Acrobat Reader 6.0 or later to view the PDF files. You can download a free copy by clicking Adobe Acrobat Reader. By clicking on this link, you will be leaving the IEHP website.
Medicare:
For IEHP DualChoice (HMO D-SNP) - Medicare-Medicaid Plan - Formulary and Criteria information, please click here IEHP DualChoice (HMO D-SNP).
Medicaid:
On January 7, 2019, Governor Gavin Newsom issued Executive Order N-01-19 (EO-N-01-19) for achieving cost-savings for drug purchases made by the state. A key component of EO N-01-19 requires the Department of Health Care Services (DHCS) transition all Medi-Cal pharmacy services from managed care (MC) to fee for service (FFS).
Click here to go to the “DHCS Medi-Cal Rx” page on IEHP website
Click here to go to “Medi-Cal Rx: Transition” page on DHCS website
Updated April 7, 2021, this document describes DHCS’ multi-faceted pharmacy transition policy, inclusive of “grandfathering” previously approved PAs from managed care and fee-for-service, as well as a 180-day period with no PA requirements for existing prescriptions, to help support the Medi-Cal Rx transition. During this transition period, Magellan will provide system messaging, reporting and outreach to provide for a smooth transition to Medi-Cal Rx.
Click here to view “Medi-Cal Rx Pharmacy Transition Policy” from DHCS website
To view Drug Criteria Referenced in Summary Table - Click Links Below:
Clinical Practice Guidelines - CPGs
Drug Prior Authorization Criteria
HP Acthar (repository corticotropin injection) (PDF)
Nucala (PDF)
Spinraza (nusinersen) (PDF)
Synagis (PDF)
Xolair (omalizumab) (PDF)
Drug Class Prior Authorization Criteria
Growth Hormones (PDF)
Immuno Globulins (PDF)
Therapeutic Agents in Rheumatic And Inflammatory Diseases (PDF)
Zynteglo (PDF)
Pharmacy Policies
Discharge Policy (PDF)
Drug Trial and Failure (PDF)
High Daily Morphine Milligram Equivalent (PDF)
IEHP Drug Prior Authorization Policy (PDF)
Intradialytic Parenteral Nutrition (IDPN) Policy (PDF)
Non-Formulary Drug (PDF)
Non-Sterile Compounded Medication (PDF)
Off-Label Indication Policy (PDF)
Pharmacy Drug Management Program for Pain (PDF)
Quantity Limit Policy (PDF)
Information on this page is current as of June 02, 2023.
Medication Therapy Management
MTM is a term used to describe a broad range of services offered by Pharmacists on our health care team.
The IEHP Clinical Pharmacy Team reviews your medicines, making sure you’re taking the right ones for your health conditions. If you are a Member who qualifies for the MTM Program, you will receive a letter from us. You will be enrolled—unless you opt-out. The program costs $0 for those who qualify.
Who might be eligible?
Some Members who have been identified for this program may have only Medi-Cal coverage with IEHP.
Or they may be enrolled in the IEHP DualChoice (HMO D-SNP). They must meet the criteria and will receive the services for the Medicare MTM Program. (See description below.)
What are MTM services?
IEHP’s MTM services include these core elements:
Medicine therapy reviews
Medicine education - includes a medication action plan
Disease management
Our IEHP Clinical Pharmacy Team reviews the Member’s medicines, family history, disease states, and goals for medicine therapy. Based on a full review, this team then offers recommendations to the Member and Providers.
A Team of registered Pharmacists and technicians work with your Doctor (or other Provider) and Pharmacies to offer full care. We also work with our Care Management teams to offer “whole health” care to our Members.
Medicare MTM Program
IEHP Clinical Pharmacy offers the MTM services at no extra cost for IEHP DualChoice Members who:
have a number of health issues, and
are taking many prescription drugs, and
have high medicine costs
Once enrolled in the program, you will get a packet by mail with details. You’ll also get information on how to disenroll, should you choose not to be in the program. If you decide not to take part in the program, your enrollment and eligibility with IEHP DualChoice will not change. We hope that if you qualify that you will take part in in this program that is offered free of charge—to help you better manage your medicines.
The MTM program includes a yearly comprehensive medication review (CMR) and targeted medication review (TMR). Here are some details on MTM services:
Comprehensive Medication Review (CMR)
An IEHP Clinical Pharmacist will give you a full yearly review of your meds by phone. The Pharmacist goes over your medicines to make sure you have the right ones for your condition and that you avoid drug interactions, and more.
Once your CMR is done, you will get your Medication Action Plan (MAP) and Personal Medication List (PML) by mail. MTM services documents, with a copy of a Personal Medication List, can be accessed by calling Member Services and asking to speak to the Clinical Pharmacy Team.
Targeted Medication Review (TMR)
The IEHP Clinical Pharmacy Team will also offer TMRs through the year by reviewing issues with the participating IEHP DualChoice Member’s medicines. The team will perform TMRs for all enrolled beneficiaries every three months. The beneficiary may get TMR recommendations by mail and their Primary Care Provider may receive recommendations by fax—if the IEHP Clinical Pharmacy Team deems it necessary.
For more information, IEHP DualChoice Members eligible for CMR or TMR services can call 1-877-273-IEHP (4347), 8am-8pm (PST), 7 days a week, including holidays. TTY users should call 1-800-718-4347. Click here for a blank personal medication list.
Eligibility Criteria
These MTM Program services may have limited eligibility criteria and are not considered a benefit. They are available for these conditions:
1. The Member has a minimum of three (3) disease states:
Bone Disease-Arthritis-Osteoporosis
Bone Disease-Arthritis-Rheumatoid Arthritis
Chronic Heart Failure (CHF)
Diabetes
Dyslipidemia
End-Stage Renal Disease (ESRD)
Hypertension
Mental Health Chronic/ Disabling Mental Health Conditions
Respiratory Disease – Asthma
Respiratory Disease – Chronic Obstructive Pulmonary Disease (COPD)
2. The Member is prescribed a minimum of five (5) different medications to treat those disease states:
ACE-Inhibitors
Angiotensin II Receptor Blockers (ARBs)
Antidepressants
Antihyperlipidemic
Antihypertensives
Antipsychotics
Beta Blockers
Biophosphonates
Bronchodilators
Calcium Channel Blockers
Disease-Modifying Anti-Rheumatic Drugs (DMARDs)
Diuretics
Insulins
Oral Hypoglycemics
Selective Serotonin Reuptake Inhibitors (SSRIs)
Tumor Necrosis Factors (TNFs)
Inhaled Corticosteroids
Calcimimetic
Cardiac Glycoside
Colony Stimulating Factors
Glucagon-Like Peptide-1
Glucocorticosteroids
Neprilysin Inhibitor
NSAIDs
Phosphate Binders
Vitamin D Analogs
3. Drug costs of $1,233.75 (one-fourth of $4,935) for the previous three months are likely to be incurred.
To learn more about MTM, call IEHP DualChoice at 1-877-273-IEHP (4347), 8am-8pm (PST), 7 days a week, including holidays. TTY users should call 1-800-718-4347.
Information on this page is current as of October 01, 2022.
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Upcoming Events - Healthy Heart (Online): Keep Your Cholesterol in Check + Embrace Your Health: Aim for a Healthy Weight (Online)
Upcoming Events - Healthy Heart (Online): Protect Your Heart from Diabetes + Take Control of Your Health: Live Tobacco Free (Online)
Upcoming Events - Eat Healthy, Be Active Workshop (Online)
Upcoming Events - Living Well in the Community: Healthy Reactions (Online)
Upcoming Events - Living Well in the Community: Staying on Course (Online)
Upcoming Events - Healthy Heart (Online): Keep Your Cholesterol in Check + Embrace Your Health: Aim for a Healthy Weight (Online)
Upcoming Events - Understanding Diabetes (Online)
to record your results in a log book and why checking blood sugar is needed in diabetes care. Also, see which other tests you need to monitor your general health.
Click here to register for this Webex class
Session Number: 26345912038
Download Webex for Apple users
Download Webex for Android users
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Upcoming Events - Breathe Well, Live Well (Online)
Upcoming Events - Understanding Diabetes (Online)
ze symptoms of low and high blood sugar levels, how to treat them, and how to prevent them. Also, learn to manage blood sugar levels when you get sick.
Click here to register for this Webex class
Session Number: 26344912265
Download Webex for Apple users
Download Webex for Android users
Download Webex for PC users