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

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

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

AN AND IEHP HEALTH ACCESS. Date of Meeting: March 14, 2022 Time of Meeting: 9:00 AM Location of Meeting:  Inland Empire Health Plan Headquarters 10801 Sixth Street, Suite 120 Rancho Cucamonga, California 91730 This Notice shall confirm the REGULAR MEETING of the Joint Powers Agencies - INLAND EMPIRE HEALTH PLAN AND IEHP HEALTH ACCESS. If disability-related accommodations are needed to participate in this meeting, please contact Annette Taylor, Secretary to the IEHP Governing Board at (909) 296-3584 during regular business hours of IEHP (M-F 8:00 a.m. – 5:00 p.m.) Agenda Copies of the Packet may be obtained here.

AN AND IEHP HEALTH ACCESS. Date of Meeting: April 11, 2022 Time of Meeting: 9:00 AM Location of Meeting:  Inland Empire Health Plan Headquarters 10801 Sixth Street, Suite 120 Rancho Cucamonga, California 91730 This Notice shall confirm the REGULAR MEETING of the Joint Powers Agencies - INLAND EMPIRE HEALTH PLAN AND IEHP HEALTH ACCESS. If disability-related accommodations are needed to participate in this meeting, please contact Annette Taylor, Secretary to the IEHP Governing Board at (909) 296-3584 during regular business hours of IEHP (M-F 8:00 a.m. – 5:00 p.m.) Agenda Copies of the Packet may be obtained here.

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

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

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

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

curity in the high desert. Community residents can receive a free food box at VVC’s Lower Campus every Monday from 11 a.m. to 12:30 p.m. While residents are encouraged to register online at tinyurl.com/vvcfoodboxreg, non-registered walk-ups are welcome at 12:30 p.m., while supplies last. Recipients must be 18 years or older, and boxes are limited to one per household. Prior to partnering with VVC, the health plan hosted weekly food box drive-thru distribution events at their Victorville Community Resource Center (CRC), totaling more than $5M in food from June 2020 to July 2021. “Food insecurity is one of the greatest needs in our region. We knew the distribution efforts had to continue,” said Delia Orosco, IEHP Victorville CRC Manager. “We are so grateful to VVC, a key community partner, for continuing to serve the community so our resource centers can prepare to reopen and serve again in the future.” To support high desert residents, food is ordered weekly through Community Action Partnership of San Bernardino, picked up each Monday morning by High Desert Second Chance, and delivered to VVC. IEHP Team Members, VVC students and faculty, and volunteers from God’s Hand Extended operate the event and work to distribute food directly to residents. “It is truly our pleasure to partner with such amazing organizations like IEHP and God’s Hand Extended. This is a collaborative effort and great example of how education, healthcare, and community organizations can come together with a common goal and purpose to serve,” said Amber Allen, VVC Special Grant Programs Director. “By bringing our community to the college to provide food, we are opening the doors to people who may not be aware of available opportunities at VVC. This effort helps us to meet people where they are, so they have the ability to focus on their goals, beyond just meeting their basic needs.” In addition to food distribution efforts, IEHP and VVC will launch on-campus health and wellness programs to support VVC students. Programs will include personalized wellness support for students, fitness classes and more. “These resources are brought to the community, by the community,” said Jarrod McNaughton, IEHP Chief Executive Officer. “These partnerships place life-changing resources within reach for so many of our most vulnerable residents. Times may be tough, and resources may be sparse, but partnerships and collaborations allow for hope and progress to be continuously made.” VVC hopes to continue the distribution effort for as long as it is needed. To learn more about the food box drive-thru, visit vvc.edu/events/free-weekly-food-box-drive-thru.

rting our providers. We are committed to quality, driving us to create programs and services to meet the needs of our members and providers. In fact, IEHP is one of the top-rated Medicaid plans in California. Determined by both the Healthcare Effectiveness Data and Information Set (HEDIS) and the Consumer Assessment of Healthcare Providers and Systems (CAHPS), NCQA has awarded IEHP an Accreditation status for Medi-Cal. This status is only given to health plans that have clinical and service programs that meet or exceed NCQA standards. Learn more about how IEHP delivers quality services and care below.  Quality Report Inside the 2023 Quality Report, we take you through our quality journey by looking at our performance over the past year with critical measures. We show you how that data translates into tangible outcomes for our Members, Providers and Team Members. While there were many areas where we excelled, there were also places where we found opportunities for improvement. The goal of this Quality Report is to be transparent—with you and with ourselves. This journey is ongoing, and we hope to learn from it so we can do better and be better for those who rely on us the most. 2023 Annual Quality Report (PDF) 2022 Annual Quality Report 2020 Annual Quality Report (PDF) Quality Management IEHP supports an active, ongoing, and comprehensive quality management program with the primary goal of continuously monitoring and improving the quality of care, access to care, patient safety, and quality of services delivered to IEHP Members. The Quality Management (QM) Program provides a formal process to systematically monitor and objectively evaluate, track and trend the health plan’s quality, efficiency and effectiveness. Quality Management Evaluation 2021 Quality Management Annual Evaluation (PDF) Quality Management Program Description 2022 Quality Management Program Description (PDF) HEDIS Every year, IEHP assesses the overall quality of health care experienced by IEHP members. To achieve this IEHP uses  NCQA, a private, non-profit organization dedicated to improving health care quality. NCQA accredits and certifies a wide range of health care organizations and manages the evolution of HEDIS® which provides: a set of standardized performance measures based on statistically valid samples of members the public with information to compare health plan performance HEDIS Rate: 2021 Medi-Cal HEDIS Rates (PDF) 2021 Medicare HEDIS Rates (PDF) Physician Satisfaction IEHP values a strong partnership with our providers. To support them we offer many services from online support to a call center, to a dedicated service representative. That's why doctors think highly of IEHP. In fact, according to the 2022 Provider Satisfaction Survey conducted by SPH Analytics, 98.2% of physicians would recommend IEHP to other physicians. See the full results of the 2022 Provider Satisfaction Survey (PDF). Population Needs Assessment Every year, IEHP sends out a Population Assessment Survey to IEHP Members to learn more about their needs. View the results below.  2020 Population Needs Assessment Results  You will need Adobe Acrobat Reader 6.0 or later to view the PDF files. Download Adobe Acrobat Reader. 

ude printable reference documents for your convenience and ease of use. Go to the Quality & Clinical Resources and Tools page. In this section find information regarding Clinical Practice Guidelines. Safety Resources

n programs, and important reminders to help you live a better life. The Pulse: this newsletter is for adults and families with children and who have Medi-Cal with IEHP. Health Spotlight: this newsletter is for IEHP Members with both Medi-Cal and Medicare (CMC).  AccessAbility: this newsletter is for seniors and people with disabilities who have Medi-Cal with IEHP. 

P DualChoice (HMO D-SNP) is a Health Plan that contracts with both Medicare and Medi-Cal to provide benefits of both programs to enrollees. It is an organization made up of doctors, hospitals, pharmacies, providers of long-term services and supports, behavioral health providers, and other providers. It also has care coordinators and care teams to help you manage all your providers and services. They all work together to provide the care you need.   What is the goal of this program? The goal is to improve care by integrating the following healthcare services: Medicare and Medi-Cal benefits Long-term care Behavioral health Home and community-based services (HCBS) such as Community-Based Adult Services (CBAS) and Multipurpose Senior Services Program (MSSP). Who is eligible for IEHP DualChoice (HMO D-SNP)? People who have both Medicare and Medi-Cal. For a complete list of who is included or excluded, visit Who Qualifies?   Plans and Benefits IEHP DualChoice (HMO D-SNP) integrates healthcare services to better coordinate care and improve health.   How to Enroll To enroll, please call: IEHP DualChoice (HMO D-SNP) Team at 1-800-741-IEHP (4347), 8am-8pm (PST), 7 days a week, including holidays. TTY/TDD users should call 1-800-718-4347, OR Health Care Options (HCO) at 1-844-580-7272, 8am – 5pm (PST), Monday – Friday. TTY/TDD users should call 1-800-430-7077. For more information, visit the DHCS website. By clicking on this link, you will be leaving the IEHP DualChoice (HMO D-SNP) website. You may also call IEHP DualChoice (HMO D-SNP) for help at 1-877-273-IEHP (4347), 8am – 8pm (PST), 7 days a week, including holidays. TTY/TDD users should call 1-800-718-4347 (4347). Plan Benefits and Cost-Sharing: Find out about plan benefits which are the types of medical care that are covered. Also view information on cost-sharing which is how much you will pay for services or prescription drugs, including monthly plan premium and co-payment. Part D Prescription Drugs: Get information on pharmacy benefits, IEHP network pharmacies, out-of-network coverage, pharmacy transition process, drug utilization management, and prescription mail order. Provider Access Information: Learn about network providers, primary care providers, specialists and how to choose a provider in our network. Read about our quality assurance activities and find out what happens if your doctor leaves our plan. Grievances, Coverage Determination and Appeals Process: Find out what to do if you have a problem or complaint about your medical care or Part D. Helpful Information: View your rights and responsibilities upon disenrollment and as a Member of IEHP. You will also find important forms, such as our Privacy Notice, Plan Transition Process and the section of CMS' website regarding Best Available Evidence. Service Area: Only people who live in our service area can join IEHP DualChoice. Our service area includes all of Riverside and San Bernardino counties.   IEHP DualChoice (HMO D-SNP) is a Health Plan that contracts with both Medicare and Medi-Cal to provide benefits of both programs to enrollees. Information on this page is current as of April 19, 2023. H5355_CMC_19_1059755 Accepted      

happens in the lungs when asthma symptoms start, learn about asthma triggers, and how to avoid asthma attacks. Click here to register for this in-person class Location IEHP Community Resource Center (Riverside) 3590 Tyler St Riverside, CA 92503

cation benefits like preventive screenings, self-management tools, and other resources. Learn more about which programs are best for you!  Click here to register for this in-person class Location IEHP Community Resource Center (Riverside) 3590 Tyler St Riverside, CA 92503