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Search Results For : " UNIVERSITY OF BIRMINGHAMBIRMIN "

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Weight Management - Weight Management

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. 

Helpful Information and Resources - IEHP Voice ID

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. 

Helpful Information and Resources - Interpreter Service

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.

Medi-Cal Rx Transition

he pharmacy benefit for IEHP Members. Prescription medications for IEHP Members will be covered by “Medi-Cal Rx”. Bring both your Medi-Cal ID Card and IEHP ID card to the pharmacy when you pick up your prescriptions to avoid delays.  What is changing with my pharmacy benefit? Starting on January 1, 2022, you will get your Medi-Cal covered prescriptions through Medi-Cal Rx instead of IEHP. DHCS is working with a new contractor, Magellan Medicaid Administration, Inc. to provide pharmacy services. Will the cost of my medicines change? There will be no change in how you pay for your medicines. What do I need to do? Most people do not need to do anything. Your Doctors are being notified about the change. Will I need to change my medicines? Most people will not have to change their medicines. You will need to check the list of medicines covered by Magellan. The list of drugs that require prior approval may be different than the list IEHP uses. Your Doctor may need to get approval to refill prescriptions. He or she may talk to you about changing to a medicine that does not require prior approval. Will my pharmacy change? Most pharmacies will accept your new coverage. You can call the Medi-Cal Member Help Line (1-800-541-5555, TTY 1-800-430-7077) to ask if your pharmacy will accept Medi-Cal Rx. If your pharmacy does not work with Medi-Cal Rx, you may need to choose another pharmacy. What if I need help finding a pharmacy? The Medi-Cal Rx Pharmacy Locator online at www.Medi-CalRx.dhcs.ca.gov will be available in December 2021. Or starting on January 1, 2022, you can call Customer Service at 1-800-977-2273 24 hours a day, seven days a week or 711 for TTY Monday thru Friday, 8am to 5pm. What happens now? You will receive a new IEHP Member Card with the Magellan phone number. Always bring your IEHP Member Card and your Medi-Cal Benefits Identification Card (BIC) with you to your pharmacy. What if I have more questions? On or Before December 31, 2021 If you have questions about this notice or have Medi-Cal Rx general questions, contact the Medi-Cal Member Help Line (1- 800-541-5555, TTY 1-800-430- 7077), Monday thru Friday, 8am to 5pm.  On or After January 1, 2022 You can call the Medi-Cal Rx Call Center Line (1-800-977-2273) 24 hours a day, seven days a week, or 711 for TTY, Monday thru Friday, 8am to 5pm. What happens if I have a complaint? Magellan will accept and resolve your complaint. You can submit a complaint either in writing or by telephone. You can only use this website and phone number to file a complaint on or after January 1, 2022. Visit www.Medi-CalRx.dhcs.ca.gov or call Customer Service at 1-800-977-2273. Can I still call IEHP for help with my pharmacy complaints? IEHP will no longer handle complaints for pharmacy services received on or after January 1, 2022. How does the change affect Members with Kaiser Permanente? Members with Kaiser Permanente can still get prescriptions through\ Kaiser-affiliated pharmacies.

MediCal Long-Term Services and Supports

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.  

Medi-Cal Rights and Responsibilities

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.

Coronavirus

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

Resources for the Uninsured

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.

Kids and Teens - Kids Health

Group Duration: 30-minute session Ages: 0-5 years old, must be accompanied by parent or guardian These classes are designed for families with infants, toddlers and children ages 0-5.  The classes promotes healthy development and parenting skills using engaging play and social interaction. Parents are encouraged to access health care resources and work with their pediatricians on developmental screening as well as early intervention. Learn about health literacy including essential topics such as well-baby visits, feeding, language development, safety, physical activity and immunizations. Developmental screenings are available upon request.   Click here to check out the Circle Time schedule and register. To request developmental screening for your child email us at screening@iehp.org See also: By clicking on the links below, you will be leaving the IEHP site. Developmental Milestones Well Baby Visit Schedule Immunization Schedule Well Child Journey (PDF)  

Join Our Network - PCP & Specialists

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.

Join Our Network - Vision

contracted provider. Prior to extending a contract, we must receive the following documents.  PLEASE NOTE, IEHP is only accepting Vision Providers who meet the following exceptions through October 31, 2022: Providers practicing in any of the CalAIM service area expansion territories effective January 1, 2022 (including formerly voluntary and excluded zip codes) Providers filling positions that have been vacated in an existing practice Providers transitioning from an existing group agreement to their own individual agreement Providers being added to existing Vision groups Please completely fill out all required documents and submit to contract@iehp.org. Any delay in receiving the below stated documents will affect the effective date of the contract that will be mailed to you.  1. Vision Provider Network Participation Form (PDF) 2. Letter of Interest that outlines the following: What Specialty/Services you are interested in contracting for Facility locations(s) National Provider Identifier (NPI) for each facility Medi-Cal Provider information number (PIN) 3. W-9 Form (PDF) A current Taxpayer Identification Number and Certification Form 4. California Participating Physician Application (PDF) 5. Liability Insurance Certificate Professional general liability in the minimum amount of One Million Dollars ($1,000,000) per occurrance; and Three Million Dollars ($3,000,000) aggregate per year for professional liability 6. Facility Business License - Faculty 7. Ownership Information (PDF) Name, Title, and Percent of Ownership Contracts Maintenance Request Form can be found here (PDF). All documents should be e-mailed to contract@iehp.org. You will need Adobe Acrobat Reader 6.0 or later to view the PDF files. You can download a free copy by clicking here.

IEHP DualChoice - D-SNP Transition

IEHP DualChoice (HMO D-SNP) on January 1, 2023. Unless you change plans, IEHP DualChoice (HMO D-SNP) will provide your Medicare benefits. You will keep all of your Medicare and Medi-Cal benefits. You will not have a gap in your coverage. You will be automatically enrolled in IEHP DualChoice and do not need to do anything to keep these services. IEHP DualChoice is very similar to your current Cal MediConnect plan. With IEHP DualChoice, you will still have an IEHP DualChoice Member Service team to get help for your needs. You won’t pay a premium, or pay for doctor visits or other medical care if you go to a provider that works with our health plan. To learn more about your prescription drug costs, call IEHP DualChoice Member Services. To ask if your PCP or other providers are in our network in 2023, call IEHP DualChoice Member Services. Click here to learn more about IEHP DualChoice. What services will my Medicare Medi-Cal Plan cover? IEHP DualChoice will cover many of the Medicare and Medi-Cal benefits you get now, including: All Medicare covered services, doctors, hospitals, labs, and x-rays You will have access to a Provider network that includes many of the same Providers as your current plan Prescription drugs covered by Medicare Coordination of the services you get now or that you might need Transportation to medical services Medical supplies Durable Medical Equipment (DME) Nursing home care Community-Based Adult Services (CBAS) You will have access to a Provider network that includes many of the same Providers as your current plan. You will not have a gap in your coverage. You will be automatically enrolled in a Medicare Medi-Cal Plan offered by IEHP DualChoice. You don’t have to do anything if you want to join this plan. If you want to change plans, call IEHP DualChoice Member Services.  If you have questions, you can contact IEHP DualChoice at 1-877-273-IEHP (4347), 8am-8pm (PST), 7 days a week, including holidays. TTY: 1-800-718-4347.

IEHP DualChoice - Making Complaints

he kinds of problems related to: Quality of your medical care Respecting your privacy Disrespect, poor customer service, or other negative behaviors Physical accessibility Waiting times Cleanliness Information you get from our plan Language access Communication from us Timeliness of our actions related to coverage decisions or appeals How to file a Grievance with IEHP DualChoice (HMO D-SNP) 1. Contact us promptly – call IEHP DualChoice at (877) 273-IEHP (4347), 8am - 8pm, 7 days a week, including holidays.TTY users should call 1-800-718-4347. You can make the complaint at any time unless it is about a Part D drug. If the complaint is about a Part D drug, you must file it within 60 calendar days after you had the problem you want to complain about. If you do not wish to call (or you called and were not satisfied), you can put your complaint in writing and send it to us. If you put your complaint in writing, we will respond to your complaint in writing.  You can use our "Member Appeal and Grievance Form." All of our Doctor’s offices and service providers have the form or we can mail one to you. You can file a grievance online. You can give a completed form to our Plan provider or send it to us at the address listed below or fax the completed form to the fax number listed below. This form is for IEHP DualChoice as well as other IEHP programs. IEHP DualChoice  P.O. Box 1800 Rancho Cucamonga, CA 91729-1800 Fax: (909) 890-5877 Whether you call or write, you should contact IEHP DualChoice Member Services right away. 2. We will look into your complaint and give you our answer If possible, we will answer you right away. If you call us with a complaint, we may be able to give you an answer on the same phone call. If your health condition requires us to answer quickly, we will do that. Most complaints are answered in 30 calendar days. If we need more information and the delay is in your best interest or if you ask for more time, we can take up to 14 more days (44 days total) to answer your complaint. If we do not agree with some or all of your complaint or don’t take responsibility for the problem you are complaining about, we will let you know. Our response will include our reasons for this answer. We must respond whether we agree with the complaint or not. Fast Grievances If you are making a complaint because we denied your request for a “fast coverage determination” or fast appeal, we will automatically give you a “fast” complaint. If you have a “fast” complaint, it means we will give you an answer within 24 hours. Who may file a grievance? You or someone you name may file a grievance. The person you name would be your “representative.”  You may name a relative, friend, lawyer, advocate, doctor, or anyone else to act for you. Other persons may already be authorized by the Court or in accordance with State law to act for you. If you want someone to act for you who is not already authorized by the Court or under State law, then you and that person must sign and date a statement that gives the person legal permission to be your representative. To learn how to name your representative, you may call IEHP DualChoice Member Services. External Complaints You can tell Medicare about your complaint You can send your complaint to Medicare. The Medicare Complaint Form is available at: https://www.medicare.gov/MedicareComplaintForm/home.aspx. Medicare takes your complaints seriously and will use this information to help improve the quality of the Medicare program. If you have any other feedback or concerns, or if you feel the plan is not addressing your problem, please call (800) MEDICARE (800) 633-4227). TTY/TDD (877) 486-2048. The call is free. You can tell Medi-Cal about your complaint The Office of the Ombudsman also helps solve problems from a neutral standpoint to make sure that our members get all the covered services that we must provide. The Office of the Ombudsman is not connected with us or with any insurance company or health plan. The phone number for the Office of the Ombudsman is 1-888-452-8609. The services are free. You can tell the California Department of Managed Health Care about your complaint The California Department of Managed Health Care (DMHC) is responsible for regulating health plans. You can call the DMHC Help Center for help with complaints about Medi-Cal services. You may contact the DMHC if you need help with a complaint involving an urgent issue or one that involves an immediate and serious threat to your health, you disagree with our plan’s decision about your complaint, or our plan has not resolved your complaint after 30 calendar days. Here are two ways to get help from the Help Center: Call (888) 466-2219, TTY (877) 688-9891. The call is free. Visit the Department of Managed Health Care's website: http://www.dmhc.ca.gov/ You can file a complaint with the Office for Civil Rights You can make a complaint to the Department of Health and Human Services’ Office for Civil Rights if you think you have not been treated fairly. For example, you can make a complaint about disability access or language assistance. The phone number for the Office for Civil Rights is (800) 368-1019. TTY users should call (800) 537-7697. You can also visit https://www.hhs.gov/ocr/index.html for more information. You may also contact the local Office for Civil Rights office at: U.S. Department of Health and Human Services 90 7th Street, Suite 4-100 San Francisco, CA 94103 Telephone: (800) 368-1019 TDD: (800) 537-7697 Fax: (415) 437-8329 You may also have rights under the Americans with Disability Act. You can contact the Office of the Ombudsman for assistance. The phone number is (888) 452-8609. When your complaint is about quality of care You have two extra options: You can make your complaint to the Quality Improvement Organization. If you prefer, you can make your complaint about the quality of care you received directly to this organization (without making the complaint to our plan). To find the name, address, and phone number of the Quality Improvement Organization in your state, look in Chapter 2 of your IEHP DualChoice Member Handbook. If you make a complaint to this organization, we will work with them to resolve your complaint. Or you can make your complaint to both at the same time. If you wish, you can make your complaint about quality of care to our plan and also to the Quality Improvement Organization. For more information on Grievances see Chapter 9 of your IEHP DualChoice Member Handbook. Handling problems about your Medi-Cal benefits If you have Medi-Cal with IEHP and would like information on how to pursue appeals and grievances related to Medi-Cal covered services, please call IEHP DualChoice Member Services at (877) 273-IEHP (4347), TTY (800) 718-4347, 8am - 8pm (PST), 7 days a week, including holidays. IEHP DualChoice (HMO D-SNP) is a HMO Plan with a Medicare contract. Enrollment in IEHP DualChoice (HMO D-SNP) depends on contract renewal. Information on this page is current as of October 01, 2022. H8894_DSNP_23_3241532_M

Healthy Living - Health Resources

out! You can take quizzes and learn tips on what you can do to stay healthy. Interactive Self-Management Tools Smoking Cessation Physical Activity Healthy Eating Managing Stress Avoiding At-Risk Drinking Identifying Depressive Symptoms Healthy Weight Additional Resources Self-Management Tool Booklet - This booklet covers information on the topics above. If you would like to request a printed copy of the Self-Management Tools Booklet, please call IEHP Health Education Department at 1-866-224-IEHP (4347) or 1-800-718-4347 for TTY users. Calculate your Body Mass Index (BMI) – for adults 20 years old and older Calculate your Body Mass Index (BMI) – for children ages 2 through 19 years old Watch the video below to learn how to register for Health Education classes on the IEHP website.    Watch the video below to learn how to register for Health Education classes on the Member Portal.   

Clinical Information - High Risk Medications

mance and quality measures to help Medicare beneficiaries make informed decisions regarding health and prescription drug plans. As part of this effort, CMS adopted measures for High Risk Medication (HRM) endorsed by the Pharmacy Quality Alliance (PQA) and the National Quality Forum (NQF). The HRM was developed using existing HEDIS measurement “Drugs to be avoided in the elderly”.  The HRM rate analyzes the percentage of Medicare Part D beneficiaries 65 years or older who have received prescriptions for drugs with a high risk of serious side effects in the elderly. 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. Notices 12/10/2021 IEHP Pharmacy Times (PDF) 01/13/2016 IEHP Pharmacy Times (PDF) 06/17/2013 IEHP Pharmacy Times (PDF) 02/11/2013 IEHP Pharmacy Times (PDF)   Reference IEHP High Risk Medication Drug Alternative(s) Reference Guide (PDF) AGS Beers Criteria 2019 (PDF)   Information on this page is current as of December 10, 2021.

Compliance Program - Our Commitment to Innovation

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

IEHP Notice of Non-Discrimination

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.    

Medi-Cal Demographic Updates

able to keep your health coverage regardless of any changes in your circumstances. However, once the COVID-19 Public Health Emergency (PHE) ends, your county will check to  see if you still qualify for free or low-cost Medi-Cal. If you or someone in your household receives a letter from the county asking for information about your Medi-Cal coverage, please provide the requested information as soon as possible. Change in Circumstances    Please continue to report any changes in your household to your local county office. This includes: Changes to your income Disability status Phone number or mailing address. If someone in your household becomes pregnant If someone moves in, or anything else that may affect your Medi-Cal eligibility Reporting these changes may help you continue to receive Medi-Cal coverage after the end of the COVID-19 PHE.  Reporting Contact Information  It is important for yourcounty to have your current contact information. Please report any changes in your contact information so you don’t miss important information about your Medi-Cal coverage. Please report all updated contact information, such as your phone number, email address, or home address, to your local county office or update your contact information online at BenefitsCal.com.  Riverside County Medi-Cal Office: 877:810-8827 San Bernardino County Medi-Cal Office: 877-410-8829 Requests for Information  If you or someone in your household receives a letter from the county asking for information about your Medi-Cal coverage, please provide it. This will help  your county ensure that your Medi-Cal coverage remains active.  Questions?  If you have any questions, or need help accessing your Medi-Cal coverage, or if your Medi-Cal was discontinued, please 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. 

Enhanced Care Management (ECM) - Enhanced Care Management

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.  

Interoperability API Terms Of Use

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.