Welcome to the Inland Empire Health Plan (IEHP) Pay for Performance, also known as P4P. In our continuing effort to provide preventive health services to IEHP Members, IEHP is pleased to announce changes to the P4P program and payment incentives.
Physicians are reimbursed directly by IEHP through P4P under the following four (4) program components:
- Overview (PDF)
- Cervical Cancer Screening (PDF)
- Perinatal Services (PDF)
- Postpartum Services (PDF)
- DualChoice Annual Visit (PDF)
To learn more about P4P, contact a Provider Services Representative at (909) 890-2054.You will need Adobe Acrobat Reader 6.0 or later to view the PDF files. You can download a free copy by clicking here.
Global Quality P4P ProgramIf you would like more information about IEHP’s GQ P4P Program or best practices to help improve quality scores and outcomes, visit our Secure Provider Portal, email the Quality Team at QualityPrograms@iehp.org or call the IEHP Provider Relations Team at (909) 890-2054.
- 2019 IEHP Global Quality P4P Program Guide PCP (PDF)
- 2019 IEHP Global Quality P4P Program Guide IPA (PDF)
- 2018 IEHP PCP Resource Guide (PDF)
IEHP provides vaccine coverage based on the latest ACIP recommendation and guidelines. Please refer to the Immunization Update and "Summary of Recommendations" for both Child and Adolescents AND Adult Vaccines as follows:
- Immunization Timing Chart 2018 (PDF)
- Immunization Updates (PDF)
- 2019 Recommended Child and Adolescent Immunization Schedule from the CDC (PDF)
- Summary of Recommendations for Child and Teen Immunization (PDF)
- Summary of Recommendations for Adult Immunization (PDF)
Adult Vaccines are a covered benefit and do not require prior authorization (must adhere to CDC/ACIP Immunization Recommendation and/or FDA approved Indication).
Complete a CMS1500 form by including the appropriate CPT codes, quantity dispensed and billed amount.
IEHP Claims Department
P.O. Box 4349
Rancho Cucamonga, CA 91729-4349.
For the latest updates and news regarding the vaccines, please visit CDC's ACIP website at https://www.cdc.gov/vaccines/hcp/acip-recs/index.html. By clicking on this link, you will be leaving the IEHP website,
You will need Adobe Acrobat Reader 6.0 or later to view the PDF files. You can download a free copy by clicking here.
Hospital P4P Program
Inland Empire Health Plan (IEHP) is pleased to announce the Hospital Pay For Performance Program (Hospital P4P) for IEHP Medi-Cal contracted Hospitals servicing Riverside and San Bernardino Counties. The goal of the Hospital P4P Program is to provide substantial financial rewards to Hospitals that meet quality performance targets and demonstrate high-quality care to IEHP Members.here.