Search Results For : " MAKE FREEDHARDEMAN UNIVERSITY "
COVID-19 - Jaime Camil Video Series
much of California is returning to some sense of normalcy after more than a year and a half of battling COVID-19, it’s important to recognize that the pandemic is not over. In fact, the number of cases and hospitalizations have been rising since the state reopened in mid-June, with the contagious Delta variant of the coronavirus spreading quickly. Many Californians have put off annual check-ups, vaccinations, and preventive medicine during the pandemic to avoid the virus. In an effort to ensure our combined 3.8 million members and communities are getting vaccinated and resuming their routine wellness care, we've teamed up with L.A. Care Health Plan to launch a multi-pronged educational campaign with the help of award-winning actor Jaime Camil. Check out clips from the series below! Actor Jaime Camil and Ernesto Campos debunk COVID-19 myths. Jaime Camil discusses with Dr. Ernesto Campos where YOU can get vaccinated. Jaime Camil and Dr. Ernesto Campos talk about how COVID-19 affects the unvaccinated. Jaime Camil and Dr. Ernesto Campos discuss how COVID-19 is still a contagious disease. Debunking COVID-19 myths such as magnetism. Debunking COVID-19 myths Jaime Camil and Dr. Ernesto Campos talk about the efficacy of the COVID vaccine. Jaime Camil and Dr. Ernesto Campos talk about the importance of the COVID vaccines.
Medi-Cal Behavioral Health Treatment
ed benefit solely for Members Diagnosed with Autism Spectrum Disorder. The coverage criteria have been expanded to include IEHP Members who meet ALL the below: Under 21 years of age Have a recommendation from a licensed physician and surgeon or a licensed psychologist that evidence based BHT services are medically necessary. Be medically stable Not need 24-hour medical/nursing monitoring or procedures provided in a hospital or intermediate care facility for persons with intellectual disabilities. Behavioral Health Treatment (BHT) is the design, implementation and evaluation of environmental modifications, using behavioral stimuli and consequences, to produce socially significant improvement in human behavior, including the direct observation, measurement and functional analysis of the relations between environment and behavior. BHT services teach skills using behavioral observation and reinforcement, or through prompting to teach each step of targeted behavior. BHT services are based on reliable evidence and are not experimental. Treatment may or may not include Applied Behavioral Analysis (ABA). BHT is medically necessary after the Provider has completed a comprehensive developmental surveillance and screening, and have recommended BHT services is clinically warranted to treat persistent developmentally inappropriate behavior and/or diagnoses that may be able to be corrected or ameliorated with BHT services. Aberrant behaviors include but are not limited to self-injury, aggression, and deficits in language skills, daily living skills, and social skills. PCPs will continue to referral a Member directly to IEHP Behavioral Health for any BHT services and/or diagnostic needs regardless of IPA. If you have any questions or ask your PCP for screening, diagnosis and treatment, you 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. Cost to Member There is no cost to the Member for these services. Visit IEHP's Mental Health page for general mental health information.
How to Get Care
network is a group of Doctors, hospitals and other providers who work with IEHP. You must choose a PCP within 30 days from the time you become an IEHP Member. If you do not choose a PCP, IEHP will choose one for you. You may choose the same PCP or other PCPs for all family members in IEHP. If you have a Doctor you want to keep, or you want to find a new PCP, you can look in the IEHP Provider Directory. To help you choose the right one for you, PCPs listed in the IEHP network include their name, address, phone number, specialty, etc. If you change PCPs, you will get a new IEHP Member ID card in the mail. It will have the name of your new PCP. To change your PCP, 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.
COVID-19 - Mental Health
otions and how that balance (or imbalance) affects behavior and thoughts. What is stigma? There is still too much stigma surrounding behavioral and mental health. Historically, “crazy” or “mad” folks have been ostracized from society. This has been due to ignorance about mental health. Unfortunately, there is still too much fear and mis-understanding in our communities about mental health. Many people suffer from mental disorders. And given the current COVID-19 crisis, many more people will suffer from mental illness. Too many people suffer in silence with mental illness The statistics before COVID were about 1 in 5 people were diagnosed with a mental illness in America Those numbers will increase now during the COVID-19 crisis Mental Health includes wellness, self-care, emotional regulations, relationship issues, and parenting among other facets of everyday life Mental well-being is important to everyone Mental illness can happen to anyone Tips for staying mentally well during COVID-19 Self-care is critical: listen to your warning signs of struggling with your emotions and doing the basic things like showering, eating, sleeping, and exercise Do something that brings you enjoyment every day: play with your children or spouse, take walks, read a book, do something creative Connect with someone outside your home every day via telephone or other video technology Eat nutritiously, do not binge or eat too many sweets Avoid alcohol Continue to see your therapist via tele-health Continue to take care of your physical, financial, and spiritual needs Be patient with yourself and others Readily forgive yourself Exercise, do yoga, go for a walk. Stay active, but do not overdue it Remember that you are not alone. Many people are struggling or will struggle with mood and anxiety issues during this time . Reach out for help. Mental health help is available and we want you to seek help. Resources Psychiatry Walk-in Clinic (Montclair) Psychiatry Walk-in Clinic (Palm Desert) Teen Mental Health Guide A simple guide to manage stress
Community Resource Centers - FAQ
nters provide healthcare information, health education, fitness classes, and local resources to IEHP Members and the community. Our friendly bilingual staff are here to help you sign up for free classes, provide information on health benefits, learn about the health care system, and other local resources. We are conveniently located in Riverside, San Bernardino, and Victorville. Free services to everyone Walk-ins are welcome Interactive activities 2. What types of classes do you offer ? Fitness Classes: Stay active with Yoga, Zumba (all levels), Tai Chi, Line Dance, Yoga for Seniors & People with Disabilities, Meditation, Aerobic Box, Latin Dance, Strength and Conditioning and Kid fitness. Wellness Classes: Learn about topics like nutrition, healthy cooking, gardening, managing asthma symptoms, controlling diabetes, stress management, and classes for teens and kids too. Virtual classes: Enjoy fitness, learn about your health, and have fun with the whole family all from the comfort of your home. 3. What types of services do you offer? Assistance with benefits, Medi-Cal application process, health coverage, behavioral health services, local food pantries, job aid, transportation services, and much more. 4. How can I find resources online? IEHP Members and non-members can search for free or reduced cost services like medical care, food, job training, and more at www.connectie.org. 5. How can I connect to virtual classes? Click here to view the latest calendar. 6. If I’m not an IEHP Member, can I still join the classes? Yes! everyone is welcome. IEHP Members and non-members can participate in in-person or virtual classes. There are a few classes that are for IEHP Members only (see calendar for details). 7. Is there a fee to be part of the CRC or attend classes? All classes are absolutely FREE! 8. Do I need to register for a class and what are the requirements? There is no need to register. All classes are first come first serve, unless otherwise noted that pre-registration is required (see calendar for details). 9. How old do you have to be to participate in classes? Classes vary by age group. We offer children’s programs throughout the month (ages 0-5 and 4-11 with parents). In general, the fitness and health classes are for ages 12 and older, unless noted. Anyone under 18 years old (without a waiver signed by a parent/guardian*) must have an adult with them at all times. See the calendar for more details. *CRC Victorville location only 10. Do you have a daycare onsite? No. If you have any questions regarding children’s programming, please feel free to call and ask us at 1-866-228-4347. 11. Do I have to bring my own fitness equipment (yoga mats, etc.)? No. We offer classes that require little to no fitness equipment. 12. Is there a limit on how many classes I can take? There is no limit. 13. Can I be seen by a doctor at the CRC? No. However, our friendly and bilingual staff will assist you in finding a doctor if needed. 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. 14. Do you offer classes for seniors and people with disabilities? Yes. We offer classes including but not limited to, Meditation, Yoga for Seniors and people with Disabilities, and Low-Impact Zumba Gold.
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 Preventive Care Services
o can get preventive care services? IEHP Members who are infants, children, and youth up to age 21 can get these services at no cost. What are preventive care services? Services that ensure that infants, children, and youth under age 21 get the care they need at the right age. This includes screenings for medical, dental, vision, hearing, mental health, and substance use disorders. You or your child may also get developmental services, specialty care, and needed vaccines to keep you healthy. Developmental services include early intervention through screening tools such as the Ages and Stages Questionnaire (ASQ-3). The ASQ-3 is a developmental screening for children ages 0-5 that provides a fast, helpful, and detailed look at how your child is growing and developing. IEHP provides a free online ASQ-3 screening for your child at any time. Click here to request a free ASQ-3 screening. IEHP covers screenings (including lead blood-level assessment) any time you need them at no cost to you. Check-ups and screenings can help Doctors find health issues early. If a physical or behavioral health issue is found during a check-up or screening, IEHP will cover the care needed to address it. How do I get preventive care services? Set up a visit for any check-ups, screenings or other preventive care through your or your child’s Doctor. If you or your child are eligible to receive the COVID-19 vaccine (5 years or older), it is also important that you get the vaccine as soon as possible. To set up an appointment, please visit https://myturn.ca.gov/. To learn more about preventive care services, 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. Immunization schedule 2022 (PDF)
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 firstname.lastname@example.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)
Super Heroes - Mighty Fitnessa
ity for a healthy body and healthy mind. The campaign features appearances by Mighty Fitnessa at numerous IEHP supported community events. Children, young adults and families can meet her in person at these events and receive free comic books, posters, brochures and other fitness related education materials. Mighty Fitnessa Video Mighty Fitnessa Comic Book (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 email@example.com. All documents should be e-mailed to firstname.lastname@example.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 email@example.com. 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 firstname.lastname@example.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.
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.
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 email@example.com 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: firstname.lastname@example.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.