Search Results For : " DIPLOMA IN ENVIRONMENTAL SCIE "
Calendario de la Junta Directiva - Agenda e Informes
will now be held at the following address:
Dr. Bradley P. Gilbert Center for Learning & Innovation
9500 Cleveland Ave.
Rancho Cucamonga, CA 91730
Click here to view the meeting room map.
Any Member of the public may observe the scheduled proceedings by using the link listed below.
March 6, 2023 - 9 a.m.
Click here to join the virtual meeting.
June 2023
Agenda
Board Report
Under $200k Summary Report
May 2023
Agenda
Board Report
Under $200k Summary Report
Plan Updates - Public Health Advisory
- Mosquito Borne Disease Update (PDF)
March 17, 2023 - Riverside University Health Systems - Increased Enteric Disease Activity - Shigella (PDF)
November 11, 2022 - Riverside University Health Systems - Early Respiratory Syncytial Virus (RSV) and Seasonal Influenza Activity (PDF)
October 25, 2022 - Riverside University Health Systems - Outbreak of Ebola Virus Disease Due to Sudan Virus in Central Uganda (PDF)
October 21, 2022 - Riverside University Health Systems - Influenza (PDF)
August 18, 2022 - Updated Monkeypox Guidance (PDF)
August 18, 2022 - Riverside University Health System - Monkeypox Home Isolation Instructions (PDF)
August 18, 2022 - CDC - Dear Colleague: 2022 Monkeypox Outbreak (PDF)
July 19, 2022 - Updated Monkeypox Guidance (PDF)
March 14, 2022 - Riverside County Legionnaires' Disease Advisory (PDF)
By clicking on the links below, you will be leaving the IEHP website.
Renueve su cobertura de Medi-Cal - Renovación de Medi-Cal
... En los últimos tres años de la emergencia de salud pública del COVID, conocida como PHE, usted pudo mantener su Medi-Cal sin tener que renovarlo. Estamos saliendo de la PHE, por lo que tendrá que actuar ahora para seguir teniendo la misma cobertura de atención médica. Complete el paquete de renovación dentro y envíelo de inmediato a la oficina de Medi-Cal de su condado. Puede renovar su Medi-Cal en línea, por correo, en persona o por teléfono. ¿Necesita ayuda para completar los formularios? Llame al Equipo de Elegibilidad de IEHP al: 1-888-860-1296, lunes – viernes, 8am – 5pm Debe renovar su Medi-Cal cada año para mantener los beneficios actualización Una vez al año, recibirá por correo una carta del condado en la que dirá si renovaron automáticamente su Medi-Cal o si necesitan más información. advertencia Es importante que lea esa carta y siga las instrucciones. ¿Qué información pedirá el condado? Formularios de renovación completados Verificación de ingresos Actualizaciones de la información de contacto Si su condado le pide más información, deberá dársela antes de la fecha prevista. Si no responde antes de la fecha prevista, sus beneficios de Medi-Cal podrían terminar. Aviso: Los líderes del estado advierten sobre estafas relacionadas con Medi-CalHay estafadores que están comunicándose con miembros de Medi-Cal, pidiendo un pago para solicitar o renovar la cobertura. IMPORTANTE: Medi-Cal NO le pedirá ningún pago en un proceso de solicitud o renovación. Si alguien se comunica con usted haciéndose pasar por un socio de la comunidad, del condado o del estado, y le pide dinero, NO se lo dé. ¿Tiene preguntas? Llame al Equipo de Elegibilidad de IEHP al 1-888-860-1296, lunes – viernes, 8am – 5pm. ¿Cómo puede entregar esta información? Puede presentar la información en línea, por correo, en persona o por teléfono. 1. Hágalo en línea Cree su cuenta en línea hoy mismo en BenefitsCal.com: haga clic en el enlace “Create an Account” (Crear una cuenta). Vea el video de arriba. Si ya tiene una cuenta de BenefitsCal.com, puede enviar la información siguiendo los pasos en el video de arriba. 2. Envíe el paquete al condado por correo Condado de San Bernardino:Haga clic para encontrar un correo cerca de ustedCondado de Riverside:Haga clic para encontrar un correo cerca de usted*Nota: El paquete viene con un sobre para que usted envíe los documentos. 3. Vaya en persona a la oficina del condado Condado de San Bernardino:Haga clic para encontrar una oficina cerca de ustedCondado de Riverside:Haga clic para encontrar una oficina cerca de usted*Nota: 4. Llame a la oficina del condado Condado de San Bernardino:1-877-410-8829lunes – viernes, 7am – 5pm Condado de Riverside:1-877-410-8827lunes – viernes, 7am – 5pm Preguntas frecuentes: Preguntas y respuestas sobre la renovación de Medi-Cal access_time ¿Qué pasa si no cumplo el plazo? Comuníquese con el condado para ver si de todos modos puede enviar sus documentos. envíe ¿Qué pasará después de que presente el formulario? Recibirá una carta del condado una vez que sus documentos se hayan revisado. forum ¿Con quién puedo hablar si tengo más preguntas? Si necesita más ayuda, llame a IEHP al 1-888-860-1296, lunes – viernes, 8am – 5pm o a la oficina de Medi-Cal de su condado: Condado de Riverside: 1-877-410-8827, lunes – viernes, 8am – 5pm Condado de San Bernardino: 1-877-410-8829, lunes – viernes, 7am – 5pm página de inicio ¿Qué debo hacer si me mudé? Comuníquese con la oficina del condado para asegurarse de que tengan información actualizada sobre usted y su familia: Nombre actual Dirección Número de teléfono Dirección de email El condado necesita esto para comunicarse con usted para darle información importante sobre su Medi-Cal. Vea aquí más preguntas frecuentes
MediCal - Drug Pricing
ness. Any pricing disputes, whether it be brand or generic, are to be handled by MedImpact. MedImpact also addresses pharmacy provider appeals on drug pricing. Please direct related inquiries and pricing appeals to MedImpact Pharmacy Provider line at 1-888-495-3147, with a 24/7/365 availability.
Information on this page is current as of January 01, 2023
MediCal - Pharmacy Communications
or later to view the PDF files. You can download a free copy by clicking here. By clicking on this link, you will be leaving the IEHP website.
TITLE
DATE
RECIPIENTS
June 2023
New DHCS Drug Use Review (DUR) Board Educational Articles
06/02
All Medi-Cal PCPs & Specialists
May 2023
Pharmacy Recalls, Market Withdrawals Safety Alerts - April 2023
05/10
All IEHP PCP's, All IEHP Pharmacy Providers
April 2023
Pharmacy Recalls Withdrawals Safety Alerts - January to March 2023
04/10
All IEHP PCP's & Pharmacy Providers
March 2023
IEHP DualChoice (HMO D-SNP): Known Billing Issue
03/31
All IEHP Pharmacy Providers
Pharmacy Recalls - Withdrawals - Safety Alerts - March 1-15, 2023
03/31
All IEHP PCPs & Pharmacy Providers
Pharmacy Recalls - Withdrawals - Safety Alerts - Dec 2022 to Feb 2023
03/31
All IEHP PCPs & Pharmacy Providers
DualChoice Medicare Billing for Non-FDA Approved Medications
03/21
All IEHP Pharmacy Providers
Claim Processing during State of Emergency due to Snowstorm
03/03
All IEHP Pharmacy Providers
February 2023
Transition to 30-day Coverage Determination Backdating
02/02
All LTC & SNF Providers
January 2023
IEHP DualChoice (HMO D-SNP): Over-the-Counter Drugs
01/09-01/30
All IEHP Pharmacy Providers
IEHP DualChoice (HMO D-SNP): Medicare Part B Coinsurance Billing
01/05-01/13
All IEHP Pharmacy Providers
IEHP DualChoice (HMO D-SNP): PBM Update and Medicare Part B Coinsurance
01/02-01/20
All IEHP Pharmacy Providers
IEHP DualChoice (HMO D-SNP) Members - Medication Overrides
01/02
All IEHP Pharmacy Providers
December 2022
Cal MediConnect (CMC) to Medi-Cal Rx/HMO D-SNP Transition
12/22
All IEHP Pharmacy Providers
Claims Rejected in Error
12/19
All IEHP Pharmacy Providers
PBM Change & Prior Authorization Submission Method - for DualChoice (HMO D-SNP) Members (Effective January 1, 2023)
12/13-12/29
All IEHP Pharmacy Providers
Pharmacy Recalls, Withdrawals & Safety Alerts - November 2022
12/07
All IEHP Pharmacy Providers
CoverMyMeds - Prior Authorization Submission Method for DualChoice Members (Effective January 1, 2023)
12/01-12/12
All IEHP Pharmacy Providers
November 2022
Recalls, Withdrawals & Safety Alerts - October 2022
11/14
All IEHP Pharmacy Providers
Recalls, Withdrawals & Safety Alerts - September 2022
11/02
All IEHP Pharmacy Providers
COVID-19: Test to Treat Monoclonal Antibodies
11/01
All IEHP Pharmacy Providers
October 2022
Cal MediConnect to Medi-Cal Rx Transition (D-SNP)
10/28
All IEHP Pharmacy Providers
September 2022
Recalls, Withdrawals & Safety Alerts
09/08
All IEHP Pharmacy Providers
August 2022
2022-2023 Flu Vaccination for IEHP Members
08/31
All IEHP Pharmacy Providers
Reminder: Medi-Cal Rx Gradual Reinstatement of PAs - Phase 1
08/31
All IEHP Pharmacy Providers
30-Day Countdown: Reinstatement of PA Requirements for 11 Drug Classes
08/18
All IEHP Pharmacy Providers
30-Day Countdown: Reinstatement of PA Requirements for 11 Drug Classes
08/17
All IEHP Pharmacy Providers
Recalls, Withdrawals & Safety Alerts
08/10
All IEHP Pharmacy Providers
July 2022
Academic Detailing Services Now Offered
07/15
All IEHP Pharmacy Providers
DHCS Medi-Cal Rx Update: Postponement of Implementation of NCPDP Reject Code 80
07/13
All IEHP Pharmacy Providers
Recalls, Withdrawals & Safety Alerts
07/07
All IEHP Pharmacy Providers
June 2022
New DHCS DUR Board Educational Article
06/22
All IEHP Pharmacy Providers
MTM Medicare Pharmacy Mailing Campaign
06/08
All IEHP Pharmacy Providers
Recalls, Withdrawals & Safety Alerts
06/05
All IEHP Pharmacy Providers
Academic Detailing Services Now Offered
06/04
All IEHP Pharmacy Providers
Medi-Cal Rx Transition: Blood Pressure Monitors and Cuffs
06/03
All IEHP Pharmacy Providers
Important Notice: COVID-19 Oral Antivirals Billing
06/01
All IEHP Pharmacy Providers
May 2022
Recalls, Withdrawals & Safety Alerts
05/05
All IEHP Pharmacy Providers
April 2022
Rejected Claims Due To Prescriber Error Codes
04/06
All IEHP Pharmacy Providers
Recalls, Withdrawals & Safety Alerts
04/05
All IEHP Pharmacy Providers
MTM COVID-19: Test to Treat
04/04
All IEHP Pharmacy Providers
March 2022
MTM Medicare Pharmacy Mailing Campaign
03/29
All IEHP Pharmacy Providers
New DHCS DUR Board Educational Article
03/16
All IEHP Pharmacy Providers
Medi-Cal Rx Transition: How To Assist IEHP Members
03/28-03/31
All IEHP Pharmacy Providers
Medi-Cal Rx Transition: How To Assist IEHP Members
03/21-03/25
All IEHP Pharmacy Providers
Medi-Cal Rx Transition: How To Assist IEHP Members
03/14-03/18
All IEHP Pharmacy Providers
Medi-Cal Rx Transition: How To Assist IEHP Members
03/07-03/11
All IEHP Pharmacy Providers
Recalls, Withdrawals & Safety Alerts
03/07
All IEHP Pharmacy Providers
IEHP Contracted DME Pharmacies: CGM, BP Monitor, Nebulizer
03/02
All IEHP Pharmacy Providers
February 2022
Medi-Cal Rx Transition: How To Assist IEHP Members
02/28-03/04
All IEHP Pharmacy Providers
Medi-Cal Rx Transition: How To Assist IEHP Members
02/22-02/25
All IEHP Pharmacy Providers
Medi-Cal Rx Transition: How To Assist IEHP Members
02/14-02/18
All IEHP Pharmacy Providers
Medi-Cal Rx Transition: How To Assist IEHP Members
02/10-02/11
All IEHP Pharmacy Providers
Pharmacy Empowerment Program
02/08
All IEHP Pharmacy Providers
Recalls, Withdrawals & Safety Alerts
02/07
All IEHP Pharmacy Providers
New DHCS DUR Board Educational Article
02/02
All IEHP Pharmacy Providers
January 2022
Free OTC COVID-19 Antigen Test Kits Available
01/31
All IEHP Pharmacy Providers
Medi-Cal Rx Transition Implementation
01/17-01/21
All IEHP Pharmacy Providers
Medi-Cal Rx Transition Implementation
01/10-01/14
All IEHP Pharmacy Providers
Medi-Cal Rx Transition Implementation
01/07
All IEHP Pharmacy Providers
Recalls, Withdrawals & Safety Alerts
01/05
All IEHP Pharmacy Providers
Centro de Recursos para la Comunidad - Acerca de nosotros
idad?
Los Centros de Recursos para la Comunidad (CRC) IEHP son su recurso local de información sobre atención médica en Riverside, San Bernardino y Victorville. Nuestro amigable personal bilingüe puede ayudarlo a tomar clases gratuitas, aprender sobre atención médica y sobre Programas de Cobertura Médica. Nuestras puertas están abiertas para los Miembros de IEHP y la comunidad.
Tenemos clases en persona y en línea
Clases de fitness
Manténgase activo con clases como yoga, Zumba (todos los niveles), Taichi, baile en línea, yoga para personas mayores y con discapacidad, meditación, boxeo aeróbico, bailes latinos, fuerza y acondicionamiento y ejercicio aeróbico para niños.
Clases de bienestar
Aprenda sobre nutrición, cómo manejar los síntomas del asma, cómo controlar la diabetes, control del estrés, respiración y relajación.
¿Dónde puedo encontrar clases?
En persona: Riverside | San Bernardino | Victorville
En línea: clases virtuales
Síganos en Facebook para mantenerse al tanto de las novedades
Centro de Recursos para la Comunidad de Riverside
VEA NUESTRO CALENDARIO MENSUAL DEL CRC DE RIVERSIDE
Haga clic para descargar el PDF
Click to Download PDF
Dirección del CRC de Riverside:
3590 Tyler Street, Suite 101, Riverside, CA 92503
Teléfono del CRC de Riverside:
1-866-228-4347
Los usuarios de TTY deben llamar al 711
Vea nuestros otros CRC:
CRC de San Bernardino
CRC de Victorville
Virtual/En línea
Haga clic para verlo en Google Maps
Centro de Recursos para la Comunidad de San Bernardino
VEA NUESTRO CALENDARIO MENSUAL DEL CRC DE SAN BERNARDINO
Haga clic para descargar el PDF
Click to Download PDF
Dirección del CRC de San Bernardino:
805 West 2nd Street, Suite C, San Bernardino, CA 92410
Teléfono del CRC de San Bernardino:
1-866-228-4347
Los usuarios de TTY deben llamar al 711
Vea nuestros otros CRC:
CRC de Riverside
CRC de Victorville
Virtual/En línea
Haga clic para verlo en Google Maps
Centro de Recursos para la Comunidad de Victorville
VEA NUESTRO CALENDARIO MENSUAL DEL CRC DE VICTORVILLE
Haga clic para descargar el PDF
Click to Download PDF
Dirección del CRC de Victorville:
12353 Mariposa Road, Suites C-2 & C-3, Victorville, CA 92395
Teléfono del CRC de Victorville:
1-866-228-4347
Los usuarios de TTY deben llamar al 711
Vea nuestros otros CRC:
CRC de Riverside
San Bernardino CRC
Virtual/En línea
Haga clic para verlo en Google Maps
El Centro de Recursos para la Comunidad de Victorville también quiere agradecer a los siguientes colaboradores:
Goodwill Southern California: Un proveedor de personal que ayuda a las personas a empoderarse con las competencias y los servicios de apoyo laboral que necesiten y quieran para prosperar.
Autoridad de Vivienda del Condado de San Bernardino: Proveedor de viviendas de bajo costo y asistencia con el alquiler para familias de bajos ingresos por medio de vales o unidades de vivienda a bajo precio.
Young Visionaires Youth Leadership Academy: Tutoría que enriquece la vida de los jóvenes por medio de actividades de desarrollo de competencias para la vida e instrucción en las áreas de educación, empleo, salud, tutoría y servicio a la comunidad.
Community Action Partnership del Condado de San Bernardino: Proporciona el Programa de Asistencia con la Energía en el Hogar (HEAP) y Asistencia con la Vivienda para los residentes del Condado de San Bernardino.
TODEC: Presta servicios legales para inmigración, defensa, organización comunitaria y participación cívica.
Clases virtuales
VEA NUESTRO CALENDARIO MENSUAL DE CLASES EN LÍNEA
Haga clic para descargar el PDF
Click to Download PDF
Participe en las clases mediante Facebook:
Ahora, nuestros Centros de Recursos para la Comunidad ofrecen clases virtuales por Facebook. Participe hoy en una clase.
Participe en las clases mediante WebEx:
Clases por WebEx (contraseña: 12345):
Usuarios de Apple
Usuarios de Android
Usuarios de PC
MediCal - Forms
liance
Delegation Oversight Audit (DOA)
Grievance
Growth Chart
Health and Wellness
Historical Data Form
Inland Regional Center
Medi-Cal Letter Templates
Medicare-Medicaid Plan Letter Templates
D-SNP Letter Templates
Medicare
Non-Contracted Providers
Perinatal
Pharmacy
Provider Preventable Conditions (PPC)
UM/CM
Vision
Other
Behavioral Health
ABA 6 Month and Exit Progress Report Template (Word)
ABA Exit Letter Template (Word)
ABA Service Hour Log (Word)
ABA School BHT Services Request Form (Word)
Authorization Release of Information Form - English (PDF)
Authorization Release of Information Form - Spanish (PDF)
Behavioral Health Authorization Request Form (PDF)
BHT Social Skills Template (Word)
Coordination of Care Treatment Plan Form (PDF)
No Further Treatment Request Form (PDF)
Psych Testing Battery Plan (for Psychologist use only) (PDF)
(For BH Providers Only) Transition of Care Tool (PDF)
Claims
For Integrated Denial Notices please click here.
Please select on the links below to obtain the revised CMS 1500 form (version 02/12) and the CMS 1500 Reference Instruction Manual.
Provider Identified Overpayment Form (PDF)
Provider Identified Overpayment Form (Multiple) (PDF)
Provider Dispute Resolution (PDR) (PDF)
Claims Project Spreadsheet (Excel)
Clean Claim Tool Guide - UB04 Inpatient Form (PDF)
Clean Claim Tool Guide - UB04 Outpatient Form (PDF)
Waiver of Liability Statement - IEHP Dual Choice (HMO D-SNP) - effective January 2023 (PDF)
Revised CMS 1500 Health Insurance Claim Form (PDF)
CMS 1500 Reference Instruction Manual (PDF)
(Back to top)
Compliance
Member Incentive Forms
Focus Group Incentive (FGI) - Request for Approval Form (PDF)
Focus Group Incentive (FGI) - Evaluation Form (PDF)
Member Incentive (MI) Program - Request for Approval (PDF)
Member Incentive (MI) Program - Annual Update/End of Program Evaluation (PDF)
Survey Incentive (SI) - Request for Approval Form (PDF)
Survey Incentive (SI) - Evaluation Form (PDF)
Nondiscrimination Language
Nondiscrimination Language Access Notice:
Medi-Cal (PDF)
Medicare (PDF)
(Back to top)
Delegation Oversight Audit (DOA)
Biographical Information Sheet
Credentialing DOA Audit Tool
HIPAA Security - Medi-Cal DOA
HIPAA Security - Medicare
Medi-Cal DOA Tool UM/CM/QI
Medicare DOA Tool UM/CM/QI
Medi-Cal UM Referral Template
Sub-Contracted Facility/Agency Services and Delegated Functions
(Back to top)
Grievance
The Grievance Forms below are for your Member's use when filing a complaint, or has an appeal regarding any aspect of care or service provided by you. Please select the Appeal and Grievance form appropriate for their use:
Medi-Cal Form
English (PDF)
Spanish (PDF)
Chinese (PDF)
Vietnamese (PDF)
Medicare Form
English (PDF)
Spanish (PDF)
Chinese (PDF)
Vietnamese (PDF)
The following IEHP DualChoice (HMO D-SNP) Letters will be effective January 1, 2023:
English (PDF)
Spanish (PDF)
Chinese (PDF)
Vietnamese (PDF)
(Back to top)
Growth Chart
Inland Empire Health Plan (IEHP) offers you easy access to useful reference materials and forms you may need. It's just one click away. Select the growth chart form that you need by clicking on the link below:
(0-36 months): Head Circumference-For-Age And Weight- For-Length Percentiles
Boys (PDF) Girls (PDF)
(0-36 months): Length and Weight-For-Age Percentiles
Boys (PDF) Girls (PDF)
(2-20 years): Stature and Weight-For-Age-Percentiles
Boys (PDF) Girls (PDF)
(2-20 years): Body Mass Index For-Age Percentiles
Boys (PDF) Girls (PDF)
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Health and Wellness
DPP Rx Pad (PDF)
(Back to top)
Historical Data Form
Historical Data Form (PDF)
(Back to top)
Inland Regional Center
Early Start (0-36 months) Referral (PDF)
Early Start Online Application
Eligibility and Intake
IRC Referrals (3-99+ years):
San Bernardino County: For Providers - (909) 890-4711 // Intake - (909) 890-3148
Riverside County: For Providers - (909) 890-4763 // Intake - (951) 826-2648
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Medi-Cal Letter Templates
A complete template includes all documents listed under each template in the order specified listed. Changes can only be made to highlighted areas, any changes made outside of the highlighted areas are strictly prohibited by DHCS.
Click on the title to expand the menu and download desired document.
Member Authorization Letter
English
Last Updated: 09/20/2022
Spanish
Last Updated: 09/20/2022
Chinese
Last Updated: 09/20/2022
Vietnamese
Last Updated: 09/20/2022
Nondiscrimination Notice & Taglines - [English] [Spanish] [Chinese] [Vietnamese] Updated August 01, 2022
Continuity of Care Authorization Letter
English
Last Updated: 09/20/2022
Spanish
Last Updated: 09/20/2022
Chinese
Last Updated: 09/20/2022
Vietnamese
Last Updated: 09/20/2022
Nondiscrimination Notice & Taglines - [English] [Spanish] [Chinese] [Vietnamese] Updated August 01, 2022
Notice of Action – Carve Out
English
Last Updated: 12/29/2022
Spanish
Last Updated: 12/29/2022
Chinese
Last Updated: 12/29/2022
Vietnamese
Last Updated: 12/29/2022
Nondiscrimination Notice & Taglines - [English] [Spanish] [Chinese] [Vietnamese] Updated August 01, 2022
Independent Medical Review (IMR) Form - [English] [Spanish] [Chinese] [Vietnamese] Updated May 22, 2023
Notice of Action - Delay
English
Last Updated: 12/27/2022
Spanish
Last Updated: 12/27/2022
Chinese
Last Updated: 12/27/2022
Vietnamese
Last Updated: 12/27/2022
Nondiscrimination Notice & Taglines - [English] [Spanish] [Chinese] [Vietnamese] Updated August 01, 2022
Independent Medical Review (IMR) Form - [English] [Spanish] [Chinese] [Vietnamese] Updated May 22, 2023
Notice of Action - Deny
English
Last Updated: 12/27/2022
Spanish
Last Updated: 12/27/2022
Chinese
Last Updated: 12/27/2022
Vietnamese
Last Updated: 12/27/2022
Nondiscrimination Notice & Taglines - [English] [Spanish] [Chinese] [Vietnamese] Updated August 01, 2022
Independent Medical Review (IMR) Form - [English] [Spanish] [Chinese] [Vietnamese] Updated May 22, 2023
Notice of Action - Modify
English
Last Updated: 12/28/2022
Spanish
Last Updated: 12/28/2022
Chinese
Last Updated: 12/28/2022
Vietnamese
Last Updated: 12/28/2022
Nondiscrimination Notice & Taglines - [English] [Spanish] [Chinese] [Vietnamese] Updated August 01, 2022
Independent Medical Review (IMR) Form - [English] [Spanish] [Chinese] [Vietnamese] Updated May 22, 2023
Notice of Action - Terminate
English
Last Updated: 01/06/2023
Spanish
Last Updated: 01/06/2023
Chinese
Last Updated: 01/06/2023
Vietnamese
Last Updated: 01/06/2023
Nondiscrimination Notice & Taglines - [English] [Spanish] [Chinese] [Vietnamese] Updated August 01, 2022
Independent Medical Review (IMR) Form - [English] [Spanish] [Chinese] [Vietnamese] Updated May 22, 2023
Other Health Care Coverage Requesting Provider Letter
English
Last Updated: 03/17/2021
Nondiscrimination Notice & Taglines - [English] [Spanish] [Chinese] [Vietnamese] Updated August 01, 2022
Continuity of Care Terminate Letter
English
Last Updated: 09/20/2022
Spanish
Last Updated: 09/20/2022
Chinese
Last Updated: 09/20/2022
Vietnamese
Last Updated: 09/20/2022
Nondiscrimination Notice & Taglines - [English] [Spanish] [Chinese] [Vietnamese] Updated August 01, 2022
Specialist Termination Letter
English
Last Updated: 09/20/2022
Spanish
Last Updated:09/20/2022
Chinese
Last Updated:09/20/2022
Vietnamese
Last Updated:09/20/2022
Nondiscrimination Notice & Taglines - [English] [Spanish] [Chinese] [Vietnamese] Updated August 01, 2022
Prior Authorization Not Required
English
Last Updated: 09/20/2022
Spanish
Last Updated:09/20/2022
Chinese
Last Updated:09/20/2022
Vietnamese
Last Updated:09/20/2022
Nondiscrimination Notice & Taglines - [English] [Spanish] [Chinese] [Vietnamese] Updated August 01, 2022
(Back to top)
Medicare-Medicaid Plan Letter Templates
A complete template includes all documents listed under each template in the order specified listed. Changes can only be made to highlighted areas, any changes made outside of the highlighted areas are strictly prohibited by CMS.
Click on the title to expand the menu and download desired document.
Carve-Out Information Letter
English
Last Updated: 11/12/2017
Spanish
Last Updated: 10/31/2017
Nondiscrimination Notice & Taglines - [English] [Spanish] [Chinese] [Vietnamese] Updated October 27, 2022
Denial Reason Matrix
English
Last Updated: 07/03/2018
Nondiscrimination Notice & Taglines - [English] [Spanish] [Chinese] [Vietnamese] Updated October 27, 2022
Detailed Explanation of Non-Coverage
English
Last Updated: 12/17/2021
Spanish
Last Updated: 12/17/2021
Nondiscrimination Notice & Taglines - [English] [Spanish] [Chinese] [Vietnamese] Updated October 27, 2022
Detailed Notice of Discharge
English
Last Updated: 12/17/2021
Spanish
Last Updated: 12/17/2021
Nondiscrimination Notice & Taglines - [English] [Spanish] [Chinese] [Vietnamese] Updated October 27, 2022
Expedited Criteria Not Met
English
Last Updated: 10/31/2017
Spanish
Last Updated: 10/31/2017
Nondiscrimination Notice & Taglines - [English] [Spanish] [Chinese] [Vietnamese] Updated October 27, 2022
Extension Needed for Additional Information
English
Last Updated: 10/31/2017
Spanish
Last Updated: 10/31/2017
Nondiscrimination Notice & Taglines - [English] [Spanish] [Chinese] [Vietnamese] Updated October 27, 2022
Integrated Denial Notice - Part B Drugs - 7 day appeal - IPA
English
Last Updated: 02/14/2022
Spanish
Last Updated: 02/14/2022
Chinese
Last Updated: 02/14/2022
Vietnamese
Last Updated: 02/14/2022
Independent Medical Review - [English] [Spanish] [Chinese] [Vietnamese] Updated October 7, 2022
Nondiscrimination Notice & Taglines - [English] [Spanish] [Chinese] [Vietnamese] Updated October 27, 2022
Integrated Denial Notice - Part C - 30 day appeal - IPA
English
Last Updated: 03/08/2022
Spanish
Last Updated: 02/14/2022
Chinese
Last Updated: 02/14/2022
Vietnamese
Last Updated: 02/14/2022
Independent Medical Review - [English] [Spanish] [Chinese] [Vietnamese] Updated October 7, 2022
Nondiscrimination Notice & Taglines - [English] [Spanish] [Chinese] [Vietnamese] Updated October 27, 2022
Integrated Denial of Payment Notice - 7 day appeal - IPA
English
Last Updated: 03/17/2021
Spanish
Last Updated: 10/18/2021
Independent Medical Review - [English] [Spanish] [Chinese] [Vietnamese] Updated October 7, 2022
Nondiscrimination Notice & Taglines - [English] [Spanish] [Chinese] [Vietnamese] Updated October 27, 2022
Integrated Denial of Payment Notice - 30 day appeal - IPA
English
Last Updated: 03/17/2021
Spanish
Last Updated: 04/12/2017
Independent Medical Review - [English] [Spanish] [Chinese] [Vietnamese] Updated October 7, 2022
Nondiscrimination Notice & Taglines - [English] [Spanish] [Chinese] [Vietnamese] Updated October 27, 2022
Notice of Authorization of Services
English
Last Updated: 10/31/2017
Spanish
Last Updated: 10/31/17
Nondiscrimination Notice & Taglines - [English] [Spanish] [Chinese] [Vietnamese] Updated October 27, 2022
Notice of Dismissal of Coverage
English
Last Updated:03/10/2022
Spanish
Last Updated:03/10/2022
Chinese
Last Updated:03/10/2022
Vietnamese
Last Updated:03/10/2022
Nondiscrimination Notice & Taglines - [English] [Spanish] [Chinese] [Vietnamese] Updated October 27, 2022
Notice of Medicare Non-Coverage
English
Last Updated: 10/31/2017
Spanish
Last Updated: 10/31/2017
Nondiscrimination Notice & Taglines - [English] [Spanish] [Chinese] [Vietnamese] Updated October 27, 2022
Notice of Reinstatement of Coverage
English
Last Updated: 10/31/2017
Spanish
Last Updated: 10/31/2017
Nondiscrimination Notice & Taglines - [English] [Spanish] [Chinese] [Vietnamese] Updated October 27, 2022
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NEW D-SNP Letter Templates
These templates should not be used until the effective date of January 2, 2023. Please continue using the current Medicare DualChoice letter templates currently seen on this webpage for the remainder of 2022.
A complete template includes all documents listed under each template in the order specified listed. Changes can only be made to highlighted areas, any changes made outside of the highlighted areas are strictly prohibited by CMS.
Click on the title to expand the menu and download desired document.
AOR Dismissal Letter
English
Last Updated: 09/26/2022
Spanish
Last Updated:09/26/2022
Chinese
Last Updated:09/26/2022
Vietnamese
Last Updated:09/26/2022
Nondiscrimination Notice, Taglines, Language Insert - [English] [Spanish] [Chinese] [Vietnamese] Updated February 21, 2023
AOR Request Letter
English
Last Updated: 09/26/2022
Spanish
Last Updated:09/26/2022
Chinese
Last Updated:09/26/2022
Vietnamese
Last Updated:09/26/2022
Nondiscrimination Notice, Taglines, Language Insert - [English] [Spanish] [Chinese] [Vietnamese] Updated February 21, 2023
Continuity of Care - Notice of Authorization
English
Last Updated: 09/26/2022
Spanish
Last Updated:09/26/2022
Chinese
Last Updated:09/26/2022
Vietnamese
Last Updated:09/26/2022
Nondiscrimination Notice, Taglines, Language Insert - [English] [Spanish] [Chinese] [Vietnamese] Updated February 21, 2023
Continuity of Care – Notice of Termination
English
Last Updated: 09/26/2022
Spanish
Last Updated:09/26/2022
Chinese
Last Updated:09/26/2022
Vietnamese
Last Updated:09/26/2022
Nondiscrimination Notice, Tagline, Language Insert - [English] [Spanish] [Chinese] [Vietnamese] Updated February 21, 2023
Detailed Explanation of Non-Coverage
English
Last Updated: 09/26/2022
Spanish
Last Updated:09/26/2022
Chinese
Last Updated:09/26/2022
Vietnamese
Last Updated:09/26/2022
Nondiscrimination Notice, Taglines, Language Insert - [English] [Spanish] [Chinese] [Vietnamese] Updated February 21, 2023
Detailed Notice of Discharge
English
Last Updated: 12/20/2022
Spanish
Last Updated:12/20/2022
Chinese
Last Updated:12/20/2022
Vietnamese
Last Updated:12/20/2022
Nondiscrimination Notice, Taglines, Language Insert - [English] [Spanish] [Chinese] [Vietnamese] Updated February 21, 2023
Expedited Criteria Not Met
English
Last Updated: 09/26/2022
Spanish
Last Updated: 09/26/2022
Chinese
Last Updated: 09/26/2022
Vietnamese
Last Updated: 09/26/2022
Nondiscrimination Notice, Taglines, Language Insert - [English] [Spanish] [Chinese] [Vietnamese] Updated February 21, 2023
Extension Needed for Additional Information
English
Last Updated: 09/26/2022
Spanish
Last Updated: 09/26/2022
Chinese
Last Updated: 09/26/2022
Vietnamese
Last Updated: 09/26/2022
Nondiscrimination Notice, Taglines, Language Insert - [English] [Spanish] [Chinese] [Vietnamese] Updated February 21, 2023
Informational Letter to Beneficiary and PCP
English
Last Updated: 09/26/2022
Spanish
Last Updated: 09/26/2022
Chinese
Last Updated: 09/26/2022
Vietnamese
Last Updated: 09/26/2022
Nondiscrimination Notice, Taglines, Language Insert - [English] [Spanish] [Chinese] [Vietnamese] Updated February 21, 2023
Notice of Authorization of Services
English
Last Updated: 09/27/2022
Spanish
Last Updated: 09/27/2022
Chinese
Last Updated: 09/27/2022
Vietnamese
Last Updated: 09/27/2022
Nondiscrimination Notice, Taglines, Language Insert - [English] [Spanish] [Chinese] [Vietnamese] Updated February 21, 2023
Notice of Dismissal of Coverage Request
English
Last Updated: 09/26/2022
Spanish
Last Updated: 09/26/2022
Chinese
Last Updated: 09/26/2022
Vietnamese
Last Updated: 09/26/2022
Nondiscrimination Notice, Taglines, Language Insert - [English] [Spanish] [Chinese] [Vietnamese] Updated February 21, 2023
Notice of Medicare Non-Coverage
English
Last Updated:09/27/2022
Spanish
Last Updated:09/27/2022
Chinese
Last Updated:09/27/2022
Vietnamese
Last Updated:09/27/2022
Nondiscrimination Notice, Taglines, Language Insert - [English] [Spanish] [Chinese] [Vietnamese] Updated February 21, 2023
Cancelled Relocation Letter
English
Last Updated: 09/22/2022
Spanish
Last Updated:09/22/2022
Chinese
Last Updated:09/22/2022
Vietnamese
Last Updated:09/22/2022
Nondiscrimination Notice, Taglines, Language Insert - [English] [Spanish] [Chinese] [Vietnamese] Updated February 21, 2023
Long-Term Care IPA and PCP Change Letter
English
Last Updated: 09/26/2022
Spanish
Last Updated:09/26/2022
Chinese
Last Updated:09/26/2022
Vietnamese
Last Updated:09/26/2022
Nondiscrimination Notice, Taglines, Language Insert - [English] [Spanish] [Chinese] [Vietnamese] Updated February 21, 2023
Coverage Decision Letter Part B - 7 Day Appeal
English
Last Updated: 10/03/2022
Spanish
Last Updated:10/03/2022
Chinese
Last Updated:10/03/2022
Vietnamese
Last Updated:10/03/2022
*Additional Information for IPAs: Please include the integrated Coverage Decision Letter, the most recent IMR form, application instructions, DMHC’s toll-free telephone number, and an envelope addressed to DMHC.
Nondiscrimination Notice, Taglines, Language Insert - [English] [Spanish] [Chinese] [Vietnamese] Updated February 21, 2023
Independent Medical Review (IMR) Form - [English] [Spanish] [Chinese] [Vietnamese] Updated January 01, 2023
State Fair Hearing Form - [English] [Spanish] [Chinese] [Vietnamese] Updated September 01, 2021
Coverage Decision Letter Medical – 30 Day Appeal
English
Last Updated: 10/03/2022
Spanish
Last Updated:10/03/2022
Chinese
Last Updated:10/03/2022
Vietnamese
Last Updated:10/03/2022
*Additional Information for IPAs: Please include the integrated Coverage Decision Letter, the most recent IMR form, application instructions, DMHC’s toll-free telephone number, and an envelope addressed to DMHC.
Nondiscrimination Notice, Taglines, Language Insert - [English] [Spanish] [Chinese] [Vietnamese] Updated February 21, 2023
Independent Medical Review (IMR) Form - [English] [Spanish] [Chinese] [Vietnamese] Updated January 01, 2023
State Fair Hearing Form - [English] [Spanish] [Chinese] [Vietnamese] Updated September 01, 2021
Coverage Decision Letter - Claims
English
Last Updated: 11/22/2022
Spanish
Last Updated:11/22/2022
Chinese
Last Updated:11/22/2022
Vietnamese
Last Updated:11/22/2022
Nondiscrimination Notice, Taglines, Language Insert - [English] [Spanish] [Chinese] [Vietnamese] Updated February 21, 2023
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Medicare
Certificates of Medical Necessity (CMN) & DME Information Forms (DIF)
Positive Airway Pressure Devices for Obstructive Sleep Apnea (PDF)
Enteral and Parenteral Nutrition (PDF)
External Infusion Pump (PDF)
Osteogenesis Stimulators (PDF)
Oxygen (PDF)
Seat Lift Mechanisms (PDF)
Continuation Form (PDF)
Transcutaneous Electrical Nerve Stimulator (TENS) (PDF)
Pneumatic Compression Device (PDF)
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Non-Contracted Providers
To submit a referral to IEHP, please fill out the referral form below, include all clinical notes and fax it to IEHP. If you are referring back to yourself, please indicate such. If you need IEHP to direct the referral, please indicate that on the form.
Referral Authorization Request Form - Non-Contracted Providers (PDF)
If you are interested in becoming a network Provider, please click here.
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Perinatal
IEHP provides standard risk assessment forms that can be used by all Providers of obstetrical (OB) services. Please refer to IEHP Provider Policy 10D1, "Obstetrical Services, Guidelines for Obstetrical Services" for further detail. To obtain copies, simply click on the links below.
Edinburgh Postnatal Depression Screening Tool - English (PDF)
Edinburgh Postnatal Depression Screening Tool - Spanish (PDF)
ACOG Antepartum Record (PDF)
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Pharmacy
Click here for Pharmacy forms.
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Provider Preventable Conditions (PPC)
By clicking on these links, you will be leaving the IEHP website.
On May 23,2017, the Department of Healthcare Services (DHCS) released All Plan Letter (APL) 17-009, reporting requirements related to Provider Preventable Conditions. In conjunction, DHCS released Dual Plan Letter (DPL) 17-002. As part of these instructions, the Health Plan, Network Providers, Delegates, Contracted Hospitals, and ambulatory surgical centers must report using PPC Form on DHCS secure online portal for both Medicare and Medi-Cal lines of business.
Further information is available on the following pages:
Instructions for Completing Online Reporting of PPCs
Medi-Cal Guidance on Reporting Provider-Preventable Conditions
Frequently Asked Questions
All Plan Letter (APL) 17-009
Duals Plan Letter (DPL) 17-002
PPC Form
Medicare and Medi-Cal lines of business must follow the instructions below:
Providers are REQUIRED to send a copy of the completed PPC submission from the DHCS secure online portal to IEHP by fax at (909) 890-5545 within five (5) business days of reporting to DHCS;
IEHP does not pay Provider claims nor reimburse a Provider for a PPC, in accordance with 42 CFR Section 438.3(g) and IEHP's three-way Cal MediConnect contract. Per IEHP policy and the Coordinated Care Initiative 3-Way Contract, IEHP reserves the right to recover or recoup any claim related to a PPC;
As outlined in both the APL/DPL - Reporting Requirements related to Provider Preventable Conditions, the following classify as PPCs and must be reported:
Category 1 - HCACs (For Any Inpatient Hospital Setting in Medicaid)
Any unintended foreign object retained after surgery
A clinically significant air embolism
An incidence of blood incompatibility
A stage III or stage IV pressure ulcer that developed during the patient's stay in the hospital
A significant fall or trauma that resulted in fracture, dislocation, intracranial injury, crushing injury, burn, or electric shock
A catheter-associated urinary tract infection
Vascular catheter-associated infection
Any of the following manifestations of poor glycemic control: diabetic ketoacidosis; nonketotic hyperosmolar coma; hypoglycemic coma; secondary diabetes with ketoacidosis; or secondary diabetes with hyperosmolarity
A surgical site infection following:
Coronary artery bypass graft (CABG) - mediastinitis
Bariatric surgery; including laparoscopic gastric bypass, gastroenterostomy, laparoscopic gastric restrictive surgery
Orthopedic procedures; including spine, neck, shoulder, elbow
Cardiac implantable electronic device procedures
Deep vein thrombosis/pulmonary embolism following total knee replacement or hip replacement with pediatric and obstetric exceptions
Latrogenic pneumothorax with venous catheterization
A vascular catheter-associated infection
Category 2 - Other Provider Preventable Conditions (For Any Health Care Setting)
Wrong surgical or other invasive procedure performed on a patient
Surgical or other invasive procedure performed on the wrong body part
Surgical or other invasive procedure performed on the wrong patient
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UM/CM
Acute Hospital Discharge Needs Request Form (PDF)
Authorization for Use and/or Disclosure of Patient Health Information - English (PDF)
Authorization for Use and/or Disclosure of Patient Health Information - Spanish (PDF)
Care Management Referral Form (PDF)
Consent for HIV Test - English (PDF)
Consent for HIV Test - Spanish (PDF)
Health Risk Assessment (HRA) - IEHP DualChoice (HMO D-SNP) - English (PDF) - effective 1/1/2023
Health Risk Assessment (HRA) - IEHP DualChoice (HMO D-SNP) - Spanish (PDF) - effective 1/1/2023
Health Risk Assessment (HRA) - IEHP DualChoice (HMO D-SNP) - Chinese (PDF) - effective 1/1/2023
Health Risk Assessment (HRA) - IEHP DualChoice (HMO D-SNP) - Vietnamese (PDF) - effective 1/1/2023
HIV Testing Sites - Riverside and San Bernardino (PDF)
Home Health Check Off List (PDF)
Home Modification Consent Form - English (PDF) - effective 04/01/2023
Home Modification Consent Form - Spanish (PDF) - effective 04/01/2023
Home Modification Consent Form - Chinese (PDF) - effective 04/01/2023
Home Modification Consent Form - Vietnamese (PDF) - effective 04/01/2023
Long Term Care (LTC) Data Sheet (PDF)
Non-Emergency Medical Transportation (NEMT) Physician Certification Statement (PCS) (PDF)
Referral Form (PDF)
Service Request for Skilled Nursing Facilities (PDF)
SNF Initial Review (PDF)
SNF Follow-up Review (PDF)
Standing Referral and Extended Access Referral to Specialty Care (PDF)
Sterilization Consent Form PM-330
PM-330 Form - Tips and Example (PDF)
PM-330 Form - English (PDF)
PM-330 Form - Spanish (PDF)
Transportation Requests Form (SNF & LTC) (PDF)
Transportation Requests Form (Hospital) (PDF)
Wound Assessment - Admission (PDF)
Wound Assessment - Follow - Up (PDF)
Wound Assessment - Addendum (PDF)
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Vision
Ophthalmologist Referral Form (PDF)
Vision Exception Request (VER) Form (PDF)
PCP Vision Report Form (PDF)
IEHP Lab Form (PDF)
Medi-Cal Non-Covered Services/Materials Waiver Form-English (PDF)
Medi-Cal Non-Covered Services/Materials Waiver Form-Spanish (PDF)
Medi-Cal Non-Covered Services/Materials Waiver Form-Chinese (PDF)
Medi-Cal Non-Covered Services/Materials Waiver Form-Vietnamese (PDF)
The following IEHP DualChoice (HMO D-SNP) Letters will be effective January 1, 2023:
IEHP DualChoice (HMO D-SNP) Non-Covered Services/Materials Waiver Form-English (PDF)
IEHP DualChoice (HMO D-SNP) Non-Covered Services/Materials Waiver Form-Spanish (PDF)
IEHP DualChoice (HMO D-SNP) Non-Covered Services/Materials Waiver Form-Chinese (PDF)
IEHP DualChoice (HMO D-SNP) Non-Covered Services/Materials Waiver Form-Vietnamese (PDF)
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Other
Authorization of Release - Use & Disclosure of PHI - English (PDF)
Authorization of Release - Use & Disclosure of PHI - Spanish (PDF)
CMS 1696 Appointment of Representative - English (PDF)
CMS 1696 Appointment of Representative - Spanish (PDF)
Contracts Maintenance Request Form (PDF)
Provider Services Materials Request Form (PDF)
2017 Model Output Report (MOR) Data File Layout (PDF)
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You will need Adobe Acrobat Reader 6.0 or later to view the PDF files. You can download a free copy by clicking here.
MediCal - Non-Contracted Providers
s for Contracted and Non-Contracted Providers
Emergency and Post-Stabilization Care for IEHP Members
IEHP DualChoice (HMO D-SNP) Model of Care Training for Non-Contracted Providers
Provider Referral Outside of the IEHP Network
Provider Dispute Resolution Process for Contracted and Non-Contracted Providers
Definition of a Provider Dispute
A provider dispute is a written notice from the provider to Inland Empire Health Plan (IEHP) that:
Challenges, appeals, or appeals, or requests reconsideration of a claim (including a bundled group of similar claims) that has been denied, adjusted, or contested
Challenges a request for reimbursement for an overpayment of a claim
Seeks resolution of a billing determination or other contractual dispute
What is not Considered to be a Provider Dispute
Claims denied for missing or additional documentation requirements such as consent forms, invoices, Explanation of Benefits from primary carrier, or itemized bills are not considered Provider Disputes
Corrected Claims
Pre-Service Authorization Denials
Provider Dispute Time Frame
IEHP accepts disputes from providers if they are submitted within 365 days of receipt of IEHPs decision (for example, IEHPs Remittance Advice (RA) indicating a claim was denied or adjusted).
Submission of Provider Disputes
When submitting a provider dispute, a provider should use a Provider Dispute Resolution Request form. If the dispute is for multiple, substantially similar claims, complete the spreadsheet on page 2 of the Provider Dispute Resolution Request Form
All Provider Disputes and supporting information must be submitted to:
IEHP Claims Appeal Resolution Unit
PO BOX 4319
Rancho Cucamonga, CA 91729-4349
Acknowledgement of Provider Dispute
IEHP acknowledges receipt of each provider dispute, regardless of whether the dispute is complete, within 15 business days of receipt.
Resolution Timeframe
IEHP resolves each provider dispute within 45 business days following receipt of the dispute, and provides the provider with a written determination stating the reasons for determination.
PDR Determination Resulting in Additional Payment
If IEHP determines to pay additional monies based on information originally provided and/or available at the time the claim was first presented to IEHP for adjudication, or a result of a processing error IEHP will automatically include the appropriate interest amount if payment is not issued within required regulatory timeframes.
Non-Contracted Provider Disputes Resolution Process for IEHP DualChoice (HMO D-SNP)
A non-contracted provider, on his or her own behalf, is permitted to file a standard appeal for a denied claim only if the non-contracted provider completes a waiver of liability statement, which provides that the non-contracted provider will not bill IEHP DualChoice (HMO D-SNP) Plan Members.
Who to Call with Questions on IEHPs PDR Process
Contracted providers may visit our online secure provider portal at www.iehp.org for more information. Providers may also call the IEHP Provider Call Center at (909) 890-2054 or (866) 223-4347 Monday-Friday, 8:00 am to 5pm PST.
(Back to Non-Contracted Providers Menu)
Emergency and Post-Stabilization Care for IEHP Members
Triage and Advice Systems
IEHP provides Members triage, screening, and advice services by telephone 24 hours a day, 7 days a week through its Nurse Advice Line (NAL). By calling the NAL, Members receive assistance with access to urgent or emergency services from an on-call physician, or licensed triage personnel. IEHP Members can reach this 24/7 Nurse Advice Line at (888)-244-IEHP (4347) or 711 (TTY).
Post-Stabilization Care
IEHP requires contracted and non-contracted hospitals to obtain prior authorization for post-stabilization care for Members (patients). IEHP requests the patient’s diagnosis as indicated by the treating physician or surgeon and any other information reasonably necessary for the Plan to decide on whether to authorize post-stabilization care or to assume management of the patient’s care by prompt transfer to another facility. The hospital should request prior authorization from IEHP’s Utilization Management (UM) Department by:
Phone at (866) 649-6327; or
Fax at (909) 477-8553 to send clinical notes for medical necessity review.
IEHP makes every effort to respond to requests for necessary post-stabilization care within thirty (30) minutes of receipt. The services are considered approved if IEHP does not respond within this timeframe. All subsequent hospital day are subject to review for medical necessity.
IEHP will inform the provider of the Plan’s decision and will coordinate the transfer of the Member if IEHP denies the request for authorization of post-stabilization care and elects to transfer the Member to another health care provider.
Non-Emergency Services
If a Member presents at the emergency department for non-emergency services, please refer the Member to their IEHP Member Handbook, section 3 (How to Get Care), which outlines the process for obtaining a referral.
Claims Reimbursement
Complete facility claims for authorized health care services must be sent to:
Inland Empire Health Plan
Attn: Claims Department – IEHP Direct
PO BOX 4349
Rancho Cucamonga, CA 91729-4349
Complete professional claims for authorized health care services must be sent to:
For IEHP-Direct Members, please send to address above.
For IEHP Members assigned to an IPA, please click for here for more information on how to send to the appropriate IPA.
Billing IEHP Members
Providers under the Medi-Cal program must not submit claims to, demand or otherwise collect reimbursement from a Medi-Cal beneficiary, or from other persons on behalf of the beneficiary, for any service included in the Medi-Cal program’s scope of benefits in addition to a claim submitted to the Medi-Cal program for that service.
IEHP DualChoice (HMO D-SNP) Model of Care Training for Non-Contracted Providers
The Centers for Medicare & Medicaid Services (CMS), the Department of Health Care Services (DHCS), and National Committee for Quality Assurance (NCQA) requirement that out-of-network providers routinely seen by IEHP DualChoice (HMO D-SNP) Members, receive training on IEHPs Model of Care for our D-SNP Members:
IEHP DualChoice (HMO D-SNP) Model of Care Training (PDF)
IEHP DualChoice (HMO D-SNP) Model of Care Training (HTML)
*We recommend opening file in: Mozilla Firefox, MS Edge, Chrome or MS Internet Explorer
2023 IEHP DualChoice (HMO D-SNP) Model of Care eAOR
2023 IEHP DualChoice (HMO D-SNP) Model of Care Non-Contracted Provider AOR (PDF)
Report an Issue
To report any issues with this system or process or for any questions, please send an email to DGHospitalRelationsServiceTeam@iehp.org
(Back to Non-Contracted Providers Menu)
Provider Referral Outside of the IEHP Network
In cases where an out-of-network provider that has been approved to provide service(s) to an IEHP Member and needs to refer said IEHP Member to another out-of-network provider, the approved out-of-network provider must first contact the Member’s IPA to request the referral. The Member’s IPA will review the request for referral and provide a decision within regulatory timeframes. The Member’s IPA will approve the request if it is deemed medically necessary and if IEHP or the IPA does not have an appropriate alternative provider available within its network.
If you have any questions or if you would like to request a referral, please reach out to the Member’s IPA.
(Back to Non-Contracted Providers Menu)
You will need Adobe Acrobat Reader 6.0 or later to view the PDF files. You can download a free copy by clicking here.
MediCal - Medi-Cal Renewal Process
s the Medi-Cal Renewal process, is currently underway across our state. This initiative is the biggest challenge facing the Medi-Cal program in its history.
Up to 400,000 IEHP Members could potentially lose their Medi-Cal coverage if they don't complete the necessary renewal paperwork on time.
The impact on Providers across the entire healthcare system will be significant, potentially resulting in:
Increased use of the emergency department for primary care
Decreased capacity of bed availability
Delays in hospital discharges while awaiting coverage
Increased length of stay for patients with delayed preventative or chronic care
Increased cost of care
Interruptions of ongoing care
However, with every challenge comes opportunities to help our collective health care mission and partnership grow even stronger.
IEHP takes this challenge seriously and we are committed to helping Members keep their Medi-Cal coverage and Providers keep their assigned Members without interruption.
Resources to Help with the Medi-Cal Renewal Process
The following resources for Providers offer more information about the Medi-Cal Renewal process and tools to help your office proactively engage and encourage Members to renew their Medi-Cal coverage on time.
Medi-Cal Renewal Flyers and Provider Information
IEHP Medi-Cal Renewal Flyer for Members PDF – (English, Spanish, Chinese, Vietnamese)
Annual Eligibility Renewal (AER) FAQs
Medi-Cal Redetermination PowerPoint presentation - (Providers and IPAs)
Department of Health Care Services (DHCS) Toolkits – Medi-Cal Continuous Coverage Requirement
IEHP Eligibility Renewal Support Team
IEHP’s Eligibility Renewal Support team is here to answer calls from Members needing more one-on-one support during the Medical-Renewal process!
We support:
Application print outs
Online submissions via BenefitsCal.com
Assistance in connecting with the appropriate county department
Serving as a centralized eligibility hub for all eligibility-related issues (on hold, disenrolled, out of area, etc.)
Helping Members update contact information (national change of address, undeliverable address, etc.)
Please let your patients and our Members know that additional application support is just a phone call away.
IEHP Eligibility Renewal Support Team Hotline
Phone and Hours of Operation: 1-888-860-1296, Monday-Friday, 8 am - 5 pm (PST)
Additional information for IEHP Members
Additional Communication from IEHP
IEHP’s Medi-Cal Renewal specific Provider Communication is provided here for your convenience as well as here on our Correspondence page:
May 04, 2023 - New: Annual Medi-Cal Eligibility Renewal (AER) Roster Now Available to Download Under CSV! (PDF)
April 17, 2023 - Now Live! Annual Medi-Cal Eligibility Renewal (AER) Alerts and Roster! (PDF)
April 06, 2023 - Phone Number CORRECTION: IEHP Eligibility Renewal Support Team First Round of Yellow Medi-Cal Renewal Packets Mailed to Members! (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.
MediCal - Pay for Performance (P4P)
(IEHP) Pay for Performance program, also known as P4P. IEHP’s P4P was designed to increase the provision of preventive health services to IEHP Members as well as improve HEDIS® results to ensure that all IEHP Direct DualChoice Members receive timely annual assessment visits with an emphasis on review and management of chronic illnesses.
IEHP Direct PCPs will be reimbursed directly by IEHP through the DualChoice Annual Visit program. PCPs participating in IEHP's network through an IPA only are not eligible for this program:
Overview (PDF)
DualChoice Annual Visit (PDF)
To learn more about P4P IEHP DualChoice Annual Visit, contact a Provider Services Representative at (909) 890-2054.
Click on the following links to jump to that specific section:
Provider Quality Incentives Brochure
Medicare P4P IEHP Direct
IEHP Direct Stars Incentive Program
D-SNP Model of Care Incentive Program
Global Quality P4P Program
OB/GYN P4P Program
Hospital P4P Program
Provider Quality Incentives Brochure
Inland Empire Health Plan (IEHP) is pleased to announce the 2022 Provider Quality Incentive Brochure.
2022 Provider Quality Incentive Brochure (PDF) | June 22, 2022
(Back to P4P Menu)
Medicare P4P IEHP Direct Program
Inland Empire Health Plan (IEHP) is pleased to announce the Medicare P4P IEHP Direct Program. The goal of the program is designed to reward IEHP Direct Primary Care Providers (PCPs) for providing quality care to IEHP DualChoice Members.
Medicare P4P IEHP Direct Program Guide (PDF) Published: February 16, 2023
(Back to P4P Menu)
IEHP Direct Stars Incentive Program
Inland Empire Health Plan (IEHP) is pleased to announce the IEHP Direct Stars Incentive Program for Primary Care Physicians (PCPs). The goal of the program is to reward PCPs who provide high-quality care to IEHP DualChoice (HMO D-SNP) members.
IEHP Direct Stars Incentive Program Guide (PDF) Updated: April 12, 2023
(Back to P4P Menu)
D-SNP Model of Care Incentive Program
Inland Empire Health Plan (IEHP) is pleased to announce the D-SNP Model of Care Incentive Program for Independent Physicians Associations (IPAs). The goal of the program is to reward IPAs who provide high-quality care to IEHP DualChoice (HMO D-SNP) members.
D-SNP Model of Care Incentive Program (PDF) Published: March 24, 2023
Chronic Care Improvement Program Planning and Reporting Document
The Chronic Care Improvement Program (CCIP) Planning and Reporting document can be used for the following D-SNP Model of Care Incentive Program activity: Chronic Care Improvement Program (CCIP) Activity.
CCIP Planning and Reporting Document (Word Document)
CCIP Planning and Reporting Document - Reference Guide (PDF)
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Global Quality P4P Program
If 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.
2023 IEHP Global Quality P4P Program Guide IPA (PDF) Published: April 21, 2023
2023 IEHP Global Quality P4P Program Guide PCP (PDF) Published: April 20, 2023
2022 IEHP Global Quality P4P Program Guide PCP (PDF) Published: April 20, 2023
2022 IEHP Global Quality P4P Program Guide IPA (PDF) Published: December 16, 2022
2022 Provider Quality Resource Guide (PDF) Published: July 14, 2022
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Quality Improvement Activity Strategy Forms
The Quality Improvement Activity (QIA) Strategy Forms can be used for the following 2023 and 2022 Global Quality P4P QIA Activities: Reducing Health Disparities and Potentially Avoidable Emergency Department Visits or Potentially Preventable Admissions.
2023 Equity Quality Improvement Activity #1 - Strategy Form (PDF)
2023 Quality Improvement Activity #2 - Strategy Form (PDF)
2022 Equity Quality Improvement Activity #1 - Strategy Form (PDF)
2022 Quality Improvement Activity #2 - Strategy Form (PDF)
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Potentially Avoidable Emergency Department (ED) Visits: Potentially Preventable Diagnosis Codes
The Potentially Preventable Diagnosis Code List includes diagnosis codes for visits to an ED in which the condition could be treated by a Physician or other health care Provider in a non-emergency setting or conditions that are potentially preventable or are ambulatory care sensitive.
Potentially Preventable Diagnosis List (PDF) Published: February 04, 2022
Patient Experience
This toolkit is full of proven tips and successful strategies based on the kinds of questions your IEHP Members could be asked to answer regarding their Provider's service. Your Provider Relations Team has targeted nine specific topics in this toolkit to help Providers and their staff continue to achieve the highest marks in Patient experience from their IEHP Members.
Serve Well Customer Service Toolkit (PDF)
Well Child
2021 Recommendations for Preventive Pediatric Health Care from the American Academy of Pediatrics (PDF)
Immunizations
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:
2023 Immunization Timing Chart - English (PDF)
2023 Immunization Timing Chart - Spanish (PDF)
2023 Immunization Timing Chart - Chinese (PDF)
2023 Immunization Timing Chart - Vietnamese (PDF)
Immunization Updates (PDF)
2023 Recommended Child and Adolescent Immunization Schedule (0-18 years) (PDF)
2023 Recommended Adult Immunization Schedule (19+ years) (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).
Grow Well Childhood Immunization Toolkit for Providers (PDF)
This toolkit contains commonly used immunization codes, best practices for reporting immunizations including information on registering with CAIR, tips on talking with parents and information on understanding vaccination hesitancy.
CAIR2 Resource Guide (PDF)
This guide contains helpful links and contact information for locations to register for CAIR2 or current users.
Reimbursement process:
Complete a CMS1500 form by including the appropriate CPT codes, quantity dispensed and billed amount.
Mail:
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.
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Quality Bonus Services Dispute Form
Please e-mail completed forms to QualityPrograms@iehp.org
Quality Bonus Service Dispute Request Form (PDF)
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OB/GYN P4P Program
Inland Empire Health Plan (IEHP) has released the OB/GYN P4P Program Guide which details the program requirements, performance measures, updated code sets, and payment timelines.
OB/GYN P4P Program Guide (PDF) Published: January 01, 2023
OB P4P Frequently Asked Questions FAQs (PDF) Published: February 13, 2023
Postpartum Depression Screening (PDF)
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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.
2023 Hospital P4P Program Guide (PDF) Published: May 9, 2023
2023 Hospital P4P Program Guide (PDF) Published: March 23, 2023
P4P 2023 MX Data Contributions (PDF) Published: February 02, 2023
IEHP P4P 2023 Data Guidelines (PDF) Published: February 02, 2023
2022 Hospital P4P Program Guide (PDF) Published: March 20, 2023
P4P 2022 MX Data Contribution (PDF) Published: April 18, 2022
P4P 2022 MX Data Guidelines (PDF) Published: April 18, 2022
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Potentially Avoidable Emergency Department (ED) Visits: Potentially Preventable Diagnosis Codes
The Potentially Preventable Diagnosis Code List includes diagnosis codes for visits to an ED in which the condition could be treated by a Physician or other health care Provider in a non-emergency setting or conditions that are potentially preventable or are ambulatory care sensitive.
Potentially Preventable Diagnosis List (PDF) Published: February 04, 2022
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Substance Use Disorders and Mental Health Diagnosis Lists
The Substance Use Disorders and Mental Health Diagnosis Lists includes diagnosis codes to identify substance use disorders, drug overdose, mental health or intentional self-harm diagnoses.
Mental Health Diagnosis List (PDF) Published: February 02, 2022
Substance Use Disorders Diagnosis List (PDF) Published: February 02, 2022
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You will need Adobe Acrobat Reader 6.0 or later to view the PDF files. You can download a free copy by clicking here
Recursos para la Salud - Vida Saludable
activas para averiguarlo! Puede responder cuestionarios breves y obtener consejos sobre lo que puede hacer para mantenerse saludable.
Herramientas Interactiveas
Dejar de Fumar y de Consumir Tabaco
Actividad Física
Alimentación Saludable
Controlar el Estrés
Cómo Evitar el Consumo Riesgoso de Alcohol
Cómo Identificar los Síntomas de la Depresión
Peso Saludable
Recursos adicionales
Al hacer clic en estos enlaces a continuación usted saldrá del sitio web de IEHP.
Manual para el Cuidado Personal - Este manual cubre información sobre los temas anteriores. Si desea solicitar una copia impresa del manual para el Cuidado Personal, Llame a Servicios para Miembros de IEHP al 1-800-440-IEHP (4347), lunes – viernes, 7am – 7pm y sábados – domingos, 8am – 5pm. Los usuarios de TTY deben llamar al 1-800-718-4347.
Calcule su índice de Masa Corporal (IMC) – para adultos de 20 años en adelante
Calcule su índice de Masa Corporal (IMC) – para niños y jóvenes de 2 a 19 años
Vea el siguiente video para aprender cómo registrarse para las Clases de Educación en Salud de IEHP.
Niños y Adolescentes - Salud de los Adolescentes
os adolescentes van a la escuela, salen con amigos, hacen deportes y van a bailar. ¡Pero eso no es todo! También toman decisiones importantes sobre su futuro durante ese tiempo de transición. Muchas de las decisiones que toman los adolescentes afectarán su salud a medida que crecen. IEHP quiere ayudar a asegurar que los adolescentes tomen las decisiones más saludables posibles.
IEHP quiere asegurarse de que los adolescentes se mantengan alejados de los hábitos de riesgo, como:
Tabaquismo
Consumo de alcohol y otras sustancias
Mantener relaciones sexuales sin protección
Faltar a la escuela
IEHP desea promover hábitos saludables como:
Tener una dieta saludable y equilibrada
Cuidar la salud mental de los adolescentes
Hacer ejercicio
Dormir lo suficiente
Consultar al doctor de manera regular
¿Busca información?
Visite los siguientes enlaces para obtener información y herramientas útiles sobre temas de salud para adolescentes. Al hacer clic en los enlaces a continuación usted saldrá del sitio web de IEHP.
Centros para el Control y la Prevención de Enfermedades (CDC)
Departamento de Salud y Servicios Humanos de EE.UU.: Office of Adolescent Health (sitio solo en ingles)
Plan Updates - Correspondence
here.
TITLE
DATE
RECIPIENTS
June 2023
2023 Underutilization Reports Available - Comp Diabetes Care HbA1c Testing Measure Replaced
06/07
All IPAs
ACTION REQUIRED - 2023 HIV/AIDS Specialist Survey
06/07
All IEHP Direct PCPs & Specialists
Updates to AB 1184 - Confidential Communication of Medical Information Involving Sensitive Services
06/05
All Medi-cal Providers & IPAs
IPA Monthly Interim PM Changes
06/05
All IPAs
REMINDER: DHCS APL 23-010 -Behavioral Health Treatment Coverage for Members Under the Age of 21
06/05
All BHT Providers
sFTP Critical Vulnerability Detected!
06/02
All IPAs, Hospitals & SNFs
New DHCS Drug Use Review (DUR) Board Educational Articles
06/02
All PCPs & OB/GYNs
REMINDER - AB 1184 Confidential Communication Request (CCR), Effective June 2, 2023
06/01
Medi-Cal IPAs
Updated IEHP sFTP Retention Policy
06/01
EDI Trading Partners
May 2023
REMINDER – Review the Early Start Roster the Portal
05/30
All Medi-Cal IPAs and PCPs
ACTION REQUESTED: Empowering Members, Resolving Non-Compliance: Provider - Patient Collaboration
05/26
All PCPs, OBGYNs, & Pediatricians
NCQA Health Equity Race and Ethnicity Data Collection
05/26
All PCPs, Specialists, BH, BHT & Vision Providers
SAVE THE DATE - DHCS EVV Office Hours - June 6th, 12th & 30th
05/26
All EVV Impacted Providers & Individual Nurse Providers
UPDATE - PASRR Requirements for SNFs
05/25
Skilled Nursing Facilities
Reminder: Utilize Member Alternate Contact Information for AER Outreach!
05/25
All PCPs, Specialists & BH Providers
Weekly Sessions: Achieve IEHPs P4P MX Connectivity Measure - Deadline Approaching
05/24
All Medi-Cal PCPs
Month-End IEHP Outbound 834 File Update
05/24
IEHP 834 Trading Partners
REMINDER - DHCS Quarterly Timely Access Survey
05/23
All Medi-Cal PCPs, Specialists, BH & Ancillary
UPDATE - Independent Medical Review (IMR) Forms
05/23
All Medi-Cal IPAs
Memorial Day Holiday
05/22
All IEHP Providers and IPAs
UPDATE - PASRR Requirements for GACHs
05/19
All General Acute Care Hospitals
Provider Portal – Sub User Account Types and Access Levels
05/19
All IEHP Providers
UPDATE - PASRR Requirements for SNFs
05/19
All Skilled Nursing Facilities
APL 23-005 EPSDT
05/19
All Medi-Cal PCPs
APL 23-005 EPSDT
05/19
All Medi-Cal IPAs
Termination - SNF COVID-19 Per Diem Rate
05/17
All Skilled Nursing Facilities
2023 GQ P4P PCP - MX Deadline Reminder
05/17
All GQ P4P PCP Providers
Medicare P4P IEHP Direct Blood Pressure Control Billing Guidance
05/16
All Direct DualChoice PCPs
REMINDER - 2023 Global Quality P4P Program - CAIR2 Participation Requirement
05/15
All Medi-Cal PCPs
Notice – APL 23-004 (Supersedes APL 22-018) – Skilled Nursing Facilities – Long Term Care Benefit Standardization and Transition of Members to Managed Care
05/12
All Skilled Nursing Facilities
Behavioral Health Training Webinar – June 14, 2023
05/12
All BH Providers
Behavioral Health Treatment Training Webinar - June 7, 2023
05/12
All BHT Providers
Manifest MedEx Provider Listening Session
05/10
All PCPs, Specialists & IPAs
Pharmacy Recalls, Withdrawals & Safety Alerts for April 2023
05/10
All IEHP PCPs, All IEHP Pharmacy Providers
UPDATE-Treatment Authorization Process
05/10
All Skilled Nursing Facilities
IPA Monthly Interim PM Changes
05/08
All IPAs
NEW - Behavioral Health Transition of Care Tool Requirement
05/05
All PCPs & BH Providers
New COVID-19 Vaccine Status Alerts Added to the Provider Portal
05/05
All PCPs
SAVE THE DATE - DHCS EVV Office Hours - May 10th, 24th, 26th
05/05
EVV Impacted Providers & Individual Nurse Providers
NEW: Annual Medi-Cal Eligibility Renewal (AER) Roster Now Available to Download Under CSV!
05/04
All Medi-Cal PCPs & IPAs
REMINDER: Initial Health Appointment (IHA) Roster
05/04
Medi-Cal PCPs & IPAs
Notice - Release of APL 22-032 “Continuity of Care”
05/04
All IPAs
Retired/Revised - UM Authorization Guidelines
05/03
All IPA Administrators & Medical Directors
Global Quality P4P PCP – NEW 2023 Interim Reports
05/03
Medi-Cal PCPs & IPAs
ACTION REQUIRED - AB 1184 Delegate Response Due by May 9, 2023
05/02
Medi-Cal IPAs & Delegates
Phase III – Lift 3 - Medi-Cal Rx Transition Policy Change
05/02
Medi-Cal PCPs & Specialists
Care Management Monthly Medicare Log Templates & Attachments
05/01
Medicare IPAs
Care Management Monthly Medi-Cal Log Templates & Attachments
05/01
Medi-Cal IPAs
Maternal Wellness Event
05/01
OB/GYNs, BH, Hospitals, Medi-Cal PCPs & IPAs
IEHP Outbound Monthly 834 File Delay
05/01
834 Trading Partners
April 2023
REMINDER - IEHP Interpreter Service Benefit for Members!
04/28
All Providers & IPAs
Month-End IEHP Outbound 834 File Update
04/26
834 Trading Partners
Weekly Sessions - Achieve IEHPs P4P MX Connectivity Measure
04/25
All Medi-Cal PCPs
New! 2023 IEHP Direct Stars Incentive Program – Reports and Rosters
04/25
All Direct DualChoice PCPs
UPDATES - Global Quality P4P - IPA 2023 Program Guide
04/25
All Medi-Cal IPAs
UPDATES - Global Quality P4P - PCP 2023 Program Guide
04/25
All Medi-Cal PCPs
EVV CODE Changes Effective April 20
04/18
EVV Impacted Providers, Home Infusion Providers & Individual Nurse Providers
SAVE THE DATE - DHCS EVV Office Hours - April 24th & 27th
04/18
EVV Impacted Providers and Individual Nurse Providers
Now Live! Annual Medi-Cal Eligibility Renewal (AER) Alerts and Roster!
04/17
All Medi-Cal PCPs & IPAs
UPDATE - 2023 IEHP Direct Stars Incentive Program Guide
04/17
All Direct DualChoice PCPs
Care Plans and Health Risk Assessments (HRAs) Reminder
04/14
All PCPs, Specialists, SNFs and CBAs
REMINDER: 2023 Global Quality P4P Program - CAIR2 Participation Requirement
04/12
Medi-Cal PCPs
Weekly Sessions - Achieve IEHPs P4P MX Connectivity Measure
04/12
Medi-Cal PCPs
Choice90Rx Optimization Program
04/11
All DualChoice PCPs
UPDATE to eAuth (eReferral) Form - Referral Determination Date Goes Live!
04/11
Direct PCPs
Pharmacy Recalls - Withdrawals - Safety Alerts - January to March 2023
04/10
All IEHP PCPs & Pharmacy Providers
Phase III – Lift 1 - Medi-Cal Rx Transition Policy Change
04/10
All Medi-Cal PCPs & Specialists
The ABCs of ACOs (Accountable Care Organizations)
04/07
Physicians & Practice Administrators
POSTPONED - Addition of Referral Determination Date to e-Auth Form
04/07
Direct PCPs
UPDATE to eAuth (eReferral) Form - Referral Determination Date
04/06
Direct PCPs
Phone Number CORRECTION: IEHP Eligibility Renewal Support Team First Round of Yellow Medi-Cal Renewal Packets Mailed to Members!
04/06
Medi-Cal PCPs & IPAs
IEHP Outbound Daily 834 Delta File Delay
04/06
834 Trading Partners
2023 IEHP Direct Stars Incentive Program Kick Off Meeting
04/04
All Direct DualChoice PCPs
2023 IEHP DualChoice (HMO D-SNP) Plan Benefits
04/03
Medicare PCPs, Specialists, Vision Providers & IPAs
March 2023
New DHCS Drug Use Review (DUR) Board Educational Articles
03/31
All Medi-Cal PCPs & Specialists
IEHP DualChoice (HMO D-SNP): Known Billing Issue
03/31
All IEHP Pharmacy Providers
Pharmacy Recalls - Withdrawals - Safety Alerts - March 1-15, 2023
03/31
All IEHP PCPs & Pharmacy Providers
Pharmacy Recalls - Withdrawals - Safety Alerts - Dec 2022 to Feb 2023
03/31
All IEHP PCPs & Pharmacy Providers
Access Standards - Appointment Availability - BH
03/29
All BH Providers
Achieve IEHPs P4P MX Connectivity Measure - Weekly Sessions
03/29
All Medi-Cal PCPs
CMS Signature Requirement Guidelines for Member Medical Records
03/28
All PCPs, Specialists, BH Providers & IPAs
The PHE is ending - How Will this Affect your IEHP Members?
03/27
All Medi-Cal PCPs & IPAs
Month-End IEHP Outbound 834 File Update
03/27
All IEHP 834 Trading Partners
REMINDER – Action Required by March 31st - Blood Lead Survey
03/23
All Pediatricians, Family Practice & Community Clinics
REMINDER - IEHP Contracts with Call the Car for Transportation
03/23
All Hospital Administrators, SNFs & Dialysis Center
REVISED – UM Authorization Guidelines
03/22
All IPA Administrators, Medical Directors & BH Providers
Reminder Coordination of Care Reports and Rosters
03/21
All IPAs
2023 IEHP Direct Stars Incentive Program Guide Release
03/17
All Direct DualChoice PCPs
PHA - Increased Enteric Disease Activity - Shigella
03/17
All PCPs
Manifest MedEx Seminar - Achieve IEHP's MX Connectivity Quality Process Measure
03/17
All Medi-Cal PCPs
Phase III – Lift 1 - Medi-Cal Rx Transition Policy Change
03/16
All Medi-Cal PCPs & Specialists
RESPONSE REQUIRED – Provider Newsletter and Communication Survey
03/15
All PCPs, Specialists, Vision, BH & BHT Providers
REMINDER - 2023 Global Quality P4P Program - CAIR2 Participation Requirement
03/15
All Medi-Cal PCPs
Comprehensive Practice Optimization Workshop
03/15
All Riverside County PCPs
Medical Assistants: Enhancing Patient Safety & Reducing Liability Risks
03/15
All Riverside County PCPs
IEHP Coordination of Benefits Agreement (COBA) Implementation – Update
03/13
All PCPs, Specialists, Ancillary, & Hospitals
ACTION REQUIRED - Blood Lead Survey
03/13
All Pediatricians, Family Practice & Community Clinics
Opioid Attestation for Coverage Determinations and Removal of X-Waiver
03/10
All DualChoice Providers
Social Determinants of Health - Community Supports Services Referral Process
03/10
All PCPs, Behavioral Health Providers & IPAs
Complex Case Management (CCM) Program – Severe Chronic Conditions
03/08
All Medi-Cal IPAs, PCPs, Specialists, & Behavioral Health Providers
UPDATE - IEHP Coordination of Benefits Agreement (COBA) Implementation
03/07
All FQHCs, IHCs, & RHCs
REMINDER - Clean Claim Tool Guide Available
03/07
All Skilled Nursing Facilities
GQ P4P PCP – 2023 Program Guide Update - Social Determinates of Health Measure
03/03
All Medi-Cal PCPs
GQ P4P IPA – 2023 Program Guide Update - Social Determinates of Health Measure
03/03
All Medi-Cal IPAs
Encouraging Sexual History Taking for Patient Care and Partner Services
03/03
All PCPs
Encounter Data Submission Enhancements – Live Now!
03/02
All Direct PCPs
IEHP Global Quality P4P Manifest MedEx (MX) FAQs
03/02
All Medi-Cal PCPs & IPAs
Riverside County Medical Association - Physician Burnout Webinar
03/02
All Riverside and San Bernardino County PCPs
Riverside County Medical Association's 19th Annual Cruisin' Thru CME
03/02
All Riverside County PCPs
February 2023
CMS Alert - Fraudulent Activities and Monitoring Recommendations
02/28
All Medicare IPAs
Update to D-SNP Letter Template
02/24
All Medicare IPAs
Alternate Contact Information for Members Now Available!
02/23
All PCPs
Alzheimer's and Dementia Seminar (ECHO) - Beginning March 29th
02/23
All PCPs
Month-End IEHP Outbound 834 File Update
02/23
834 Trading Partners
RESPONSE REQUESTED – Provider Newsletter and Communication Survey
02/21
All PCPs, Specialists, Vision, BH and BHT Providers
UPDATE - Referral Timeline Standards for IEHP DualChoice (HMO D-SNP) Members
02/21
All Medicare IPAs
Skinny Gene Project - Diabetes Prevention Program (DPP)
02/21
All PCPs
Protocols for Emergency and Post-Stabilization Care for IEHP Members
02/17
All Hospitals
REMINDER - 2023 Global Quality P4P Program - CAIR2 Participation Requirement- PCPs
02/16
All Medi-Cal PCPs
Last Phase - Medi-Cal Rx Reinstatement of PAs for 46 Drug Classes, Including Medical Supplies - Eff. February 24th
02/14
All Medi-Cal PCPs & Specialists
Presidents' Day Holiday
02/13
All IEHP Providers & IPAs
RESPONSE REQUIRED – Provider Newsletter and Communication Survey
02/13
All PCPs, Specialists, Vision, BH and BHT Providers
New Provider Portal Alert - Inpatient Discharges
02/09
All PCPs
Quality Bonus Services RA’s Now Available!
02/09
All Medi-Cal PCPs
Ask DHCS – Open Office Hours for EVV Home Health Care Services – February 17, 2023
02/03
All EVV Impacted Providers & Individual Nurse Practitioners
UPDATE – Initial Health Appointment and Retirement of IHEBA/SHA
02/02
All Medi-Cal PCPs & IPAs
Transition to 30-day Coverage Determination Backdating
02/02
All LTC & SNF Providers
Redlands Community Hospital – Behavioral Health Unit Closed
02/01
All PCPs & BH Providers
UPDATE - Independent Medical Review Form
02/01
All Medicare IPAs
January 2023
KidsVaxGrant 3.0 Deadline to Apply is February 17, 2023
01/31
All Pediatricians and Family Practice PCPs
Effective February 1, 2023 - Call The Car Will Replace American Logistics Company (ACL) for ALL Member Transportation
01/31
All PCPs, Specialists, BH & IPAs
Provider Manual Acknowledgement of Receipt (AOR) Winners
01/27
All Providers
Crisis Recovery Resource Guide and Toolkit Available
01/27
All Community Support Services
REMINDER - BHT Providers Must Submit Exit Reports and Exit Letters!
01/27
All BHT (QASP) Providers
D-SNP Model of Care Incentive Program - 2023 Program Guide Release
01/26
All Medicare IPAs
Help Protect Members - Flu Vaccine Reminder
01/25
All PCPs
2023 Global Quality P4P PCP Kick Off Meeting
01/25
All Medi-Cal PCPs
2023 Global Quality P4P IPA Kick Off Meeting
01/25
All IPAs
An ECHO Learning Opportunity - Alzheimer's And Dementia Care - Weekly Sessions Begin Feb 16th
01/24
All PCPs
REMINDER - 2023 Global Quality P4P Program - CAIR2 Participation Requirement- PCPs
01/23
All Medi-Cal PCPs
REMINDER - 2023 Global Quality P4P Program - CAIR2 Participation Requirement- IPAs
01/23
All Medi-Cal IPAs
Response Requested by Thursday, January 26! - CBAS Emergency Remote Services (ERS)
01/23
All CBAS Providers
Global Quality P4P PCP Program - 2023 Program Guide Release
01/19
All Medi-Cal PCPs
UPDATE! Medi-Cal Letter Templates
01/17
All Medi-Cal IPAs
Emergency Resource Guide and Services – Flooding Services Available!
01/17
All Community Support Services Providers
Medicare P4P IEHP Direct – Blood Pressure Control Billing Guidance
01/13
All DualChoice PCPs
NEW! Regulatory Submission Response Files – MAO-004 XWalk
01/13
All Medicare IPAs
ALERT! 837 SBR04 Encounter Data Requirement Changes
01/13
All Medicare IPAs
IEHP DualChoice (D-SNP) Model of Care Training Requirement
01/12
All DualChoice Hospitals
IEHP DualChoice (D-SNP) Model of Care Training Requirement
01/10
All Medicare IPAs
IEHP DualChoice (D-SNP) Model of Care Training Requirement
01/10
All DualChoice Providers
IEHP Outbound 834 File Update
01/10
All 834 Trading Partners
IEHP HOLIDAY - Martin Luther King Jr. Day
01/09
All IEHP Providers
CORRECTION to Changes to Quarterly Workplan Requirements
01/05
All Medicare IPAs
LAST CHANCE to Win a $50 Gift Card - Submit 2023 Provider Policy and Provider Manual Acknowledgement of Receipt (AOR)
01/04
All IEHP Providers
2023 Population Health Management Academy
01/04
All Riverside County PCPs
CORRECTION - 2022 GQ P4P PCP - Quality Bonus Services Code Update
01/03
All Medi-Cal PCPs
December 2022
Outbound Eligibility File Delay on January 1, 2023
12/29
All IPAs and Ancillary Providers
REMINDER - CoverMyMeds - Prior Authorization Submission Method for Dual Choice Members– Effective January 1, 2023
12/29
All Dual Choice PCPs & Specialists
REMINDER - Pharmacy Benefits Manager (PBM) Change for DualChoice (HMO D-SNP) - Member Outreach in Process
12/29
All Dual Choice PCPS and Medicare IPAs
Access Standards – Appointment Availability - BH Providers
12/28
All Behavioral Health Providers
Mandatory Managed Care Enrollment (MMCE) Phase II - January 1, 2023
12/27
All Medi-Cal PCPs & Specialists
Access Standards – Appointment Availability - PCPs & OB/GYNs
12/27
All PCPs & OB/GYNs
Access Standards – Appointment Availability - Specialists
12/27
All Specialists
NEW! State Fair Hearing and Independent Medical Review Forms added to D-SNP Letter Templates (Effective January 2, 2023)
12/27
All Medicare IPAs
REMINDER - Help Your Members Update Their Contact Information!
12/22
All PCPs
2022 GQ P4P PCP - Quality Bonus Services Code Update
12/22
All Medi-Cal PCPs & IPAs
UPDATED! D-SNP Letter Templates (Effective January 2, 2023)
12/21
All Medicare IPAs
Phase II Wave I– Prior Authorization Submission – January 20, 2023
12/21
Medi-Cal PCPs & Specialists
Crossing the Line - Examining Professional, Personal, & Ethical Boundaries
12/21
Riverside County PCPs & Specialists
IEHP Outbound Daily 834 Delta File Delay
12/20
All 834 Trading Partners
Revised UM Authorization Guidelines
12/19
All IPA Administrators & Medical Directors
REMINDER - IEHP DualChoice (HMO D-SNP) begins Jan 2023
12/19
All Medicare PCPs, Specialists & BH Providers
OB P4P Program - Early Postpartum Visit Update
12/19
All Medi-Cal OB/GYNs
My Life. My Choice. - An Online Advanced Care Planning Program
12/16
All Dual Choice PCPs
REMINDER - CoverMyMeds - Prior Authorization Submission Method for Dual Choice Members– Effective January 1, 2023
12/16
All Dual Choice PCPs & Specialists
IEHP 2022-2023 Holiday Hours
12/15
All Providers & IPAs
2022 Global Quality P4P Program – Data Submission Deadlines for PCPs!
12/15
All Medi-Cal PCPs
2022 Global Quality P4P Program – Data Submission Deadlines for IPAs!
12/15
All Medi-Cal IPAs
CORRECTION– New Fax Number for Physician Certification Statements for Non-Emergency Medical Transportation
12/09
All Hospitals and SNFs
Medicare Formulary Changes for 2023 IEHP DualChoice (HMO D-SNP)
12/08
All Medicare PCPs, Specialists & IPAs
Pharmacy Recalls, Withdrawals & Safety Alerts - November 2022
12/07
All PCPs
REMINDER - Physician Certification Statement (PCS) Requirement
12/06
All PCPs, Specialists, BH & IPAs
EVV Home Health Care Services Open Office Hours – December 16th
12/06
EVV Impacted Providers & Individual Nurse Practitioners
Mpox (formerly Monkeypox) Vaccine Available through Local Health Departments
12/05
All Medi-Cal PCPs & IPAs
IMPORTANT! DHCS Error – Members Will NOT be Disenrolled From IEHP
12/05
All Medicare PCPs & IPAs
Global Quality P4P PCP – 2022 Program Guide Update (Quality Bonus Services)
12/05
All Medi-Cal PCPs
The Alzheimer's Association Event - Resources for Improving Dementia Care in the Clinical Practice
12/02
All PCPs
CoverMyMeds - Prior Authorization Submission Method for Dual Choice Members– Effective January 1, 2023
12/02
All Dual Choice PCPs
REMINDER - IEHP Dual Choice (HMO D-SNP) begins Jan 2023
12/02
All Medicare PCPs, Specialists & BH Providers
Response Requested by December 6, 2022! - CBAS Emergency Remote Services - Reporting
12/02
All CBAS Providers
IEHP Formulary Changes - November P&T Update
12/02
All PCPs
November 2022 Pharmacy and Therapeutics Subcommittee Update
12/02
All PCPs
NEW! D-SNP Letter Templates - Claims (Effective January 2, 2023)
12/02
All Medicare IPAs
Effective Today! - IEHP Contracts with Call The Car For Transportation
12/01
All Hospitals & SNFs
COVID-19 Isolation in SNF
12/01
All SNFs
Living the Mission Awards Nomination Form
12/01
All IEHP Providers
November 2022
Inland Empire Community Health Assessment
11/30
All PCPs, IPAs, Specialists, & Behavioral Health Providers
Pharmacy Benefits Manager (PBM) Change for DualChoice (HMO D-SNP) - Member Outreach in Process
11/29
All DualChoice PCPs & Medicare IPAs
ID Cards with Errors Reissued to Dual Choice Members
11/23
Select Dual Choice PCPs
Inland Caregiver Resource Center Informational Webinar - ECHO
11/23
All PCPs
IEHP’s Quarterly Behavioral Health Provider Training
11/18
All Behavioral Health (BH) Providers
Thanksgiving Holiday
11/18
All IEHP Providers
IEHP Outbound Daily 834 Delta File Delay
11/18
All 834 Trading Partners
CoverMyMeds - Prior Authorization Submission Method for Dual Choice Members– Effective January 1, 2023
11/17
All IEHP DualChoice PCPs
IEHP DualChoice (HMO D-SNP) 2023 Vision Benefits
11/17
All Vision Providers
Riverside County Medical Association's Physician Holiday Social
11/17
All Riverside County PCPs & Specialists
RUHS - PHA - Early Respiratory Syncytial Virus (RSV) and Seasonal Influenza Activity
11/17
All Riverside County PCPs
Global Quality P4P PCP Meeting - 2023 Program Preview
11/16
All Medi-Cal PCPs
BHT (QASP) Provider Training
11/15
All BHT (QASP) Providers
Reminder - BH Emergency Instruction Standards
11/15
All BH Providers
Reminder - PCP and Specialist Emergency Instruction Standards
11/15
All PCPs & Specialists
UPDATE! D-SNP Letter Templates (Effective January 2, 2023)
11/15
All Medicare IPAs
UPDATE - Revised UM Authorization Guidelines to November 3, 2022 - UM-BH 08
11/14
All Medi-Cal IPAs & BHT Providers
Pharmacy Recalls, Withdrawals & Safety Alerts - October 2022
11/14
All PCPs
REMINDER: IEHP DualChoice (HMO D-SNP) begins Jan 2023
11/10
All Medicare PCPs, Specialists & BH Providers
REMINDER: Help Your Members Update Their Contact Information!
11/10
All IEHP PCPs
Maternal Wellness Event Flyer
11/09
All Medi-Cal PCPs, OB/GYNs, Peds, BH Providers & IPAs
Essure System - No Longer a Covered Benefit
11/09
All OB/GYNs
ACTION REQUIRED -Submit 2023 Provider Policy and Provider Manual Acknowledgement of Receipt (AOR) - Win a $50 Gift Card
11/08
All IEHP Providers
Veterans Day
11/04
All IEHP Providers & IPAs
Revised UM Authorization Guidelines
11/03
All BH Providers & IPAs
Pharmacy Recalls, Withdrawals & Safety Alerts - September 2022
11/02
All PCPs
October 2022
Medicare - Nondiscrimination Notice and Taglines Templates
10/31
All Medicare IPAs
REMINDER: IEHP Interpreter Services – A Covered Benefit!
10/31
All PCPs & IPAs
Continuous Glucose Monitors
10/28
All Medicare PCPs, Endocrinologists & IPAs
Health Education Classes Available in Riverside Area
10/27
All Riverside Area PCPs, Specialists & OBs
PHA - Outbreak of Ebola Virus Disease Due to Sudan Virus in Central Uganda
10/25
All Riverside County PCPs
834 Eligibility File Format Changes
10/25
All IHEP 834 Trading Partners
Global Quality P4P IPA Meeting – 2023 Program Preview
10/21
All Medi-Cal IPAs
REMINDER DHCS Hospice Rates – Prospective Calculation Based on Medicaid Rates
10/21
All Hospice Providers
NEW! D-SNP Letter Templates (Effective January 2, 2023)
10/21
All Medicare IPAs
Help Protect Your Members Against the Flu
10/20
All PCPs & IPAs
Public Health Emergency (PHE) Ending Soon – Help Your Members Reenroll!
10/19
All IEHP PCPs
REMINDER - Balance Billing of IEHP Members Not Permitted!
10/14
All IEHP Providers
ACTION REQUIRED - Correct Prioritization of Authorization Requests
10/14
All PCPs, Specialists & IPAs
Global Quality P4P PCP Meeting – 2023 Program Preview
10/13
All Medi-Cal PCPs
Flu Vaccine Notice -Access to Pharmacy Vaccine Network
10/13
All PCPs
Cal MediConnect Sunsets and IEHP Dual Choice (D-SNP) Begins
10/12
All PCPs
Academic Detailing Services Now Offered
10/11
All IEHP Providers & Pharmacies
REMINDER - ACTION REQUIRED - Electronic Visit Verification (EVV) Implementation Requirements – Self Registration Required by October 19, 2022
10/10
All Home Health Care Services (HHCS) Providers & Personal Care Services (PCS)
UPDATE - Independent Medical Review (IMR) Forms
10/10
All Medicare IPAs
UPDATE to September 8, 2022 Communication Authorization Timeframes
10/6
All Medi-Cal IPAs
Special Fraud Alert - Exercise Caution with Purported Telemedicine Companies
10/6
All IEHP Providers & IPAs
FAQs For Delegate Monitoring of Utilization Measures
10/5
All IPAs
September 2022
Global Quality P4P Programs – NEW 2022 Quality Bonus Services!
09/30
All Medi-Cal PCPs
Diversity Awareness Month - October 2022 - Please Join Us!
09/30
All IEHP Providers & IPAs
REMINDER - IEHP Coordination of Benefits Agreement (COBA) Implementation – Action Required!
09/30
All PCPs, Specialists, ANC & Hospitals
ICD-10-CM Risk Adjustment Code Changes for CMS HCC Code Capture
09/26
All Direct Dual Choice PCPs
UPDATE! – Continuous Glucose Monitoring (CGM) Systems (IPA)
09/23
All Medi-Cal IPAs
UPDATE! – Continuous Glucose Monitoring (CGM) Systems
09/22
All Medi-Cal PCPs & Endocrinologists
ACTION REQUIRED - Electronic Visit Verification (EVV) Implementation Requirements – Self Registration Required by October 19, 2022
09/22
All Home Health Care Services (HHCS) Providers & Personal Care Services (PCS)
UPDATED Medi-Cal Letter Templates
09/22
All Medi-Cal IPAs
URGENT ATTENTION: Phishing Email Alert
09/21
All IEHP Providers
Pharmacy Times - Medication Reconciliation
09/21
All Dual Choice PCPs
Grievance Process Updates - Grievance Summary Form - Due Date
09/15
All IPAs
Continuity of Care (COC) Rosters Now Available on SFTP
09/15
All IPAs
REMINDER - Enhanced Care Management Available for Members
09/15
All Medi-Cal ANC and Vision Providers
Coordination of Benefits Agreement (COBA) Implementation - Action Required
09/12
All PCPs, Specialists, ANC & Hospitals
REMINDER - Dilated Retinal Exam (DRE) for Diabetic Members
09/09
All PCPs & Vision Providers
Revised UM Authorization Guidelines
09/09
All IPA Administrators & Medical Directors
Annual BH&CM Medi-Cal IPA Training Survey
09/08
All Medi-Cal IPA Care Management Staff
IEHP Provider Portal Updates – Reports now Viewable by TIN
09/08
All Medi-Cal PCPs
NEW - Collecting Social Determinants of Health Data (SDOH)
09/08
All Medi-Cal PCPs, Specialists & BH Providers
Authorization Timeframes Notice of Action (NOA) Translation & Attachment
09/08
All Medi-Cal IPAs
Please Notify IEHP if Your Availability has Changed due to Area Fires
09/08
All Hemet and Big Bear Area Providers
Recalls, Withdrawals & Safety
09/08
All IEHP Providers & Pharmacies
IEHP Formulary Changes (P&T)
09/07
All IEHP PCPs
Access Standards - Appointment Availability - Specialists
09/02
All Specialists
Access Standards - Appointment Availability - PCP, Ob
09/02
All PCPs & Obs
Access Standards - Appointment Availability - BH
09/02
All Behavioral Health Providers
Vaccination Clinic and Resource Fair - September 10
09/02
All Direct PCPs
IEHP Medi-Cal Medical Benefit Formulary
09/02
All Medi-Cal PCPs, Specialists & Psychiatrists
August 2022 P&T Update
09/02
All IEHP Providers & Pharmacies
August 2022
2022 - 2023 Flu Vaccination for IEHP Members
08/31
All IEHP Providers & Pharmacies
REMINDER: Medi-Cal Rx Gradual Reinstatement of PAs – Phase 1
08/31
All Medi-Cal PCPs & Specialists
Labor Day Holiday
08/30
All IEHP Providers & IPAs
REMINDER: Enhanced Care Management Available for Members
08/30
All Medi-Cal PCPs & IPAs
Final REMINDER: Submit the 2022 Provider Satisfaction Survey
08/29
All PCPs, Specialists & BH Providers
REMINDER: Community Supports Services Available for Members
08/29
All PCPs, Specialists & BH Providers
Medication Reconciliation Program
08/29
All IEHP Providers & Pharmacies
NOTICE: DHCS Approved Letter – Prior Authorization Not Required
08/26
All Medi-Cal IPAs
NOTICE: DHCS Approved Letter – Prior Authorization Not Required
08/26
All Medi-Cal PCPs, Specialists & Ambulatory Surgery Centers
REMINDER: Aug 2022 Provider Educational Series: “How to Navigate Rosters & Reports”
08/24
All Direct Medi-Cal PCPs
NEW: Health Education Classes Offered in Desert Hot Springs and Mecca
08/24
All Coachella Valley PCPs
ADVISORY: Updated Monkeypox Guidance
08/23
All Riverside County PCPs
San Bernardino County Public Health - Monkeypox Guidance
08/23
All San Bernardino County PCPs & Specialists
REMINDER: Medication Reconciliation
08/22
All IEHP Providers
REMINDER: 2022 Provider Satisfaction Survey
08/22
All PCPs, Specialists, & BH Providers
REMINDER: DHCS Quarterly Timely Access Survey
08/22
All Medi-Cal PCPs, Specialists, BH & Ancillary Providers
Medication Reconciliation Program
08/22
All IEHP Providers & Pharmacies
Reinstatement of PA Requirements for 11 Drug Classes
08/17
All Medi-Cal PCPs
REMINDER: Appropriate Billing for Dispensing of Vision Materials
08/17
All Vision Providers
REMINDER: Provider Directory Verification Form due August 26th
08/17
Select PCPs & Specialists
Medication Reconciliation Program
08/15
All IEHP Providers & Pharmacies
REMINDER: Timely Provision of Denial Packets
08/12
All Medicare IPAs
Member Grievance Updates: Medical Record Requests
08/12
All Direct PCPs, Specialists, & Ancillary
2022 Global Quality P4P Program Guide Updates - SDOH Rate Measure
08/12
All Medi-Cal PCPs & IPAs
Medi-Cal Letter Templates
08/11
All Medi-Cal IPAs
Recalls, Withdrawals & Safety
08/10
All IEHP Providers & Pharmacies
UPDATE: IEHP’s Network is Open to New QASP Providers
08/08
All BHT Providers
2022 Provider Educational Series – How to Navigate Rosters & Reports
08/08
All Direct Medi-Cal PCPs
Proposition 56 – Don’t Miss Out on Available Supplemental Payments
08/05
All Medi-Cal PCPs
2022 Provider Quality Resource Guide
08/05
All PCPs
Changes to Quarterly Workplan Requirements
08/03
All IPAs
REMINDER: Provider Preventable Conditions - Reporting Requirements
08/03
All IEHP Providers, Ambulatory Surgical Centers & IPAs
Webinar: COVID-19 In the Black and Brown Community and the Post Long-Term Effects
08/01
All PCPs & IPAs
Medication Reconciliation Program
08/01
All IEHP Providers & Pharmacies
July 2022
NEW DATE: Medi-Cal Rx Gradual Reinstatement of Prior Auths (PAs) – Phase 1 – September 16, 2022
07/29
All Med-Cal PCPs & Specialists
Practitioner Reporting Requirements - UB-04 Claim Form
07/29
All SNFs, Hospitals, & Ancillary
Free Webinar: It Takes a Village to Manage COVID-19
07/27
All PCPs & IPAs
REMINDER: Medi-Cal Rx Gradual Reinstatement of PAs – Phase 1 – August 1, 2022
07/25
All Medi-Cal PCPs & Specialists
ALERT: Hospice Policy and Procedures
07/25
Select Contract and Non-Contracted Hospice Providers
Inappropriate Treatment Delays and Denials for HIV PrEP and PEP
07/22
All Medi-Cal PCPs & Specialists
UPDATED: Telehealth Services FAQs
07/21
All PCPs, Specialists, BH, BHT Providers & IPAs
2022 Global Quality P4P Program – Provider Directory Verification
07/20
All Medi-Cal PCPs
NEW: Riverside County Public Health: Updated Monkeypox Guidance
07/20
All Riverside County PCPs & Specialists
DHCS Plan Data Feed Project – Files Available on SFTP
07/19
All IPAs
2022 Global Quality P4P PCP Program Guide- UPDATES
07/18
All Medi-Cal PCPs
2022 Global Quality P4P IPA Program Guide- UPDATES
07/18
All Medi-Cal IPAs
2022 Appointment Availability Survey – Fax Survey
07/15
All PCPs & IPAs
2022 Appointment Availability Survey – Fax Survey
07/15
All BH Providers
2022 Appointment Availability Survey – Fax Survey
07/14
All Specialists, Ancillary & IPAs
UPDATE: Diabetic Vision Outreach Campaign – EXTENDED to July 22, 2022
07/14
All Vision Providers
Medi-Cal Rx Gradual Reinstatement of PAs – Phase 1
07/11
All Medi-Cal PCPs & Specialists
2022 Global Quality P4P (GQ P4P) Interim Reports Data Refresh
07/11
All Medi-Cal PCPs & IPAs
Update: Risk Adjustment Telehealth and Telephone Services
07/11
All Dual Choice PCPs, Specialists & BH Providers
Cal MediConnect Sunsets and IEHP Dual Choice (D-SNP) Begins
07/08
All Medicare PCPs, Specialists & BH Providers
2022 Provider Satisfaction Survey
07/07
All PCPs, Specialists & BH Providers
2022 Provider Educational Series - Provider Directory Verification Process (Virtual)
07/07
All Medi-Cal PCPs
Recalls, Withdrawals & Safety
07/07
All IEHP Providers & Pharmacies
IEHP Medi-Cal Medical Benefit Formulary
07/01
All Medi-Cal PCPs, Specialists & Psychiatrists
IEHP Providers Can Post Jobs and Find Candidates for Free on SoCalDocJobs.com
07/01
All PCPs
You will need Adobe Acrobat Reader 6.0 or later to view the PDF files. You can download a free copy by clicking here.
Superhéroes de IEHP - Eradicator
ar a los niños y adolescentes (de 5 a 16 años) los peligros para la salud que representan el cigarrillo y el consumo de tabaco. Eradicator está presente en una variedad de eventos comunitarios, entre ellos, eventos escolares, ferias de salud y otras actividades relacionadas con la salud. Ha estado en contacto con miles de niños y adolescentes a través de los años, al autografiar pósteres y libros de historietas. A través de Eradicator, IEHP transmite el mensaje de que el consumo de tabaco puede provocar dependencia y problemas graves de salud.
Video de Eradicator
Libro de historietas (PDF)