Tìm Kiếm Kết Quả Cho : " MAKE FREEDHARDEMAN UNIVERSITY "
Sự Kiện Sắp Tới - Eat Healthy, Be Active Workshop (Perris)
r the whole family! No need for expensive gym memberships. Join us for a fun class where everyone can enjoy physical activity through SPARK (Sports, Play, and Active Recreation for Kids). All ages and abilities are welcome.
Click here to register for this in-person class
Location
Mead Valley Family Resource Center
21091 Rider Street.
Perris, CA 92570
Sự Kiện Sắp Tới - Healthy Heart: Keep Your Cholesterol in Check + Embrace Your Health: Aim for a Healthy Weight (Perris)
Sự Kiện Sắp Tới - Understanding Diabetes: Healthy Eating Pt. 1 (Perris)
wo parts. In Part 1, we will show you which foods affect blood sugar levels the most (and the least) and which foods (and fats) are better options for blood sugar control. Plus, get tips to cut fat and cholesterol.
Click here to register for this in-person class
Location
Mead Valley Family Resource Center
21091 Rider Street.
Perris, CA 92570
Sự Kiện Sắp Tới - Healthy Heart : Knowledge is Power + React in Time to Heart Attack Signs (Perris)
Sự Kiện Sắp Tới - Healthy Heart : Protect Your Heart from Diabetes + Take Control of Your Health: Live Tobacco Free (Perris)
Sự Kiện Sắp Tới - Eat Healthy, Be Active Workshop (Perris)
or the whole family! No need for expensive gym memberships. Join us for a fun class where everyone can enjoy physical activity through SPARK (Sports, Play, and Active Recreation for Kids). All ages and abilities are welcome.
Click here to register for this in-person class
Location
Mead Valley Family Resource Center
21091 Rider Street.
Perris, CA 92570
Sự Kiện Sắp Tới - Understanding Diabetes: Healthy Eating Pt. 1 (Perris)
two parts. In Part 1, we will show you which foods affect blood sugar levels the most (and the least) and which foods (and fats) are better options for blood sugar control. Plus, get tips to cut fat and cholesterol.
Click here to register for this in-person class
Location
Mead Valley Family Resource Center
21091 Rider Street.
Perris, CA 92570
Sự Kiện Sắp Tới - Eat Healthy, Be Active Workshop (Perris)
or the whole family! No need for expensive gym memberships. Join us for a fun class where everyone can enjoy physical activity through SPARK (Sports, Play, and Active Recreation for Kids). All ages and abilities are welcome.
Click here to register for this in-person class
Location
Mead Valley Family Resource Center
21091 Rider Street.
Perris, CA 92570
Sự Kiện Sắp Tới - Understanding Diabetes: Introduction (Perris)
Pharmacy Services - Pharmacy Forms
BM) handles all Medicare pharmacy and provider prior authorization and pharmacy benefit related questions. Providers and pharmacies can call MedImpact Customer Contact Center at (800) 788-2949. Health care providers can submit prior authorizations via fax (858) 790-7100, or download forms at the MedImpact Website.
Request for Redetermination of Medicare Prescription Drug Denial- English (PDF)
Request for Redetermination of Medicare Prescription Drug Denial -
Spanish (PDF)
Coverage Determination Form - Retroactive prior authorization requests (PA requests dated before 1/1/2023) should be faxed to (909) 890-5766.
Drug Request
Supplemental PER Form for Compounded Prescription (PDF)
Medicare
Hospice Form for Medicare Part D Plans (PDF)
Medicare Prescription Drug Coverage and Your Rights - English (PDF)
Medicare Prescription Drug Coverage and Your Rights - Spanish (PDF)
Mail Order
Mail-Order Service Fax Form (PDF)
Other Pharmacy Provider Forms
Appointment of Representative - English (PDF)
Appointment of Representative - Spanish (PDF)
Nutritional Evaluation Form - Adult (PDF)
Nutritional Evaluation Form - Infant (PDF)
Opioid Edit Error Report Form (PDF)
WIC Program Forms (California Department of Public Health)
Pediatric Referral Form (PDF)
WIC Referral For Pregnant Women (PDF)
WIC Referral For Postpartum/Breastfeeding Women (PDF)
You will need Adobe Acrobat Reader 6.0 or later to view the PDF files. Click here to download a free copy by clicking Adobe Acrobat Reader. By clicking on this link, you will be leaving the IEHP website.
Information on this page is current as of January 05, 2023.
Sự Kiện Sắp Tới - Understanding Diabetes: Monitoring (San Bernardino)
how to record your results in a log book and why checking blood sugar is needed in diabetes care. Also, see which other tests you need to monitor your general health.
Click here to register for this in-person class
Location
IEHP Community Resource Center (San Bernardino)
805 W 2nd St
San Bernardino, CA 92410
Sự Kiện Sắp Tới - With Every Heartbeat is Life: Control Your Blood Pressure (San Bernardino)
ll learn:
What blood pressure is and what level to aim for
What a stroke is and what the warning signs are
The dangers of eating too much salt and sodium
Steps to eat less salt and sodium
Click here to register for this in-person class
Location
San Bernardino Community Seventh-day Adventist Church
1696 N. G St.
San Bernardino, CA 92405
Sự Kiện Sắp Tới - Healthy Heart : Get Energized! Say Yes to Physical Activity + Control Your Blood Pressure (Riverside)
Sự Kiện Sắp Tới - With Every Heartbeat is Life: React in Time to Heart Attack Signs (San Bernardino)
ill learn:
What a heart attack is and how to recognize its warning signs/symptoms.
The importance of seeking treatment quickly if someone has symptoms.
Why people may delay calling 9-1-1.
The benefits of calling 9-1-1.
Click here to register for this in-person class.
Location:
San Bernardino Community Seventh-day Adventist Church
1696 N. G St.
San Bernardino, CA 92405
Sự Kiện Sắp Tới - With Every Heartbeat is Life: Get Energized! Say Yes to Physical Activity (San Bernardino)
ll learn:
Why physical activity is good for their hart and overall health
About different types of physical activity
How much physical activity adults and children need
Ways to fit physical activity into their schedule
Click here to register for this in-person class
Location
San Bernardino Community Seventh-day Adventist Church
1696 N. G St.
San Bernardino, CA 92405
P4P - Proposition 56 - GEMT - 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 2023 Provider Quality Incentive Brochure.
2023 Provider Quality Incentive Brochure (PDF) | September 27, 2023
(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: June 29, 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: July 24, 2023
(Back to P4P Menu)
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)
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 PCP (PDF) Published: July 25, 2023
2023 IEHP Global Quality
P4P
Program Guide IPA (PDF) Published: July 25, 2023
2022 IEHP Global Quality P4P Program Guide PCP (PDF) Published: August 28, 2023
2022 IEHP Global Quality
P4P
Program Guide IPA (PDF) Published: July 25, 2023
2023 Provider Quality Resource Guide (PDF) Published: June 21, 2023
(Back to P4P Menu)
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)
(Back to P4P Menu)
Potentially Avoidable Emergency Department (ED) Visits: Potentially Preventable Diagnosis Code
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)
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
Quality Bonus Services Dispute Form
Please e-mail completed forms to QualityPrograms@iehp.org
Quality Bonus Service Dispute Request Form
(PDF)
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)
(Back to P4P Menu)
Urgent Care + Wellness Quality Incentive Program
Inland Empire Health Plan (IEHP) is pleased to announce the Urgent Care + Wellness Quality Incentive Program. The goal of the program is to reward urgent care providers for providing wellness services to IEHP Medi-Cal Members.
Urgent Care + Wellness Quality Incentive Program Guide (PDF) Published: September 08, 2023
(Back to P4P Menu)
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: September 21, 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
(Back to P4P Menu)
Potentially Avoidable Emergency Department (ED) Visits: Potentially Preventable Diagnosis Code
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
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: June 23, 2023
Substance Use Disorders Diagnosis List (PDF)
Published: June 23, 2023
You will need Adobe Acrobat Reader 6.0 or later to view the PDF files. You can download a free copy by
clicking here
Yêu Cầu Bảo Hiểm Y Tế của Medi-Cal California
trình cung cấp bảo hiểm sức khỏe, nha khoa và nhãn khoa* cho các cư dân California có thu nhập thấp đủ điều kiện.
Ai Có Thể Đăng Ký Tham Gia Chương Trình Medi-Cal và IEHP?
Những người sống trong khu vực chúng tôi phục vụ (chủ yếu là tại các quận Riverside và San Bernardino)
Người lớn có hoặc không có con, trẻ em, người cao tuổi và những người bị khuyết tật
Những người đáp ứng đủ các hướng dẫn về thu nhập và các yêu cầu khác của chương trình
Tôi Sẽ Phải Thanh Toán Bao Nhiêu Tiền?
Người lớn sẽ không phải trả phí bảo hiểm hàng tháng cho bảo hiểm Medi-Cal. Trẻ em có bảo hiểm Medi-Cal theo Chương Trình Bảo Hiểm Y Tế Trẻ Em (Children’s Health Insurance Program, CHIP) sẽ phải trả mức phí bảo hiểm hàng tháng thấp.
Tôi Sẽ Nhận Được Dịch Vụ Chăm Sóc Nào với Medi-Cal Thông Qua IEHP?
Phạm vi bảo hiểm theo chương trình của quý vị bao gồm:
Các dịch vụ ngoại trú (xe cứu thương)*
Các dịch vụ cấp cứu
Các dịch vụ chuyển giới*
Chăm sóc cuối đời và chăm sóc giảm nhẹ*
Nhập viện*
Chăm sóc sản phụ và trẻ sơ sinh
Các dịch vụ sức khỏe tâm thần
Thuốc theo toa
Phục hồi chức năng và các dịch vụ và thiết bị phục hồi chức năng*
Các dịch vụ xét nghiệm và X-quang, như chụp X-quang*
Các dịch vụ phòng ngừa và chăm sóc sức khỏe cũng như quản lý bệnh mãn tính
Các dịch vụ nhạy cảm
Các dịch vụ điều trị rối loạn sử dụng chất gây nghiện
Các dịch vụ nhi khoa
Các dịch vụ nhãn khoa*
Dịch vụ đưa đón y tế trong trường hợp không cấp cứu (Non-emergency medical transportation, NEMT)
Dịch vụ đưa đón phi y tế (Non-medical transportation, NMT)
Các dịch vụ và hỗ trợ dài hạn (Long-term services and supports, LTSS)
Các dịch vụ chăm sóc sức khỏe từ xa
Một số dịch vụ đã liệt kê chỉ được bao trả nếu IEHP hoặc IPA của quý vị phê duyệt trước. Các dịch vụ được bao trả có thể cần được IEHP hoặc IPA hoặc nhóm y khoa của quý vị phê duyệt trước được đánh dấu bằng dấu hoa thị (*).
Làm thế nào để tôi có thể đăng ký chương trình Medi-Cal:
Gọi cho các Cố Vấn Ghi Danh của IEHP theo số (866) 294-4347, Thứ Hai – Thứ Sáu, 8 giờ sáng – 5 giờ chiều. Người dùng TTY vui lòng gọi số (800) 720-4347.
Quý vị cũng có thể gọi cho Health Care Options theo số 1-800-430-4263 hoặc truy cập https://protect-us.mimecast.com/s/sz6FCo2lQyfDmo6IopF2xj?domain=healthcareoptions.dhcs.ca.gov . Người dùng TTY nên gọi số 1-800-430-7077.
Thông Tin Quan Trọng cho Hội Viên Medi-Cal của IEHP
Cẩm Nang Hội Viên Medi-Cal (PDF) giải thích cách nhận dịch vụ chăm sóc với IEHP và các quyền lợi được chương trình bao trả.
Hướng Dẫn Sử Dụng Cẩm Nang Hội Viên IEHP để Nhận Quyền Lợi Medi-Cal (PDF) - Hướng dẫn này giúp quý vị tìm những thông tin quan trọng về các quyền lợi và dịch vụ trong Cẩm Nang Hội Viên IEHP của quý vị.
Danh Mục Nhà Cung Cấp Dịch Vụ Y Tế Medi-Cal Quận Riverside (PDF): liệt kê mạng lưới và các tùy chọn không ngừng được mở rộng của chúng tôi để quý vị nhận được các dịch vụ chăm sóc cần thiết một cách nhanh chóng – cả ngày lẫn đêm.
Danh Mục Nhà Cung Cấp Dịch Vụ Y Tế Medi-Cal Quận San Bernardino (PDF): liệt kê mạng lưới và các tùy chọn không ngừng được mở rộng của chúng tôi để quý vị nhận được các dịch vụ chăm sóc cần thiết một cách nhanh chóng – cả ngày lẫn đêm.
Quý vị sẽ cần phần mềm Adobe Acrobat Reader 6.0 trở lên để đọc được các tệp PDF. Tải về bản sao miễn phí bằng cách nhấp vào Adobe Acrobat Reader.