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適用於未投保人士的資源
康保險並選擇 IEHP,您的 Inland Empire Health Plan。免費獲得優質的醫療、行為健康和保健服務。 什麼是 Medi-Cal? Medi-Cal 是一項免費或低價的健康保險計畫,為符合資格的低收入加州居民提供健康、牙科與視力保險。 如何申請 Medi-Cal: 直接透過電話申請免費健康保險。 請於週一至週五上午 8 點至下午 5 點致電(866) 294-4347,與 IEHP 投保顧問聯絡。TTY 使用者請撥 (800) 720-4347。 您也可以致電 1-800-430-4263 與 Health Care Options 聯絡 或造訪 www.healthcareoptions.dhcs.ca.gov。 TTY 使用者請撥 1-800-430-7077。 按一下這裡瞭解更多資訊。 什麼是 Covered California? Covered California 是依照患者保護與平價照護法案 (Patient Protection and Affordable Care Act) 所提供的免費服務,其目的在於協助加州居民與品牌健康保險取得聯絡。若您需要向知名公司購買健康保險,這裡是您唯一可取得財務協助的地方。 按一下這裡瞭解更多資訊。https://www.coveredca.com/ 郡健康診所 若您目前未投保任何保險且不符合 IEHP 的資格,則可透過我們的健康照護聯絡中心 (PDF),尋找位於河濱郡與聖貝納迪諾郡的免費/低價健康診所和處方藥協助計畫: 聖貝納迪諾郡 (PDF) 河濱郡 (PDF) 如何在我的社區尋找資源? IEHP 社區資源中心 IEHP 社區資源中心 (CRC) 位於河濱郡、聖貝納迪諾郡和 Victorville,是可提供健康照護資訊的當地資源。我們的雙語工作人員會協助您參加免費課程、取得健康照護資訊以及瞭解健康保險。 按一下這裡瞭解更多資訊。 Connect IE Connect IE 是新的一站式互動網站,方便人們透過 Inland Empire 更輕鬆地取得社區資源。點選下列任何連結,您將會離開 IEHP 網站。 請造訪 ConnectIE 以瞭解更多詳情! 適用於未記錄人員的資源 公共收費資訊 公共收費說明資料 您需使用 Adobe Acrobat Reader 6.0 或更高版本,才能檢視 PDF 檔案。 下載 Adobe Acrobat Reader。
法規遵循計畫 - 我們致力於創新
康計畫。這項承諾也及於支持 IEHP 宗旨,願意為社區提供高品質、方便取得並以保健為目的的健康照護服務之業務夥伴以及指定代理機構。 我們的法規遵循計畫旨在: 確保我們遵循適用的法令、規則、法規 減少或消除詐欺、浪費與濫用 (FWA) 預防、偵查、矯正不符法規的情形 加強我們對於法規遵循文化的承諾,並為此而努力 建立並實現我們對於誠實、誠信、透明、負責的共同承諾 FDR 資訊 什麼是 FDR? 第一階、下游或關聯實體 (First Tier, Downstream or Related Entity,FDR) 是指透過分包代表 IEHP 提供健康計畫相關服務的委派實體。 FDR 規定 FDR 必須*遵守 IEHP 的政策和程序、業務行為與道德規範,以及其他合約規定。 FDR 資源 法規遵循計畫規定*手冊/廠商第一階、下游、關聯實體 (FDR) - 本手冊與 IPA 無關。 IEHP 法規遵循計畫說明 IEHP 業務行為與道德規範 禁止報復政策 委任監督提供者手冊 PnP (即將提供) 文件留存 (即將提供) FDR 法規遵循計畫證明 CMS 法規遵循、FWA、HIPAA 訓練教材 ICE FWA 訓練 ICE 綜合法規遵循訓練 *如欲瞭解 IPA 規定,請造訪 提供者資源頁面。 業務行為與道德規範 Inland Empire Health Plan (IEHP) 期望團隊成員以及與 IEHP 有業務往來的業務實體在執行業務活動時符合道德與專業,並促進公眾對於 IEHP 誠信的信任與信心。本規範針對 IEHP 的法規遵循文化,以及每位團隊成員在建立與延續該文化上所扮演的角色提供相關指引,成員包含高階管理人員、高階主管、管理委員會、業務合作夥伴。 IEHP 業務行為與道德規範 法規遵循、詐欺、浪費與濫用 (FWA)、隱私權計畫訓練 IEHP 的法規遵循、FWA 與隱私權訓練計畫著重於成效良好的法規遵循計畫、行為與道德、詐欺、浪費與濫用 (FWA)、隱私權計畫的各部分。 IEHP 要求委派實體在聘僱/開始日期的 90 天內為 其員工、提供者、下游實體、董事會、承包商提供法規遵循訓練。 IEHP 致力於培養法規遵循、道德與誠信文化,法規遵循訓練的目標是賦予所有相關人員能力,展現對於 IEHP 規定的認知,包括與日常工作相關法規遵循有關的法規、政策、程序。 若有疑問或其他建議,請寄電子郵件至 IEHP 法規遵循部門:compliance@iehp.org 綜合法規遵循訓練 法規遵循詐欺、浪費與濫用 (FWA) HIPAA 隱私權與安全 (PDF) 報告資訊 IEHP 提供下列資源,供報告詐欺、浪費或濫用、隱私權問題以及其他法規遵循問題: 法規遵循熱線:(866) 355-9038 傳真:(909) 477-8536 電子郵件:compliance@iehp.org 郵件: IEHP Compliance Officer P.O.Box 1800 Rancho Cucamonga, CA 91729-1800 線上:報告法規遵循問題
IEHP 不歧視聲明
、遺傳資訊、婚姻狀況、性別、性別認同或性傾向而非法歧視、排擠或差別對待他人。
IEHP 提供:
免費的援助和服務,以協助殘障人士與我們充分溝通,例如:
合格的手語翻譯員
其他格式的書面資訊(大字列印、語音、無障礙電子格式、其他格式)
針對母語非英語人士的免費語言服務,例如:
合格的口譯員
以其他語言撰寫的資訊
如需此類服務,包括假日在內的每天早上 8 點至下午 5 點(太平洋標準時間)均可撥打 1-800-440-IEHP (4347) 與 IEHP 會員服務中心聯絡。如在聽說方面有困難,請撥打 1-800-718-4347。此文件可應要求以點字、大字列印、盒式錄音磁帶或電子形式提供。如需獲取其他格式的副本,請致電或寫信:
Inland Empire Health Plan
10801 6th St., Rancho Cucamonga, CA 91730-5987
1-800-440-4347(TTY:1-800-718-4347/加州轉接 711)
如何提出申訴
如果您認為 IEHP 並未提供此類服務,或因性別、種族、膚色、宗教、血統、國籍、族群認同、年齡、精神殘疾、身體殘疾、醫療狀況、遺傳資訊、婚姻狀況、性別、性別認同或性傾向而以其他方式進行非法歧視,您可以向 IEHP 的民權協調員提出申訴。您可以透過電話、書面、親洽或電子等形式提出申訴:
電話:早上 8 點至下午 5 點(太平洋標準時間)撥打 1- 800-440-4347 與 IEHP 的民權協調員聯絡。或者,如在聽說方面有困難,請撥打 TTY 專線:1-800-718-4347/加州轉接 711。
書面:填寫申訴表或寫信給 - IEHP 民權協調員,地址為 10801 6th St., Rancho Cucamonga, CA 91730-5987
親洽:前往醫師辦公室或 IEHP 並說想要提出申訴。
電子:線上提出申訴。
民權辦公室 - 加州醫療保健服務部
您也可以透過電話、書面或電子等形式向加州醫療保健服務部民權辦公室提交民權申訴:
電話:電話 (916) 440-7370。如在聽說方面有困難,請撥打 711(電信轉接服務)。
書面:填寫申訴表或寄信至 - Deputy Director, Office of Civil Rights Department of Health Care Services Office of Civil Rights, P.O。Box 997413, MS 0009 Sacramento, CA 95899-7413
電子:傳送電子郵件至 CivilRights@dhcs.ca.gov。
民權辦公室 - 美國衛生與公眾服務部
如果認為自己遭遇了基於種族、膚色、國籍、年齡、殘疾或性別的歧視,您也可以透過電話、書面或電子等形式向美國衛生與公眾服務部民權辦公室提出民權申訴:
電話:撥打 1-800-368-1019。如在聽說方面有困難,請撥打 TTY/TDD 專線:1-800- 537-7697。
書面:填寫申訴表或寄信至 - U.S. Department of Health and Human Services, 200 Independence Avenue, SW Room 509F, HHH Building Washington, D.C. 20201
電子:造訪民權申訴辦公室入口網站 https://ocrportal.hhs.gov/ocr/portal/lobby.jsf
語言協助
English
ATTENTION:If you need help in your language call 1-800-440-4347 (TTY: 1-800-718-4347).Aids and services for people with disabilities, like documents in braille and large print, are also available.Call 1-800-440-4347 (TTY: 1-800-718-4347).These services are free of charge.
الشعار بالعربي ة (Arabic)
يُر جى الانتباه:ى إذا احتجت إلى المساعدة بلغتك، فاتصل ب 1-800-440-4347 (TTY: 1-800-718-4347) .ى تتوفر ا
ً
أيض المساعدات والخدمات للأشخاص ذوي الإعاقة، مث ى ل المستندات المكتوبة
بطريقة بريل والخ ى ط الكب ري.ى اتصل ب 1-800-440-4347 (TTY: 1-800-718-4347) . هذه الخدمات مجانيةى.
Հայերեն պիտակ (Armenian)
ՈՒՇԱԴՐՈՒԹՅՈՒՆ:Եթե Ձեզ օգնություն է հարկավոր Ձեր լեզվով, զանգահարեք 1-800-440-4347 (TTY: 1-800-718-4347)։ Կան նաև օժանդակ միջոցներ ու ծառայություններ հաշմանդամություն ունեցող անձանց համար, օրինակ` Բրայլի գրատիպով ու խոշորատառ տպագրված նյութեր։ Զանգահարեք 1-800-440-4347 (TTY: 1-800-718-4347)։ Այդ ծառայություններն անվճար են։
ឃ្លាសម្គាល់ជាភាសាខ្មែរ (Cambodian)
ចំណំ៖ ប ើអ្នក ត្រូវ ការជំនួយ ជាភាសា រ ស់អ្នក សូម ទូរស័ព្ទបៅបេខ 1-800-440-4347 (TTY: 1-800-718-4347)។ ជំនួយ និង បសវាកមម សត្ា ់ ជនព្ិការ ដូចជាឯកសារសរបសរជាអ្កសរផុស សត្ា ់ជនព្ិការភ្ននក ឬឯកសារសរបសរជាអ្កសរព្ុមពធំ ក៏អាចរកបានផងភ្ដរ។ ទូរស័ព្ទមកបេខ 1-800-440-4347 (TTY: 1-800-718-4347)។ បសវាកមមទំងបនេះមិនគិរថ្លៃប ើយ។
简体中文标语(Chinese)
请注意:如果您需要以您的母语提供帮助,请致电1-800-440-4347 (TTY: 1-800-718-4347)。另外还提供针对残疾人士的帮助和服务,例如盲文和需要较大字体阅读,也是方便取用的。请致电1-800-440-4347 (TTY: 1-800-718-4347)。这些服务都是免费的。
(Farsi) مطلب به زبان فارسی
توجه: اگر میخواهید به زبان خود کمک دریافت کنید، با 1-800-440-4347 (TTY: 1-800-718-4347) تماس
بگیرید. کمکها و خدمات مخصوص افراد دارای معلولیت، مانند نسخههای خط بریل و چاپ با حروف بزرگ، نیز
موجود است. با 1-800-440-4347 (TTY: 1-800-718-4347) تماس بگیرید. این خدمات رایگان ارائه میشوند.
ह िंदी टैगलाइन (Hindi)
ध्यान दें: अगर आपको अपनी भाषा में सहायता की आवश्यकता है 1-800-440-4347 (TTY: 1-800-718-4347) पर कॉल करें। अशक्तता वाले लोगोों के ललए सहायता और सेवाएों, जैसे ब्रेल और बडे लरोंट में भी दस्तावेज़ उपलब्ध हैं। 1-800-440-4347 (TTY: 1-800-718-4347) पर कॉल करें। ये सेवाएों लन: शुल्क हैं।
Nqe Lus Hmoob Cob (Hmong)
CEEB TOOM:Yog koj xav tau kev pab txhais koj hom lus hu rau 1-800-440-4347 (TTY: 1-800-718-4347).Muaj cov kev pab txhawb thiab kev pab cuam rau cov neeg xiam oob qhab, xws li puav leej muaj ua cov ntawv su thiab luam tawm ua tus ntawv loj.Hu rau 1-800-440-4347 (TTY: 1-800-718-4347).Cov kev pab cuam no yog pab dawb xwb.
日本語表記 (Japanese)
注意日本語での対応が必要な場合は 1-800-440-4347 (TTY: 1-800-718-4347)へお電話ください。点字の資料や文字の拡大表示など、障がいをお持ちの方のためのサービスも用意しています。1-800-440-4347 (TTY: 1-800-718-4347) へお電話ください。これらのサービスは無料で提供しています。
한국어 태그라인 (Korean)
유의사항: 귀하의 언어로 도움을 받고 싶으시면 1-800-440-4347 (TTY: 1-800-718-4347) 번으로 문의하십시오. 점자나 큰 활자로 된 문서와 같이 장애가 있는 분들을 위한 도움과 서비스도 이용 가능합니다.1-800-440-4347 (TTY: 1-800-718-4347) 번으로 ___________문의하십시오. 이러한 서비스는 무료로 제공됩니다.
ແທກໄລພາສາລາວ (Laotian)
ປະກາດ: ຖ້າທ່ານຕ້ອງການຄວາມຊ່ວຍເຫ ຼືອໃນພາສາຂອງທ່ານໃຫ້ໂທຫາເບີ 1-800-440-4347 (TTY: 1-800-718-4347). ຍັງມີຄວາມຊ່ວຍເຫ ຼືອແລະການບໍລິການສໍາລັບຄົນພິການ ເຊັ່ນເອກະສານທີ່ເປັນອັກສອນນູນແລະມີໂຕພິມໃຫຍ່ ໃຫ້ໂທຫາເບີ 1-800-440-4347 (TTY: 1-800-718-4347). ການບໍລິການເຫ ົ່ານີ້ບໍ່ຕ້ອງເສຍຄ່າໃຊ້ຈ່າຍໃດໆ.
Mien Tagline (Mien)
LONGC HNYOUV JANGX LONGX OC:Beiv taux meih qiemx longc mienh tengx faan benx meih nyei waac nor douc waac daaih lorx taux 1-800-440-4347 (TTY: 1-800-718-4347).Liouh lorx jauv-louc tengx aengx caux nzie gong bun taux ninh mbuo wuaaic fangx mienh, beiv taux longc benx nzangc-pokc bun hluo mbiutc aengx caux aamz mborqv benx domh sou se mbenc nzoih bun longc.Douc waac daaih lorx 1-800-440-4347 (TTY: 1-800-718-4347).Naaiv deix nzie weih gong-bou jauv-louc se benx wang-henh tengx mv zuqc cuotv nyaanh oc.
ਪੰਜਾਬੀ ਟੈਗਲਾਈਨ (Punjabi)
ਧਿਆਨ ਧਿਓ: ਜੇ ਤੁਹਾਨ ੂੰ ਆਪਣੀ ਭਾਸਾ ਧ ਿੱਚ ਮਿਿ ਿੀ ਲੋੜ ਹੈ ਤਾਂ ਕਾਲ 1-800-440-4347 (TTY: 1-800-718-4347). ਅਪਾਹਜ ਲੋਕਾਂ ਲਈ ਸਹਾਇਤਾ ਅਤੇ ਸੇ ਾ ਾਂ, ਧਜ ੇਂ ਧਕ ਬ੍ਰੇਲ ਅਤੇ ਮੋਟੀ ਛਪਾਈ ਧ ਿੱਚ ਿਸਤਾ ੇਜ਼, ੀ ਉਪਲਬ੍ਿ ਹਨ| ਕਾਲ ਕਰੋ 1-800-440-4347 (TTY: 1-800-718-4347). ਇਹ ਸੇ ਾ ਾਂ ਮੁਫਤ ਹਨ|
Русский слоган (Russian)
ВНИМАНИЕ!Если вам нужна помощь на вашем родном языке, звоните по номеру 1-800-440-4347 (TTY: 1-800-718-4347).Также предоставляются средства и услуги для людей с ограниченными возможностями, например документы крупным шрифтом или шрифтом Брайля.Звоните по номеру 1-800-440-4347 (TTY: 1-800-718-4347).Такие услуги предоставляются бесплатно.
Mensaje en español (Spanish)
ATENCIÓN: si necesita ayuda en su idioma, llame al 1-800-440-4347 (TTY: 1-800-718-4347).También ofrecemos asistencia y servicios para personas con discapacidades, como documentos en braille y con letras grandes.Llame al 1-800-440-4347 (TTY: 1-800-718-4347).Estos servicios son gratuitos.
Tagalog Tagline (Tagalog)
ATENSIYON:Kung kailangan mo ng tulong sa iyong wika, tumawag sa 1-800-440-4347 (TTY: 1-800-718-4347).Mayroon ding mga tulong at serbisyo para sa mga taong may kapansanan,tulad ng mga dokumento sa braille at malaking print.Tumawag sa 1-800-440-4347 (TTY: 1-800-718-4347).Libre ang mga serbisyong ito.
แท็กไลน์ภาษาไทย (Thai)
โปรดทราบ: หากคุณต้องการความช่วยเหลือเป็นภาษาของคุณ กรุณาโทรศัพท์ไปที่หมายเลข 1-800-440-4347 (TTY: 1-800-718-4347)นอกจากนี้ ยังพร้อมให้ความช่วยเหลือและบริการต่าง ๆ สาหรับบุคคลที่มีความพิการ เช่น เอกสารต่าง ๆ ที่เป็นอักษรเบรลล์และเอกสารที่พิมพ์ด้วยตัวอักษรขนาดใหญ่ กรุณาโทรศัพท์ไปที่หมายเลข 1-800-440-4347 (TTY: 1-800-718-4347) ไม่มีค่าใช้จ่ายสาหรับบริการเหล่านี้
Примітка українською (Ukrainian)
УВАГА!Якщо вам потрібна допомога вашою рідною мовою, телефонуйте на номер 1-800-440-4347 (TTY: 1-800-718-4347).Люди з обмеженими можливостями також можуть скористатися допоміжними засобами та послугами, наприклад, отримати документи, надруковані шрифтом Брайля та великим шрифтом.Телефонуйте на номер 1-800-440-4347 (TTY: 1-800-718-4347).Ці послуги безкоштовні.
Khẩu hiệu tiếng Việt (Vietnamese)
CHÚ Ý:Nếu quý vị cần trợ giúp bằng ngôn ngữ của mình, vui lòng gọi số 1-800-440-4347 (TTY: 1-800-718-4347).Chúng tôi cũng hỗ trợ và cung cấp các dịch vụ dành cho người khuyết tật, như tài liệu bằng chữ nổi Braille và chữ khổ lớn (chữ hoa).Vui lòng gọi số 1-800-440-4347 (TTY: 1-800-718-4347).Các dịch vụ này đều miễn phí.
加強型護理管理 (Enhanced Care Management, ECM) - 加強型護理管理
生以及其他參與您護理的人員所獲得的護理進行協調。在 IEHP,我們明白某些如糖尿病、高血壓或物質使用障礙的健康狀況可能複雜、令人困惑而且難以管控。IEHP 的 ECM 提供支援服務因應您的整體健康—照護您的身心。如果您符合以下特定標準,而且為了管理您的健康而需要更多協助,您可能有資格經由 IEHP 取得 ECM。 哪些人有申請資格? 符合下列條件的會員適用 IEHP ECM : 有複雜健康狀況和/或行為健康需求的無家可歸者 頻繁入院,短期停留於專業護理機構,或至急診室就診 有複雜社會需求的嚴重精神疾病或藥物濫用障礙 有複雜需求,並處於自河濱縣監禁回歸的過渡狀態。 如果您符合 ECM 的資格,您將有自身的護理團隊,配置一名帶隊的護理經理協調免費服務,如初級保健、行為健康、奠基於社區的長期照護服務 (Long-term services and supports, LTSS)、發展健康、口腔健康和社會服務。 誰是您的護理團隊的成員: 護理師護理管理者 行為保健管理者 照護協調員 社區健康工作者 IEHP 的 ECM 包含些什麼 如果您加入 ECM ,您的福利不會改變。 您可以保留您的醫生和醫療保健提供者,而且您的護理團隊將會協助您: 找尋醫生,並且預約身體、精神和物質使用等健康需求。 讓您的所有醫療保健提供者充分了解狀況。 為您前往就診安排交通事宜 於您出院後獲得後續服務 管理您的所有藥物 獲取與當地資源加以連結的協助,例如食物或其他社會服務 ECM 服務為免費提供,您可以隨時加入或停止 ECM。 在您需要時提供支持 您的護理團隊可以透過電話或面對面為您提供協助,他們甚至可以前往您所在的位置。有了 IEHP ECM,您並不孤單。 關於加入或停止 ECM,請於週一至週五上午 7 點 至晚上 7 點 以及週六至週日上午 8 點 至下午 5 點 致電 IEHP 會員服務中心,電話 1-800-440-IEHP (4347)。TTY 使用者請致電 1-800-718-4347。
Interoperability API Terms Of Use
IEHP GOVERNING YOUR USE OF THE DEVELOPER PORTAL AND THE IEHP APIS (DEFINED BELOW). BY CLICKING “I AGREE” OR ACCESSING THE DEVELOPER PORTAL OR USING IEHPS APIS YOU ARE AGREEING TO BE BOUND BY THE TERMS OF THIS DEVELOPER AGREEMENT AND ANY OTHER APPLICABLE TERMS AND CONDITIONS POSTED ON IEHPS WEBSITE LOCATED AT WWW.IEHP.ORG/EN/ABOUT/PRIVACY-POLICY. IF YOU DO NOT AGREE TO THE TERMS OF THIS AGREEMENT, YOU MAY NOT ACCESS THE DEVELOPER PORTAL OR USE THE IEHP APIs.
By entering into this Agreement, you affirm that you are at least 13 years old and of legal age to enter into this Agreement and are authorized to enter into this Agreement on behalf of your Company. No legal partnership or agency relationship is created between IEHP and you or your Company by virtue of this Agreement.
We may update this Agreement by posting the updated version(s) on this Website. Updated versions of the Agreement will apply to your use of the IEHP APIs occurring on or after the date of the last update. The "Last Updated" legend above indicates when this Agreement was last changed. You should periodically review this page to determine if this Agreement has been updated. Your continued use of the IEHP APIs following any updates to this Agreement shall constitute notice and acceptance of any such updates.
PERMISSIBLE USE OF IEHP APIS
We provide access to Our application programming interfaces (“APIs”), including Our Patient Access API, Provider Directory API and Promoting Interoperability API, and their associated documentation and sandbox (collectively, the “IEHP APIs”) on the Developer Portal. We may update, change, discontinue or add IEHP APIs or functionality or features to the IEHP APIs in Our discretion with or without providing notice to you.
Subject to the terms of this Agreement, IEHP grants you a limited, non-sublicensable, non-assignable, non- transferable, royalty-free, non-exclusive license only to use: (a) the Patient Access API to retrieve certain health plan information maintained by Inland Empire Health Plan, a local public entity of the State of California, and its subsidiary health plans with the approval and at the direction of the applicable member or their personal representative consistent with applicable law; (b) the Provider Directory API to retrieve certain provider and pharmacy directory information; and (c) the Promoting Interoperability API to retrieve certain health care information with the consent of the applicable patient or their personal representative consistent with applicable law. You may only access the Patient Access API and Promoting Interoperability API by means of an application that has been registered with IEHP to access them. You agree to comply with all applicable laws, regulations, and governmental issuances.
RESTRICTIONS
You may not: (a) decompile, disassemble, reverse engineer, or otherwise attempt to derive, reconstruct, identify, or discover any source code, underlying ideas, or algorithms of the IEHP APIs by any means, except to the extent that the foregoing restriction is prohibited by applicable law; (b) remove any proprietary notices, labels, or marks from the IEHP APIs; (c) interrupt or attempt to interrupt the operation of the IEHP APIs in any way, including, without limitation, by restricting, inhibiting, or interfering with the ability of any other user to use the IEHP APIs (including by means of hacking or defacing any portion of the IEHP APIs, or by engaging in spamming, flooding, or other disruptive activities); (d) disrupt, interfere with, modify, bypass, or otherwise circumvent IEHP APIs functionality or features, limitations, security measures, technical processes, availability, integrity, or performance (or attempt the same); (e) transmit or attempt to transmit data over a IEHP APIs unless such transmission is authorized and formatted in accordance with applicable specifications in the IEHP APIs implementation guide; (f) transmit or otherwise make available through or in connection with the IEHP APIs any malicious, harmful or invasive code; (g) attempt to exceed IEHP APIs rate limits; (h) conduct security research on or testing against IEHP APIs, services, applications, systems, devices, or networks without prior written approval from IEHP; or (i) use the IEHP APIs (1) for any unlawful purpose or in any manner not authorized or intended in the IEHP APIs implementation guide, (2) in any way that could pose a threat to, disrupt, interfere with, harm, or impair the IEHP APIs, IEHP or other IEHP services, applications, systems, devices, or networks, or Inland Empire Health Plan members’, patients’, customers’, or other users’ use of IEHP APIs, (3) in any manner that, in IEHP’s reasonable determination, constitutes excessive or abusive usage, (4) to gain unauthorized access to any IEHP service, application, system, device, or network, or (5) to transmit malicious code or exploit security flaws, vulnerabilities, or deficiencies.
MONITORING
Your use of this Website and the IEHP APIs may be monitored by IEHP to ensure compliance with this Agreement. You consent to such monitoring.
REPORTING SECURITY ISSUES
You agree to promptly report to IEHP any security flaws, vulnerabilities, or deficiencies identified through normal use of IEHP APIs by calling the Inland Empire Compliance Hotline at 1-866-355-9038. You may not publicly disclose security flaws, vulnerabilities, or deficiencies in the IEHP APIs or other IEHP applications, systems, devices, or networks of which you become aware.
ACCOUNTS/REGISTRATION
You agree to promptly report to IEHP any security flaws, vulnerabilities, or deficiencies identified through normal use of IEHP APIs by calling the Inland Empire Health Plan Compliance Hotline at 1-866-355-9038. You may not publicly disclose security flaws, vulnerabilities, or deficiencies in the IEHP APIs or other IEHP applications, systems, devices, or networks of which you become aware.
PROPRIETARY RIGHTS
IEHP or its licensors own the IEHP APIs and the content on this Website and all intellectual property rights therein. You may not use any Inland Empire Health Plan entity’s name, trademarks, service marks, tradenames, logos or other distinctive brand features except as necessary to comply with your obligation, above, and agree not to remove any proprietary notices, labels, or marks from the IEHP APIs, and, in any case, you may not use those notices, labels or marks to imply affiliation with or endorsement by Inland Empire Health Plan. You have only those rights to access and use the IEHP APIs as are expressly granted by IEHP under this Agreement and all other rights in the IEHP APIs are reserved to IEHP or its licensors. You acknowledge that these rights are valid and protected in all forms, media, and technologies existing now or hereinafter developed. “Inland Empire Health Plan, a local public entity of the State of California,” means the health care organization doing business as Inland Empire Health Plan including, without limitation, Inland Empire Health Plan, and the subsidiaries, partners, and successors of the foregoing.
PUBLIC ENTITY STATUS; BROWN ACT/PUBLIC RECORDS ACT
The parties hereby acknowledge and agree that IEHP is a local public entity of the State of California subject to the Brown Act, California Government Code Sections 54950 et seq., and the Public Records Act, California Government Code Sections 6250 et seq.
PRIVACY
Your submission of information through the Website is governed by our Privacy Policy.
RESPONSIBILITY FOR HARDWARE, SOFTWARE, TELECOMMUNICATIONS AND OTHER SERVICES
You are responsible for obtaining, maintaining, and paying for all hardware, software, and all telecommunications and other services, needed for you to use the IEHP APIs.
DISCLAIMER OF WARRANTY
IEHP AND ITS SERVICE PROVIDERS DISCLAIM ALL EXPRESS OR IMPLIED REPRESENTATIONS OR WARRANTIES REGARDING THE IEHP APIS, INFORMATION, CONTENT, SERVICES, FUNCTIONALITY, AND ANY OTHER RESOURCES AVAILABLE ON OR ACCESSIBLE THROUGH THIS WEBSITE, INCLUDING, WITHOUT LIMITATION, ANY IMPLIED WARRANTIES OF MERCHANTABILITY, FITNESS FOR A PARTICULAR PURPOSE, OR NON- INFRINGEMENT. ALL SUCH IEHP APIS, INFORMATION, CONTENT, SERVICES, FUNCTIONALITY AND RESOURCES ARE MADE AVAILABLE "AS IS" AND "AS AVAILABLE", AT YOUR SOLE RISK, WITHOUT WARRANTY OF ANY KIND. IEHP DOES NOT WARRANT THAT THE WEBSITE OR IEHP APIS WILL BE ACCURATE OR OPERATE WITHOUT INTERRUPTION OR ERROR.
LIMITATION OF LIABILITY
TO THE MAXIMUM EXTENT PERMITTED BY APPLICABLE LAW, IN NO EVENT SHALL IEHP, INLAND EMPRIE HEALTH PLAN OR THEIR SERVICE PROVIDERS, LICENSORS OR RESPECTIVE EMPLOYEES, OFFICERS, DIRECTORS, AGENTS, AFFILIATES, SUPPLIERS, VENDORS, LICENSORS, CO-BRANDERS OR PARTNERS (COLLECTIVELY, THE “INLAND EMPRIE HEALTH PLAN PARTIES") BE LIABLE FOR ANY DIRECT, INDIRECT, SPECIAL, PUNITIVE, INCIDENTAL, EXEMPLARY, OR CONSEQUENTIAL DAMAGES, OR ANY DAMAGES WHATSOEVER RESULTING FROM ANY LOSS OF USE, LOSS OF DATA, LOSS OF PROFITS, BUSINESS INTERRUPTION, LITIGATION, OR ANY OTHER PECUNIARY LOSS, WHETHER BASED ON BREACH OF CONTRACT, TORT (INCLUDING NEGLIGENCE), PRODUCT LIABILITY, OR OTHERWISE ARISING OUT OF OR IN ANY WAY CONNECTED WITH THE USE, OPERATION OR PERFORMANCE OF THE IEHP APIS, WITH THE DELAY OR INABILITY TO USE THE IEHP APIS, ANY DEFECTS IN THE IEHP APIS, OR WITH THE PROVISION OF, OR FAILURE TO MAKE AVAILABLE, ANY INFORMATION, SERVICES, PRODUCTS, MATERIALS, OR OTHER RESOURCES AVAILABLE ON OR ACCESSIBLE THROUGH THE IEHP APIS, EVEN IF ADVISED OF THE POSSIBILITY OF SUCH DAMAGES.
You acknowledge and agree that the limitations set forth above are fundamental elements of this Agreement.
INDEMNIFICATION
You agree to indemnify, defend, and hold the Inland Empire Health Plan Parties harmless from any liability, loss, claim, and expense (including reasonable attorneys' fees) actually or allegedly related to or arising out of your use of the IEHP APIs or this Website, your use or disclosure of information obtained through the IEHP APIs, your violation of this Agreement, and/or your violation of the rights of any other person.
TERM, TERMINATION, SUSPENSION AND REVOCATION
This Agreement is effective until terminated by either party. If you no longer agree to be bound by this Agreement, you must cease your use of the IEHP APIs. If you breach any provision of this Agreement, then you may no longer use the IEHP APIs.
IEHP may suspend or revoke your Credentials or access to the IEHP APIs without prior notice for your failure to comply with this Agreement or if IEHP determines that your access to the IEHP APIs would present an unacceptable level of risk to the security of IEHP’s systems. IEHP may terminate this Agreement if you fail to comply with its terms and, to the extent permitted by law, for any or no reason.
If this Agreement is terminated for any reason, then: (a) this Agreement will continue to apply and be binding upon you in respect of your prior use of the IEHP APIs (and any unauthorized further use of the IEHP APIs); and (b) any rights granted to us under this Agreement will survive such termination.
GENERAL LEGAL TERMS
This Agreement constitutes the entire agreement between you and IEHP with respect to its subject matter IEHP’s failure to exercise or enforce any right or provision of this Agreement shall not constitute a waiver of such right or provision. If a court of competent jurisdiction rules that any provision of the Agreement is invalid, then that provision will be removed from the Agreement without affecting the rest of the Agreement and the remaining provisions will continue to be valid and enforceable. There are no third- party beneficiaries to this Agreement. The rights granted in this Agreement may not be assigned or transferred by You without the prior written approval of IEHP. You may not delegate your responsibilities or obligations under this Agreement without the prior written approval of IEHP. This Agreement shall be governed by the laws of the State of California without regard to its conflict of laws provisions. You agree to submit to the exclusive jurisdiction of the courts located within the county of San Bernardino, California to resolve any legal matter arising from this Agreement. IEHP may, notwithstanding this, seek injunctive remedies in any jurisdiction.
無證保險
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您的健康事關重大。
而非您的移民狀態。
直接透過電話申請免費健康保險。
立即撥打電話!1-866-294-4347
州法律向更多成人提供 Medi-Cal 服務
有史以來第一次,年滿 50 歲及以上的低收入加州居民,無論其移民身分為何,均有資格領取全範圍 Medi-Cal 福利。
依據《加州 AB 133 號法案》(California Assembly Bill 133, AB 133),Inland Empire 健康計畫 (Inland Empire Health Plan, IEHP) 等健康計畫目前現在可讓這些成人使用預防性健康照護、行為健康服務、視力照護等服務。
在 2019 年,於健康平權的歷史性措施中,州政府首次為 0-26 歲的所有加州居民提供全範圍 Medi-Cal 服務。在 2022 年,該項新法律為國內低收入人士提供最具包容性的健康照護政策。全州有將近 185,000 人得以受益。
IEHP 醫療長 Takashi Wada 醫師說道:「當越來越多居民可以使用協調照護及預防性服務,健康及福址就得以改善,而社區也能蓬勃發展,」「所有社區(無論移民身分為何)都應該有機會獲得充滿活力的健康狀態。」
IEHP 理解無證居民對於申請 Medi-Cal 的恐慌。這也是我們之所以盡其所能使居民與值得信賴的資源和支持建立連結。這些努力包含社區活動,以及與 TODEC 等法律組織合作。
IEHP 執行長 Jarrod McNaughton 說道:「IEHP 渴望竭盡所能地支援這些成人,希望能讓他們獲得所需的照護及福利。」
如需申請 Medi-Cal,請於週一到週五上午 8 點至下午 5 點致電 1-866-294-IEHP (4347) 聯絡 IEHP 的協助註冊諮詢。TTY 使用者應致電 1-800-718-4347。
立即撥打電話!1-866-294-4347
河濱郡的 Medi-Cal
獲得最佳照護和充滿活力,IEHP 會竭盡所能。結合州 Medi-Cal,您可以獲得當地數千位醫生的服務,以滿足您的醫療、牙科和視力需求。 請立即致電我們,以詳細瞭解 IEHP 和 Medi-Cal。 河濱郡的醫療服務 未投保的美國人在需要醫療保健時不太可能會主動尋求服務,而這可能會加劇已有的醫療問題。透過選擇 IEHP 並結合 Medi-Cal,您將獲得保護自己的健康和全家人健康的機會。 低收入或無收入不再是獲取優質醫療保健的阻礙。透過由 IEHP 管理的 Medi-Cal,享受您理應獲得的承保服務。 周全的醫療服務 Medi-Cal 不僅僅承保基礎醫療服務,例如門診服務、安寧照護、急診服務和住院治療。利用 IEHP 和 Medi-Cal 承保服務,會員還可以獲得: 戒癮治療 兒科照護 新生兒照護 跨性別支援服務 放射線治療承保服務 實驗室檢驗服務 透過 IEHP,您可以獲得網絡內 8,000 多名醫生和專家的服務。 請立即致電 IEHP,以瞭解 IEHP 會員享受的福利,以及申請 Medi-Cal 的方式。 視力服務 視力低下會影響生活品質。投保 IEHP 和 Medi-Cal 計畫後,獲取所需照護會變得輕而易舉。成為 IEHP 計畫會員後,您每 24 個月便能免費進行一次視力檢查,如果在醫療上具有必要性(例如對於糖尿病患者),額外或更頻繁的眼部檢查也在承保範圍內。如果您獲得有效處方,您還能每 24 個月就獲得一副眼鏡(包含鏡框和鏡片)。 如果因為眼部疾病或醫療狀況(例如喪失一隻耳朵)而無法佩戴眼鏡,則隱形眼鏡檢查和隱形眼鏡可能也在承保範圍內。 透過河濱郡 Medi-Cal 獲取牙科服務 Medi-Cal(透過 Medi-Cal 牙科計畫)承保部分牙科服務,包括: 診斷和預防性牙科衛生(例如檢查、X 射線治療和牙齒清潔) 為止痛而提供的緊急服務 拔牙 根管治療(前/後) 刮牙術與牙周整平 牙冠(預製/實驗室製作) 符合條件的兒童齒顎矯正 全口義齒或部分義齒 局部塗氟 牙科照護與醫療照護同樣重要。如果您對於牙科服務有疑問或想瞭解更多資訊,請撥打 Medi-Cal 牙科計畫電話:1-800-322-6384(TTY 使用者請撥 1-800-735-2922 或 711)。您還可以造訪 Medi-Cal 牙科計畫網站:https://www.dental.dhcs.ca.gov 或 https://smilecalifornia.org/。 申請河濱郡的 Medi-Cal IEHP 治愈疾病和鼓舞心靈的使命之所以能夠實現,是因為其設立了一個願景 — 為了讓社區獲得最佳照護和充滿活力而竭盡所能。 每個人都應該獲得醫療保健,而且現在比以往都更容易獲得承保服務。 如何申請河濱郡的 Medi-Cal 申請 Medi-Cal 的方式有多種,其中包括: 致電 IEHP 於週一至週五上午 8 點至下午 5 點撥打 1-866-294-4347。TTY 使用者請撥 1-800-720-4347。您將與 IEHP 友善的雙語投保顧問進行交流。 郵寄 您可以將填妥並簽名的申請表郵寄至: Covered California P.O.Box 989725 West Sacramento, CA 95798-9725 或郵寄至河濱郡 Medi-Cal 辦公室。 現場申請 按一下此處以查找河濱郡 Medi-Cal 辦公室的地點。 線上申請 按一下此處以在線上申請。 立即獲得健康承保服務 成為 IEHP 計畫會員,享受一流的加州醫療保險服務。在超過 25 年的時間裡,IEHP 為辛勤工作的市民及其家人提供服務並以此為傲。立即加入 IEHP,讓您的健康成為我們的重心。
心理健康 - 988 自殺和危機熱線
好記,便於陷入危機中的人致電。該熱線會將他們轉至全國自殺預防熱線(現稱為 988 自殺和危機熱線 (988 Suicide & Crisis Lifeline))。 對於處於危機中的人士來說,這是一個拯救生命的資源。 此號碼的接聽對象是受過訓練的危機顧問,並非警察。 當人們致電或發簡訊至 988 時,會將其轉至受過訓練的顧問,這些顧問是現有熱線網絡的成員。他們會做人們的聆聽者,瞭解來電者的問題如何對其造成了影響,並為其提供支持和在必要時將他們與資源建立聯絡。 988 和 911 有何區別? 988 不是一種新的服務,只是一個新號碼。設立 988 區號的目的是改善獲取危機服務的機會,以滿足我國日益增長的自殺和心理健康相關危機護理需求。它可以讓人們更輕鬆地存取熱線網絡和相關的危機資源,這與 911 的公共安全用途(其重點是根據需要派遣緊急醫療服務、消防和警察)不同。 988 是否可以處理藥物濫用危機? 任何需要自殺、心理健康和/或藥物濫用危機方面等幫助的人都可以致電此熱線。 988 熱線是免費服務嗎? 是的,熱線會以多種語言提供全天候接聽服務。988 服務還可以回覆簡訊或訊息(僅限英文)。移動運營商的標準數據速率可能適用於向此熱線發送簡訊的人員。如果在通訊需求方面需要資金援助,請造訪 www.fcc.gov/lifeline-consumers 以瞭解詳細資訊。任何需要心理健康相關或自殺危機幫助的人員皆可致電、發送簡訊和訊息。 每個人都可以致電此熱線嗎? 所有美國民眾都可以致電此熱線,它可以為陷入自殺危機或情緒困擾的人提供全天候的免費支持並確保私密性。988 熱線每天幫助無數人同自殺念頭和健康問題作鬥爭。 如果您或認識的人處於危機之中,請致電下方的當地危機電話號碼。全國 988 服務持續在線,請根據需要利用當地資源。 Riverside 1-800-273-TALK (951) 686-HELP (4357) 1-877-727-4747 和危機簡訊熱線:741-741 San Bernardino 24 小時危機熱線:(760) 365-6558 East Valley:(909) 421-9233 West Valley:(909) 458-9628 High Desert:(760) 956-2345 心理健康緊急照護診所 Riverside 緊急照護診所 Riverside(年滿 18 歲的成年人) 9990 County Farm Rd. Bldg. 2, Riverside, CA 92503 (951) 509-2499 Perris(年滿 13 歲的青少年及成年人) 85 Ramona Expressway, Suites 1-3, Perris, CA 92571 (951) 349-4195 San Bernardino 緊急照護診所 Victorville(免預約危機中心) 12240 Hesperia Rd., Ste.A, Victorville, CA 92395 (760) 245-8837 Yucca Valley(免預約危機中心) 7293 Dumosa Ave., Ste.2, Yucca Valley, CA 92284 (760) 365-2233 Merrill 中心 - Fontana(危機平息部門) 14677 Merrill Ave., Fontana, CA 92335 (951) 643-2340 Windsor 中心 - San Bernardino(危機平息部門) 1481 N. Windsor Dr., San Bernardino, CA 92404 (909) 361-6470 其他資源 Take My Hand,一個心理健康支持聊天熱線 Medi-Cal 心理健康服務護理熱線 1-800-499-3008
簡訊發送計畫條款與條件 - 簡訊發送計畫
參加時,您可能會收到不同的醫療保健通知,例如透過 IEHP 獲得護理的方式、重要的健康提醒,另外還將通知您有關健康教育和健康計畫的資訊
。短信頻率會有所不同。
本條款與條件有可能變更。 IEHP 保留隨時更新或修改本條款與條件的權利。
IEHP 或其服務提供者可自行決定因為任何原因終止、調整或暫停任何使用者使用本服務或本服務的任何一部分。 您亦可隨時終止或暫停服務,只需要您發送簡訊「STOP」至 90902 或發送電子郵件至 texthelp@iehp.org 以取消訂閱。如需協助,請發送簡訊 HELP 至 90902,也可致電 1-800-440-4347 聯絡 IEHP 會員服務中心 (IEHP Member Services)。
您必須至少年滿 13 歲,方符合使用本服務之資格。不過,如果您至少年滿 13 歲但未滿 18 歲,您可以在獲得家長或監護人事前准許的情況下使用本服務,而且只有在此情況下才能使用本服務。任何情況下,未滿 13 歲者皆不得使用本服務。
IEHP 不會因為本服務收費,不過可能會收取簡訊費用和資料費用。例如,您的呼叫器或行動電話的服務提供者可能會向您收取接收無線簡訊的費用。IEHP 及其承包商皆不對使用本服務的任何相關費用負責。 您同意您負責支付您的電信業者費用以使用本服務,或是如果您未滿 18 歲,您同意您已獲得負責支付電信業者費用的成年人准許,可使用本服務。運營商對延遲或未送達的訊息不承擔任何責任。
IEHP「依原樣」提供本服務,沒有任何形式的保證。IEHP 明確聲明不對本服務做任何明示或暗示的保證,包括對適售性、特定用途的適用性、不侵權的任何暗示保證,或是對服務一定安全、不受中斷或沒有錯誤、病毒或其他有害成分做任何保證。* 某些州不允許暗示保證的免責聲明,因此以上免責聲明對您可能不適用。
任何情況下,IEHP 或其員工、主管或董事皆不對您因為使用本服務而產生或是與使用本服務相關的任何間接、偶然、衍生性質、特殊或懲罰性質的損害負責,不論 IEHP 是否被告知上述損害的可能性。
如果您對本服務或任何 IEHP 網站上的任何內容不滿意,或對本條款與條件不滿意,您唯一的救濟方式是中止使用本服務。您若使用本服務,即承認您對本服務的使用自行承擔所有風險。
您同意賠償與保護 IEHP、其合作夥伴、客戶、員工、主管、董事,使他們免於承擔下列事項所產生的任何及所有索賠、責任、處罰、清算、判決、費用 (包括合理的律師費):(i) 您或任何使用您帳戶的人可能提交、發布或傳輸至本網站的任何內容;(ii) 您對本服務的使用;(iii) 您違反本條款與條件的條款之情事;(iv) 任何您違反或未能遵守與本服務相關的所有法令與法規。
未獲得 IEHP 事前書面同意時,不論您是自願還是依據法令行事,您皆不得完全或部分讓與您在本文中的任何權利,或是完全或部分委託本文中的任何義務。未獲得 IEHP 適當的事前書面同意時,您進行上述的任何讓與或委託行為皆屬無效,不具任何效力及作用。
IEHP 致力於守護您的隱私。 您可以在此找到我們的隱私權政策 (Privacy Policy)。
聯絡資訊
10801 Sixth Street,
Rancho Cucamonga, CA 91730
1-800-440-IEHP (4347)
TTY 使用者請撥 1-800-718-IEHP (4347)
服務時間:太平洋標準時間上午 8 點至下午 5 點
Join Our Network - Screening & Enrollment
d by APL 19-004, all Providers currently in IEHP's network and those looking to join the network are mandated to enroll in the Medi-Cal Program. This requirement to enroll in the Medi-Cal Program applies to all IEHP Providers, including those participating through an IPA. If a Provider currently active with IEHP fails or declines to complete their enrollment in the Medi-Cal Program, IEHP will be required to terminate their participation from the network.
How to Enroll
The Provider Enrollment Division (PED), a unit within the Department of Health Care Services (DHCS), is responsible for the timely enrollment of Providers into the Medi-Cal Program. PED now offers an improved web-based application via their Provider Application and Validation Enrollment (PAVE) portal. Please note the current PAVE release may not support specific Provider types or submissions from new out-of-state Providers. PAVE is being implemented in a series of releases to include Provider types and enrollment actions. Here is a current list of Provider types supported in PAVE.
Provider Resources
All Plan Letter 19-004
This APL supersedes 17-019, the APL mandating Providers to enroll in the Medi-Cal Program.
All Plan Letter 17-019
Access the APL on DHCS's website regarding the screening and enrollment of all Providers rendering services to Medi-Cal beneficiaries.
California Health & Human Services (CHHS) Agency Open Data Portal
Utilize the Open Data Portal to identify Providers who have successfully enrolled in the Medi-Cal Program through DHCS. The portal is maintained and updated by PED monthly.
Frequently Asked Questions (FAQ)
The document contains responses from DHCS to frequently asked questions regarding screening and enrollment requirements.
Provider Resources from DHCS
Access to PAVE Provider Types, PAVE 101 Training Slides, Provider Job Aides, FAQs, PAVE Support Resources
Contact Information
Department of Healthcare Services
Attn: Provider Enrollment Division MS4704
PO BOX 997412
Sacramento, CA 95899-7412
PED Message Center
(916) 323-1945
After reaching the welcome message, please select Option 4, then Option 1 to speak with a live agent.
PAVE Technical Assistance
(866) 252-1949
PAVE@dhcs.ca.gov
PED Policy Assistance
PEDCORR@dhcs.ca.gov
IEHP Provider Assistance
ProviderNetwork@iehp.org
Provider Resources - Compliance
h plan operations in compliance with ethical standards, contractual obligations under State and Federal programs, laws, and regulations applicable to Medi-Cal and IEHP DualChoice. This commitment extends to our business associates and delegated entities that support IEHP’s mission to organize and improve the delivery of quality, accessible, and wellness based healthcare services for our community.
Our Compliance Program is designed to:
Ensure we comply with applicable laws, rules, and regulations
Reduce or eliminate Fraud, Waste, and Abuse (FWA)
Prevent, detect, and correct non-compliance
Reinforce our commitment to culture of compliance for which we strive
Establish and implement our shared commitment to honesty, integrity, transparency, and accountability
Code of Business Conduct and Ethics
Inland Empire Health Plan (IEHP) expects Team Members and business entities doing business with IEHP to conduct business activities in an ethical and professional manner that promotes public trust and confidence in the integrity of IEHP. The Code is meant to provide guidance about the compliance culture at IEHP and the role that each Team Member, including management, Chief Officers and the Governing Board, plays in building and preserving that culture.
IEHP Code of Business Conduct and Ethics (PDF)
Compliance, Fraud, Waste, and Abuse (FWA), and Privacy Program Training
The IEHP Compliance, FWA, and Privacy Training Program focuses on the elements of an effective Compliance Program, conduct & ethics, and the Fraud, Waste and Abuse and Privacy Programs.
IEHP requires delegated entities to provide Compliance Training to their employees, Providers, downstream entities, Board of Directors, and Contractors within 90 days of hire/start, and annually thereafter.
IEHP is committed to a culture of compliance, ethics, and integrity. The goal of Compliance Training is to provide all associated parties the ability to demonstrate awareness of IEHP’s requirements, including regulations and policies & procedures associated with Compliance as it relates to daily work.
If you have questions or additional suggestions, please e-mail the IEHP Compliance Department at compliance@iehp.org.
Compliance Training FWA HIPAA Privacy and Security (PDF)
Eligibility to Participate in Federal and State Health Care Programs
Inland Empire Health Plan (IEHP) is prohibited from issuing payment for services provided, ordered, or prescribed by an individual or entity that is excluded, ineligible, or terminated from participation in State and Federal health care programs in accordance with regulatory and contractual requirements.
IEHP conducts regular reviews of Federal and State exclusionary databases and lists, including but not limited to:
Office of Inspector General (OIG) List of Excluded Individuals and Entities (LEIE list)
GSA Excluded Parties List System (EPLS)
DHCS Medi-Cal Suspended and Ineligible Provider List
CMS Preclusion List
Restricted Provider Database (RPD)
Exclusion Screening
IEHP has implemented a screening process to identify individuals and entities that appear on the DHHS OIG LEIE, the GSA EPLS, the CMS Preclusion List and the DHCS Medi-Cal Suspended and Ineligible Provider List prior to appointment, contracting, and/or employment and monthly thereafter to ensure that none of these individuals or entities are excluded, ineligible or terminated from participation in State and Federal health care programs.
Delegated entities must implement a screening program for employees, Board Members, contractors, and business partners to avoid relationships with individuals and/or entities that tend toward inappropriate conduct.
This program includes but is not limited to:
Prior to contract and monthly thereafter, review of the GSA System for Award Management (SAM), the Department of Health Care Services Medi-Cal Suspended and Ineligible list, and the Office of Inspector General’s (OIG) List of Excluded Individuals and Entities (LEIE) that are excluded from participation in government health care programs (42 CFR §10011901).
A monthly review of the Department of Health Care Services Medi-Cal Suspended and Ineligible list.
Criminal record checks when appropriate or as required by law.
Review of the National Practitioner Databank (NPDB).
Review of professional license status for sanctions and/or adverse actions.
Reporting results to Compliance Committee, Governing Body, and IEHP as necessary.
Fraud, Waste, and Abuse (FWA)
IEHP has established a Fraud, Waste, and Abuse Program to detect, correct, and prevent fraud, waste, and abuse on part of Team Members, IEHP Members, Providers, Vendors, delegated entities and any other entity doing business with IEHP.
Fraud Prevention
Fraud Prevention, it’s a Team Effort
In an effort to prevent fraud and abuse, IEHP encourages Providers and their staff to report any suspicious circumstances when they arise. You may want to ask for another form of identification in addition to the IEHP Member identification card. Identification with both a picture and a signature, such as a valid driver’s license or State identification card, are suggested. We are informing Members of this concern and are requesting that they have additional identification available when they come to you. To obtain more compliance guidelines, the Department of Health and Human Services (HHS) offers assistance (by clicking on this link you will be leaving the IEHP website).
Fraud is knowingly and willfully executing, or attempting to execute, a scheme or artifice to defraud any health care benefit program, or to obtain, by means of false or fraudulent pretenses, representations, or promises, any of the money or property owned by, or under the custody or control of, any health care benefit program.
Examples include:
Knowingly billing for services or prescriptions not furnished or supplies not provided
Knowingly altering claim forms for a higher payment
Selling medicine, medical equipment, or other things received through IEHP
Waste includes overuse of services, or other practices that, directly or indirectly, result in unnecessary costs. Waste is generally not considered to be caused by criminally negligent actions but rather by the misuse of resources.
Examples include:
Conducting excessive office visits
Writing excessive prescriptions or ordering excessive tests
Prescribing more medications than necessary for the treatment of a specific condition
Abuse includes actions that may, directly or indirectly, result in unnecessary costs and improper payment or services. Abuse involves payment for items or services when there is no legal entitlement to that payment and the provider has not knowingly and/or intentionally misrepresented facts to obtain payment.
Examples include:
Billing for unnecessary medical services or medical equipment
Billing for brand name drugs when generics are dispensed
Misusing codes on a claim, such as upcoding and unbundling codes.
Report potential FWA Click Here (By clicking on this link, you will be leaving the IEHP website).
Privacy Incident/Breach
IEHP has established a HIPAA Privacy Program to ensure that Member’s health information is properly protected while allowing the flow of health information needed to provide and promote high-quality health care.
A privacy breach is defined as unauthorized acquisition, access, use, or disclosure of protected health information (PHI) which compromises the security or privacy of such information.
PHI is health information that relates to a Member’s past, present or future physical or mental health or condition, including the provision of his/her health care, or payment for that care and contains personally identifiable information (PII) such as name, SSN, DOB, Member ID, address, or any other unique identifier related to the Member.
This generally means that a breach occurs when PHI is accessed, used, or disclosed to an individual or entity that does not have a business reason to know that information. The law does allow information to be accessed, used, or disclosed when it is related to treatment, payment, or healthcare operations directly associated with the work that we do at IEHP on behalf of our Members.
Report a Privacy Incident/Breach Click Here (By clicking on this link, you will be leaving the IEHP website).
Reporting Information
IEHP has the following resources available for reporting fraud, waste or abuse, privacy issues, and other compliance issues:
Compliance Hotline: (866) 355-9038
Fax: (909) 477-8536
E-mail: compliance@iehp.org.
Mail:
IEHP Compliance Officer
P.O. Box 1800
Rancho Cucamonga, CA 91729-1800
Online: (By clicking on this link, you will be leaving the IEHP website)
Report a Compliance Issue: Click Here
Report a Privacy Incident/Breach: Click Here
Report potential FWA: Click Here
Frequently Asked Questions (FAQs)
What are some common examples of fraud?
Providers
Billing for services not rendered
Paying a "kickback" in exchange for a referral for medical services or goods
Unbundling
Overcharging for services or goods
Using false credentials
Members
Allowing unauthorized individuals to use ID card to obtain benefits
Altering prescriptions
Falsifying residence information to obtain benefits
Drug seeking or doctor shopping to obtain narcotics
What do I do if I suspect an IEHP Member is engaging in possible fraud, waste, or abuse?
First, document your suspicions. Then, contact IEHP’s Compliance Department at (866) 355-9038 and make a report with one of our Representatives. At times, IEHP may request additional information that is necessary to investigate.
IEHP also has the following resources available for reporting fraud, waste or abuse, privacy issues, and other compliance issues:
Compliance Hotline: (866) 355-9038
Fax: (909) 477-8536
E-mail: compliance@iehp.org
Mail:
IEHP Compliance Officer
P.O. Box 1800
Rancho Cucamonga, CA 91729-1800
Online: (By clicking on the following links, you will be leaving the IEHP website)
Report a Compliance Issue Click Here
Report a Privacy Incident/Breach Click Here
Report potential FWA Click Here
What do I do if my facility has made some billing errors?
If you suspect that errors in billing may have occurred, contact your IEHP Provider Services Representative at (909) 890-2054.
What are some other things I can do as a Provider?
Periodically perform internal audits of billing practices and compare billing records with payments received.
Do not leave prescription pads, which include a Provider's identification and license number, out in the open. For example, do not store prescription pads in exam room cabinets or leave on office counters.
IEHP DualChoice (HMO D-SNP) Model of Care Training
The Centers for Medicare & Medicaid Services (CMS), the Department of Health Care Services (DHCS) and the National Committee for Quality Assurance (NCQA) require that IEHP staff and contracted consultants/vendors, our Medicare IPAs, Hospitals/SNFs, and Providers, receive training on the Plan’s Model of Care for our D-SNP Members:
Interdisciplinary Care Team (ICT) Fact Sheet (PDF)
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 or MS Internet Explorer
Contact the OIG
The Office of the Inspector General (OIG) is there to assist you and maintains a hotline, which offers a confidential means for reporting vital information. For information on confidentiality, please contact the hotline and ask about their confidential source program. Each caller is encouraged to assist the OIG by providing information on how they can be contacted for additional information but the caller may remain anonymous.
Contacting the Office of the Inspector General
Phone: (800) HHS-TIPS (447-8477)
E-mail: Htips@oc.dhhs.gov
Additional Hotlines
DHCS Medi-Cal Fraud Hotline
Phone: (800) 822-6222
E-mail: fraud@dhcs.ca.gov
Web: https://apps.dhcs.ca.gov/stopfraud/Default.aspx
The recorded message may be heard in English and 10 other languages: Spanish, Vietnamese, Cantonese, Armenian, Hmong, Cambodian, Laotian, Farsi, Korean and Russian. The call is free and the caller may remain anonymous.
You will need Adobe Acrobat Reader 6.0 or later to view the PDF files. You can download a free copy by clicking here.
創新和品質績效 - 我們致力於創新
護的近用以及會員、提供者、社區為第一優先。
提供者招募
IEHP 創新的網路擴展基金 (NEF) 是加州同類型計畫的先驅。成立於 2014 年的 NEF 自特別指定基金中提撥了 3,000 萬美元,以吸引專科認證的初級照護提供者、專科醫師、中階提供者至內陸帝國地區,因應此地區長期缺少提供者的情況,並且為超過 120 萬名 IEHP 會員改善照護近用。至今,本計畫的直接成果之一是招募了超過 280 個提供者。
行為健康整合複合式照護計畫
行為健康整合複合式照護計畫 (BHICCI) 是一項 2019 年 1 月 1 日開始的合作計畫,參與者為 IEHP 以及內陸帝國地區中替加州醫療保健服務部 (California Department of Health Care Services, DHCS) 的健康之家計畫提供服務據點的 30 多間診所。該計畫旨在改善會員的健康狀況,方法是組織提供全面照護管理的複合式照護團隊,以及在河濱郡與聖貝納迪諾郡的多個提供者與健康照護系統之間協調複雜的生理與行為健康需求。BHICCI 照護團隊目前正在轉型為提供健康之家服務的社區照護管理實體 (community-based care management entity, CB-CME),為健康之家上線做準備。
健康之家計畫
健康之家計畫 (HHP) 是以擁有複雜需求的病患為對象的綜合照護管理計畫,基礎為 IEHP 的行為健康整合複合式照護計畫 (BHICCI),依照醫療保健服務部 (DHCS) 的立法進行。HHP 會協助擁有嚴重慢性生理與/或心理健康問題的會員,協調生理、行為、社區上的長期服務與支援 (Long-Term Services and Supports, LTSS) 需求。HHP 的主要目標是透過照護協調與複合式照護管理,改善會員的整體健康狀況。自從計畫於 2019 年 1 月啟動以來,已有超過 9,000 名會員在血壓、糖尿病、憂鬱的相關臨床健康狀況上獲得極為正向的結果。按一下這裡進一步瞭解健康之家計畫。
EHR 與健康資訊交換所
IEHP 與聖貝納迪諾郡醫學會 (San Bernardino County Medical Society) 及河濱郡醫學會 (Riverside County Medical Association) 合作,組建了 Inland Empire EHR 資源中心,在選擇及採用電子病歷系統方面協助提供者與診所。此外,IEHP 也是 Inland Empire 健康資訊交換所的一部分,日前已與 CalIndex 健康資訊交換所合併為 Manifest Medex (MX)。MX 是涵蓋加州的健康資訊交換所,在內陸帝國地區的普及率及使用率顯著,透過所有的內陸帝國急症照護醫院與許多醫療團體及醫師提供病患的臨床資料與管理資料。MX 為存取及安全分享病患的電子病歷提供必要技術,造福內陸帝國 440 萬名居民中的絕大多數人。MX 讓醫師、診所、醫院、其他健康照護提供者能用電子方式檢查及存取醫療記錄,為我們社區中的病患提供及時且高品質的健康照護。
線上醫師 (DocOnline)
這項創新計畫為會員提供了另一個選擇,能在下班時間取得醫師的醫療建議。IEHP 會員能透過電話或視訊聊天,輕鬆快速地與專科認證醫師通話。醫師可以存取 IEHP 處方集與 IEHP 網路內藥局,在需要時為 IEHP 會員以電子方式開立處方藥。全面實施之後,本服務將提升會員的近用性與便利性,同時減少不必要的急診室或緊急照護就醫次數。
遠程醫療
IEHP 支持在內陸帝國地區拓展遠程醫療服務,促進有迫切需要的專科照護之近用,在快速診斷及治療方面提供協助。遠程醫療能消除內陸帝國長期存在的一項照護障礙 – 取得健康照護資源的地理距離。有了遠程醫療的資源通訊技術,就能遠程推動疾病或傷害的治療及預防,消除地理距離這項阻礙照護的重大因素。遠程醫療也能用來協助訓練提供者及教育會員。IEHP 目前支援以下特定服務的遠程醫療:行為健康、視網膜檢查、皮膚科、骨科諮詢。未來還將推出多項計畫,根據會員需求拓展至其他服務。
電子諮詢 (eConsult)
電子諮詢是 IEHP、Arrowhead Regional Medical Center、河濱大學保健系統之間的合作計畫,讓 PCP 在病患可能需要專科醫師轉介時,能以電子方式直接聯繫專科醫師。透過隱密安全的系統,PCP 能及時取得專科醫師的臨床建議,得以在初級照護環境中管理大多數病患 (某些病患可能需要親自前往專科醫師處就診)。IEHP 目前為該計畫前 24 個月提供贊助,未來將在河濱郡與聖貝納迪諾郡超過 70 處診所設計、實施、評估電子諮詢。
安全線上會員入口網站與應用程式
IEHP 會員可以在全天候管理自身健康方面扮演積極角色,方法是使用透過 IEHP 網站或行動應用程式存取的安全線上帳戶。會員可以檢視及列印自己的 IEHP 會員卡;檢視檢測內容、疫苗接種卡與授權書;尋找或變更醫師;搜尋提供者目錄;參加健康教育課程;確認資格;以及更多服務。獨立的 Baby-N-Me 產前護理應用程式有助改善孕期的健康狀況,讓孕婦更容易追蹤孕期里程碑,辨識健康問題,利用提醒與有用工具保持健康。
簡訊發送與警示
IEHP 採用雙向簡訊發送與簡訊服務 (SMS) 警示,向會員說明計畫福利以及健康照護系統的操作方式。這些具有針對性的警示會傳達季節性的健康資訊,涵蓋疫苗接種、預防性照護、服藥遵從性、新健康計畫的特色等主題。
長期護理服務與支援 (LTSS)
IEHP 長期護理服務與支援 (LTSS) 計畫讓老年人及殘障人士得以在家中以安全可行的方式長時間獨立生活,無法獨立生活時則提供專業護理機構 (SNF) 照護。LTSS 包括 Multipurpose Senior Services Program (MSSP) 與社區成人服務 (CBAS),以及必要時的 SNF 服務。IEHP 也會幫助協調任何居家支援服務 (IHSS) 的福利。2018 年 5 月以來,IEHP 已幫助 750 名會員轉離長期照護機構,返回社區。與河濱郡社會服務部合作制定的 24 小時居家緊急照護者計畫及個案管理計畫獲得了全國郡縣協會 (National Association of Counties) 頒發的 2017 年與 2018 年成就獎。IEHP 還與加州大學洛杉磯分校合作投入 Geriatric Workforce Enhancement Program,提供病患、家屬、照護者需要的知識與技能,改善健康狀況並提升老年人的照護品質。
Medicare DSNP Formulary Search Tool - IEHP DualChoice (HMO D-SNP) Formulary Search Tool
h Plan by searching for the exact name of the medication or by browsing our formulary database. You can also view the IEHP Medicare Formulary (PDF)
Additional resources to help you understand drug coverage information are available via your desktop at https://www.formularylookup.com or download the free mobile app from http://ios.formularylookup.com or http://android.formularylookup.com,
If the prescription is not in IEHP's Formulary, providers may print and submit a new Prescription Drug Prior Authorization (Rx PA) Request Form or submit the Prescription Drug Prior Authorization Online.
Pharmacy Services - Pharmacy Quality Ratings
ated to help IEHP Members to find high-quality local pharmacies for your pharmacy services. This searchable system will display the rating of each participating pharmacy. The ratings range from 1 to 5 stars (with 1 being the lowest and 5 being the highest).
What does the rating scale mean?
The rating is on a scale of 1 to 5 stars (with 1 being the lowest and 5 being the highest).
Star Ratings
Performance Description
1 Star
Well below average
2 Stars
Below average
3 Stars
Average
4 Stars
Good
5 Stars
Exceptional
No Star
No information is available for this pharmacy
Please keep in mind that Pharmacy Quality Star Rating is currently under development and may not reflect the most recent ratings of your Pharmacy at this time.
IEHP Pharmacy Quality Rating is visible with IEHP "Find a Doctor, Urgent Care, or Pharmacy" webpage (select “Pharmacies” and put in your zip code or city, then hit “Find”). The quality rating information is displayed on the right side of each pharmacy.
Information on this page is current as of January 1, 2022
Special Programs - Enhanced Care Management
addresses the clinical and non-clinical needs of high-need, high-cost IEHP Members through systematic coordination of services and comprehensive care management. ECM is a collaborative and interdisciplinary approach to providing intensive and comprehensive care management services to individuals. It serves to build on the Health Homes Program (HHP) and Whole Person Care (WPC) pilots and transitions those pilots to one larger program to provide a broader platform to build on positive outcomes from each program.
ECM provides these vulnerable Members an additional care team to help coordinate and manage their care. The care team consists of a Nurse Care Manager, a Behavioral Health Care Manager, a Care Coordinator, and a Community Health Worker. These specially trained professionals collaborate with IEHP Members' Primary Care Physicians, Specialists, and family support systems to create a personalized plan of care.
Beginning January 1, 2022, please direct eligible IEHP Members who need the ECM services to call IEHP Member Services at (800) 440-4347, Monday - Friday, 8am - 5pm. TTY users should call (800) 718-4347.
If you have programmatic questions, please submit them to ECM@iehp.org.
IEHP Enhanced Care Management Member Brochure (PDF)
CalAIM Enhanced Care Management Policy Guide (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.
Special Programs - California Children Services
page.
What is CCS?
CCS is a statewide program that enables children with qualifying conditions to receive specialized services related to that condition independent from IEHP. The CCS program provides diagnostic and treatment services, and medical case management for those who have qualifying conditions.
CCS also provides occupational and physical therapy services through the Medical Therapy Program (MTP). The Medical Therapy Program (MTP) is a special program that provides physical therapy (PT), occupational therapy (OT), for children who have disabling conditions, generally due to neurological or musculoskeletal disorders
Who Qualifies?
The CCS program services children and young adults under the age of 21 who have eligible medical conditions. Examples of CCS-eligible conditions include, but are not limited to, chronic and acute medical conditions such as cystic fibrosis, hemophilia, cerebral palsy, heart disease, cancer, traumatic injuries, and infectious diseases producing major sequelae.
For a more inclusive list of diagnoses and medical criteria of qualifying conditions please reference the below links:
https://www.dhcs.ca.gov/services/ccs
https://www.dhcs.ca.gov/services/ccs/Documents/CCSMedicalEligibility.pdf
Provider Responsibilities
Primary Care Physicians (PCPs), Specialty Providers, and IPA/Medical Groups are responsible for performing appropriate baseline health assessments and diagnostic evaluations sufficient to identify children and young adults with potential CCS-qualifying conditions and refer to CCS as needed.
PCPs are responsible for all well child and pediatric preventative services as these services are not a covered benefit of CCS. PCPs are also responsible in assisting CCS members with transition from CCS to IEHP authorizations at the age of 21 when members age out of the CCS program.
Benefits of CCS Enrollment
CCS Clients are not restricted to in area providers but have access to any CCS paneled provider within the state of California when a need for the specialty care has been determined to be CCS eligible. Once a client is determined to be eligible for CCS, the client will continue to be medically eligible for CCS until treatment is complete or age 21 when the CCS program ends.
Additional Resources
To assist our valued Providers, every Member active with CCS has a distinct red “CCS” widget in the Provider Portal. Opening that widget enables you to view the diagnosis being treated and any Specialists and their treatment authorization range.
For any questions about your Member’s CCS care or management, please do not hesitate to contact IEHP’s CCS Team at: (800) 706-4347 or by email at CCSCareManagement@iehp.org .
(By clicking on the links below, you will be leaving the IEHP site)
For additional CCS resources please reference the below links:
CCS Program Overview: https://www.dhcs.ca.gov/services/ccs
CCS Program Application: https://www.dhcs.ca.gov/formsandpubs/forms
CCS Brochure (English/Spanish): https://www.dhcs.ca.gov/services/ccs/Pages/CCSBrochure.aspx
How to become a CCS Provider: https://www.dhcs.ca.gov/services/ccs/Pages/ProviderEnroll.aspx
You will need Adobe Acrobat Reader 6.0 or later to view the PDF files. You can download a free copy by clicking here.
Provider Resources - Clinical Practice Guidelines
assist primary care providers in delivering care in accordance with IEHP standards. Resources are reviewed regularly and updated to reflect changes from a regulatory and clinical standpoint.
Preventive Care Guidelines
American College of Obstetricians and Gynecologists (ACOG)
American Academy of Pediatricians (AAP) / Bright Futures
Comprehensive Perinatal Services Program (CPSP)
Clinical Practice Guidelines Library
The guidelines contained on this page are recommended by IEHP with the intent to enhance Member care. IEHP’s Clinical Practice Guidelines topics are organized using the following categories:
United States Preventive Services Task Force (USPSTF);
IEHP Internal Library;
Healthcare Effectiveness Data Information Set (HEDIS); and
Managed Care Accountability Set (MCAS)
Links or documents embedded within the Internal Library category indicate literature that has been published by leading, formal organizations and have been endorsed/approved by IEHP’s Medical Directors and Quality Committee. IEHP produced information relevant to the topic will also be listed in this category. We have also indicated any HEDIS/ MCAS measures that are pertinent to the topic. Additionally, IEHP accepts USPSTF guidelines to help primary care clinicians identify clinical preventive services that are appropriate for their patients. IF there is a USPSTF guideline relevant to the topic, we have identified it below.
Library Catalog
Click on a letter to jump to that specific section:
A
B
C
D
E
F
G
H
I
J
K
L
M
N
O
P
Q
R
S
T
U
V
W
X
Y
Z
A
Asthma
USPSTF
N/A
IEHP Internal Library
Global Strategy for Asthma Management and Prevention (PDF)
HEDIS
Asthma Medication Ratio (AMR)
Medication Management for People with Asthma (MMA)
MCAS
Asthma Medication Ratio (AMR)
(Back to Library Catalog)
B
Breast Cancer
USPSTF
Breast Cancer Screening
Use of Medications to Prevent Breast Cancer
BRCA Testing
IEHP Internal Library
N/A
HEDIS
Breast Cancer Screening (BCS)
MCAS
Breast Cancer Screening (BCS)
(Back to Library Catalog)
C
Cervical Cancer
USPSTF
Cervical Cancer Screening
IEHP Internal Library
N/A
HEDIS
Cervical Cancer Screening (CCS)
MCAS
Cervical Cancer Screening (CCS)
(Back to Library Catalog)
Chlamydia
USPSTF
Chlamydia and Gonorrhea Screening
IEHP Internal Library
You may also refer to Sexually Transmitted Infections in this resource guide
HEDIS
Chlamydia Screening in Women (CHL)
MCAS
Chlamydia Screening in women (CHL)
(Back to Library Catalog)
Cholesterol
USPSTF
Statin Therapy for Primary Prevention of CVD
Healthful Diet and Physical Activity for CVD Prevention in Adults with CVD Risks
IEHP Internal Library
American Heart Association – Blood Cholesterol Management (PDF)
American Heart Association – Treatment of Blood Cholesterol to Reduce Atherosclerotic Cardiovascular Risk in Adults (PDF)
HEDIS
Statin Therapy for Patients with Cardiovascular Disease-Adherence (SPC)
Statin Therapy for Patients with Cardiovascular Disease – Statin Therapy (SPC)
MCAS
N/A
(Back to Library Catalog)
Chronic Obstructive Pulmonary Disorder
USPSTF
N/A
IEHP Internal Library
Global Initiative for Chronic Obstructive Lung Disease – COPD (PDF)
HEDIS
Pharmacology Management of COPD Exacerbation – Systemic Corticosteroids (PCE)
Pharmacology Management of COPD Exacerbations – Bronchodilators (PCE)
Use of Spirometry Testing in the Assessment and Diagnosis of COPD (SPR)
MCAS
N/A
(Back to Library Catalog)
Colorectal Cancer
USPSTF
Colorectal Cancer Screening
IEHP Internal Library
N/A
HEDIS
Colorectal Cancer Screening (COL)
MCAS
N/A
(Back to Library Catalog)
D
Depression
USPSTF
Screening for Depression in Adolescents
Screening for Depression in Adults including Pregnant Women
Screening for Perinatal Depression
IEHP Internal Library
American Academy of Pediatrics – Adolescent Depression in Primary Care (PDF)
American Psychiatric Association – Major Depressive Disorder (PDF)
HEDIS
Antidepressant Medication Management Acute Phase (AMM)
Antidepressant Medication Management Continuation Phase (AMM)
MCAS
Antidepressant Medication Management Acute (AMM-Acute)
Antidepressant Medication Management Continuation (AMM-Cont)
(Back to Library Catalog)
Diabetes
USPSTF
Gestational Diabetes Screening
Prediabetes and Type 2 Diabetes: Screening
IEHP Internal Library
American Diabetes Association – Diabetes Care (PDF)
National Kidney Foundation – Diabetes and Chronic Kidney Disease (PDF)
HEDIS
Statin Therapy for Patients with Diabetes – Adherence (SPD)
Statin Therapy for Patients with Diabetes – Statin Therapy (SPD)
Comprehensive Diabetes Care – HbA1C Testing (CDC)
Comprehensive Diabetes Care - HbA1C Control (<=9) (CDC)
Comprehensive Diabetes Care (<8) (CDC)
Comprehensive Diabetes Care - Eye Exam (CDC)
Comprehensive Diabetes Care – Monitoring for Nephropathy (CDC)
Comprehensive Diabetes Care – Blood Pressure Control (<140/90) (CDC)
MCAS
Comprehensive Diabetes Care HbA1C Testing (CDC HT)
Comprehensive Diabetes Care HbA1C Testing >9%) (CDC H9)
(Back to Library Catalog)
E
(Back to Library Catalog)
F
(Back to Library Catalog)
G
Gonorrhea
USPSTF
Chlamydia and Gonorrhea Screening
IEHP Internal Library
You may also refer to Sexually Transmitted Infections in this resource guide
HEDIS
N/A
MCAS
N/A
(Back to Library Catalog)
H
Hepatitis C
USPSTF
Hepatitis C Virus Infection in Adolescents and Adults: Screening
IEHP Internal Library
American Association for the Study of Liver Diseases – Hepatitis C (PDF)
HEDIS
N/A
MCAS
N/A
(Back to Library Catalog)
Human Immunodeficiency Virus (HIV)
USPSTF
HIV Screening in Pregnant Persons
HIV Screening in Adults and Adolescents
HIV Prevention – Preexposure Prophylaxis
IEHP Internal Library
You may also refer to Sexually Transmitted Infections in this resource guide
HEDIS
N/A
MCAS
N/A
(Back to Library Catalog)
Hypertension
USPSTF
Screening for Hypertension in Adults
IEHP Internal Library
Joint National Committee – Hypertension Guidelines (PDF)
HEDIS
Controlling high blood pressure (CBP)
MCAS
Controlling high blood pressure (CBP)
(Back to Library Catalog)
I
(Back to Library Catalog)
J
(Back to Library Catalog)
K
(Back to Library Catalog)
L
(Back to Library Catalog)
M
(Back to Library Catalog)
N
(Back to Library Catalog)
O
Obesity
USPSTF
Weight Loss to Prevent Obesity Related Morbidity and Mortality in Adults - Counseling
Screening for Obesity in Children and Adolescents
Behavioral Health Counseling for Adults that are Overweight or Obese and Have Other CVD Risk Factors
IEHP Internal Library
N/A
HEDIS
Weight Assessment and Counseling (WCC-BMI)
Adult Body Mass Index (ABA)
MCAS
Weight Assessment and Counseling (WCC-BMI)
Adult Body Mass Index (ABA)
(Back to Library Catalog)
Osteoporosis
USPSTF
Osteoporosis to Prevent Fractures: Screening
IEHP Internal Library
N/A
HEDIS
Osteoporosis management in women who have had a fracture (OMW)
MCAS
N/A
(Back to Library Catalog)
P
(Back to Library Catalog)
Q
(Back to Library Catalog)
R
(Back to Library Catalog)
S
Sexually Transmitted Infections
USPSTF
Syphilis Screening in Pregnant Women
Syphilis Screening for those at Increased Risk for Infection
Chlamydia and Gonorrhea Screening
HIV Screening in Pregnant Persons
HIV Screening in Adults and Adolescents
HIV Prevention – Preexposure Prophylaxis
IEHP Internal Library
Centers for Disease Control Public Health Media Library – STD Treatment
You may also refer to individual topics as they appear in this library:
Chlamydia
Gonorrhea
HIV
Syphilis
HEDIS
Chlamydia Screening in women (CHL)
MCAS
Chlamydia Screening in women (CHL)
(Back to Library Catalog)
Skin Cancer Behavioral Counseling
USPSTF
Skin Cancer Prevention: Counseling
IEHP Internal Library
N/A
HEDIS
N/A
MCAS
N/A
(Back to Library Catalog)
Smoking Cessation/Tobacco Usage
USPSTF
Smoking Cessation
Smoking Cessation – Pharmacotherapy
Lung Cancer Screening
Tobacco Use in Children and Adolescents – Primary Care Interventions
IEHP Internal Library
N/A
HEDIS
N/A
MCAS
N/A
(Back to Library Catalog)
Syphilis
USPSTF
Syphilis Screening in Pregnant Women
Syphilis Screening for Those at Increased Risk for Infection
IEHP Internal Library
You may also refer to Sexually Transmitted Infections in this resource guide
HEDIS
N/A
MCAS
N/A
(Back to Library Catalog)
T
Tuberculosis
USPSTF
Latent Tuberculosis Screening
IEHP Internal Library
N/A
HEDIS
N/A
MCAS
N/A
(Back to Library Catalog)
U
(Back to Library Catalog)
V
(Back to Library Catalog)
W
(Back to Library Catalog)
X
(Back to Library Catalog)
Y
(Back to Library Catalog)
Z
(Back to Library Catalog)
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有用資訊與資源 - 緊急安全
備方面的協助 (例如輪椅、呼吸機、氧氣監測儀等),可於週一至週五上午 8 點至下午 5 點 (太平洋標準時間) 致電 IEHP 會員服務中心,電話 1-800-440-IEHP (4347)。TTY 使用者請撥 1-800-718-4347。如果您需要續取藥物,請前往藥局申請續領。 如何為緊急情況預作準備。 公共安全停電警報 我們鼓勵您註冊警報,以便能夠掌握「公共安全停電」可能發生的時間,以及電力何時能夠恢復。 按一下此處進行註冊。 用藥安全 有些藥物可能需要存放於冰箱中才能維持其藥效,包括許多藥水。如果停電一天或更長時間,除非藥物標籤另有指示,否則請丟棄應該冷藏的任何藥物。如果需要依賴冷藏藥物 (例如胰島素) 維繫生命,請僅在取得新藥品前使用。請儘快更換所有冷藏藥物。 資源 冷藏藥物儲存 (PDF) 緊急情況下的胰島素儲存與藥物轉換 (PDF) 胰島素比較 (PDF) 耐用醫療設備安全性 使用下面的核對清單以便為停電預作準備。 經常檢查您的備用電力設備,確保其在緊急情況期間能夠正常運作。 事先打電話給電力與自來水公司說明您在維生設備方面的需要 (居家透析、抽痰機、呼吸機等) 以免災難發生時措手不及。 將氧氣設備的關閉開關放在您手邊,以便在發生緊急情況時可以快速操作。 發電機使用者應在開闊區域操作發電機,以確保良好的空氣循環。 經常測試發電機以確保它在需要時能夠運作。 制定在停電時如何為電池充電的計畫。 當電力恢復時,請確定醫療設備的設定沒有被更改。 資源 耐用醫療設備的緊急電力規劃核對清單 (PDF) 如何為需要電力的醫療設備做好停電時的準備和處理 - FDA 心理健康 如果您受到火災的影響並且需要與壓力或悲傷有關的心理健康照護,可於週一至週五上午 8 點至下午 5 點 (太平洋標準時間) 致電 IEHP 會員服務中心,電話 1-800-440-IEHP (4347)。TTY 使用者請撥 1-800-718-4347。 其他提示 準備或補充您的緊急補給箱,裡面放置的物品包括食物、飲用水、手電筒、收音機、全新電池、急救用品以及現金。 確定手機的備用充電方法。 學會如何手動打開車庫門。 如果您擁有備用發電機,請確保它能夠安全運作。 擬定火災行動計畫,包括住家、家人與寵物的疏散規劃。 資源 https://protect-us.mimecast.com/s/4RDSCPNEZQi0nDJUWM25sW?domain=sce.com https://protect-us.mimecast.com/s/wMaTCQWG07tXLDJhOEH8ax?domain=sce.com https://protect-us.mimecast.com/s/GR-kCR6Jo1CGXKycW3MoLf?domain=prepareforpowerdown.com/ https://protect-us.mimecast.com/s/Yh7hCVOjPQT284zfMY-QBf?domain=readyforwildfire.org/ 緊急疏散準備:為您的安全負責,身心障礙以及其他活動受限者的指南 緊急健康資訊:Savvy Health Care Consumer 系列 身心障礙以及活動受限者的緊急補給箱 需要過夜的緊急旅遊安全提示 行動裝置緊急使用提示 針對使用依賴電力和電池輔助技術與醫療設備人員進行的緊急電力規劃
下班時間照護 - 下班時間亦可獲得照護
88) 244-4347,TTY 使用者請撥 711。
1.與我們的護士通話
我們的護士可透過電話為您提供醫療建議,或指導您取得所需照護。
致電我們的護士的常見原因:
咳嗽
輕微胃痛
輕微發燒
喉嚨痛
感冒或流感
藥物相關問題
耳痛
護士諮詢影片
2.與醫師通話
我們的護士可能會決定您需要與醫師通話。在這種情況下,我們的護士會將電話轉給醫師,由醫師與您線上對話,或安排透過應用程式進行視訊診療。
3.造訪 IEHP 緊急照護診所
我們的護士可能會為您轉介緊急照護診所,讓您能夠在同一天內獲得醫師看診。許多診所在夜間、週末及假日都可以看診。部分診所擁有 X 光與實驗室檢測設施。我們的網路內擁有超過 90 家緊急照護診所。如欲找尋您附近的緊急照護診所,請造訪 IEHP 提供者搜尋部分。
造訪緊急照護診所的常見原因:
輕微喉嚨痛
輕微發燒
皮疹
流鼻血
輕微外傷
動物咬傷或蟲咬
哮喘 (非緊急情況)
割傷與撕裂傷
請致電 911 或前往附近的急診室 (ER) 取得緊急醫療與行為健康照護。不要猶豫!
緊急照護影片