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Pharmacy Services - IEHP DualChoice (HMO D-SNP)

P DualChoice (HMO D-SNP) is a Health Plan that contracts with both Medicare and Medi-Cal to provide benefits of both programs to enrollees. It is an organization made up of doctors, hospitals, pharmacies, providers of long-term services and supports, behavioral health providers, and other providers. It also has care coordinators and care teams to help you manage all your providers and services. They all work together to provide the care you need.   What is the goal of this program? The goal is to improve care by integrating the following healthcare services: Medicare and Medi-Cal benefits Long-term care Behavioral health Home and community-based services (HCBS) such as Community-Based Adult Services (CBAS) and Multipurpose Senior Services Program (MSSP). Who is eligible for IEHP DualChoice (HMO D-SNP)? People who have both Medicare and Medi-Cal. For a complete list of who is included or excluded, visit Who Qualifies?   Plans and Benefits IEHP DualChoice (HMO D-SNP) integrates healthcare services to better coordinate care and improve health.   How to Enroll To enroll, please call: IEHP DualChoice (HMO D-SNP) Team at 1-800-741-IEHP (4347), 8am-8pm (PST), 7 days a week, including holidays. TTY/TDD users should call 1-800-718-4347, OR Health Care Options (HCO) at 1-844-580-7272, 8am – 5pm (PST), Monday – Friday. TTY/TDD users should call 1-800-430-7077. For more information, visit the DHCS website. By clicking on this link, you will be leaving the IEHP DualChoice (HMO D-SNP) website. You may also call IEHP DualChoice (HMO D-SNP) for help at 1-877-273-IEHP (4347), 8am – 8pm (PST), 7 days a week, including holidays. TTY/TDD users should call 1-800-718-4347 (4347). Plan Benefits and Cost-Sharing: Find out about plan benefits which are the types of medical care that are covered. Also view information on cost-sharing which is how much you will pay for services or prescription drugs, including monthly plan premium and co-payment. Part D Prescription Drugs: Get information on pharmacy benefits, IEHP network pharmacies, out-of-network coverage, pharmacy transition process, drug utilization management, and prescription mail order. Provider Access Information: Learn about network providers, primary care providers, specialists and how to choose a provider in our network. Read about our quality assurance activities and find out what happens if your doctor leaves our plan. Grievances, Coverage Determination and Appeals Process: Find out what to do if you have a problem or complaint about your medical care or Part D. Helpful Information: View your rights and responsibilities upon disenrollment and as a Member of IEHP. You will also find important forms, such as our Privacy Notice, Plan Transition Process and the section of CMS' website regarding Best Available Evidence. Service Area: Only people who live in our service area can join IEHP DualChoice. Our service area includes all of Riverside and San Bernardino counties.   IEHP DualChoice (HMO D-SNP) is a Health Plan that contracts with both Medicare and Medi-Cal to provide benefits of both programs to enrollees. Information on this page is current as of April 19, 2023. H5355_CMC_19_1059755 Accepted      

關於我們 - 健康計劃聯盟

LHPC) 社區附屬健康計畫協會 (Association for Community Affiliated Health Plans, ACAP)

兒童與青少年 - 兒童健康

的家庭所設計。 此課程採用參與遊戲及社交互動的方式,提倡健康的成長與養育技巧。我們鼓勵父母們運用各種健康照護資源,並與兒科醫師合作進行發育篩檢和早期干預。瞭解健康素養,包括健兒門診、餵食、語言發育、安全、體能活動與疫苗接種。發育篩檢服務可應要求提供。   點選此處確認小組上課時間並報名。 如欲為您的子女申請發育篩檢服務,請寄電子郵件至 與我們聯絡 亦可參閱: 點選下列任何連結,您將會離開 IEHP 網站。 發育里程碑 健兒門診時程表 疫苗接種時程表 健康兒童之旅

Provider Resources - Facility Site Review

th us to offer our members the highest quality care and service they need. Facility Site Reviews are the required standards by the California Department of Health Care Services (DHCS)/Medi-Cal Managed Care Division (MMCD) for all primary care provider (PCP) sites. Below you will find various resources in regards to DHCS information, Physical Accessibility Reviews (PARS), Facility Site Review (FSR), and Medical Record Reviews (MRR) as well as IEHP’s addendum tools for your reference. Facility Site Review Training Index: Department of Health Care Services (DHCS) IEHP Addendum Tools PARS Facility Site Review Medical Record Review Department of Health Care Services (DHCS) 2022 Facility Site Review Standards (FSR) (PDF) 2022 Facility Site Review Tool  (FSR) (PDF) 2022 Medical Record Review Standards (MRR) (PDF) 2022 Medical Record Review Tool (MRR) (PDF) APL 22-017 - Facility Site Review and Medical Record Review (PDF) DPL 14-005 - FSR Physical-Accessibility Reviews (PDF) PL 12-006 - Revised FSR Tool (PDF) (Back to Index) IEHP Addendum Tools Att 06 - IEHP Urgent Care Evaluation Tool (PDF) IEHP Interim Review (PDF) (Back to Index) PARS APL with PARS C (PDF) APL with PARS D & CBAS (PDF) PAR-FSR-C_PARS - Survey (PDF) PAR-FSR-D_PARS - Ancillary (PDF) PAR-FSR-E_PARS - CBAS (PDF) (Back to Index) Facility Site Review Menu Click on the following links to jump to that specific section: Facility Site Review Audit Tool Sections Additional Documents Medical Record Review Audit Tool Sections Additional Documents (Back to Index) Access/Safety Facility Site Review Emergency Exit Routes Factsheet (PDF) Evacuation Routes (PDF) Glucometer Log (PDF) Hemocue Log (PDF) Medical Emergency, Earthquake, Fire Protocols (PDF) Emergency Exit Routes Factsheet (PDF) Pre-filled Emergency Medications Dosage Chart (PDF) Sample Oxygen Tank Set (PDF) Workplace Violence (PDF) (Back to FSR Menu) Adult Preventive Medical Record Review ACES Screening (PDF) Adult Health History (PDF) Adult Sterilization & Special Consent P&P (PDF) Alcohol Resources (PDF) AUDIT-C (PDF) Brief Addiction Monitor (BAM) (PDF) Comprehensive Pediatric and Adult Health Assessment Forms (PDF) CRAFFT-2.0 Clinician Interview (PDF) Hepatitis Risk Assessment Tool (PDF) Intimate Partner Violence (IPV) Screening Tools (PDF) Intimate Partner Violence (IPV) and Sexual Violence Victimization Assessment Instruments for Use in Healthcare Settings (PDF) PHQ-2 - Sample (PDF) PHQ-9 - Sample (PDF) Social Needs Screening Tool (PDF) TB Risk Assessment Adult (PDF) (Back to FSR Menu) Clinical Services Facility Site Review Checklist for Safe Vaccine Storage and Handling (PDF) Clean and Dirty Sign (PDF) Controlled Substance Distribution Log (PDF) Controlled Substance Narcotic Log (PDF) Monthly Expiration Date & Verification Log (PDF) P&P Distribution of Sample Medications (PDF) Patient Distribution Log for Samples (PDF) Plan for Vaccine Protection in Case of Power Outage (PDF) Radiology - Notice to Employees (PDF) Sample Radiology Inspection Report (PDF) Vaccine Information Sheet (VIS) Protocol (PDF) Vaccine Storage (PDF) (Back to FSR Menu) Coordination of Care Medical Record Review Adult Progress Note - Sample (PDF) Missed Appointment Log - Sample (PDF) Pediatric Progress Note - Sample (PDF) (Back to FSR Menu) Documentation Medical Record Review Adult General Consent to Treat (PDF) Advance Health Care Directive Acknowledgement Form (PDF) CAIR Sharing Request (PDF) General Consent to Treat Minor (PDF) Medical Record Release (PDF) Sample Medication List (PDF) Signature Page - IEHP (PDF) (Back to FSR Menu) Format Medical Record Review Acknowledgment of Receipt of Notice of Privacy Practice (PDF) (Back to FSR Menu) Infection Control Facility Site Review AAP Infection Prevention and Control in Pediatric Ambulatory Settings - COVID (PDF) Autoclave Log (PDF) Biohazardous Sign (PDF) Bloodborne Pathogens & Post Exposure Plan - Fillable (PDF) Cleaning Schedule (PDF) Communicable Disease (ISOLATION) Protocol (PDF) Infection Control, Biohazardous Waste and Disposition of Patients with Contagious Disease (PDF) Instrument Transportation Log (PDF) Isolation & Transmissions Based Precautions (PDF) OSHA Employee Injury Report Form (PDF) P&P Autoclave (PDF) P&P Autoclaving Instruments in Peel (PDF) P&P Chemical Disinfection (PDF) P&P Cold Sterilization (PDF) P&P Transport for Reusable Instruments (PDF) Reusable Sharps Container (PDF) Safety Needle Fact Sheet (PDF) Sharps Injury Log Sample (PDF) Transfer Stations and Treatment Facilities (PDF) (Back to FSR Menu) OB/CPSP Preventive Medical Record Review CPSP Initial and Trimester Assessment and Care Plan (PDF) CPSP Postpartum Assessment and Care Plan (PDF) Edinburgh Postnatal Depression Scale (EPDS) (PDF) Required Documentation Checklist for OB (PDF) (Back to FSR Menu) Office Management Facility Site Review Access Standards (PDF) After Hour Script (PDF) CLAS Standards (PDF) Confidentiality Form (PDF) Fax Sheet (PDF) Medical Emergency, Earthquake, Fire Protocols (PDF) Medical Record Release (PDF) Office Hours Sample Form (PDF) On-Call Provider Schedule (PDF) PCP Referral Tracking Log (PDF) Referral Process (PDF) Sample Office Hours (PDF) Wait Time Survey Tool (PDF) (Back to FSR Menu) Pediatric Preventive Medical Record Review AAP Infection Prevention and Control in Pediatric Ambulatory Settings - COVID (PDF) AAP Schedule (PDF) AAP Supplemental Information (PDF) Alcohol Resources (PDF) AUDIT-C (PDF) Brief Addiction Monitor (BAM) (PDF) CDC BMI Growth Chart - Boys (PDF) CDC BMI Growth Chart - Girls (PDF) CDC Growth Chart Head Circumference - Boys (PDF) CDC Growth Chart Head Circumference - Girls (PDF) CDC Growth Chart Weight for Age - Boys (PDF) CDC Growth Chart Weight for Age - Girls (PDF) Child Health History - English (PDF) Child Health History - Spanish (PDF) Comprehensive Pediatric and Adult Health Assessment Forms (PDF) CRAFFT-2.0 Clinician Interview (PDF) Edinburgh Postnatal Depression Scale (EPDS) (PDF) General Consent to Treat Minor (PDF) Hepatitis Risk Assessment Tool (PDF) Intimate Partner Violence (IPV) Screening Tools (PDF) Intimate Partner Violence (IPV) and Sexual Violence Victimization Assessment Instruments for Use in Healthcare Settings (PDF) Oral Health Risk Assessment Tool (PDF) PEARLS Assessment (PDF) PEARLS Teen Self-Assessment (PDF) PHQ-2 - Sample (PDF) PHQ-A - Sample (PDF) Social Needs Screening Tool (PDF) TB Risk Assessment Pediatrics (PDF) What Do You Eat (8-19 years) - English (PDF) What Do You Eat (8-19 years) - Spanish (PDF) What Does Your Child Eat (Birth - 8 years) - English (PDF) What Does Your Child Eat (Birth - 8 years) - Spanish (PDF) Youth Nutrition and Activity Assessment (8 - 19 years) (PDF) (Back to FSR Menu) Personnel Facility Site Review Accessibility Obligations of Medical Practices (PDF) Bloodborne Pathogens & Post Exposure Plan - Fillable (PDF) Domestic Violence (PDF) Electronic Resources for Required Employee Training (PDF) Employee File Checklist (PDF) IEHP Cultural and Linguistics Training (PDF) IEHP Evidence of Staff Training (PDF) IEHP Grievance Resolution Process - English (PDF) IEHP Grievance Resolution Process - Spanish (PDF) IEHP P&P Child Abuse Reporting (PDF) IEHP P&P Elder or Adult Abuse Reporting (PDF) IEHP P&P Sensitive Services-Access Standards (PDF) Medical Assistant Letter of Competency - Fillable (PDF) Medical Assistant Venipuncture Form (PDF) Medication Administration Procedures (PDF) Mid-level Supervision of Medical Assistant (PDF) Notice to Consumer PA Sign - English (PDF) Notice to Consumer PA Sign - Spanish (PDF) Notice to Consumer Sign - English (PDF) Notice to Consumer Sign - Spanish (PDF) SB697 Practice Agreement (PDF) SOC 341 (PDF) Standardized Procedures for Nurse Practitioner (PDF) Suspected Child Abuse Report (PDF) (Back to FSR Menu) Preventive Services Facility Site Review Pure Tone Audiometer (PDF) Visual Acuity Screen Tips (PDF) (Back to FSR Menu) Additional Documents Facility Site Review IEHP Phone List (PDF) (Back to FSR Menu) Additional Documents Medical Record Review Online Resources for Medical Record Review (PDF) (Back to FSR 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.

Physician Wellness - Physician Wellness

th IEHP’s inspiring and compelling Mission to “Heal and Inspire the Human Spirit,” we are mindful of the cost of caring on clinician health and well-being and we want you to know we care about you, stand with you, and want to support you in ways that help you sustain joy in your work. We have provided best-practice and highly respected resources here for provider well-being. May you continue to find purpose and fulfillment in your calling to this very sacred work of health care.   Resources Standford Well MD A robust site of resources, courses, publications, self-assessments, research, innovation, conferences, and trainings.   National Academy of Medicine A compilation of key resources for improving clinician well-being.   American Association of Physician Leadership (AAPL) Resources, courses, and tools for Physician Wellness, Physician Leadership, and more.   Coalition for Physician Wellness Resources, mobile app, research, podcasts, books and publications.   Healthcare Burnout Symposium  Annual conference that addresses the multiple facets of burnout crisis and how to increase the well-being of physicians, nurses and administrators. Visit website to learn more about conference agenda and how to earn continuing education credits.   American Medical Association Alliance (AMA) Steps Forward Program: Improving Physician Resilience Resources for physicians to enhance their resiliency and prevent burnout. Visit website to learn more about the AMA’s Steps Forward guide and module. Physicians might be able to earn continuing education credits by completing the training.   American College of Physicians Online learning center with webinar and videos available on physician well-being and professional fulfillment.   Los Angeles County Medical Association (LACMA) Interactive Wellness dashboard and resources for physicians.   National Suicide Prevention Hotline The lifeline provides 24/7, free and confidential support, prevention and crisis resources for anyone in need and best practices for professionals in the United States.   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 - Access Standards

Click on the following links to jump to that specific section: After Hours Care After Hours Phone Numbers IEHP Access Standards IEHP Direct Adult Hospitalists Urgent Care Clinics After Hours Care IEHP Providers can direct Members to access care after hours. After hour care includes the 24-Hour Nurse Advice Line, DocOnline and Urgent Care Clinics. Fever? Pain? Cold? Call our 24-Hour Nurse Advice Line --> Your Members can call the IEHP 24-Hour Nurse Advice Line for medical advice anytime, day or night: 1-888-244-IEHP (4347) DocOnline, an extension to the Nurse Advice Line, allows Members to speak with a board-certified Physician for advice after hours using telephonic and/or video devices. DocOnline Physicians will triage, assess, and provide diagnoses for minor acute conditions. Physicians may also give treatment advice, refill select prescriptions and refer Members for in-person care. DocOnline FAQs (PDF) Prescription Medication Refill List (PDF) (Back to Additional Resources Menu) After Hours Phone Numbers for Coverage Determination and Expedited Appeals IEHP DualChoice (HMO D-SNP) Members The following numbers are to be used for after hour requests: Coverage Determinations: Phone: (888) 860-1297 Expedited Appeals: Phone: (866) 223-4347  Fax: (909) 890-5748 (Back to Additional Resources Menu) IEHP Access Standards On an annual basis, IEHP conducts the Appointment Availability Access Study. All Members must receive access to all covered services without regard to sex, race, color, religion, ancestry, national origin, creed, ethnic group identification, age, mental disability, physical disability, medical condition, genetic information, marital status, gender, gender identity, sexual orientation, or identification with any other persons or groups defined in Penal Code Section 422.56, except as needed to provide equal access to Limited English Proficiency (LEP) Members or Members with disabilities, or as medically indicated. Appointment Standards for All Provider Types (PDF)| Last Revised: 12/12/2022 Appointment Standards for Behavioral Health (PDF)| Last Revised: 01/11/2023 (Back to Additional Resources Menu) IEHP Direct Adult Hospitalists Direct Adult Hospitalist (PDF) | Last Revised: 02/27/2023 (Back to Additional Resources Menu) Urgent Care Clinics --> Any of your IEHP Members needing medical attention may visit an Urgent Care Clinic after regular business office hours and on weekends. A listing of all Urgent Care Clinics is found on the IEHP Doctor Search. (Back to Additional Resources 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.

Pharmacy Services - 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 June 02, 2023

Medi-Cal Renewal Process - 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 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: June 15, 2023 - Medi-Cal Renewal Date Does NOT Override Member's Eligibility Status (PDF) June 09, 2023 - URGENT: What can I do to help patients keep their Medi-Cal (PDF) 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.

線上完成 Medi-Cal 續保。 - 加州醫療補助 (Medi-Cal) 續保

疫情突發公共衛生事件期間,加州醫療補助 (Medi-Cal) 而需續保。隨著突發公共衛生事件結束,要想醫療保險不變,現在需要採取行動。 馬上填寫內附續保資料包,然後交回所在縣加州醫療補助 (Medi-Cal) 辦公室。 可線上、郵寄、親臨或電話辦理續保。 是否需助填表?請聯絡因恩健保 (IEHP) 資格小組,電話:1-888-860-1296,服務時間:週一至週五,上午 8 點至下午 5 點。 加州醫療補助 (Medi-Cal) 需要每年續保方能保留福利。 update 每年都會收到縣府來信,告知加州醫療補助 (Medi-Cal) 是否已由縣府自動續保,或縣府需要更多資訊。 warning 務必細讀來信並按說明照做事。 縣府會要求提供什麼資訊? 填妥的續保表 收入核實資料 聯絡資訊更新 如果縣府要求提供更多資訊,必須在截止日期前提供。 如果不在截止日期前回覆,加州醫療補助 (Medi-Cal) 福利即可能終止。 注意:加州領導人發出了加州醫療補助 (Medi-Cal) 詐騙警告各種騙子正在聯絡加州醫療補助 (Medi-Cal) 會員索要申請或續保費用。 重要: 加州醫療補助 (Medi-Cal) 絕不會收取申請或續保費用。如果有人冒充縣府、州府或社區合作夥伴聯絡要錢,切勿理會。 有疑問嗎?請聯絡因恩健保 (IEHP) 資格小組,電話: 1-888-860-1296,服務時間:週一至週五,上午 8 點至下午 5 點 資訊遞交方法? 綫上、郵寄、親臨或電話。 1.綫上辦理: 馬上造訪,然後選擇「建立帳戶 (Create an Account)」連結建立線上帳戶。觀賞上面的影片。 如果已有 帳戶,可按上面影片中的步驟遞交: 2.將資料包寄給縣府 聖貝納迪諾縣:點擊查找附近的郵寄地點里弗賽德縣:點擊查找附近的郵寄地點*註:資料包中附帶一個寄回文件用的信封。 3.親臨縣府辦公室。 聖貝納迪諾縣:點擊查找附近的縣辦事處里弗賽德縣:點擊查找附近的縣辦事處 4.致電縣府辦公室: 聖貝納迪諾縣:1-877-410-8829週一至週五,上午 7 點至下午 5 點里弗賽德縣:1-877-410-8827週一至週五,上午 7 點至下午 5 點 常見問題解答:加州醫療補助 (Medi-Cal) 續保問答 access_time 錯過了截止日期該怎麼辦? 聯絡縣府詢問是否仍能遞交資料。 send 交表後會發生什麼? 文件審查完後,縣府會寄一封信。 forum 如有更多疑問,該問何人? 如需更多幫助,請聯絡因恩健保 (IEHP),電話:1-888-860-1296,服務時間:週一至週五,上午 8 點至下午 5 點,或所在縣加州醫療補助 (Medi-Cal) 辦公室: 里弗賽德縣:1-877-410-8827,週一至週五,上午 8 點至下午 5 點 聖貝納迪諾郡:1-877-410-8829,週一至週五,上午 7 點至下午 5 點 home 搬家後应做之事? 請聯絡縣府辦公室,確保已有您和您家人的最新資訊。 姓名 地址 電話號碼 電子郵件 縣府需要用於聯絡您,並提供您的加州醫療補助 (Medi-Cal) 相關重要資訊。 在此處查看更多常見問題解答

Provider Resources - Educational Opportunities

isciplinary Care Team (ICT) DualChoice Medicare CM IPA Training Alzheimer's and Dementia Care Specialty Mental Health Care Coordination National LGBT Health Education Webinars Online Cultural Competency Training   Interdisciplinary Care Team (ICT) Fact Sheet (PDF) Healthcare Provider Toolkit: Assisting Patients with Requests for Workplace Accommodations or Leaves of Absence (PDF) DualChoice Medicare CM IPA Training 2021 Care Management Delegation Oversight Medi-Cal IPA Training (MP4 Video) - December 08, 2021 Discussion Topics: Health Risk Assessments (HRA) Individual Care Plans (ICP) Interdisciplinary Care Team (ICT) Coordination of Care Delegated IPA Reporting Requirements   2021 Care Management Delegation Oversight Medi-Cal IPA Training (MP4 Video) - February 16, 2021 Alzheimer's and Dementia Care Project ECHO Opportunities from the Alzheimer's Association for Inland Empire Primary Care Clinics Alzheimer’s Association / UCSF Memory and Aging Center Alzheimer’s and Dementia Care ECHO Faculty Partners: UCSF Memory and Aging Center faculty When: Thursdays beginning February 16, 2023 until July 20, 2023 from 12:00 pm - 1:00 pm PT via Zoom Who can be involved: All California based Primary care practice teams (including MD/DO, NP, PA, social work, MA) UCSF/Inland Empire ECHO 2023 Flyer (PDF) To register, please contact Kelsey Burnham at  UCLA ADC ECHO Faculty Partners: UCLA Alzheimer’s and Dementia Care (ADC) program faculty When: Wednesdays beginning March 29, 2023 until September 6, 2023 from 11:00 am - 12:00 pm PT via Zoom Who can be involved: Nationwide teams interested in adding to their own knowledge and skills and those interested in learning about or implementing the highly effective UCLA ADC program ADC ECHO 2023 Flyer (PDF) To register, please contact Rachel Goldberger at Specialty Mental Health Care Coordination The Centers for Medicare and Medicaid Services (CMS) is requiring IEHP and its IPAs to document and report the efforts made to coordinate the care of IEHP DualChoice (HMO D-SNP)  Members receiving specialty mental health services through the County Mental Health Plans.   As of June 1, 2018, IEHP has put policies and procedures in place to comply with these process and reporting requirements: On the first (1st) of each month, IEHP will provide IPAs and County MH Clinics a list of IEHP DualChoice (HMO D-SNP) Members known to be receiving specialty mental health services through the County MH Plans. IPAs are expected to outreach to these Members and their County MH Clinic Provider, as well as, document their outreach attempts and outcomes as outlined in Policy 25C2, “Care Management Requirements – Delegated IPA Responsibilities.” IPAs are required to provide data elements specific to this measure, as outlined in Policy 25F1, “Encounter Data Reporting - Medicare MMP Reporting Requirements – IEHP DualChoice (HMO D-SNP)" and Attachment, “Medicare Provider Reporting Requirements Schedule” in Section 25. IEHP, through its Delegation Oversight process, will monitor the IPAs’ compliance with documentation and reporting requirements, as outlined in Policy 25A2, “Delegation Oversight Audit.” To access the On-Site training material presented to IPAs and County Mental Health Clinics, click here (PDF). National LGBT Health Education Webinars IEHP has put together a list of webinars, provided by a third party, to provide educational programs, resources, and consultation to health care organizations with the goal of optimizing quality, cost-effective health care for lesbian, gay, bisexual, transgender, and all sexual and gender minority (LGBT) people. The National LGBT Health Education Center is part of the Division of Education and Training at The Fenway Institute, Fenway Health. The Fenway Institute (TFI) is an interdisciplinary center for research, training, education, and policy development that works to ensure access to quality, culturally affirming medical and mental health care for traditionally underserved communities, including LGBTQIA+ people and those affected by HIV/AIDS. The mission of Fenway Health is to enhance the wellbeing of the LGBTQIA+ community as well as people in our neighborhoods and beyond through access to the highest quality health care, education, research, and advocacy. Fenway Health is one of the largest providers of LGBTQIA+ health care and HIV primary care in the country; as such, it is a leader in the field of LGBTQIA+ health and informs much of the promising practices and innovative models that the Education Center disseminates to health centers nationwide. By clicking on these links, you will be leaving the IEHP website. The National LGBT Health Education Center Webinars  Courses Include:  HIV Prevention/PrEP at Health Centers: An Overview and Current Best Practices What’s new in PrEP and STIs? Cases From a Sexual Health Clinic Insurance Considerations for Navigating Gender-affirming Care Building Your Family: LGBTQ Reproductive Options Behavioral Health Assessments and Referral for Gender-Affirming Surgery Navigating Gender Affirming Care Collecting Sexual Orientation and Gender Identity (SO/GI) Data In Electronic Health Records Providing Mental Health Assessments for Gender Affirming Surgery Referral Letters Online Cultural Competency Training AHRQ Health Literacy Modules Available for Continuing Education (CE) and Maintenance of Certification (MOC) Credit  Physicians and nurses can earn CE credits while learning about the challenges in caring for patients with low health literacy as well as strategies to improve overall patient communication and care. OptumHealth Education is issuing continuing education credit for taking the AHRQ-developed Health Literacy Knowledge Self-Assessment. No fees are charged for the two CE activities: By clicking on these links, you will be leaving the IEHP website. 1. An Updated Overview of Health Literacy Link ( 2. Improving Health Literacy by Improving Communication Skills Link ( Pediatricians and family physicians can earn credit for re-certification (MOC Part 2) as well as CE by taking the Health Literacy Knowledge Self-Assessment through the American Board of Pediatrics and the American Academy of Family Physicians, respectively. To learn about AHRQ’s tools to address health literacy, visit Health Literacy Topics at: To find out about other free AHRQ continuing education opportunities, go to: To contact AHRQ, visit   Office of Minority Health: CDC: U.S. Department of Health and Human Service, Health Resources and Services Administration: You will need Adobe Acrobat Reader 6.0 or later to view the PDF files. You can download a free copy by clicking here.

Join Our Network - IPA

p 1668 S. Garfield 2nd Fl. Alhambra, CA 91801 (877) 282-8272 (626) 943-6329 Dignity Health Medical Network - Inland Empire 3400 Data Drive, Rancho Cordova, CA 95670 (916) 851-2026 (916) 851-7642 LaSalle Medical Associates 1855 W. Redlands Blvd. 2nd Floor, Redlands, CA 92373 (888) 554-4562 (626) 943-6369 Optum Care Network - Inland Faculty MG 1860 Colorado Blvd. Ste 200, Los Angeles, CA 90041 (800) 371-7547 (323) 257-7329 Physicians Health Network P.O. Box 11429, San Bernardino, CA 92423 (909) 300-5030 (909) 332-5555 Horizon Valley Medical Group 18564 US Highway 18 Ste 105, Apple Valley, CA 92307 (760) 813-6950 (760) 813-6947 DualChoice CalMediConnect CPN - Horizon Valley Medical Group 18564 US Highway 18 Ste. 105, Apple Valley, CA 92307 (760) 242-7777 (760) 242-0487 Dignity Health Medical Network - Inland Empire 3400 Data Drive, Rancho Cordova, CA 95670 (916) 851-2026 (916) 851-7642 EPIC Health Plan 1615 Orange Tree Lane, Redlands, CA 92374 (909) 799-1818 (909) 786-0816 Alliance Desert Physicians, Inc.       Optum, formerly Beaver MG       Chaffey Medical Group       FENIX Medical Group       Optum, formerly Pinnacle MG       Redlands - Yucaipa Medical Group       TriValley Medical Group       Heritage Provider Network 8510 Balboa Blvd. Ste 275, Northridge, CA 91325 (818) 654-3461   Desert Oasis Healthcare 275 N El Cielo Rd., Palm Springs, CA 92262 (760) 320-8814   Regal Medical Group 621 E Carnegie Dr. Ste 140, San Bernardino, CA 92408 (818) 654-3400   Optum, formerly PrimeCare 3990 Concourse St., Ontario, CA 91764 (909) 605-8000   Optum Care Network - Citrus Valley 9130 Anaheim Place Ste 130, Rancho Cucamonga, CA 91730 (909) 466-8000 (909) 484-6825 Optum Care Network - Corona 2275 Sampson Ave. Ste 111, Corona, CA 92879 (951) 371-8440 (951) 371-3910 Optum Care Network -  Inland Valley 9130 Anaheim Pl. Ste 130, Rancho Cucamonga, CA 91730 (909) 466-8000 (909) 484-6825 Optum Care Network -  Moreno Valley 1467 Ford St. Ste 103, Redlands, CA 92373 (909) 798-7766 (909) 792-8627 Optum Care Network - Redlands 1520 Barton Rd., Redlands, CA 92373 (909) 798-7766 (909) 792-8627 Optum Care Network - Riverside 2275 Sampson Ave. Ste 111, Corona, CA 92879 (951) 371-8440 (951) 371-3910 Optum Care Network - San Bernardino 1467 Ford St. Ste 103, Redlands, CA 92373 (909) 798-7766 (909) 792-8627 Optum Care Network - Southwestern Valleys 41391 Kalmia St. Ste 310, Murrieta, CA 92562 (951) 461-0762 (951) 698-5194 Riverside Medical Clinic 3660 Arlington Ave., Riverside, CA 92506    

COVID-19 - 新冠病毒

嗽 呼吸急促或呼吸困難 疲勞 肌肉或身體酸痛 頭痛 新的味覺或嗅覺喪失 咽喉痛 鼻塞或流鼻涕 噁心或嘔吐 腹瀉 如有嚴重的新冠病毒症狀,應立即就醫求治,包括: 呼吸困難 胸部持續疼痛或有壓力 新的意識紊亂 無法醒來或保持清醒 蒼白、灰色或藍色的皮膚、嘴唇或甲床,具體取決於膚色 生病時應做之事 有任何這些症狀時應考慮: 做新冠病毒檢測,完全免費。IEHP 還會為標準和醫囑新冠病毒檢測付費,無論是何種。醫師需就這些檢測向 IEHP 直接收費。 應在出現症狀後 24 小時內就醫,親自去或遠距看主治醫師或緊急照護中心都可。 如果主治醫師找不到或已下班,可致電 IEHP 24 小時護士諮詢熱線: 1-888-244-4347 ,聽障專線: 711 ,服務時間:每週 7 天、每天 24 小時。護士訓練有素,能提供醫治建議,或酌情幫忙找醫師電話或視訊交談。   新冠病毒治療方法事實 大多數新冠病毒治療方法都用在家自服的藥物,在加州免費提供,無需保險,也不要求是美國公民。 如在症狀出現後前 5-7 天內盡快開始服用,新冠病毒藥物效果最佳。如已感染,不要等待症狀惡化。 新冠病毒藥物能安全有效地阻止病情惡化,可將因新冠病毒而患重病、住院和死亡的風險降低一半或更多。 新冠病毒藥物可助更快得到陰性檢測,並降低出現 長期新冠病毒 症狀的風險。* 如已年滿 12 歲且有某些病況或其他增加風險的常見因素,則建議使用新冠病毒藥物。醫師可告知是否有資格接受新冠病毒藥物治療及最佳藥物。 無論是否已接種疫苗,新冠病毒藥物都有效。 如果新冠病毒檢測呈陽性、有症狀並符合以下條件,即應就醫求治: 年滿 50 歲,或者 未接種或未接種最新的新冠病毒疫苗,或者 有某種病況或其他增加風險的因素,包括肥胖、哮喘、糖尿病、缺少鍛煉、吸煙、精神健康狀況(如抑鬱症)、少數民族等。 詳細了解 可能增加患新冠病毒重病的病況。 點擊此處詳細了解 心理健康和情緒狀況。 * 早期證據表明,新冠病毒藥物帕昔洛韋 (Paxlovid) 或能降低出現長期新冠病毒症狀的風險。感染新冠病毒後,這些症狀可能持續數週、數月或數年。 做新冠病毒檢測 務必知曉做新冠病毒檢測的時間和方法。做檢測可讓自己心安,獲得做出健康決定所需相關資訊,並有助於減緩病毒在社區中的傳播。 新冠病毒檢測地點 造訪這個連結: 新冠病毒檢測呈陽性時應做之事 自我隔離,不要將病毒傳播給他人。 點擊此處 了解新冠病毒病患隔離和預防措施相關提示 立即求治 求治方法 聯絡醫師 聯絡藥房 造訪 檢測治療地點

線上完成 Medi-Cal 續保。

本郡自動續保,或者您所在的郡政府需要更多信息。 請務必閱讀該信函並按照說明行事。  郡政府會要求提供哪些信息? 填寫完成的續保表格  驗證資料(例如您的工資單副本) 更新您的聯絡方式 如果您所在的郡政府要求提供更多信息,您必須在截止日期前提供。 如果您在截止日期前沒有回复,您的 Medi-Cal 福利可能會終止。  如何提交這些資訊? 您的資訊可以綫上提交、郵寄、當面提交或電話提交。 綫上辦理: 立即訪問 並選擇「創建帳戶」鏈接,創建您的在線帳戶。要了解更多信息,請觀看視頻:「BenefitsCal 網站:如何建立帳戶」 如果您已經擁有 BenefitsCal 網站帳戶,則可以按照此視頻中的步驟進行提交:「如何在 BenefitsCal 上提交 Medi-Cal 續保」 將全套文件郵寄回您所在的郡政府。 親自造訪您所在郡政府辦公室。 致電您所在郡政府辦公室: 河濱郡:1-877-410-8827,週一至週五上午 8 點至下午 5 點 聖貝納迪諾郡:1-877-410-8829,週一至週五上午 7 點至下午 5 點 如果錯過了截止日期怎麼辦? 聯繫縣政府,詢問您是否仍可以提交資料。 如果有問題,應該與誰聯係? 如果您需要更多幫助,請在周一至週五上午 8 點至下午 5 點  致電 1-888-860-1296 聯繫 IEHP,聯係或您所在縣的 Medi-Cal 辦公室: 河濱郡: 1-877-410-8827,週一至週五上午 8 點至下午 5 點 聖貝納迪諾郡: 1-877-410-8829,週一至週五上午 7 點至下午 5 點 填寫並提交信息後會發生什麼? 您的文件完成審查后,您將收到一封來自縣政府的信函。 您最近搬家了?您需要向縣政府提供那些資訊? 請聯繫縣政府辦公室,確保他們掌握您和您家人的最新信息。 包括: 姓名 地址 電話號碼 電子郵件地址 縣政府需要它來聯繫您並提供有關您的 Medi-Cal 的重要資訊。

建議書徵求文件 (RFP) 與標案 - 採購

Procurement department is continuously looking for suppliers of the varied goods and services it procures.  IEHP procures goods and services through the solicitation process, and in the case of repetitively purchased items, establishes long-term contracts. With the exception of Public Works (construction type bids) and a few specialty bids, most bids for goods and services procured are completed using a third-party solicitation website called Bonfire. Vendors have the option to view IEHP’s open solicitations on the Bonfire website. IEHP invites all vendors to register with Bonfire and participate in IEHP’s fair and open solicitation process for goods and services. Mission Statement The Procurement department is committed to supporting the mission of IEHP, which is “to organize and improve the delivery of quality, accessible and wellness based healthcare services for our community”. As a community-developed health plan, we are accountable to the public. IEHP’s Procurement professionals possess the necessary skill set, knowledge base, and negotiating skills to assist IEHP with the acquisition of materials, equipment and contractual services. Utilizing this expertise, our best procurement practices, and the highest standards of professional ethics and integrity, we ensure that procurement decisions made are in the best interest of IEHP and in compliance with all applicable laws, regulations and policies. Compliance with Economic Sanctions Imposed in Response to Russia’s Actions in Ukraine On March 4, 2022, Governor Gavin Newsom issued Executive Order N-6-22 (EO) regarding sanctions in response to Russian aggression in Ukraine. The EO is located at This serves as a notice under the EO that as a vendor, contractor or grantee, compliance with the economic sanctions imposed in response to Russia’s actions in Ukraine is required, including with respect to, but not limited to, the federal executive orders identified in the EO and the sanctions identified on the U.S. Department of the Treasury website ( Failure to comply may result in the termination of contracts or grants, as applicable. For general inquiries, please email Code of Ethics Policy Click to Download Our Code of Ethics Policy

健康生活 - 冠狀病毒

或治愈方法。此即為健康篩檢的用處。  健康篩檢對所有人(從新生兒到年長者)都至關重要。這類檢測旨在篩查您可能患某些疾病的徵兆。即便您沒有出現任何症狀,篩檢仍有助於在早期階段發現健康問題。  癌症篩檢類型 乳癌 乳房 X 光攝影即為乳房 X 光檢查。可以在早期篩查出乳癌,乳癌在這階段最容易治療,且治愈幾率十分高。女性和男性都有可能患乳癌,應當從 50 歲開始每兩年做一次篩檢。對於患癌風險較高或希望盡早開始做篩檢的人士,可以與醫生討論從 40 歲開始做篩檢。 子宮頸癌(宮頸抹片檢查)  巴氏塗片檢查也稱為宮頸抹片檢查,可以盡早發現子宮頸上的異常細胞,從而在其發展成癌症之前進行治療。建議 21 至 65 歲女性每 3 到 5 年做一次篩檢,具體視患癌風險和篩檢類型而定。如欲預約做篩檢,請諮詢您的醫生。  結腸直腸癌   結腸直腸癌對結腸和直腸造成影響。篩檢有助於發現並清除這些部位的增生,避免其發展為癌症。45 至 75 歲人士應當每 1 到 10 年做一次結腸直腸癌篩檢,具體視患癌風險和所選檢測類型而定。請諮詢您的醫生,瞭解哪種檢測最適合您。   肺癌 利用造影技術(電腦斷層 (Computerized Tomography, CT) 掃描)對在過去 15 年內吸菸或戒菸者進行肺癌篩檢,有助於在早期階段篩查癌症。盡早篩檢有助於保持健康。建議年齡介於 50 至 80 歲,且在過去 15 年內吸菸或戒菸的人士每年都進行篩檢。  如果您是時候做篩檢,請即刻致電聯繫您的醫生以進行預約。即刻開始管理您的健康!   如需幫助,請致電 1-800-440-4347 聯繫 IEHP 會員服務處,服務時間為週一至週五,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。  

社區支持 - 靈活的護理選擇:社區支持

可以幫助您保持健康,減少疾病併發症,並避免於醫院、護理設施和急診室的不必要停留。 您可能會發現 IEHP 的社區支持可於住房或護理過渡期間提供協助。如果您需要協助管理您的健康,IEHP 的社區支持可能是正確的選擇。 當您需要額外照護時 IEHP 的社區支持向任何需要支持性護理的 Medi-Cal 或 IEHP DualChoice Cal MediConnect Plan(Medicare-Medicaid 計畫)會員開放。社區支持可以培養您的整體健康—照護您的身心。 可以從社區支持中受益的成員可能: 面臨無房時期 努力為親人獲取食物 有哮喘問題,需要改變他們的生活空間 您的護理團隊如何協助您 如果您可以得到社區支持的協助,一個護理團隊可能會協助確定您的需求。然後,他們將協調免費服務,包括尋找住房資源、出院後的護理以及在家處理哮喘。 誰可能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 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,他們甚至可以在您所在的位置與您會面。有了 IEHP 的社區支持,您並不孤單。 提供哪些社區支持? 哮喘補救措施:環境哮喘誘因補救措施是指對居家環境進行必要的物理調整,以確保個人的健康、福利和安全,或使個人能夠在家中正常活動,如果沒有這些安排,急性哮喘發作可能導致需要急救服務和住院治療。 社區過渡服務/護理設施過渡到居家環境:協助會員在社區生活,避免進一步的設施收容。這些服務是臨時性的安排開支項,提供給安排從有執照的設施過渡到私人住宅生活的個人,由該個人直接負責自身的生活開銷。 環境無障礙改造(居家改造):環境無障礙改造 (Environmental Accessibility Adaptations, EAA) 也被稱為居家調整,是對居家環境的物理改造,屬於為了確保個人的健康、福利和安全或者使個人得以在家庭中更獨立地活動而必須進行的改造:如果沒有這些改造,會員將需要進入設施生活。 住房存款:住房存款協助確定、協調、確保或資助一次性服務和必要的調整,使個人能夠建立一個基本的家庭,但不包括食宿。 住房租賃和維持服務:提供住房租賃和維持服務,目標是在會員獲得住房後維持安全穩定的租賃。 住房過渡導引服務:住房過渡服務協助會員獲得住房。 醫療輔助食品/餐食/醫療訂製餐:營養失調和營養不良會導致毀滅性的健康後果、導致更高的設施利用率和成本增加,對於患有慢性病的會員尤其明顯。餐食協助個人在關鍵時刻達成營養目標,幫助他們恢復和維持健康。結果包括改善會員健康、降低再入院率、保持良好的營養健康狀況以及提高會員滿意度。 護理設施過渡/轉移到生活輔助設施:護理設施過渡/轉移服務協助個人在社區生活和/或盡可能避免住院。目標是促進從護理設施回歸類似家庭的社區環境,和/或避免會員因迫切需要護理設施級別的照護 (level of care, LOC) 而入院接受專業護理的必要。當個人符合資格要求時,可以選擇居住於輔助生活環境,以替代長期安置於護理設施。 康復護理(醫療暫休):康復護理,也稱為醫療暫休護理,是針對不再需要住院,但仍需要從受傷或疾病(包括行為健康狀況)中恢復並且其病情會因不穩定的生活環境而惡化的個人的短期住宿護理。長期居住於康復護理設施中使個人能夠繼續康復並接受出院後治療,同時獲得初級保健、行為健康服務、個案管理和其他支持性社會服務,例如交通、食物和住房。 短期出院後住房:短期出院後住房為沒有住所且有高度醫療或行為健康需求的會員提供機會,讓他們在離開住院醫院(無論是急症醫院、精神科醫院或藥物依賴和康復醫院)、住院藥物使用障礙治療或康復設施、住院精神健康治療設施、矯正設施、護理設施或康復護理後立即繼續其醫療/精神/藥物使用障礙的康復,避免進一步使用州計畫服務。 戒癮中心:戒癮中心是被發現公開醉酒(由於酒精和/或其他藥物導致)的個人的安置地點,以代替將他們送往急診室或監獄。戒癮中心為這些個人,主要是那些無家可歸或生活狀況不穩定的個人提供安全、支持性的環境,讓他們清醒。 如需瞭解有關社區支持的更多資訊,請於週一至週五上午 8 點至下午 5 點(太平洋標準時間)致電 1-800-440-IEHP (4347) 聯絡 IEHP 會員服務部。TTY 使用者請致電 1-800-718-4347。

兒童與青少年 - 疫苗接種

當暴露於疾病中時,身體將會知道如何對抗與殺死病菌,以預防病菌造成健康問題。這稱為對疾病具免疫力。 為什麼疫苗有這麼多種? 人生的所有階段都需要接種疫苗。許多疫苗是對嬰兒與幼童施打,以在成長過程中發育良好。疫苗可保護人體罹患下列疾病: 流感 麻疹、腮腺炎、風疹 小兒麻痺症 破傷風 水痘 百日咳 有關疫苗接種的完整清單,請參閱  0-18 歲疫苗接種建議時程表 (PDF) 及 疫苗接種手冊 (PDF)。 接種疫苗不須負擔任何費用 投保 IEHP,您就可以免費接種疫苗。您亦可參閱 IEHP 會員手冊,瞭解疫苗接種與檢查時程表。向您的醫師索取疫苗接種記錄卡,或登入您的  IEHP 健康帳戶 列印,並在每次檢查時隨身攜帶。