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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.       Beaver Medical Group       Chaffey Medical Group       FENIX Medical Group       Pinnacle Medical Group       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   Heritage Victor Valley Medical Group 12370 Hesperia Rd., Victorville, CA 92395 (760) 245-4747   Regal Medical Group 621 E Carnegie Dr. Ste 140, San Bernardino, CA 92408 (818) 654-3400   PrimeCare, part of Optum Care  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 - Hemet Valley 41391 Kalmia St. Ste 310, Murrieta, CA 92562 (951) 461-0762 (951) 698-5194 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 - Sun City 41391 Kalmia St. Ste 310, Murrieta, CA 92562 (951) 461-0762 (951) 698-5194 Optum Care Network - Southwestern Valleys 41391 Kalmia St. Ste 310, Murrieta, CA 92562 (951) 461-0762 (951) 698-5194 Optum Care Network - Valley Physicians  24630 Washington Ave. Ste 203, Murrieta, CA 92562 (951) 704-1900 (877) 397-7682 Riverside Medical Clinic 3660 Arlington Ave., Riverside, CA 92506    

ly contracted provider. PLEASE NOTE, IEHP is currently not accepting new: DME Hospice Specialty Pharmacy Clinical Laboratories Please check monthly for updates on Network Availability. Prior to extending a contract, we must receive the following documents: 1. Ancillary Provider Network Participation Request Form (PDF) 2. W-9 Form A current Taxpayer Identification Number and Certification Form 3. Liability Insurance Certificate Professional general liability in the minimum amount of One Million Dollars ($1,000,000) per occurrence. Three Million Dollars ($3,000,000) aggregate per year for professional liability. 4. Ownership Information (PDF) Name, Title and Percentage of Ownership 5. Provider Accreditation Certificate 6. CMS/DHCS Passing Site Survey (Approval Letter) Required for each facility 7. California State License (if applicable) Required for each facility 8. Urgent Care Minimum Qualifications (if applicable) All Ages (PDF) Pediatrics (PDF) 9. Medi-Cal Number Ancillary Providers need to successfully enroll in the State's Medi-Cal Program 10. Provider Acknowledgment of Receipt (AOR) (PDF) IEHP is required by State and Federal regulators to maintain an AOR form on file for our Providers signifying your receipt and review of the Policy & Procedure manuals, including annual updates 11. Electronic Remittance Advice (ERA) Form (PDF) Ancillary Providers must complete the ERA form   Contracts Maintenance Request Form can be found here (PDF). Any delay in receiving the above stated documents will affect the effective date of the contract that will be mailed to you.  The contract collateral and other supporting contract documents should be e-mailed to contract@iehp.org. You will need Adobe Acrobat Reader 6.0 or later to view the PDF files. You can download a free copy by clicking here.

l Health Forms Behavioral Health  As a local Health Plan, Inland Empire Health Plan (IEHP) is committed to improving behavioral health services for our Members by developing direct relationships with select clinicians.     IEHP now has over 1,000,000 Members. Behavioral Health Clinicians are viewed as "Specialists" that are partners in improving the health status of our Members. IEHP Behavioral Health is an integrated essential partner with primary medical care. IEHP’s Direct Behavioral Health Program will offer our Behavioral Health Specialists: Streamlined Authorization & Claims Submission - via our fast and secure website. Competitive Reimbursement Rates - based on current Medicare rates. Speedy Payments - our track record is payment in less than 3 weeks (in most cases). Personal, Friendly Service - to ensure a successful and long-lasting working relationship. IEHP is committed to develop direct partnerships with Psychiatrists, Psychologists, LCSW's, LMFT's, Psychiatric Nurse Practitioners, Physician Assistants, and most recently, Licensed Professional Clinical Counselors (LPCC) who have met the couples and family qualifications. LPCCs without this qualification will not be considered eligible to join IEHP's Behavioral Health Network. For any questions or concerns, please email Contract@iehp.org. Requirements for this certification can be found here: https://www.bbs.ca.gov/pdf/publications/lpcc_couple-fam_courses.pdf In compliance with APL 17-019 (a DHCS regulation), IEHP now requires Behavioral Health Providers to begin the process of enrolling with Medi-Cal prior to contracting with IEHP. To ensure timely processing of your application, IEHP will accept your application to contract upon receipt of verification of Medi-Cal enrollment submission. Prospective Providers: QASP PLEASE NOTE, IEHP is now accepting new QASP Providers in all services areas.  Behavioral Health Behavioral Health Provider Letter and Application (PDF) Why You Should Contract with IEHP Directly for Behavioral Health (PDF) How IEHP Keeps You Informed and Drive Business to Your Practice (PDF) Medi-Cal Number (Physicians should be enrolled in the State's Medi-Cal Program) Existing Providers: Contracts Maintenance Request Form (PDF) W-9 Form (PDF) (Remittance advice address change) Medi-Cal Number (Physicians should be enrolled in the State's Medi-Cal Program) Frequently Asked Questions (FAQs) What is IEHP? How do I contract with IEHP? What are IEHP's compensation rates? What are IEHP’s minimum requirements to be considered for your BH Network? What if I have additional information about my practice, specialties or experience that is not covered on the survey; where can I send this information? When will I hear back from IEHP after I send my contract in? What services does IEHP offer online? What are the benefits and limitations for Medicare DualChoice Members? I am a Behavioral Health Treatment Provider for one or more of the following services, how do I contract with IEHP? (Services for Individuals (0-21) with Autism, Developmental Disabilities, or Specialized Behavioral needs; utilizing Applied Behavior Analysis and Behavior Modification treatment modalities) What is IEHP? IEHP stands for Inland Empire Health Plan. IEHP is a not-for-profit health plan that serves over 1,000,000 Members in public-sponsored health coverage programs including Medi-Cal and Medicare Special Needs Plan.  How do I contract with IEHP? The first step is to fill out the Behavioral Health Provider Letter and Application (PDF) and email Contract@iehp.org. We will contact you directly once we have evaluated our Member’s needs and are ready to proceed with contracting. What are IEHP compensation Rates? Reimbursement rates for Behavioral Health Services are based on Medicare rates. What are IEHP’s minimum requirements to be considered for your BH Network? A valid California License (LCSW, LMFT, LPCC, Psychologist, Psychiatrist, Nurse Practitioner) $1 million to $3 million Malpractice Insurance Must be enrolled with Medi-Cal Satisfy all IEHP’s standard credentialing requirements What if I have additional information about my practice, specialties or experience that is not covered on the survey; where can I send this information? You can send your information to: Inland Empire Health Plan Attention: Provider Relations P.O. Box 1800 Rancho Cucamonga CA 91729-1800 When will I hear back from IEHP after I send my contract in? Over the next two to three months we will be gathering information and determining our needs and as soon as we have determined what Providers we will need we will send out draft contracts with rate sheets for review. What services does IEHP offer online? Member Eligibility Verification Claims Submission Services Claims Status Authorization Status Medication Search Pharmaceutical Services Information Resources Provider Manuals; Benefit Manuals; EDI manuals  What are the benefits and limitations for Medicare DualChoice Members? Click here.  I am a Behavioral Health Treatment Provider for one or more of the following services, how do I contract with IEHP? (Services for Individuals (0-21) with Autism, Developmental Disabilities, or Specialized Behavioral needs; utilizing Applied Behavior Analysis and Behavior Modification treatment modalities) The first step is to fill out the Behavioral Health Provider Letter and Application (PDF) and email Contract@iehp.org. We will contact you directly once we have evaluated our Member’s needs and are ready to proceed with contracting. You will need Adobe Acrobat Reader 6.0 or later to view the PDF files. You can download a free copy by clicking here.

fornia Physician Orders for Life Sustaining Treatment (POLST) Registry (CPR) to connect a digital POLST network throughout the Inland Empire Healthcare System which includes independent physicians, hospitals, skilled nursing facilities, and the Health Information Exchange (HIE). The goal of this initiative is to provide a more effective means of documenting, communicating, and ensuring Member desired Treatment at the end of life is being honored.  By clicking on these links, you will be leaving the IEHP website. To login, visit Working Toward a Statewide POLST Registry in California | POLST (capolst.org) To sign up, simply go to POLST for Healthcare Providers | POLST (capolst.org) CPR Correspondence (PDF) CPR FAQ (PDF) For any questions, please contact Care Directives at (888) 621-4383 or email support@caredirectives.org. You will need Adobe Acrobat Reader 6.0 or later to view the PDF files. You can download a free copy by clicking here.

ols Menu 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 LabCorp Locations 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) LabCorp Locations A listing of LabCorp Patient Service Centers around the Inland Empire can be found below: LabCorp Patient Service Centers (PDF) LabCorp Patient Service Centers at Walgreens (PDF) (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.

als who are dual eligible for both Medicare and Medi-Cal in Riverside and San Bernardino counties, including the most vulnerable population. This also includes members transitioning from IEHP DualChoice Cal MediConnect Plan (Medicare-Medicaid Plan). IEHP has identified the most vulnerable as the following: Age 21-70 Identified as High and Rising Risk Diagnosed with Cardiovascular Disease AND/OR Diabetes RUB Score of 4 & 5. *RUB is Resource Utilization Band which is a predictor of using acute or costly services. IEHP will identify the most vulnerable members assigned to IPAs IEHP and its IPAs must design care management specific interventions to demonstrate how they support these member's health and wellness goals. Examples of Specially Tailored Services for the Most Vulnerable Population Remote Patient Monitoring Medically Tailored Meals and Other Community Supports Nutrition Education Pharmacy Services (medication reconciliation and other programs) Long-Term Services and Supports (LTSS) Telehealth Behavioral Health Services Transportation More frequent care management contact 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, Chrome or MS Internet Explorer    You will need Adobe Acrobat Reader 6.0 or later to view the PDF files. You can download a free copy by clicking here.

d range of topics for all types of Providers with questions regarding billing requirements and claims processing guidelines. Resources are not limited to webinars, computer based training, and webinars. Providers also have direct access to their Regional Representative and the Small Provider Billing Unit (SPBU) through this link (By clicking on this link, you will be leaving the IEHP website) https://learn.medi-cal.ca.gov/. Medi-Cal Rates and Codes By clicking on these links, you will be leaving the IEHP website. Medi-Cal Rates The file lists the maximum reimbursement rates payable by the Medi-Cal program for covered procedures described in the HCPCS and CPT-4 coding system. Resource: website CPT Codes This website is aimed at providing information to Providers on Medicare's National CCI edits, but will not address specific CCI edits. Resource: website Alpha-Numeric HCPCS Files These files contain the Level II alpha-numeric HCPCS procedure and modifier codes, their long and short descriptions, and applicable Medicare administrative, coverage, and pricing data. Resource: website ZIP code To Carrier Locality File This file is primarily intended for use by ambulance suppliers to map ZIP Codes to CMS carriers and localities. This file will also map ZIP Codes to their State and can determine whether the ZIP Code has a rural designation as determined by CMS. Resource: website Medicare Physician Fee Schedule Information on services covered by the Medicare Physician Fee Schedule (MPFS). Resource: website IEHP Fee Schedule IEHP Fee Schedule - December 08, 2020 (PDF) Provider Dispute Resolution Process For more information about the Provider dispute resolution process for contracted and non-contracted Providers, click here Other Health Coverage (OHC) Coordination of Benefits with Other Health Coverage (OHC) (PDF) Frequently Asked Questions (FAQs) - OHC (PDF)

OS June 30, 2022, payments will run out through June 2023. The Proposition 56 VBP Program provided direct payments incentivizing Providers to meet specific measures aimed at delivering key quality healthcare services that improve the quality of care to Medi-Cal beneficiaries. Targeted areas were behavioral health integration, chronic disease management, prenatal/post-partum care and early childhood prevention. For more information about the VBP Program, please visit the DHCS website at https://www.dhcs.ca.gov/provgovpart/Pages/VBP_Measures_19.aspx. By clicking on this link, you will be leaving the IEHP website.  Value Based Payments Program Guide Value Based Payments (VBP) Program Guide (PDF) - Published: January 01, 2022 Value Based Payments Dispute Forms Value Based Payments Program - Paid Claims Dispute Request (PDF) Published: January 19, 2022 Value Based Payments Program - Encounter Dispute Request (PDF) Published: January 19, 2022 Please e-mail completed forms to ValueBasedPaymentsProgram@iehp.org At-Risk Condition Codes The At-Risk Condition Codes list includes diagnosis codes to identify Serious Mental Illness, Substance Use Disorder or Homelessness Conditions for the VBP Program. These conditions qualify Providers for an additional payment amount for VBP services. Please refer to page 4 of the VBP Program Guide for additional details. At-Risk Condition Codes (PDF) Published: March 25, 2020 You will need Adobe Acrobat Reader 6.0 or later to view the PDF files. You can download a free copy by clicking here.

檢測以治療」站點完成。  如果您的醫療狀況使您更有可能因 COVID-19 加重病情，您可能有資格接受治療。 成人和年滿 12 歲的兒童可以接受治療，但必須在出現症狀後 5 天內盡快開始治療。 按一下此處以進一步瞭解 COVID-19「檢測以治療」計畫的相關資訊。  免費的居家 COVID-19 檢測 美國境內的每個家庭都有資格訂購一個免費的 COVID-19 檢測試劑盒，其中包括四個居家檢測試劑。這些檢測完全免費。按一下此處以訂購由美國郵政管理局 (United States Postal Service, USPS) 提供的免費居家檢測。  自 2022 年 2 月 1 日起，Medi-Cal 會員可接受 Medi-Cal 網絡內藥局提供的居家 COVID-19 檢測服務。加州衛生保健服務局 (California Department of Health Care Services, DHCS) 每月可為每名會員報銷最多 8 份檢測試劑盒。如需瞭解哪些檢測試劑盒在承保範圍內，或者如果您需要處方相關協助，請諮詢您的醫生或您的藥劑師。 如果 Medi-Cal 會員在 2021 年 3 月 11 日至 2022 年 1 月 31 日期間購買居家檢測試劑盒，則可以透過此處列出的程序由 DHCS 報銷費用（須提供收據）。 San Bernardino 郡支援的檢測點將為在 San Bernardino 郡生活、工作或上學的人士提供免費的居家 COVID-19 檢測試劑盒（需要提供居住或就業證明）。按一下此處以尋找郡級協助檢測點的清單。 檢測 IEHP 會承保提供者安排進行的檢測，包括 PCR、快速檢測、居家檢測等。如果您的醫生為您安排檢測，IEHP 將承擔檢測費用。您的提供者需要為這些檢測直接向 IEHP 請款。  如會員選擇支付並非由提供者要求進行的 COVID 檢測，IEHP 不會予以報銷。  如需更多有關 Riverside 郡 COVID-19 檢測點的資訊，請造訪 Riverside 郡公共衛生處 網站。 如需更多有關 San Bernardino 郡 COVID-19 檢測點的資訊，請造訪 San Bernardino 郡 COVID-19 檢測點。

lan (IEHP) 與社區合作夥伴密切合作，為這些植物園提供支持，其中包括與音樂公司 Music Changing Lives (MCL) 首席執行官 Josiah Bruny 愉快的合作，大家攜手為聖貝納迪諾打造出一個全新的社區植物園。  這片土地位於聖貝納迪諾 Electric Avenue 與 North 40th Street 的拐角處，曾是該市最大的垃圾場之一，現已被改造成 MCL 的城市植物園。除了解決食品無保障的問題外，植物園還旨在提供一個安全的空間，讓鄰居們可以聚在一起學習、鍛煉、就餐、探究、放鬆和玩樂。 每月的第四個星期日都會舉辦「靈魂星期天」(Soulful Sunday) 活動，邀請當地居民參觀植物園，參加園藝工作坊和各種志願者活動，同時享受各種美食與音樂等。如需查看有關 Soulful Sunday 的資訊，請造訪 MCL 的 Facebook 網頁。  「這項計畫的亮點在於它是完全由社區領導，」Bruny 說。「只要我們所有人齊心協力，便能為該地區及最需要幫助的人帶來更多的關愛。我們期盼能持續合作，讓 Inland Empire 成為對所有人來說都更美好的家園。」 除了提供贊助外，IEHP 還透過公司的團隊成員「樂於助人」 (Helping Hearts) 計畫和健康教育 (Health Education) 團隊召集志願者為植物園提供支持。志願者們與計畫負責人一起除草、植樹、鋪地膜、建造園圃以及灌溉農作物。  「有了完美的伙伴關係、同情心、治愈與振奮人類精神的動力，這些植物園會不斷蓬勃發展，並讓我們的鄰居體驗到各種健康，」IEHP 社區健康高級主任 Cesar Armendariz 說。「我們非常感激 Music Changing Lives 對 Inland Empire 以及這裡的居民們的熱愛，也十分期待能繼續攜手種植和建立更多的植物園，從而打造一個更健康的社區。」 該健康計畫還向「Jardín Comunitario de la Salud」（西班牙語意思為「健康社區植物園」）提供贊助，幫助支持聖貝納迪諾 Loma Linda University Health SACHS 診所的大型魚菜共生植物園。  這個植物園是 Inland Empire 的第一個此類植物園，它養殖了大量魚類，這些魚類生活在一處，可以滋養園圃。另外，這個植物園還在努力種植出豐收好且可供社區享用的食品。  植物園遍佈在庫卡蒙格牧場、安大略、朱魯帕、佩里斯與聖貝納迪諾。如需瞭解當地社區植物園的更多資訊，請造訪：riversidefoods.org。   

AN AND IEHP HEALTH ACCESS. Date of Meeting: March 14, 2022 Time of Meeting: 9:00 AM Location of Meeting:  Inland Empire Health Plan Headquarters 10801 Sixth Street, Suite 120 Rancho Cucamonga, California 91730 This Notice shall confirm the REGULAR MEETING of the Joint Powers Agencies - INLAND EMPIRE HEALTH PLAN AND IEHP HEALTH ACCESS. If disability-related accommodations are needed to participate in this meeting, please contact Annette Taylor, Secretary to the IEHP Governing Board at (909) 296-3584 during regular business hours of IEHP (M-F 8:00 a.m. – 5:00 p.m.) Agenda Copies of the Packet may be obtained here.

AN AND IEHP HEALTH ACCESS. Date of Meeting: April 11, 2022 Time of Meeting: 9:00 AM Location of Meeting:  Inland Empire Health Plan Headquarters 10801 Sixth Street, Suite 120 Rancho Cucamonga, California 91730 This Notice shall confirm the REGULAR MEETING of the Joint Powers Agencies - INLAND EMPIRE HEALTH PLAN AND IEHP HEALTH ACCESS. If disability-related accommodations are needed to participate in this meeting, please contact Annette Taylor, Secretary to the IEHP Governing Board at (909) 296-3584 during regular business hours of IEHP (M-F 8:00 a.m. – 5:00 p.m.) Agenda Copies of the Packet may be obtained here.

alth Care Services) 的物理無障礙設施檢閱調查問卷 (Physical Accessibility Review Survey, PARS) 後，Inland Empire Health Plan (IEHP) 選擇了提供者並安排在秋季分發檢驗檯。 接收的診所地點包括：Palm Desert、Corona、Hemet、Pomona、Rancho Cucamonga 與 Indio，診所類型從成人日間照護中心、婦產科診所到緊急照護中心不等。  研究表明，儘管七分之一的成人為殘障人士，但是加州只有不到 10% 的初級保健診所報告有無障礙檢驗檯。「能夠舒適地就診並接受醫師的檢查對於獲得最佳與全面的照護至關重要，」IEHP 殘障人士計畫經理 Carmen Ramirez 表示。「這些檢驗檯為行動不便的患者提供了一個有尊嚴地與醫師接觸的機會。」 由 Medical Accessibility LLC 打造的 UpScale 無障礙檢驗檯符合 ADA 規範與人體工學設計，可進行身高與體重測量的全身檢查，這在就診時非常重要，但是對於殘障人士而言往往很困難。  「作為一家以內科為基礎的診所，我們的提供者為一些同時患有多種疾病的病重患者看診，這些疾病對他們中的許多人的最大潛能與生活品質構成了挑戰，」ARMC 診所營運監事 Denise E. Grant 表示。「在我們的醫師工作中，擁有無障礙檢驗檯將使我們能夠更好地為那些面臨肥胖挑戰、有跌倒風險，及/或身體狀況不好無法站立於常規體重秤的患者提供服務。這將使我們能夠提供無障礙設施，不僅可提高影響患者健康的照護品質，而且可加強我們的照護團隊收集關鍵人群健康指標的能力。」 為了進一步支援殘障居民獲得健康平等、對無障礙、綜合檢查的需求，IEHP 還計劃根據每位提供者的 PARS 回應提供綜合反饋，並為獲得無障礙檢驗檯的提供者提供文化能力訓練。  該健康計畫將每年分發無障礙檯，以增加可以提供無障礙檢查之 I.E. 診所的數量、增加殘障居民獲得無障礙檢查機會，以及增加獲得更好健康結果的機會。 「每個人都有權接受安全且全面的體檢，」IEHP 代理醫務長 Takashi Wada 博士表示。「這些檢驗檯與繼續提供檢驗檯的許諾使我們社區的許多人都能實現這一目標。 它們還積極提醒人們健康照護平等的重要性，在此迎接我們的鄰居，為他們提供最佳和充滿活力的照護，使個人都受益。」  

ucamonga) 公司總部舉行，提供了教育和交流機會，還有紐約時報暢銷書作家和《基於現實的領導方法》(Reality-Based Leadership) 作者兼執行長希·維克曼 (Cy Wakeman) 所做的主題演講。  使命大會於 2019 年首次舉行，但在新冠病毒 (COVID-19) 疫情期間中斷。IEHP 執行長賈羅德·麥克諾頓 (Jarrod McNaughton) 表示：「聚會可能已經暫停，但工作肯定沒有停止。醫療保健領導人務必相聚，才能一起反思過去兩年的挑戰和成功，加強聯絡，宣揚集體勇氣，尋找機會更好地滿足內陸帝國所服務人群的需求。」 與首屆活動一樣，今年的會議匯集了來自全州的醫療保健執行長、醫院董事會成員和其他行業領導人，共同為疫情之後的未來做好準備。  今年的活動還授予了 IEHP 「使命踐行激勵獎 (Living the Mission INSPIRE Award)」首批獲獎者，目的是表彰提供者、社區組織和合作夥伴對本健保計畫「治愈和激發人類精神」使命的承諾。」今年表彰了聖貝納迪諾縣社區行動夥伴關係 (Community Action Partnership of San Bernardino County) 為消除貧困影響所做的工作，以及 SAC 健保系統 (SAC Health System) 對里弗賽德 (Riverside) 和聖貝納迪諾縣居民的不懈支援和服務。 維克曼講述了她對疫情能為創傷後成長有何教導意義的看法，強調了如何利用過去一年的經驗，以建立永續韌力，減少倦怠和疲憊。她告訴與會者：「從事醫療保健工作時，就需做好兩件事：有仁愛之心，能振奮世人。要時刻牢記：醫療保健工作是神聖的。  IEHP 理事會主席兼聖貝納迪諾縣第三區主管罗丹妮 (Dawn Rowe) 表示：「IEHP 使命大會的獨特之處就在於，它能夠讚頌勇氣，真正激發內陸帝國健康和保健的未來。將所有這一切同聚一處，就培養了一種協作，將為幾代人塑造和定義內陸帝國公共衛生系統。」 欲詳細了解 IEHP 如何規劃協作前進的道路，請造訪 iehp.org 或在社交媒體上關注 IEHP。   

f Healthcare Services, DHCS) 的表彰。 DHCS 的創新獎每年都會表彰在改善數百萬透過管理式照護接受 Medi-Cal 服務之受益人的健康照護品質方面貢獻卓越的 Medi-Cal 管理式照護健康計畫 (Managed Care Health Plans, MCPs)。  這標誌著 IEHP 第五次獲得 DHCS 頒發的榮譽 - 次數較加州其他任何健康計畫都要多。前幾次 IEHP 因其前瞻性努力而獲得的表彰包括利用定位情報來聯繫會員 (2020 年)、籌辦 IEHP 住房計畫 (2018 年)、制定行為健康整合複合式照護計畫 (2017 年)，以及發起過渡性照護專案 (2015 年)。 IEHP 執行長 Jarrod McNaughton 表示：「我們努力不懈地為我們的會員、提供者和社區服務，能因此受到肯定是我們的榮幸。這些努力支持履行我們對於治癒及啟發人文精神宗旨的再次承諾。」 今年的表彰重點在於 IEHP 的 PCP 自動指派程序，其專注於將健康計畫會員指定給品質評分較高的提供者，確保會員能夠得到最佳的照護，而獲得激勵的提供者也能提供出色的工作。為了達成此目標，IEHP 設計了一種指派演算法，納入了數十種與品質分數相關的加權提供者屬性。     McNaughton 補充說道：「創新讓我們得以看見目前的環境與障礙以外的世界，並將我們的思想擴展到我們的會員與提供者所能想像到的任何地方。在每次接觸時，我們都能夠為他們提供啟發，讓他們能夠發揮最大潛力。」

Surveyor Health 合作，利用人工智慧 (AI) 管理會員藥物使用，最近發表在管理式照護與專業藥理學雜誌 (Journal of Managed Care & Specialty Pharmacy) 上。 使用先進的人工智慧平台、健康計畫資料和受過疾病管理和 CMM 訓練的臨床藥師，能夠透過電話與會員互動並加強照護協調，將嚴重藥物相互作用減少 15.2%，急診室就診數減少 15%，醫院住院數降低 9%，甚至更多。  我們注意到，此試點計畫能夠顯著改善會員健康結果並降低醫療設施使用，管理式照護與專業藥理學雜誌估計，採用此計畫措施服務類似患者群體，加州的 Medicaid (Medi-Cal) 計畫每年可以節省超過 10 億美元。「這項研究證實，投保 Medicaid 患者的藥物治療管理對於最佳化患者照護至關重要，」IEHP 藥局和藥品策略部臨床主管 Michael Blatt 博士說道。 試點計畫參與者包括 2,150 名年齡介於 40 至 60 歲之間的 IEHP 會員，他們平均服用 25 種處方藥物來治療慢性疾病。「這項由藥師建立並輔以新穎決策技術的綜合藥物管理計畫，使我們能夠在合適時間為合適的會員提供合適的資源，為各個會員提供支持，」IEHP 藥物服務部資深主管 Edward Jai 博士說道。 為了分享從這項工作中獲得的更多經驗並支持其他希望在 CMM 計畫中使用人工智慧的健康計畫，Jai 博士將於 10 月 18 日舉行的 2021 年管理式照護藥局關聯會議上介紹計畫結果和所得經驗。他的演講也將包括來自 IEHP 藥品彙整計畫 (Medication Reconciliation Program) 的詳細資訊，此計畫也減少了再住院和住院治療的需求。 有關這項研究的更多資訊，請造訪 jmcp.org。

新的醫療保健服務，聚焦於住房不安全、心理健康、藥物濫用和食品不安全。 IEHP 基金會將與 IEHP 合作，藉由自身的創意以及創新為其使命、願景與價值觀提供支持。這項合作為社區提供全面服務，超越傳統的醫療保健服務，對象涵括該地區最弱勢的人群，無論其是否為 Medi-Cal 會員。  這些工作將包括支持示範計畫，找到改善健康成效的創新解決方案，擔任社區和信仰社區的召集人、合作者和合作夥伴等等。  「IEHP 基金會將成為贊助者而非尋求贊助的組織，因此我們可以為我們的社區團體提供支持，而不會與他們爭奪有限的資金，」IEHP 基金會主席 Angelica Baltazar 表示。「透過宗旨為解決疾病的根本原因、健康公平和核心需求（包括食物、住所和安全等）的計畫和措施，我們的工作將會把重心放在連結我們的社區與更美好更快樂的生活。」  但我們無法獨力實現這些目標。 Baltazar 表示，IEHP 基金會將和其他具備與健康計畫契合的使命、願景和價值觀的組織和社區團體合作。 「藉由協助填補最弱勢群體的空白並將資金保留於 Inland Empire，我們認為我們可以帶來最顯著的積極影響，」她表示。「我們的創造性和創新努力將擴展延伸 IEHP 對 Inland Empire 民眾的支援。」 IEHP 是國內前 10 大 Medicaid 健康計畫以及規模最大的非營利 Medicare-Medicaid 計畫。在其成立的第 26 年，IEHP 為 Riverside 和 San Bernardino 縣超過 150 萬參加 Medicaid 或 Cal MediConnect 計畫的居民提供支持。 IEHP 基金會的工作將為社區提供全面服務，超越傳統的醫療保健服務，對象涵括該地區最弱勢的人群，無論其是否為 Medi-Cal 會員。Baltazar 補充說，這些工作將包括支持示範計畫，投資改善健康成效的創新技術，擔任社區和信仰社區的召集人、合作者和合作夥伴。  未來的旅程 為了展開旅程並設定成功的道路，IEHP 基金會領導人希望向他人學習，因此他們前往 Houston、New Orleans 和 Atlanta 觀察各種非營利組織，並帶回最佳實踐和創新方法，以此改善護理和促進社區合作。  此外，基金會代表與當地社區利害關係人及組織會面，討論為 Inland Empire 所有居民增加改善健康的機會。  IEHP 基金會於 7 月下旬召開第一屆董事會會議，董事們於會議中確定了集團的願景和戰略。  「我不僅對我們 IEHP 基金會董事會的能力感到非常滿意，而且對於他們發自內心渴望為我們的社區做出改變感到喜悅。  他們致力於長期而永續的變革，以改善整體社區健康，」Baltazar 表示。 董事會成員包括：Desert Healthcare District & Foundation 執行長 Conrado Bárzaga 博士；Riverside 公共衛生官員 Geoffrey Leung 博士；觀點宣導負責人 Josh Candelaria；First 5 San Bernardino 執行董事 Karen Scott；DVL 計畫/A Batter Way/Victor Valley Domestic, Inc. 創始人 Regina Weatherspoon-Bell；Caravanserai 專案董事會主席兼聯合創始人 Stephen Bennett；IEHP 品質長 Edward Juhn 博士和 IEHP 執行長 Jarrod McNaughton。  「IEHP 基金會朝著充滿活力的健康和護理品質直接邁出一步，並將採取行動以支持具備影響力的解決方案，從而滿足我們地區一些最關鍵的需求，」IEHP 基金會董事會成員兼 IEHP 品質長 Edward Juhn 博士表示。「我期待擔任此一職務，並推動 IEHP 在 Inland Empire 實現使命、願景和價值觀。」  

行為健康危機可能發生於某人生活中的任何時刻。」「每個人都以非常個人化的方式承受和應對危機，這正是為何滿足我們社區和成員的需求至關重要的原因，為了確保他們在正確的時間擁有正確的資源。」  在 9 月的全國預防自殺紀念活動之後，IEHP 將繼續透過該計畫網站以及 LinkedIn、Twitter、Instagram、Facebook 和 TikTok 帳戶，全年積極鼓勵心理和行為健康對話。  與社區共享現有資源，包括支援對 9-8-8 自殺防治熱線的認知、產後孕產婦健康資源、學生行為健康計畫、悲傷和抑鬱管理以及透過健康計畫的社區資源中心的保健計畫等資訊。  Rai 還將與來自整個醫療保健社區的同業和決策者進一步推廣認知，也會參加 11 月的 The Future of Mental Healthcare West 2022 的會議小組， 分享關於讓青年參與其心理健康的見解。  「您的心理健康與保健和身體健康一樣重要，絕對不要羞於尋求協助，」Rai 表示。「我們希望鼓勵我們的成員和社區踏出勇敢的一步，並且伸出援手。」 任何人都可以隨時撥打 9-8-8 獲得協助。IEHP 會員也可以撥打 (800) 440-4347 與會員服務部聯絡，通話將保密。 如需詳細資訊，請造訪 iehp.org.  

lica Baltazar（社會工作碩士）任命為新成立的 IEHP 基金會的主席。 該基金會是 IEHP 的慈善機構，宗旨是增加地區的慈善事業及慷慨程度，協助填補最弱勢群體的不足之處，並於社區中保留資金。  基金會的工作重心為實現 IEHP 所稱的 Inland Empire 活力健康。活力健康意指 IEHP 的成員和 Inland Empire 的居民將透過解決疾病根源、健康公平和社區核心需求的計畫以獲得更優質、更令人愉快的生活。  Baltazar 在公共衛生和人類服務領域擁有 20 多年的經驗。在加入 IEHP 之前，她的前兩份工作是在 San Antonio Regional Hospital 擔任健康公平的執行主管和在 Lewis-San Antonio 健康社區研究所擔任執行主任。  Baltazar 擁有 Cal Poly Pomona 的社會工作學士學位，以及 Loma Linda University 的政策規劃和管理碩士學位。她是 Inland SoCal United Way 的社區顧問成員，也是 Partners for Better Health and Promise Scholars 的董事會成員。  「找到合適的領導人選，是 IEHP 基金會發展的關鍵第一步，」IEHP 執行長 Jarrod McNaughton 表示。「Angelica 在該領域的專業知識，將支持我們在未來幾十年內努力改善 IE 居民的健康。」

(Crafton Hills College, CHC) 合作，透過學生主導的疫苗教育來提高學生對 COVID-19 疫苗的意識、受教育程度和使用率。 「我參加 COVID-19 學生大使計畫，是為了教育及告知我所在的社區接種 COVID-19 疫苗，」CHC 學生大使 Jasmine Mejia 說道。「許多人失去了生命，我所在的社區需要瞭解接種疫苗的重要性。 如果我能瞭解到有關 COVID-19 疫苗的事實，那麼我將在拯救我所在社區的生命方面貢獻一點力量。」 由 IEHP 的社區健康團隊和聖貝納迪諾郡公共衛生部訓練的八名學生大使 (每個校區四名)，旨在透過在每個校區主要區域的展位發放疫苗資訊、同儕介紹、快閃診所宣傳，以及幫助排程疫苗預約來提高校區疫苗接種率。  「根據校區疫苗規定，我們希望確保當地大學生能夠安全地繼續接受教育，」IEHP 社區合作關係主管 Marci Coffey 說道。「我們很高興能在這方面與學生們合作，讓他們能夠有效地通知同儕並與其互動。」 IEHP 將為學生們提供可在計畫期間分享的疫苗教育資源、健康計畫材料與宣傳品。此外，該健康計畫將向承諾參加計畫的學生提供每週四天 (16 小時) 的津貼。 「教育是關鍵（如已開展），我覺得每個人都會做出明智的決定。身爲一名大使，我希望傳達這樣的訊息：任何人無保險、移民身份，或無永久住房並不意味著沒有資格接種疫苗及加強劑疫苗。」SBVC 學生大使 Sophia Zamora 說道。    該計劃將於 1 月 4 日至 3 月 31 日在這兩個校區施行。 「我們瞭解人們對 COVID-19 疫苗心存擔憂與恐懼。」IEHP 醫務長 Takashi Wada 博士說道。「向具備資格、訊息廣博的同儕瞭解情況，將有助於產生積極影響及做出健康決策。我們希望透過賦予學生大使激發交流所需的一切，來為學生們增加這些機會，最終使學生和所在社區的健康更有保障。」