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計畫，讓您透過我們的計畫取得承保的 Medicare 和 Medi-Cal 福利。 我們的計畫包括醫師、醫院、藥局、長期服務與支援提供者、行為健康服務提供者與其他提供者。該計畫還設有照護協調人員與照護團隊，可協助您管理所有提供者與服務。他們會合作為您提供所需的照護。 IEHP DualChoice (HMO D-SNP) 有助於讓您的 Medicare 和 Medi-Cal 福利配合運作更順利，為您提供更好的服務。其中一些優點包括： 您可以透過與我們合作，滿足您所有的醫療保健需求。 您擁有一個由您協助建構的照護團隊。您的照護團隊可包括您自身、您的護理人員、醫師、護士、顧問或其他健康專業人員。 您可以聯繫照護協調員。照護協調員與您、我們的計畫以及您的照護團隊共同協助制定護理計畫。 您的照護團隊和照護協調員與您一起制定護理計畫，以滿足您的健康需求。照護團隊幫助協調您所需的服務。舉例來說，這表示您的護理團隊會確保： 您的醫師知悉您服用的所有藥物，因此他們可以確保您服用正確的藥物，並得以減少您可能因藥物而產生的任何副作用。 視情況而定，將與您全部的醫師和其他提供者共享您的檢驗結果。  哪些人符合 IEHP DualChoice 的資格？ IEHP DualChoice 同時適用 Medicare (A 與 B 部分) 與 Medi-Cal 會員。下列資訊說明哪些人符合 IEHP DualChoice (HMO D-SNP) 的資格。 包含對象： 強制投保 Medi-Cal 福利，包括長期服務與支援 (LTSS) 福利，以及 Medicare 福利。  若您符合下列條件，則您可以加入我們的計畫： 居住在我們的服務區域內（被監禁者即使實際位於該地理服務區域，也不被視為居住於該服務區域），以及 投保時年滿 21 歲，且  擁有 Medicare A 部分和 Medicare B 部分；且 目前符合獲得 Medi-Cal 的資格，且  您是全福利的雙重合格受益人，並且為您的 Medicare 福利投保 IEHP DualChoice，為您的 Medi-Cal 福利投保 Inland Empire Health Plan (IEHP)。 這被稱為獨家一致投保 (Exclusively Aligned Enrollment)，且 為美國公民或在美國合法居留 服務區域  只有居住在我們服務區域的民眾才能加入 IEHP DualChoice。我們的服務區域包括河濱郡與聖貝納迪諾郡所有地區。  如何投保 如需投保，請致電聯繫： 請於太平洋標準時間每天上午 8 點至晚上 8 點致電 (800) 741-IEHP (4347) 聯繫 IEHP DualChoice Medicare 團隊，假日亦提供服務；TTY 使用者請撥 (800) 718-4347 造訪我們的投保頁面以瞭解更多資訊。  IEHP DualChoice 是與 Medicare 簽約的 HMO 計畫，投保 IEHP DualChoice (HMO D-SNP) 取決於合約續訂。 此頁面資訊為截至 2022 年 10 月 1 日的最新資訊。 H8894_DSNP_23_3241532_M Pending Accepted

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。   

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 如果您認為您有感染 COVID-19 的風險，您可以在以下地點進行 COVID-19 篩檢與檢測。   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。  Riverside 郡 COVID-19 檢測點 Banning Banning Family Care Center 3055 W. Ramsey, Banning 預約 Beaumont Beaumont Women's Club 306 E 6th St., Beaumont, 92223 致電 (888) 634-1123 預約 Borrego Health 多個地點可供選擇 按一下此處以瞭解有關您所在區域 COVID-19 檢測點的資訊。 Cathedral 市 Plaza Rio Vista Kiosk 67908 Vista Chino, Cathedral City 預約 Coachella Our Lady of Soledad 52525 Oasis Palm Ave., Coachella 預約 Coachella TODEC Legal Center COVID 檢測點 1560 6th St., Coachella 預約 Corona Corona Community Health Center 2813 S. Main St., Corona 預約 Corona Unicare Community Health Center 107 N. MicKinley St., Corona 電話 (909) 457-3603 CVS MinuteClinic 多個地點可供選擇* 預約 服務時間因地點而異 Desert Hot Springs Henry V. Lozano Community Center 12800 West Arroyo, Desert Hot Springs 預約 Indio Indio Fleet Services 82775 Plaza Ave., Indio 預約 Indio Old Amistad High School 44801 Golf Center Pkwy, Indio 預約 Jurupa Avalon Park Community Center 2500 Avalon St., Jurupa 預約 La Quinta La Quinta Wellness Center 78450 Avenida La Fonda, La Quinta 預約 Lake Elsinore Outlets at Lake Elsinore 檢測點 17600 Collier Ave., Suite J-195 Parking Lot, Lake Elsinore 預約 Moreno Valley Moreno Valley Family Care Center 23520 Cactus Ave., Moreno Valley 預約 Moreno Valley Cottonwood Golf Center 13671 Frederick St., Moreno Valley 預約 Moreno Valley Moreno Valley 檢測亭 14075 Frederick St., Moreno Valley 週一至週五上午 10:00 至下午 6:30 預約 Moreno Valley Riverside University Health System Medical Center 26520 Cactus Ave., Moreno Valley 週一至週五上午 10:00 至下午 6:30 預約 Murrieta California Oaks Center Trailer 40565 California Oaks Rd., Murrieta 預約 Palm Desert UCR Palm Desert Campus 75080 Frank Sinatra Dr., Palm Desert 預約 Palm Springs Palm Springs Convention Center 277 N. Avenida Caballeros, Palm Springs 預約 Perris Perris' City Council Chamber 101 N D St., Perris 預約 Perris Perris Community Health Center 308 E. San Jacinto Ave., Perris 預約 Perris Rapid Care Enterprises 126 Avocado Ave.Ste 102, Perris 致電 (951) 490-4910 週一至週五 | 上午 9:00 至晚上 9:00 週六至週日 | 中午 12:00 至下午 5:00 此站點可能會產生費用 Rite Aid Pharmacy 多個地點可供選擇* 預約 週一至週五 | 上午 10:00 至晚上 8:00 週六至週日 | 上午 10:00 至下午 5:00 Riverside Jurupa Valley Family Care Center 8876 Mission Blvd., Riverside 預約 Riverside Riverside City Hall 檢測亭（僅可檢測） 3900 Main St., Riverside 預約 Riverside Riverside Neighborhood Health Clinic 7140 Indiana Ave., Riverside 預約 Riverside La Sierra Park 免下車檢測點（僅可檢測） 5272 Mitchell Ave., Riverside 預約 Temecula Vail Ranch Center 檢測亭 31699 Temecula Pkwy., Temecula 預約 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。 San Bernardino 郡 COVID-19 檢測點 Adelanto Adelanto Health Center 11336 Bartlett Ave., Ste.11, Adelanto 電話 (800) 722-4777 Apple Valley James A. Woody Community Center 13467 Navajo Rd., Apple Valley 預約 Barstow Barstow Adult School 720 E. Main St., Barstow 預約 Big Bear Big Bear Health Center 477 Summit Blvd., Big Bear Lake 預約 Barstow Barstow Health Center 303 E. Mountain View St., Barstow 電話 (800) 722-4777 Bloomington Kessler Park COVID-19 檢測巴士 18401 Jurupa Ave., Bloomington 預約 Borrego Health 多個地點可供選擇 按一下此處以瞭解有關您所在區域 COVID-19 檢測點的資訊。 Chino CVUSD Chino Valley Adult School 12970 3rd St., Chino 預約 Chino Lani City Medical 4036 Grand Ave., Suite A, Chino (909) 465-5000 預約 Colton Arrowhead Regional Medical Center 400 N. Pepper Ave., Colton 電話 (855) 422-8029 Colton Colton Urgent Care Center 1181 N. Mt. Vernon Ave., Colton Colton Urgent Care Center 線上登記 Colton Gonzales Community Center 670 Colton Ave., Colton 預約 Colton Unicare Community Health Center 308 N. La Cadena Dr., Colton 致電 (909) 457-3603 CVS 多個地點可供選擇 預約 Fontana Jessie Turner Health & Fitness Community Center 15556 Summit Ave., Fontana 預約 Fontana West Point Medical Center 7774 Cherry Ave., Fontana 致電 (909) 355-1296，按 1 Hesperia Hesperia Health Center 16453 Bear Valley Rd., Hesperia 致電 (800) 722-4777 Joshua Tree Community Center 6171 Sunburst St., Joshua Tree 預約 Loma Linda Loma Linda Senior Center 25571 Barton Rd., Loma Linda 預約 Montclair Montclair Kid's Station - COVID 檢測巴士 4985 Richton St., Montclair 預約 Montclair Montclair Place - Moreno St. Market Food Court 5060 N. Montclair Plaza Ln., 2nd Floor, Ste.2138 預約 Ontario 免下車 COVID 診所 2500 E. Airport Dr., Ontario 預約 Ontario 免下車 COVID 檢測診所 1 Mills Circle, Ontario 預約 Ontario Ontario Health Center 150 E. Holt Blvd., Ontario 致電 (800) 722-4777 Ontario Parktree Community Health Center 2680 E. Riverside Dr., Ontario 致電 (909) 630-7927 Ontario Unicare Community Health Center 437 N. Euclid Ave., Ontario 致電 (909) 988-2555 Rancho Cucamonga Lani City Medical 1398 Kenyon Way, Suite J, Rancho Cucamonga (909) 727-3911 預約 Rancho Cucamonga RC Family Resource Center 9791 Arrow Rte., Rancho Cucamonga 預約 Rancho Cucamonga Terra Vista Town Center - 劇院停車場 COVID 檢測巴士 10701 Town Center Dr., Rancho Cucamonga 預約 Rancho Cucamonga West Point Medical Center 8520 Archibald Ave., St B., Rancho Cucamonga 致電 (909) 481-3909，按 1 Redlands Redlands Urgent Care Center 301 W. Redlands Blvd., Redlands Redlands Urgent Care Center 線上登記 Rialto Carl Johnson Center 214 N. Palm Ave., Rialto 預約 Rite-Aid Pharmacy 多個地點可供選擇 預約 San Bernardino Court Street Square 349 N East St., San Bernardino 活動日期：5 月 3 日、17 日及 31 日 預約 San Bernardino 公共衛生部 COVID-19 檢測巴士 172 W. 3rd St., San Bernardino 預約 San Bernardino 免下車 COVID 檢測診所 500 Inland Center Dr, San Bernardino 預約 San Bernardino Premier Urgent Care Centers of California 284 E. Highland Ave., San Bernardino 每日 | 上午 9:00 至晚上 9:00 San Bernardino SAC Health System 250 S. G St., San Bernardino 電話 (909) 771-2911 週二/週三/週五 | 下午 3:00 至下午 5:00 San Bernardino San Bernardino Health Center 606 E. Mill St., San Bernardino 電話 (800) 722-4777 San Bernardino West Point Medical Center 1800 Medical Center Dr., St. 99, San Bernardino 致電 (909) 880-6400，按 1 Twentynine Palms Twentynine Palms - Patriotic Hall 5885 Luckie Ave., Twentynine Palms 預約 Upland Advanced Medical & Urgent Care Center 974 W. Foothill., Upland 致電 (909) 981-2273 週一至週五 | 上午 8:00 至下午 2:30 Upland Landecena Community Building 1325 San Bernardino Rd., Upland 預約 Victorville 免下車 COVID 檢測診所 14400 Bear Valley Dr., Victorville 預約 Victorville Green Tree Golf Course 宴會廳 14144 Green Tree Blvd., Victorville 預約 Victorville Victor Valley College 65 Mojave Fish Hatchery Rd., Victorville 位於 Construction Technology Building 65 後方的貨櫃屋 預約 Walgreens 多個地點可供選擇 預約 Yucaipa 7th Street Pool 12385 7th St., Yucaipa 預約 Yucca Valley Yucca Valley Community Center COVID-19 檢測巴士 57090 Twentynine Palms Highway, Yucca Valley 預約 Yucaipa Yucaipa Urgent Care Center 33494 Oak Glen Rd., Yucaipa Yucaipa Urgent Care Center 線上登記 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。

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。50 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。

th Care Services (DHCS), California Advancing and Innovating Medi‐Cal (CalAIM) is a long‐term commitment to transform and strengthen Medi‐Cal, offering Californians a more equitable, coordinated, and person‐centered approach to maximizing their health and life trajectory.1 DHCS Goals For CalAIM 2 Identify and manage comprehensive needs through whole person care approaches and social drivers of health. Improve quality outcomes, reduce health disparities, and transform the delivery system through value-based initiatives, modernization, and payment reform. Make Medi‐Cal a more consistent and seamless system for enrollees to navigate by reducing complexity and increasing flexibility. Resource Links DHCS CalAIM page DHCS CalAIM Transformation Infographic (PDF) DHCS Medi-Cal Alignment Primer (PDF) IEHP Enhanced Care Management IEHP Enhanced Care Management (Member Page) IEHP Community Support Services IEHP Community Support Services (Member Page)   1,2https://dhcs.ca.gov/calaim You will need Adobe Acrobat Reader 6.0 or later to view the PDF files. You can download a free copy by clicking here.

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.

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      

otices from most recent P&T Formulary changes to current PER processing changes, and even CME event invitations.  The published notifications are grouped respectively for: Provider Communication - Pharmacy Provider Communication - Physician

e Health 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.

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.

acco Cessation Services   Provider Education Resources Smoking Cessation Resources - Help your patients quit Tobacco The CDC's Brief Tobacco Intervention ASK In a caring manner, at each visit, ...if your patients use tobacco If they do not, congratulate them If they do, proceed to next step ADVISE Patients who use tobacco to consider quitting. Tobacco products can lead to health problems such as...  Heart and Lung Disease Diabetes Stroke Ongoing infections and colds Cancer People exposed to secondhand smoke can also experience these health problems REFER If the patient is interested in quitting, connect them to KICK IT CA and any other local resource (below) Prescribe medications (if appropriate) Congratulate your patient on the decision to quit If patient is not ready to quit, user personalized motivational messages to encourage quitting. Let them know you are here when they are ready. Kick it CA How it works:  Patient will receive services from a Coach that has undergone rigorous training & apprenticeships, participates in weekly monitoring and case reviews, and attend continuing education courses on cultural competency. To enroll, patients can call, chat, or complete an online web form. The patient will then receive a Kick-Off call to collect their basic information and find out what they are trying to quit. Right after kick-off, coaching begins. The patient will receive clinically sound motivational interviewing. The coach will help patient put together a quit plan and set a quit date. The patient will then receive check-ins at times they are most susceptible to relapse. The coach will see if their quit-plan is working and help them modify as needed. Phone Number:  English - 1 (800) 300-8086 Spanish - 1 (800) 600-8191 Website: KICKITCA.ORG Text:  For English: Text "Quit Smoking" or "Quit Vaping" to 66819 For Spanish: Mande "Dejar de Fumar" o "No Vapear" to 66819 Other Smoking Cessation Resources: Link to Resources on Member page: https://iehp.org/en/members/healthy-living?target=smoking-cessation Resources in the Inland Empire: Connect IE Information and Training for Providers: http://www.CAquits.com https://www.cdc.gov/tobacco/ Local Tobacco Control Projects: Tobacco Free San Bernardino County: https://healthcollaborative.org/SBCTobaccoControl/ Tobacco Free Riverside County: https://www.rivcotcp.org/ (Back to Tobacco Cessation Services Menu) Tobacco Cessation Services By clicking on these links, you may be leaving the IEHP website. Training: Comprehensive Tobacco Cessation Services for Medi-Cal Members (PDF) The Smoking Cessation Leadership Center's (SCLC): Recordings Available for CME/CE Credit Kick it CA Education, Training and Technical Assistance: https://kickitca.org/health-professionals 5 Major Steps to Intervention: http://www.ahrq.gov/professionals/clinicians-providers/guidelines-recommendations/tobacco/5steps.html Tobacco Cessation CPT Codes for Identification ACA Facts Sheets and Resources (American Lung Association): https://www.lung.org/policy-advocacy/healthcare-lung-disease/healthcare-policy/affordable-care-act-tobacco Helpline: https://kickitca.org/ (also available in Spanish, Chinese, Korean, and Vietnamese)  https://kickitca.org/health-professionals https://kickitca.myshopify.com/collections/all Continuing Medical Education California courses offered through UC Schools of Medicine: https://cmecalifornia.com/Education.aspx Tip: Use key word in search: Tobacco Cessation Centers for Disease Control Coverage for Tobacco Use Cessation Treatments: https://www.cdc.gov/tobacco/quit_smoking/cessation/coverage/ Patients Not Ready to Make a Quit Attempt Now (The “5 R’s”): http://www.ahrq.gov/sites/default/files/wysiwyg/professionals/clinicians-providers/guidelines-recommendations/tobacco/5rs.pdf Smokefree.gov: https://smokefree.gov/help-others-quit/health-professionals University of California San Francisco’s Smoking Cessation Leadership Center’s Tools and Resources: https://smokingcessationleadership.ucsf.edu/ USPSTF-Tobacco Smoking Cessation in Adults, Including Pregnant Women: Behavioral and Pharmacotherapy Interventions: https://www.uspreventiveservicestaskforce.org/uspstf/index.php/recommendation/tobacco-use-in-adults-and-pregnant-women-counseling-and-interventions USPSTF-Tobacco Use in Children and Adolescents: Primary Care Interventions: https://www.uspreventiveservicestaskforce.org/uspstf/recommendation/tobacco-and-nicotine-use-prevention-in-children-and-adolescents-primary-care-interventions (Back to Tobacco Cessation Services 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.

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.

p 2589 E Washington Blvd., Pasadena, CA 91107 (626) 817-9217 (626) 817-9207 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   PrimeCare Chino 15315 Fairfield Ranch Rd. Ste 275, Chino Hills, CA 91709 (909) 465-1397 (909) 465-6629 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    

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) You will need Adobe Acrobat Reader 6.0 or later to view the PDF files. You can download a free copy by clicking here.

gram, Prior Authorization Criteria, Clinical Practice Guidelines, Forms, IEHP Formulary, and Safety Resources with drug recall information. If you have any questions regarding services provided by the Pharmaceutical Services Department, please feel free to contact the IEHP Pharmacy Department at (909) 890-2049. Pharmaceutical Services

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  

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

使命始終是幫助會員取得 高品質的醫療、行為健康和保健服務。 IEHP 簡介 IEHP 是管理式照護健保計畫。我們成立於 1996 年，當時有 62,000 位 Medi-Cal 會員。 時至今日，我們已擴大為前 10 大 Medi-Cal 健保計畫。IEHP 的網絡有超過 8,000 個醫 療服務提供者以及超過 2,000 位員工，為 Riverside 和 San Bernardino 郡逾 140 萬居民 服務。我們與您當地的醫師、醫院和其他健 康照護服務提供者合作，向會員提供更理想 的健康照護協調及高品質照護。 身為 IEHP 會員， 我可以取得哪些福利？ 加入 IEHP，您也可以使用： 由超過 8,000 個醫師、專科醫師和其 他健康照護服務提供者組成的網絡 照護協調  24 小時護士諮詢專線 視力服務 緊急照護中心 養成健康生活習慣的課程和方案 還有更多其他福利！ 如需更多關於 IEHP 福利和服務的資訊， 請前往我們的網站，網址 www.iehp.org， 或聯絡 IEHP 會員服務部。 我成為 IEHP 會員後還 可以保有 MEDI-CAL 嗎？ 可以的，您仍可保有 Medi-Cal 以及您原本 即有的全部福利和服務，例如無月費及醫 生看診、藥物和住院零費用。唯一的不同是 您的健康照護服務現在將透過 IEHP 協調。 其他 Medi-Cal 服務包括預防照護，例如疫 苗和精神健康、發展和物質濫用失調篩檢。 您可透過 Medi-Cal 牙科方案取得按服務收 費的 Medi-Cal 牙科服務。 我加入 IEHP 後還可以繼續去看 同樣的醫師嗎？ 只要醫師在 IEHP 的醫療服務提供者網絡 中，您就可以繼續向同一位醫師接受照護。 您可以致電 IEHP 會員服務部查詢，電話 1-800-440-IEHP (4347)，週一至週五，太 平洋標準時間 (PST) 上午 8 時至下午 5 時。 聽語障專線使用者請撥 1-800-718-4347。 如果您也有 Medicare，只要醫師服務是由 Medicare 提供，您便能繼續去看這些醫師。 認識我們 我們的使命 我們要療癒和鼓舞人心。 我們的期許 我們的努力永不停止，因為我們要讓服務的 社區都享有最佳照護，讓民眾活躍而健康。 我們的價值 我們做正確的事，例如： 將會員視為我們的核心利益。 揮灑創意、發揮勇氣以增進民眾健康與 福址。 始終以負責的態度專注於我們的工作。 對於我們與會員、醫療服務提供者、合作 夥伴及彼此間的承諾，絕不妥協。 我們很樂意回答您的問題，幫助您開始踏出 邁向健康的旅程！  

需支付任何費用。「具醫療必要性」係指為保護生命、避免您患重大疾病或殘障，或協助您減少確診疾病、病痛或傷害帶來的痛苦，此項醫療合理且必要。 若要進一步瞭解 IEHP 的各項福利與服務，請參閱 IEHP Medi-Cal 會員手冊 (PDF) 第 4 章或聯繫 IEHP 會員服務中心，電話 (800) 440-IEHP (4347)，TTY 使用者請撥 (800) 718-4347。 IEHP 提供以下類型的服務： 門診 (非住院) 服務* 急診服務 跨性別服務* 臨終關懷與安寧照護* 住院治療* 產婦與新生兒照護 心理健康服務 處方藥 康復與復健服務及設備* 實驗室與放射線服務，如 X 光* 預防與健康服務以及慢性疾病管理 敏感性服務 物質使用障礙治療服務 兒科服務 視力服務* 非緊急醫療交通 (Non-Emergency Medical Transportation, NEMT) 非醫療交通 (Non-Medical Transportation, NMT) 長期服務與援助 (Long-Term Services and Supports, LTSS) 遠程醫療服務 上述部分服務僅於預先取得 IEHP 或您的 IPA 核准之情況下方適用。標示星號 (*) 的是可能需預先取得IEHP、您的IPA或醫療組的核准后，計劃所承保的服務。 視力服務 計劃承保範圍: 每 24 個月提供一次例行性視力檢查；IEHP 可能在具醫療必要性之範圍內預先核准 (預先授權)  其他服務。 每隔 24 個月配製一副眼鏡 (含鏡框與鏡片)；在醫療狀況需要的情況下，可配製隱形眼鏡，譬如無晶體狀態、無虹膜畸形以及圓錐角膜  限制規定 僅限單光鏡片。 未滿 18 歲會員可自動獲配聚碳酸酯鏡片。 僅在具醫療必要性之情況下方可配製隱形眼鏡。 牙科服務 Medi-Cal Dental Program 承保部分牙科服務，如：  診斷性與預防性口腔衛生 (例如：檢查、X 光以及牙齒清潔) 為止痛而提供的緊急服務 拔牙 補牙 根管治療 義齒裝置 符合條件的兒童齒顎矯正 會員可通過注冊加入Medi-Cal Dental Program的牙科服務提供者獲得牙科服務。提供者將向您建議最佳治療方法，以及可獲得治療的時間。 若要進一步瞭解牙科服務，請與 Medi-Cal Dental Program 聯繫，電話 1-800-440-IEHP (4347)/TTY 使用者請撥 (800) 718-4347。您也可造訪 Denti-Cal 網站  www.smilecalifornia.org。 交通服務 您的Medi-Cal福利包括聖貝納迪諾郡和河濱郡内計劃承保的健康服務、以及Medi-Cal 承保服務所需的往返交通。例如心理健康，藥物濫用與牙科服務。 計畫承保範圍： 造訪您基本保健醫生、專科醫生與緊急照護診所。 造訪牙科、心理健康、藥物濫用與其他服務。 除外項目與限制規定 IEHP 不承保： 單程行程與非醫療訪視。 造訪社會安全局、勞工賠償索賠、人身傷害案例、法院、假釋或緩刑或社會服務辦事處。 IEHP 提供兩種交通方式： 適用非醫療交通 (Non-Medical Transportation, NMT) 的公車票*：當您未出現任何不允許您搭乘公車、汽車、計程車或其他公共交通工具的身體或醫療問題時，可核准此方式。 適用非醫療交通 (NMT) 的 Uber：當您所在區域不提供公車交通或您需要跨郡活動時，可核准此方式。對於此類交通方式，您必須在路邊等候預約的車輛。 非緊急醫療交通 (Non-Emergent Medical Transportation, NEMT)： 當您的身體或心理狀況不允許您搭乘公車、汽車、計程車或其他公共交通工具時，可核准此方式。對於此類交通方式，您的醫師必須線上提交醫師證明書。 自 2020 年 3 月 1 日起，例行性看診的交通安排，包括行為健康與藥物濫用，都必須在約診日期前五個工作日預訂。欲安排交通相關事宜，請於週一至週五上午 8 點至下午 5 點致電 IEHP 運輸部，電話 1-800-440-4347 (撥通後請按 2)。TTY 使用者請撥 1-800-718-4347 (撥通後請按 2)。 *對於公車票，請致電 Call the Car (CTC)，電話 855-673-3195 (撥通後請按 1)。在您取得公車票之後，即可用於您的健康照護看診。 您需使用 Adobe Acrobat Reader 6.0 或更高版本，才能閲讀PDF 文檔。請點選 Adobe Acrobat Reader 下載免費版本。  產後護理擴展計劃 產後護理擴展計劃旨在為 Medi-Cal 會員於懷孕期間和妊娠終止後提供延長承保。 IEHP 將產後護理擴展計劃的承保範圍延長為妊娠終止後最多 12 個月，不論會員的收入，公民身分或移民身分為何，也不需要採取額外行動。 快速全基因組測序 快速全基因組測序 (Rapid Whole Genome Sequencing, rWGS) (包括個別定測序，父母其中一方或父母雙方和其寶寶的三重測序以及超快速測序) 是一項承保福利，適用於一歲以下且在加護病房接受住院服務的任何 Medi-Cal 會員。rWGS 是一種用於即時診斷疾病的新方法，可對加護病房 (Intensive Care Unit, ICU) 中一歲以下兒童的護理服務產生影響。如果您的孩子符合加州兒童服務 (California Children’s Services, CCS) 的資格，CCS 可能需負責承保住院和 rWGS。 轉介 對於某些類型的照護，您的 PCP 或專科醫生在為您提供照護之前，需要取得 IEHP 許可。這稱為取得事先授權、事先核准或預先核准。這表明IEHP 必須從照護與服務的適當性及承保範圍等方面，確保照護具醫療必要性或有需要提供。若相關照護係為保護您的生命、避免您患重大疾病或殘障，或協助您減少確診疾病、病痛或傷害帶來的痛苦，而合理且必要，則「具醫療必要性」。 對於部分服務，您需要取得事先核准 (事先授權)。依據《衛生安全法》(Health and Safety Code) 第 1367.01(h)(2) 條規定，IEHP在收到合理的資訊后，5個工作日内將做出例行性事先核准的決定。 如果您的醫療服務提供者指出等待標準的回復時間可能會嚴重傷害您的生命，健康或取得、維持、恢復最大功能的能力，經過IEHP確定后，IEHP 將加快 (快速) 事先核准決定。IEHP 將依據您的健康狀況儘快發出通知，最晚不會超過收到申請後 72 小時。 若 IEHP 未核准申請，IEHP 將發送行動通知 (Notice of Action, NOA) 信函給您。NOA 信函將說明在您不同意相關決定時，如何提起申訴。若 IEHP 需要更多時間或更多資訊才能審核您的申請，IEHP 將與您聯繫。 照護持續性  若您目前的醫療服務提供者並非 IEHP網絡内的醫生（指網絡外），則在特定情況下，您可持續接受照護，時間最長為 12 個月。若您的醫療服務提供者未於前述 12 個月後加入 IEHP 網絡，您將需要換成 IEHP 網絡内的提供者。若您是新會員且在加入 IEHP 之前已取得網絡外提供者的照護服務，您可要求繼續獲得該提供者的醫療服務。IEHP 將決定由網絡外提供者進行治療是否具醫療適當性。照護持續性並不適用耐用醫療設備、交通、輔助服務、本計劃外Medi-Cal所承保的服務、或者Medical不承保的服務。 若要進一步瞭解照護持續性與資格條件，請致電 1-800-440-IEHP (4347) 與 IEHP 會員服務中心聯繫。 處方藥 大多數處方藥均由 Medi-Cal Rx 承保，可能有部分藥物由 IEHP 承保。您的醫療服務提供者會開立在 Medi-Cal Rx 合約藥物清單上的藥物處方。 如欲查詢藥物是否有在合約藥物清單中或要索取合約藥物清單，請撥打 Medi-Cal Rx 電話 1-800-977-2273 (聽語障專線 1-800-977-2273，接通後按 5，或 711)，也可以瀏覽 Medi-Cal Rx 網站 www.Medi-CalRx.dhcs.ca.gov/home/，或致電 IEHP 會員服務部，電話 1-800-440-IEHP (4347)，服務時間週一至週五，上午 8 時至下午 5 時。聽語障專線使用者請撥 1-800-718-4347 或 711。 藥局 如果要領取或補充處方藥，您必須憑處方向與 Medi-Cal Rx 合作的藥房取得藥物。您可以在 Medi-Cal Rx 藥房名錄中找到與 Medi-Cal Rx 合作的藥房名單，請上網 www.MediCalRx.hcs.ca.gov/home/。您也可以致電查詢您附近的藥房，Medi-Cal Rx 電話 1-800-977-2273 (聽語障專線 1-800-977-2273，接通後按 5，或 711)。或請致電 IEHP 會員服務部，電話 1-800-440-IEHP (4347)，服務時間週一至週五，上午 8 時至下午 5 時。聽語障專線使用者請撥 1-800-718-4347 或 711。    

ndation is focused on connecting the diverse communities of the Inland Empire with access to a better, more joyful life through programs and initiatives aimed at resolving the root causes of illness, health equity and core needs, including food, shelter and safety. The Foundation was established in July 2022 by Inland Empire Health Plan (IEHP) to ensure all communities throughout the region have access to Vibrant Health, which entails going beyond traditional healthcare services and reaching the region’s most vulnerable populations. Efforts include supporting pilot programs, identifying innovative solutions that improve health outcomes, acting as a convener, collaborator and partner with community and faith-based organizations and much more. Foundation Leadership Angelica Baltazar, MSW, serves as the IEHP Foundation President and has more than 20 years of experience in the public health and human services sectors. She holds a bachelor’s in social work from Cal Poly Pomona and a master’s in policy planning and administration from Loma Linda University. Baltazar is a board member of the Greater Ontario Business Council, Promise Scholars and Partners for Better Health. IEHP Foundation Board of Directors The Foundation is guided by an esteemed, experienced and passionate group of individuals who comprise the Board of Directors: Chair Stephen Bennett, Caravanserai Project Board Chair and Co-Founder Vice Chair Karen Scott, First 5 San Bernardino Executive Director Secretary Regina Weatherspoon-Bell, Founder DVL Project/A Better Way/Victor Valley Domestic, Inc. Treasurer Conrado Bárzaga, MD, Desert Healthcare District & Foundation Chief Executive Officer Josh Candelaria, Viewpoint Advocacy Principal Edward Juhn, MD, MBA, MPH, IEHP Chief Quality Officer Geoffrey Leung, MD, County of Riverside Public Health Officer Jarrod McNaughton, MBA, FACHE, IEHP Chief Executive Officer Combined with their sincere and heartfelt desire to make a difference for all the communities in the region, the board is committed to long-term sustainable change for overall community health improvement. Follow Along on Our Journey Join us as we meet with local communities and organizations to listen to their needs and gain an in-depth understanding of the Inland Empire non-profit landscape. Follow us on Instagram @IEHPFoundation and connect with us on LinkedIn We aspire to significantly transform this region but to make a definitive and long-lasting impact, we are committed to in-depth and ongoing collaborative discussions about the needs and desires of the communities we hope to serve. If you would like to connect, please email us at Foundation@iehp.org Press Releases IEHP Announces Angelica Baltazar as New Foundation President IEHP Foundation Launches to Serve Most Vulnerable Communities IEHP Foundation is a 501(c)(3) nonprofit