搜尋結果: : " MAKE FREEDHARDEMAN UNIVERSITY "
Special Programs - Alcohol and Drug (SABIRT)
ant to the Department of Health Care Services (DHCS) APL 21-014 (PDF), “Alcohol and Drug SABIRT,” IEHP has updated its requirements for alcohol and substance use screening in the primary care setting. Helpful resources:
Correspondence - June 2022 - Alcohol and Drug SABIRT
Training Guide (PDF)
Screening Tools
Alcohol Use Disorders Identification Test (AUDIT-C)
Brief Addiction Monitor (BAM) (PDF)
Cut Down-Annoyed-Guilty-Eye-Opener Adapted to Include Drugs (CAGE-AID) (PDF)
Tobacco Alcohol, Prescription Medications and other Substances (TAPS) (PDF)
National Institute on Drug Abuse (NIDA) Quick Screen for Adults (PDF)
Drug Abuse Screening Test (DAST-10) (PDF)
Parents, Partner, Past, and Present (4Ps) for pregnant women and adolescents (PDF)
Car, Relax, Alone, Forget, Friends, Trouble (CRAFFT) for non-pregnant adolescents (PDF)
Michigan Alcoholism Screening Test Geriatric (MAST-G) alcohol screening for geriatric population (PDF)
Assessment Tools
Alcohol Use Disorders Identification Test (AUDIT) (PDF)
Brief Addiction Monitor (BAM) (PDF)
NIDA-Modified Alcohol, Smoking and Substance Involvement Screening Test (NM-ASSIST) (PDF)
Drug Abuse Screening Test (DAST-20) (PDF)
Pamphlets
Riverside Brochure (English) (PDF)
Riverside Brochure (Spanish) (PDF)
San Bernardino Brochure (English) (PDF)
San Bernardino Brochure (Spanish) (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.
健康生活 - 流感
孕婦。 護理之家以及長期照護機構的住民。 6 個月或以上的兒童。 請記得,在許多情況下,流感疫苗可以預防流感,減緩感染流感時的症狀,並且減少傳播給其他人的機率。 關於流感疫苗常見的誤解 誤解 1:我會因為接種流感疫苗而患上流感。 錯誤。流感疫苗是由滅活病毒製作,因此不會造成感染。 誤解 2:我身體很健康,不需要接種流感疫苗。 錯誤。健康的人也會生病。甚至會很嚴重。流感疫苗有助於降低生病的機率。 誤解 3:我去年接種了流感疫苗。今年不需要再接種了。 錯誤。 流感病毒每年都會產生變異,因此請注射流感疫苗。您需要每年注射流感疫苗,以對抗今年的流行性感冒。 常見問答集 問:在哪裡可以接種流感疫苗? 答:您的醫師診間 (成人和兒童)、特定網路內藥局 (例如 CVS、Rite Aid 和 Walgreens ,限成人) 或是發送簡訊 IEHPflu 至 90902,瞭解附近提供免費流感疫苗接種的藥局 (僅限成人)。 問:有哪些方法可以避免感染流感? 答:要避免感染流感,您應該: 接種流感疫苗。 避免與生病之人密切接觸。 在公共區域戴上可以遮住口鼻的東西。 經常用肥皂和水清洗雙手。如果沒有肥皂和水,可以使用含酒精的洗手液。 避免碰觸眼睛、鼻子和嘴巴。 保持健康飲食。 喝大量液體,特別是要多喝水。 獲得充分休息。 清潔和消毒您周圍的表面。 問:如果感染流感,我應該怎麼做?答:如果不幸感染流感,請務必: 呆在家中休息。 避免與他人接觸。 喝大量液體,比方水和果汁。 如果症狀沒有改善,請就醫。 如果感染流感但是沒有辦法去看醫生,請致電 IEHP 的 24 小時護理師諮詢專線,電話 1-888-244-IEHP (4347),TTY 使用者請撥 1-866-577-8355。我們的護理師可以幫助您透過電話或視訊聊天的網路看診方式,與有專科認證的醫師聯繫。
懷孕與產後護理
提供多種計畫,可為懷孕會員提供懷孕期間與分娩後所需的協助。 Baby-N-Me 應用程式 我們為 IEHP 懷孕會員或擁有 2 歲以下幼兒的會員提供免費的應用程式。懷孕會員可透過此應用程式取得與其胎兒相關的最新資訊 (如超音波影片),使用各項便利工具 (如體重增長計算機),填寫檢測產後憂鬱症的問卷,設定約診提醒以及其他更多功能! 家中有 2 歲以下幼兒的父母則可透過此應用程式取得育兒技巧與建議、關於嬰兒成長的適齡資訊、餵養模式,以及追蹤尿布更換、生長與疫苗的各項工具。 您可透過 iTunes 或 Google Play 免費下載此應用程式 Loving Support Loving Support 致力於協助新手媽媽完成哺乳目標。其可協助與支援產後前幾天、返回工作崗位、擠乳、支援團體以及您可能會有的任何問題。您可聯繫 Loving Support 全年無休專線,電話 888-451-2499/951-358-7212。工作人員會說英文及西班牙文。 其他資源 疾病控制與預防中心:懷孕 孕期與產後憂鬱
Provider Resources - Additional Resources & Tools
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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
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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)
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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
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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
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IEHP Direct Adult Hospitalists
Direct Adult Hospitalist (PDF) | Last Revised: 02/27/2023
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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)
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Urgent Care Clinics
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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.
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You will need Adobe Acrobat Reader 6.0 or later to view the PDF files. You can download a free copy by clicking here.
管理委員會 - Karen Spiegel
s 和 Highgrove 等非建制社區,以及 Corona、Eastvale、Jurupa Valley、Norco 等城市和河濱市的西半部。2019 年 2 月,她獲指派至 IEHP 管理委員會並於 2020 年擔任副主席,然後在 2021 年 1 月擔任主席職務。 1996 年,Karen Spiegel 當選 Corona 市財政局長,展開了她的政治生涯。在擔任財政局長 6 年後,她參加了 2002 年的 Corona 市議會選舉,並在長達 16 年的市議會生涯中擔任四屆市長。她的行動力不言自明,她對於服務展現出的過人熱忱讓她成為獨樹一格的政治人物。她鼓勵社區參與市和郡政府事務並推出許多新的計畫。Karen 也因為在區域交通問題、協同合作和區域夥伴關係方面的傑出表現而獲得推崇。 除了轄區內的服務以外,Karen 還代表河濱郡參與許多地區和州層級的組織並擔任領導者的角色。她是社區中相當活躍的成員,而她「捲起袖子」的做事態度更讓她能夠完全投入許多民間、商務和社區活動中。在過去幾年中,她的熱心服務讓她榮獲了許多獎項及肯定。
管理委員會 - Jeff Hewitt
和超過 25 個非建制社區,居民總數超過 240 萬。他在 2020 年 1 月獲指派至 IEHP 管理委員會,並在 2022 年 1 月獲任命為副主席。 Hewitt 監事的公職生涯是從擔任 Calimesa 計畫委員會的委員開始,然後再擔任主席職務。他隨後於 2010 年獲選為 Calimesa 市議會議員並連續三屆擔任市長職務。在此期間,他提出了一個大膽的計畫,亦即將消防部門從郡級轉至市級單位,不但在前兩年就為 Calimesa 節省了近 300 萬美元的經費,同時在每次出勤都能夠使隊員人數翻一番。最重要的是,他能夠在不增稅或收費的情況下達到此目標。 Supervisor Hewitt 出身於內陸帝國地區,致力於提升該地區所有居民的生活品質。
管理委員會 - Curt Hagman
月,他獲指派至 IEHP 管理委員會並於 2017 年 2 月擔任副主席,隨後於 2018 至 2020 年擔任主席職務。Hagman 監事在 2021 年 1 月擔任副主席職務。 Hagman 監事在擔任州政府的公職之前在公共服務領域擁有非常豐富的資歷。他的地方政府資歷是從擔任 Chino Hills 的公園/遊憩部門主管開始,同時激發了他投身公共服務領域的熱情。Hagman 監事在 2004 年當選市議會議員,並於 2008 年擔任市長職務。在此期間他曾在多個地區委員會工作,這讓他有許多機會能夠直接瞭解選民面臨的許多問題。2011 年初,他獲市議會議長派任至州撥款委員會 (State Allocation Board),並與公立學校工程辦公室 (Office of Public School Construction) 合作進行轄下學區的資金分配,以確保學校工程的適當運作。
Special Programs - Community Supports
e alternatives that MCPs may offer in place of services or settings covered under the California Medicaid State Plan.
Beginning January 1, 2022, IEHP will be offering 11 of the 14 DHCS Preapproved Community Supports services. Please click on the service for additional details.
Asthma Remediation
Environmental Asthma Trigger Remediations are physical modifications to a home environment that are necessary to ensure the health, welfare, and safety of the individual, or enable the individual to function in the home and without which acute asthma episodes could result in the need for emergency services and hospitalization.
Community Transition Services/Nursing Facility Transition to a Home
Assist members to live in the community and avoid further institutionalization. These services are non-recurring set-up expenses for individuals who are transitioning from a licensed facility to a living arrangement in a private residence where the person is directly responsible for his or her own living expenses.
Environmental Accessibility Adaptations (Home Modifications)
Environmental Accessibility Adaptations (EAAs also known as Home Modifications) are physical adaptations to a home that are necessary to ensure the health, welfare, and safety of the individual, or enable the individual to function with greater independence in the home: without which the Member would require institutionalization.
Housing Deposits
Housing Deposits assist with identifying, coordinating, securing, or funding one-time services and modifications necessary to enable a person to establish a basic household that do not constitute room and board.
Housing Tenancy & Sustaining Services
This service provides tenancy and sustaining services, with a goal of maintaining safe and stable tenancy once housing is secured.
Housing Transition Navigation Services
Housing transition services assist Members with obtaining housing.
Medically Supportive Food/Meals/Medically Tailored Meals
Malnutrition and poor nutrition can lead to devastating health outcomes, higher utilization, and increased costs, particularly among Members with chronic conditions. Meals help individuals achieve their nutrition goals at critical times to help them regain and maintain their health. Results include improved Member health outcomes, lower hospital readmission rates, a well-maintained nutritional health status, and increased Member satisfaction.
Nursing Facility Transition/Diversion to Assisted Living Facilities
Nursing Facility Transition/Diversion services assist individuals to live in the community and/or avoid institutionalization when possible. The goal is to both facilitate nursing facility transition back into a home-like, community setting and/or prevent skilled nursing admissions for Members with an imminent need for nursing facility level of care (LOC). Individuals have a choice of residing in an assisted living setting as an alternative to long-term placement in a nursing facility when they meet eligibility requirements.
Recuperative Care (Medical Respite)
Recuperative care, also referred to as medical respite care, is short-term residential care for individuals who no longer require hospitalization, but still need to heal from an injury or illness (including behavioral health conditions) and whose condition would be exacerbated by an unstable living environment. An extended stay in a recovery care setting allows individuals to continue their recovery and receive post-discharge treatment while obtaining access to primary care, behavioral health services, case management and other supportive social services, such as transportation, food, and housing.
Short-Term Post-Hospitalization Housing
Short-Term Post-Hospitalization housing provides Members who do not have a residence and who have high medical or behavioral health needs with the opportunity to continue their medical/psychiatric/substance use disorder recovery immediately after exiting an inpatient hospital (either acute or psychiatric or Chemical Dependency and Recovery hospital), residential substance use disorder treatment or recovery facility, residential mental health treatment facility, correctional facility, nursing facility, or recuperative care and avoid further utilization of State plan services.
Sobering Centers (Riverside County)
Sobering centers are alternative destinations for individuals who are found to be publicly intoxicated (due to alcohol and/or other drugs) and would otherwise be transported to the emergency department or jail. Sobering centers provide these individuals, primarily those who are homeless or those with unstable living situations, with a safe, supportive environment to become sober.
IEHP Direct and Delegated Providers can submit referrals for Community Supports via the Provider Portal. For questions on how to submit a referral or more information relating to the above services, Providers can call the Provider Call Center at (909) 890-2054 or (866) 223-4347.
Please continue to direct IEHP Members needing additional information on Community Supports Services to IEHP Member Services at (800) 440-4347, Monday - Friday, 8am - 5pm. TTY users should call (800) 718-4347.
If you have programmatic questions, please email DGCommunitySupportTeam@iehp.org
Community Supports Provider Brochure - English (PDF) | Spanish (PDF) | Chinese (PDF) | Vietnamese (PDF)
Community Supports FAQs (PDF)
Medi-Cal Community Supports or In Lieu of Services (ILOS) 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.
Provider Resources - POLST Registry
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.
有用資訊與資源 - 人身傷害與意外
mecast.com/s/Xe1jCJ6xqQCBo4gtnovWOE?domain=dhcs.ca.gov。
營業時間:週一至週五上午 8 點至中午 12 點,下午 1 點至下午 5 點。週末與假日不營業。
郵寄地址:
Department of Health Care Services
Third Party Liability and Recovery Division
Casualty Insurance Section – MS 4720
P.O.Box 997425
Sacramento, CA 95899-7425
IEHP DualChoice (HMO D-SNP) Medicare-Medicaid 計畫 會員
如果您是 Medicare 會員並且想要報告可能的債務清償、判決、裁定或是您收到的其他款項,或要求取得您的「受保護健康資訊」,請按一下此處以下載揭露授權書 (PDF)。
Provider Resources - Educational Opportunities
isciplinary Care Team (ICT)
Dual Choice Medicare CM IPA Training
Alzheimer's and Dementia Care
Specialty Mental Health Care Coordination
Staying Healthy Assessment (SHA) Training
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)
Dual Choice 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 kburnham@alz.org
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 rbgoldberger@alz.org
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 (optumhealtheducation.com)
2. Improving Health Literacy by Improving Communication Skills
Link (optumhealtheducation.com)
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:
https://www.ahrq.gov/health-literacy/index.html
To find out about other free AHRQ continuing education opportunities, go to:
https://www.ahrq.gov/patient-safety/education/continuing-ed/index.html
To contact AHRQ, visit https://www.ahrq.gov/contact/index.html
Office of Minority Health - https://cccm.thinkculturalhealth.hhs.gov/
CDC - www.cdc.gov
U.S. Department of Health and Human Service, Health Resources and Services Administration - www.hrsa.gov
You will need Adobe Acrobat Reader 6.0 or later to view the PDF files. You can download a free copy by clicking here.
Plan Updates - Regulatory Updates
reventable Conditions. Visit Reporting of Provider Preventable Conditions for DHCS instructions for online reporting.
By clicking on these links, you will be leaving the IEHP website.
Medicare Outpatient Observation Notice (MOON)
In the event any Medicare recipient has been in a status of outpatient observation for greater than 24 hours, Acute Hospitals are required to provide Medicare Members with a Medicare Outpatient Observation Notice (MOON). Medicare recipients must receive the MOON within 36 hours of admission to observation level of care.
Please refer to the following website for further details on MOON requirements at https://www.federalregister.gov/articles/2016/08/22/2016-18476/medicare-program-hospital-inpatient-prospective-payment-system-for-acute-care-hospitals-etc. By clicking on this link, you will be leaving the IEHP website.
Document Catalog:
MOON FAQs (PDF)
MOON Instruction Summary (PDF)
CMS Manual System 10611_Pub 100-04 Medicare Claims Processing MOON Instructions (PDF)
MOON Forms
MOON English (PDF)
MOON Spanish (PDF)
MOON Correspondence (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.
管理委員會會議 - 議程和報告
will now be held at the following address:
Dr. Bradley P. Gilbert Center for Learning & Innovation
9500 Cleveland Ave.
Rancho Cucamonga, CA 91730
Click here to view the meeting room map.
Any Member of the public may observe the scheduled proceedings by using the link listed below.
March 6, 2023 - 9 a.m.
Click here to join the virtual meeting.
March 2023
Agenda
Board Report
Under $200k Summary Report
January 2023
Agenda
Board Report
Under $200k Summary Report
Join Our Network - Ancillary
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.
最新消息 - IEHP 利用青年活動促進平衡
為健康臨床主任 Amrita Rai 表示:「課外活動可降低兒童和年輕人發生危險行為的可能性,並且強化聯繫感和歸屬感。任何有助於支持健康情感發展的活動機會,都可以增加自尊心以及與同伴互動的能力,並且對成年期有所助益。」 IEHP 的社區資源中心可以幫助培養和改善年輕一代 Inland Empire 居民的心理健康。這些中心在河濱郡、聖貝納迪諾 和 Victorville 的三個地點提供包括 Zumba、創意藝術、烹飪和園藝等課程和活動。活動於週一至週六舉行,詳見 iehp.org 。 美國公共衞生署長 2021 年諮詢報告 進一步強調了 COVID-19 對持續發生的青少年心理健康危機的影響,指出為了正面應對這些挑戰,迫切需要社區和聯邦組織的合作行動,並承認心理健康是整體健康的重要組成部分。 這個概念對 IEHP 而言並不陌生,IEHP 目前正與一些社區組織和當地教育機構合作,擴展學校內外的行為健康服務(學生行為健康激勵計畫)。 該健康計畫還透過與 Young Visionaries Youth Leadership Academy 合作,探索在其中心為青少年和年輕人增加更多免費課程和活動的機會。 IEHP Victorville 社區資源中心經理 Delia Orosco 表示:「我們期待在未來數周和數個月內,將更多樂趣添加到我們中心的安排表中。我們的中心為所有參與的人提供安全空間,無論他們年齡為何,都能夠在這裡真正釋放自己,我們非常重視這一點。」 如需了解更多關於 IEHP 資源中心和課程表的資訊,請造訪 iehp.org。