搜尋結果: : " UNIVERSITY OF BIRMINGHAMBIRMIN "
Plan Updates - Correspondence
here.
TITLE
DATE
RECIPIENTS
March 2023
2023 IEHP Direct Stars Incentive Program Guide Release
03/17
All Direct DualChoice PCPs
PHA - Increased Enteric Disease Activity - Shigella
03/17
All PCPs
Manifest MedEx Seminar - Achieve IEHP's MX Connectivity Quality Process Measure
03/17
All Medi-Cal PCPs
Phase III – Lift 1 - Medi-Cal Rx Transition Policy Change
03/16
All Medi-Cal PCPs & Specialists
RESPONSE REQUIRED – Provider Newsletter and Communication Survey
03/15
All PCPs, Specialists, Vision, BH & BHT Providers
REMINDER - 2023 Global Quality P4P Program - CAIR2 Participation Requirement
03/15
All Medi-Cal PCPs
Comprehensive Practice Optimization Workshop
03/15
All Riverside County PCPs
Medical Assistants: Enhancing Patient Safety & Reducing Liability Risks
03/15
All Riverside County PCPs
IEHP Coordination of Benefits Agreement (COBA) Implementation – Update
03/13
All PCPs, Specialists, Ancillary, & Hospitals
ACTION REQUIRED - Blood Lead Survey
03/13
All Pediatricians, Family Practice & Community Clinics
Opioid Attestation for Coverage Determinations and Removal of X-Waiver
03/10
All DualChoice Providers
Social Determinants of Health - Community Supports Services Referral Process
03/10
All PCPs, Behavioral Health Providers & IPAs
Complex Case Management (CCM) Program – Severe Chronic Conditions
03/08
All Medi-Cal IPAs, PCPs, Specialists, & Behavioral Health Providers
UPDATE - IEHP Coordination of Benefits Agreement (COBA) Implementation
03/07
All FQHCs, IHCs, & RHCs
REMINDER - Clean Claim Tool Guide Available
03/07
All Skilled Nursing Facilities
GQ P4P PCP – 2023 Program Guide Update - Social Determinates of Health Measure
03/03
All Medi-Cal PCPs
GQ P4P IPA – 2023 Program Guide Update - Social Determinates of Health Measure
03/03
All Medi-Cal IPAs
Encouraging Sexual History Taking for Patient Care and Partner Services
03/03
All PCPs
Encounter Data Submission Enhancements – Live Now!
03/02
All Direct PCPs
IEHP Global Quality P4P Manifest MedEx (MX) FAQs
03/02
All Medi-Cal PCPs & IPAs
Riverside County Medical Association - Physician Burnout Webinar
03/02
All Riverside and San Bernardino County PCPs
Riverside County Medical Association's 19th Annual Cruisin' Thru CME
03/02
All Riverside County PCPs
February 2023
CMS Alert - Fraudulent Activities and Monitoring Recommendations
02/28
All Medicare IPAs
Update to D-SNP Letter Template
02/24
All Medicare IPAs
Alternate Contact Information for Members Now Available!
02/23
All PCPs
Alzheimer's and Dementia Seminar (ECHO) - Beginning March 29th
02/23
All PCPs
Month-End IEHP Outbound 834 File Update
02/23
834 Trading Partners
RESPONSE REQUESTED – Provider Newsletter and Communication Survey
02/21
All PCPs, Specialists, Vision, BH and BHT Providers
UPDATE - Referral Timeline Standards for IEHP DualChoice (HMO D-SNP) Members
02/21
All Medicare IPAs
Skinny Gene Project - Diabetes Prevention Program (DPP)
02/21
All PCPs
Protocols for Emergency and Post-Stabilization Care for IEHP Members
02/17
All Hospitals
REMINDER - 2023 Global Quality P4P Program - CAIR2 Participation Requirement- PCPs
02/16
All Medi-Cal PCPs
Last Phase - Medi-Cal Rx Reinstatement of PAs for 46 Drug Classes, Including Medical Supplies - Eff. February 24th
02/14
All Medi-Cal PCPs & Specialists
Presidents' Day Holiday
02/13
All IEHP Providers & IPAs
RESPONSE REQUIRED – Provider Newsletter and Communication Survey
02/13
All PCPs, Specialists, Vision, BH and BHT Providers
New Provider Portal Alert - Inpatient Discharges
02/09
All PCPs
Quality Bonus Services RA’s Now Available!
02/09
All Medi-Cal PCPs
Ask DHCS – Open Office Hours for EVV Home Health Care Services – February 17, 2023
02/03
All EVV Impacted Providers & Individual Nurse Practitioners
UPDATE – Initial Health Appointment and Retirement of IHEBA/SHA
02/02
All Medi-Cal PCPs & IPAs
Transition to 30-day Coverage Determination Backdating
02/02
All LTC & SNF Providers
Redlands Community Hospital – Behavioral Health Unit Closed
02/01
All PCPs & BH Providers
UPDATE - Independent Medical Review Form
02/01
All Medicare IPAs
January 2023
KidsVaxGrant 3.0 Deadline to Apply is February 17, 2023
01/31
All Pediatricians and Family Practice PCPs
Effective February 1, 2023 - Call The Car Will Replace American Logistics Company (ACL) for ALL Member Transportation
01/31
All PCPs, Specialists, BH & IPAs
Provider Manual Acknowledgement of Receipt (AOR) Winners
01/27
All Providers
Crisis Recovery Resource Guide and Toolkit Available
01/27
All Community Support Services
REMINDER - BHT Providers Must Submit Exit Reports and Exit Letters!
01/27
All BHT (QASP) Providers
D-SNP Model of Care Incentive Program - 2023 Program Guide Release
01/26
All Medicare IPAs
Help Protect Members - Flu Vaccine Reminder
01/25
All PCPs
2023 Global Quality P4P PCP Kick Off Meeting
01/25
All Medi-Cal PCPs
2023 Global Quality P4P IPA Kick Off Meeting
01/25
All IPAs
An ECHO Learning Opportunity - Alzheimer's And Dementia Care - Weekly Sessions Begin Feb 16th
01/24
All PCPs
REMINDER - 2023 Global Quality P4P Program - CAIR2 Participation Requirement- PCPs
01/23
All Medi-Cal PCPs
REMINDER - 2023 Global Quality P4P Program - CAIR2 Participation Requirement- IPAs
01/23
All Medi-Cal IPAs
Response Requested by Thursday, January 26! - CBAS Emergency Remote Services (ERS)
01/23
All CBAS Providers
Global Quality P4P PCP Program - 2023 Program Guide Release
01/19
All Medi-Cal PCPs
UPDATE! Medi-Cal Letter Templates
01/17
All Medi-Cal IPAs
Emergency Resource Guide and Services – Flooding Services Available!
01/17
All Community Support Services Providers
Medicare P4P IEHP Direct – Blood Pressure Control Billing Guidance
01/13
All DualChoice PCPs
NEW! Regulatory Submission Response Files – MAO-004 XWalk
01/13
All Medicare IPAs
ALERT! 837 SBR04 Encounter Data Requirement Changes
01/13
All Medicare IPAs
IEHP DualChoice (D-SNP) Model of Care Training Requirement
01/12
All DualChoice Hospitals
IEHP DualChoice (D-SNP) Model of Care Training Requirement
01/10
All Medicare IPAs
IEHP DualChoice (D-SNP) Model of Care Training Requirement
01/10
All DualChoice Providers
IEHP Outbound 834 File Update
01/10
All 834 Trading Partners
IEHP HOLIDAY - Martin Luther King Jr. Day
01/09
All IEHP Providers
CORRECTION to Changes to Quarterly Workplan Requirements
01/05
All Medicare IPAs
LAST CHANCE to Win a $50 Gift Card - Submit 2023 Provider Policy and Provider Manual Acknowledgement of Receipt (AOR)
01/04
All IEHP Providers
2023 Population Health Management Academy
01/04
All Riverside County PCPs
CORRECTION - 2022 GQ P4P PCP - Quality Bonus Services Code Update
01/03
All Medi-Cal PCPs
December 2022
Outbound Eligibility File Delay on January 1, 2023
12/29
All IPAs and Ancillary Providers
REMINDER - CoverMyMeds - Prior Authorization Submission Method for Dual Choice Members– Effective January 1, 2023
12/29
All Dual Choice PCPs & Specialists
REMINDER - Pharmacy Benefits Manager (PBM) Change for DualChoice (HMO D-SNP) - Member Outreach in Process
12/29
All Dual Choice PCPS and Medicare IPAs
Access Standards – Appointment Availability - BH Providers
12/28
All Behavioral Health Providers
Mandatory Managed Care Enrollment (MMCE) Phase II - January 1, 2023
12/27
All Medi-Cal PCPs & Specialists
Access Standards – Appointment Availability - PCPs & OB/GYNs
12/27
All PCPs & OB/GYNs
Access Standards – Appointment Availability - Specialists
12/27
All Specialists
NEW! State Fair Hearing and Independent Medical Review Forms added to D-SNP Letter Templates (Effective January 2, 2023)
12/27
All Medicare IPAs
REMINDER - Help Your Members Update Their Contact Information!
12/22
All PCPs
2022 GQ P4P PCP - Quality Bonus Services Code Update
12/22
All Medi-Cal PCPs & IPAs
UPDATED! D-SNP Letter Templates (Effective January 2, 2023)
12/21
All Medicare IPAs
Phase II Wave I– Prior Authorization Submission – January 20, 2023
12/21
Medi-Cal PCPs & Specialists
Crossing the Line - Examining Professional, Personal, & Ethical Boundaries
12/21
Riverside County PCPs & Specialists
IEHP Outbound Daily 834 Delta File Delay
12/20
All 834 Trading Partners
Revised UM Authorization Guidelines
12/19
All IPA Administrators & Medical Directors
REMINDER - IEHP DualChoice (HMO D-SNP) begins Jan 2023
12/19
All Medicare PCPs, Specialists & BH Providers
OB P4P Program - Early Postpartum Visit Update
12/19
All Medi-Cal OB/GYNs
My Life. My Choice. - An Online Advanced Care Planning Program
12/16
All Dual Choice PCPs
REMINDER - CoverMyMeds - Prior Authorization Submission Method for Dual Choice Members– Effective January 1, 2023
12/16
All Dual Choice PCPs & Specialists
IEHP 2022-2023 Holiday Hours
12/15
All Providers & IPAs
2022 Global Quality P4P Program – Data Submission Deadlines for PCPs!
12/15
All Medi-Cal PCPs
2022 Global Quality P4P Program – Data Submission Deadlines for IPAs!
12/15
All Medi-Cal IPAs
CORRECTION– New Fax Number for Physician Certification Statements for Non-Emergency Medical Transportation
12/09
All Hospitals and SNFs
Medicare Formulary Changes for 2023 IEHP DualChoice (HMO D-SNP)
12/08
All Medicare PCPs, Specialists & IPAs
Pharmacy Recalls, Withdrawals & Safety Alerts - November 2022
12/07
All PCPs
REMINDER - Physician Certification Statement (PCS) Requirement
12/06
All PCPs, Specialists, BH & IPAs
EVV Home Health Care Services Open Office Hours – December 16th
12/06
EVV Impacted Providers & Individual Nurse Practitioners
Mpox (formerly Monkeypox) Vaccine Available through Local Health Departments
12/05
All Medi-Cal PCPs & IPAs
IMPORTANT! DHCS Error – Members Will NOT be Disenrolled From IEHP
12/05
All Medicare PCPs & IPAs
Global Quality P4P PCP – 2022 Program Guide Update (Quality Bonus Services)
12/05
All Medi-Cal PCPs
The Alzheimer's Association Event - Resources for Improving Dementia Care in the Clinical Practice
12/02
All PCPs
CoverMyMeds - Prior Authorization Submission Method for Dual Choice Members– Effective January 1, 2023
12/02
All Dual Choice PCPs
REMINDER - IEHP Dual Choice (HMO D-SNP) begins Jan 2023
12/02
All Medicare PCPs, Specialists & BH Providers
Response Requested by December 6, 2022! - CBAS Emergency Remote Services - Reporting
12/02
All CBAS Providers
IEHP Formulary Changes - November P&T Update
12/02
All PCPs
November 2022 Pharmacy and Therapeutics Subcommittee Update
12/02
All PCPs
NEW! D-SNP Letter Templates - Claims (Effective January 2, 2023)
12/02
All Medicare IPAs
Effective Today! - IEHP Contracts with Call The Car For Transportation
12/01
All Hospitals & SNFs
COVID-19 Isolation in SNF
12/01
All SNFs
Living the Mission Awards Nomination Form
12/01
All IEHP Providers
November 2022
Inland Empire Community Health Assessment
11/30
All PCPs, IPAs, Specialists, & Behavioral Health Providers
Pharmacy Benefits Manager (PBM) Change for DualChoice (HMO D-SNP) - Member Outreach in Process
11/29
All DualChoice PCPs & Medicare IPAs
ID Cards with Errors Reissued to Dual Choice Members
11/23
Select Dual Choice PCPs
Inland Caregiver Resource Center Informational Webinar - ECHO
11/23
All PCPs
IEHP’s Quarterly Behavioral Health Provider Training
11/18
All Behavioral Health (BH) Providers
Thanksgiving Holiday
11/18
All IEHP Providers
IEHP Outbound Daily 834 Delta File Delay
11/18
All 834 Trading Partners
CoverMyMeds - Prior Authorization Submission Method for Dual Choice Members– Effective January 1, 2023
11/17
All IEHP DualChoice PCPs
IEHP DualChoice (HMO D-SNP) 2023 Vision Benefits
11/17
All Vision Providers
Riverside County Medical Association's Physician Holiday Social
11/17
All Riverside County PCPs & Specialists
RUHS - PHA - Early Respiratory Syncytial Virus (RSV) and Seasonal Influenza Activity
11/17
All Riverside County PCPs
Global Quality P4P PCP Meeting - 2023 Program Preview
11/16
All Medi-Cal PCPs
BHT (QASP) Provider Training
11/15
All BHT (QASP) Providers
Reminder - BH Emergency Instruction Standards
11/15
All BH Providers
Reminder - PCP and Specialist Emergency Instruction Standards
11/15
All PCPs & Specialists
UPDATE! D-SNP Letter Templates (Effective January 2, 2023)
11/15
All Medicare IPAs
UPDATE - Revised UM Authorization Guidelines to November 3, 2022 - UM-BH 08
11/14
All Medi-Cal IPAs & BHT Providers
Pharmacy Recalls, Withdrawals & Safety Alerts - October 2022
11/14
All PCPs
REMINDER: IEHP DualChoice (HMO D-SNP) begins Jan 2023
11/10
All Medicare PCPs, Specialists & BH Providers
REMINDER: Help Your Members Update Their Contact Information!
11/10
All IEHP PCPs
Maternal Wellness Event Flyer
11/09
All Medi-Cal PCPs, OB/GYNs, Peds, BH Providers & IPAs
Essure System - No Longer a Covered Benefit
11/09
All OB/GYNs
ACTION REQUIRED -Submit 2023 Provider Policy and Provider Manual Acknowledgement of Receipt (AOR) - Win a $50 Gift Card
11/08
All IEHP Providers
Veterans Day
11/04
All IEHP Providers & IPAs
Revised UM Authorization Guidelines
11/03
All BH Providers & IPAs
Pharmacy Recalls, Withdrawals & Safety Alerts - September 2022
11/02
All PCPs
October 2022
Medicare - Nondiscrimination Notice and Taglines Templates
10/31
All Medicare IPAs
REMINDER: IEHP Interpreter Services – A Covered Benefit!
10/31
All PCPs & IPAs
Continuous Glucose Monitors
10/28
All Medicare PCPs, Endocrinologists & IPAs
Health Education Classes Available in Riverside Area
10/27
All Riverside Area PCPs, Specialists & OBs
PHA - Outbreak of Ebola Virus Disease Due to Sudan Virus in Central Uganda
10/25
All Riverside County PCPs
834 Eligibility File Format Changes
10/25
All IHEP 834 Trading Partners
Global Quality P4P IPA Meeting – 2023 Program Preview
10/21
All Medi-Cal IPAs
REMINDER DHCS Hospice Rates – Prospective Calculation Based on Medicaid Rates
10/21
All Hospice Providers
NEW! D-SNP Letter Templates (Effective January 2, 2023)
10/21
All Medicare IPAs
Help Protect Your Members Against the Flu
10/20
All PCPs & IPAs
Public Health Emergency (PHE) Ending Soon – Help Your Members Reenroll!
10/19
All IEHP PCPs
REMINDER - Balance Billing of IEHP Members Not Permitted!
10/14
All IEHP Providers
ACTION REQUIRED - Correct Prioritization of Authorization Requests
10/14
All PCPs, Specialists & IPAs
Global Quality P4P PCP Meeting – 2023 Program Preview
10/13
All Medi-Cal PCPs
Flu Vaccine Notice -Access to Pharmacy Vaccine Network
10/13
All PCPs
Cal MediConnect Sunsets and IEHP Dual Choice (D-SNP) Begins
10/12
All PCPs
Academic Detailing Services Now Offered
10/11
All IEHP Providers & Pharmacies
REMINDER - ACTION REQUIRED - Electronic Visit Verification (EVV) Implementation Requirements – Self Registration Required by October 19, 2022
10/10
All Home Health Care Services (HHCS) Providers & Personal Care Services (PCS)
UPDATE - Independent Medical Review (IMR) Forms
10/10
All Medicare IPAs
UPDATE to September 8, 2022 Communication Authorization Timeframes
10/6
All Medi-Cal IPAs
Special Fraud Alert - Exercise Caution with Purported Telemedicine Companies
10/6
All IEHP Providers & IPAs
FAQs For Delegate Monitoring of Utilization Measures
10/5
All IPAs
September 2022
Global Quality P4P Programs – NEW 2022 Quality Bonus Services!
09/30
All Medi-Cal PCPs
Diversity Awareness Month - October 2022 - Please Join Us!
09/30
All IEHP Providers & IPAs
REMINDER - IEHP Coordination of Benefits Agreement (COBA) Implementation – Action Required!
09/30
All PCPs, Specialists, ANC & Hospitals
ICD-10-CM Risk Adjustment Code Changes for CMS HCC Code Capture
09/26
All Direct Dual Choice PCPs
UPDATE! – Continuous Glucose Monitoring (CGM) Systems (IPA)
09/23
All Medi-Cal IPAs
UPDATE! – Continuous Glucose Monitoring (CGM) Systems
09/22
All Medi-Cal PCPs & Endocrinologists
ACTION REQUIRED - Electronic Visit Verification (EVV) Implementation Requirements – Self Registration Required by October 19, 2022
09/22
All Home Health Care Services (HHCS) Providers & Personal Care Services (PCS)
UPDATED Medi-Cal Letter Templates
09/22
All Medi-Cal IPAs
URGENT ATTENTION: Phishing Email Alert
09/21
All IEHP Providers
Pharmacy Times - Medication Reconciliation
09/21
All Dual Choice PCPs
Grievance Process Updates - Grievance Summary Form - Due Date
09/15
All IPAs
Continuity of Care (COC) Rosters Now Available on SFTP
09/15
All IPAs
REMINDER - Enhanced Care Management Available for Members
09/15
All Medi-Cal ANC and Vision Providers
Coordination of Benefits Agreement (COBA) Implementation - Action Required
09/12
All PCPs, Specialists, ANC & Hospitals
REMINDER - Dilated Retinal Exam (DRE) for Diabetic Members
09/09
All PCPs & Vision Providers
Revised UM Authorization Guidelines
09/09
All IPA Administrators & Medical Directors
Annual BH&CM Medi-Cal IPA Training Survey
09/08
All Medi-Cal IPA Care Management Staff
IEHP Provider Portal Updates – Reports now Viewable by TIN
09/08
All Medi-Cal PCPs
NEW - Collecting Social Determinants of Health Data (SDOH)
09/08
All Medi-Cal PCPs, Specialists & BH Providers
Authorization Timeframes Notice of Action (NOA) Translation & Attachment
09/08
All Medi-Cal IPAs
Please Notify IEHP if Your Availability has Changed due to Area Fires
09/08
All Hemet and Big Bear Area Providers
Recalls, Withdrawals & Safety
09/08
All IEHP Providers & Pharmacies
IEHP Formulary Changes (P&T)
09/07
All IEHP PCPs
Access Standards - Appointment Availability - Specialists
09/02
All Specialists
Access Standards - Appointment Availability - PCP, Ob
09/02
All PCPs & Obs
Access Standards - Appointment Availability - BH
09/02
All Behavioral Health Providers
Vaccination Clinic and Resource Fair - September 10
09/02
All Direct PCPs
IEHP Medi-Cal Medical Benefit Formulary
09/02
All Medi-Cal PCPs, Specialists & Psychiatrists
August 2022 P&T Update
09/02
All IEHP Providers & Pharmacies
August 2022
2022 - 2023 Flu Vaccination for IEHP Members
08/31
All IEHP Providers & Pharmacies
REMINDER: Medi-Cal Rx Gradual Reinstatement of PAs – Phase 1
08/31
All Medi-Cal PCPs & Specialists
Labor Day Holiday
08/30
All IEHP Providers & IPAs
REMINDER: Enhanced Care Management Available for Members
08/30
All Medi-Cal PCPs & IPAs
Final REMINDER: Submit the 2022 Provider Satisfaction Survey
08/29
All PCPs, Specialists & BH Providers
REMINDER: Community Supports Services Available for Members
08/29
All PCPs, Specialists & BH Providers
Medication Reconciliation Program
08/29
All IEHP Providers & Pharmacies
NOTICE: DHCS Approved Letter – Prior Authorization Not Required
08/26
All Medi-Cal IPAs
NOTICE: DHCS Approved Letter – Prior Authorization Not Required
08/26
All Medi-Cal PCPs, Specialists & Ambulatory Surgery Centers
REMINDER: Aug 2022 Provider Educational Series: “How to Navigate Rosters & Reports”
08/24
All Direct Medi-Cal PCPs
NEW: Health Education Classes Offered in Desert Hot Springs and Mecca
08/24
All Coachella Valley PCPs
ADVISORY: Updated Monkeypox Guidance
08/23
All Riverside County PCPs
San Bernardino County Public Health - Monkeypox Guidance
08/23
All San Bernardino County PCPs & Specialists
REMINDER: Medication Reconciliation
08/22
All IEHP Providers
REMINDER: 2022 Provider Satisfaction Survey
08/22
All PCPs, Specialists, & BH Providers
REMINDER: DHCS Quarterly Timely Access Survey
08/22
All Medi-Cal PCPs, Specialists, BH & Ancillary Providers
Medication Reconciliation Program
08/22
All IEHP Providers & Pharmacies
Reinstatement of PA Requirements for 11 Drug Classes
08/17
All Medi-Cal PCPs
REMINDER: Appropriate Billing for Dispensing of Vision Materials
08/17
All Vision Providers
REMINDER: Provider Directory Verification Form due August 26th
08/17
Select PCPs & Specialists
Medication Reconciliation Program
08/15
All IEHP Providers & Pharmacies
REMINDER: Timely Provision of Denial Packets
08/12
All Medicare IPAs
Member Grievance Updates: Medical Record Requests
08/12
All Direct PCPs, Specialists, & Ancillary
2022 Global Quality P4P Program Guide Updates - SDOH Rate Measure
08/12
All Medi-Cal PCPs & IPAs
Medi-Cal Letter Templates
08/11
All Medi-Cal IPAs
Recalls, Withdrawals & Safety
08/10
All IEHP Providers & Pharmacies
UPDATE: IEHP’s Network is Open to New QASP Providers
08/08
All BHT Providers
2022 Provider Educational Series – How to Navigate Rosters & Reports
08/08
All Direct Medi-Cal PCPs
Proposition 56 – Don’t Miss Out on Available Supplemental Payments
08/05
All Medi-Cal PCPs
2022 Provider Quality Resource Guide
08/05
All PCPs
Changes to Quarterly Workplan Requirements
08/03
All IPAs
REMINDER: Provider Preventable Conditions - Reporting Requirements
08/03
All IEHP Providers, Ambulatory Surgical Centers & IPAs
Webinar: COVID-19 In the Black and Brown Community and the Post Long-Term Effects
08/01
All PCPs & IPAs
Medication Reconciliation Program
08/01
All IEHP Providers & Pharmacies
July 2022
NEW DATE: Medi-Cal Rx Gradual Reinstatement of Prior Auths (PAs) – Phase 1 – September 16, 2022
07/29
All Med-Cal PCPs & Specialists
Practitioner Reporting Requirements - UB-04 Claim Form
07/29
All SNFs, Hospitals, & Ancillary
Free Webinar: It Takes a Village to Manage COVID-19
07/27
All PCPs & IPAs
REMINDER: Medi-Cal Rx Gradual Reinstatement of PAs – Phase 1 – August 1, 2022
07/25
All Medi-Cal PCPs & Specialists
ALERT: Hospice Policy and Procedures
07/25
Select Contract and Non-Contracted Hospice Providers
Inappropriate Treatment Delays and Denials for HIV PrEP and PEP
07/22
All Medi-Cal PCPs & Specialists
UPDATED: Telehealth Services FAQs
07/21
All PCPs, Specialists, BH, BHT Providers & IPAs
2022 Global Quality P4P Program – Provider Directory Verification
07/20
All Medi-Cal PCPs
NEW: Riverside County Public Health: Updated Monkeypox Guidance
07/20
All Riverside County PCPs & Specialists
DHCS Plan Data Feed Project – Files Available on SFTP
07/19
All IPAs
2022 Global Quality P4P PCP Program Guide- UPDATES
07/18
All Medi-Cal PCPs
2022 Global Quality P4P IPA Program Guide- UPDATES
07/18
All Medi-Cal IPAs
2022 Appointment Availability Survey – Fax Survey
07/15
All PCPs & IPAs
2022 Appointment Availability Survey – Fax Survey
07/15
All BH Providers
2022 Appointment Availability Survey – Fax Survey
07/14
All Specialists, Ancillary & IPAs
UPDATE: Diabetic Vision Outreach Campaign – EXTENDED to July 22, 2022
07/14
All Vision Providers
Medi-Cal Rx Gradual Reinstatement of PAs – Phase 1
07/11
All Medi-Cal PCPs & Specialists
2022 Global Quality P4P (GQ P4P) Interim Reports Data Refresh
07/11
All Medi-Cal PCPs & IPAs
Update: Risk Adjustment Telehealth and Telephone Services
07/11
All Dual Choice PCPs, Specialists & BH Providers
Cal MediConnect Sunsets and IEHP Dual Choice (D-SNP) Begins
07/08
All Medicare PCPs, Specialists & BH Providers
2022 Provider Satisfaction Survey
07/07
All PCPs, Specialists & BH Providers
2022 Provider Educational Series - Provider Directory Verification Process (Virtual)
07/07
All Medi-Cal PCPs
Recalls, Withdrawals & Safety
07/07
All IEHP Providers & Pharmacies
IEHP Medi-Cal Medical Benefit Formulary
07/01
All Medi-Cal PCPs, Specialists & Psychiatrists
IEHP Providers Can Post Jobs and Find Candidates for Free on SoCalDocJobs.com
07/01
All PCPs
June 2022
ALERT: No Prior Authorization for Biomarker Testing for Stage 3 and 4 Metastatic Cancers
06/29
All PCPs, Specialists & IPAs
REMINDER – KidVaxGrant Application Deadline Approaching
06/29
All Medi-Cal PCPs
REMINDER - 2022 Provider Educational Series: Provider Directory Verification Process
06/28
All Direct Medi-Cal PCPs
DHCS Plan Data Feed Project
06/27
All IPAs
Alzheimer’s and Dementia Care: A FREE CME Project Echo Opportunity
06/27
All IEHP Family Practice & Internal Medicine Providers
Independence Day Holiday
06/27
All IEHP Providers & IPAs
Standards for Determining Threshold Languages, Nondiscrimination Requirements, and Language Assistance Service
06/27
All Medi-Cal IPAs
UPDATED - Telehealth Services POS Code Updates
06/26
All PCPs, Specialists & BH Providers
Clinical Practice Guidelines
06/24
All PCPs & IPAs
Access Standards – Appointment Availability for Specialists
06/24
All Specialists
NOTICE: No Prior Authorizations for Preventive Services - IPAs
06/23
All Medi-Cal IPAs
NOTICE: No Prior Authorizations for Preventive Services - Providers
06/23
Direct Medi-Cal PCPs & Specialists
Billing of IEHP Members Guidance
06/22
All IEHP Providers & IPAs
May 2022 P&T Update
06/22
All IEHP Providers & Pharmacies
REMINDER - 2022 Provider Educational Series: Provider Directory Verification Process
06/21
All Direct Medi-Cal PCPs
Access Standards – Appointment Availability for PCPs and OB Providers
06/21
All PCPs & OB Providers
Access Standards – Appointment Availability for BH Providers
06/21
All Behavioral Health Providers
REMINDER – Authorizations Required for All Follow-up Visits!
06/17
All BH & BHT Providers
REMINDER: 2022 Global Quality P4P Program – CAIR2 Participation Requirement
06/17
All Medi-Cal PCPs
Member Campaign on Preventive Care Services
06/17
All Medi-Cal PCPs & IPAs
Updates/Amendments to AB 1184: Confidential Communication of Medical Information Involving Sensitive Services
06/16
All Medi-Cal Providers & IPAs
IEHP Alternative Format Requirement Overview
06/14
All IEHP Providers & IPAs
Juneteenth Holiday
06/13
All IEHP Providers & IPAs
REMINDER - Authorizations Required for Vision Services
06/10
All Vision Providers
Alcohol and Drug Screening Assessment Brief Interventions and Referral to Treatment (SABIRT)
06/10
All PCPs & IPAs
2022 Provider Educational Series - Provider Directory Verification Process
06/10
All Direct Medi-Cal PCPs
Navigating the Formula Crisis Webinar
06/08
All Medi-Cal PCPs & OB/GYN
MTM Medi-Cal Provider Mailing Campaign
06/08
All IEHP Providers & Pharmacies
MTM Medicare Provider Mailing Campaign
06/08
All IEHP Providers & Pharmacies
Recalls, Withdrawals & Safety
06/05
All IEHP Providers & Pharmacies
Academic Detailing Services Now Offered
06/04
All IEHP Providers & Pharmacies
Medi-Cal Rx Billing Policy for Physician Administered Drugs (PADs)
06/03
All Medi-Cal PCPs, Specialists & IPAs
New and Revised UM Authorization Guidelines
06/03
All IPA & BHT Providers
UPDATES COMING SOON – Changes to UM Semi-Annual and Annual Reporting Requirements
06/01
All IPAs
UPDATE - Facility Site Review (FSR) and Medical Record Review (MRR) Tools and Standards – Effective July 1, 2022
06/01
All PCPs & IPAs
May 2022
IEHP’s Bi-Annual BHT Provider Training
05/27
All Behavioral Health Treatment (BHT) Providers
Memorial Day Holiday
05/23
All Providers & IPAs
REMINDER: CMC Transition to D-SNP - Model of Care Early Preview Meeting - June 13, 2002
05/23
All IPA CM & Quality Staff
2022 Global Quality P4P Program - NEW 2022 Interim Reports
05/20
All Medi-Cal PCPs
IEHP UM Department Availability
05/20
All PCPs, Specialists & BH
Care Coordination REMINDER – Review the Early Start Roster on IEHP’s Portal
05/17
All Medi-Cal PCPs & IPAs
CMC Transition to D-SNP - Model of Care Early Preview Meeting - June 13, 2002
05/16
All IPA CM & Quality Departments
REMINDER: 2022 Global Quality P4P Program – CAIR2 Participation Requirement
05/16
All Medi-Cal PCPs
REMINDER: 2022 Global Quality P4P Program – Manifest MedEx Connectivity
05/16
All Medi-Cal PCPs
eReferral Submission to IEHP now available for IPA assigned Medi-Cal Members: Transplants (MOT) and Community Support Services
05/13
All Medi-Cal PCPs & IPAs
Applied Changes for Medicare Members on the 835 Files
05/10
IEHP Trading Partners
Sunsetting of Proposition 56: Value Based Payment Program
05/09
All Medi-Cal PCPs, Specialists, BH & IPAs
HIV/AIDS Specialist Survey
05/06
All Specialists
UPDATED FAQs: Members with Other Health Coverage (OHC)
05/06
All Providers & IPAs
Revised/Retired UM Authorization Guidelines
05/06
All Medi-Cal IPAs & BH
Community Supports Services Modifier Guidance
05/06
All Medi-Cal PCPs, Specialists, BH & IPAs
Recalls, Withdrawals & Safety Alerts
05/05
All IEHP Providers & Pharmacies Providers
REMINDER: No Prior Authorizations Needed for Preventive Services
05/03
All IPAs
Alzheimer’s and Dementia Care: A Project Echo Opportunity
05/03
All PCPs
Webinar - IWIN COVID and the Community
05/02
San Bernardino County PCPs
April 2022
2022 Global Quality P4P Program - Manifest MedEx Connectivity Reminder
04/29
All Medi-Cal PCPs
Maternal Wellness Events - May 2022 - IEHP Community Resource Centers
04/28
All Medi-Cal PCPs, OB/GYN, Peds, BH & IPAs
Letter to Primary Care Providers RE-Response to GSF
04/27
All Medi-Cal PCPs
Letter to Providers RE-Response to GSF
04/26
All Medi-Cal IPAs & Specialists
Initial Health Assessment (IHA) Roster
04/22
All Medi-Cal PCPs & IPAs
REMINDER: IEHP Interpreter Services – Benefit for Members!
04/20
All PCPs & IPAs
REMINDER - 2022 Global Quality P4P Program – CAIR2 Participation Requirement
04/15
All Medi-Cal PCPs
COVID-19 “Test to Treat” Initiative
04/13
All PCPs & IPAs
Revised UM Authorization Guideline
04/12
All Medi-Cal IPA Administrators and Medical Directors & BH Providers
Public Health Service (PHS) 340B Participating Provider Billing Reminder
04/12
All FQHCs and DSHs
Care Plans and Health Risk Assessments (HRAs) Reminder
04/08
All PCPs, Specialists, SNFs & CBAS
2nd Round of Free At-Home COVID-19 Test Kits Available
04/08
All Medi-Cal PCPs
Misdirected Claims Testing – Meeting Request
04/07
IEHP Trading Partners
Alzheimer’s and Dementia Care: A Project Echo Opportunity
04/06
All IEHP PCPs
Standing Orders Enrollment - Respond Today!
04/06
All Medicare PCPs
Medicare P4P IEHP Direct – Blood Pressure Control Billing Guidance
04/05
All Direct DualChoice PCPs
Important Notice: Proton Pump Inhibitor Overutilization
04/05
All IEHP Providers & Pharmacies
Recalls, Withdrawals & Safety Alerts
04/05
All IEHP Providers & Pharmacies
March 2022
CORRECTION - Standing Orders Enrollment- Respond Today!
03/31
All Medi-Cal PCPs
Complex Case Management (CCM) Program – Severe Chronic Conditions
03/30
All Medi-Cal PCPs, Specialists, BH Providers & IPAs
Major Organ Transplants (MOT) and TAR Approval DATE Impact
03/29
All Medi-Cal IPAs & COEs
Standing Orders Enrollment - Respond Today!
03/29
All Medi-Cal PCPs
MTM Medi-Cal Provider Mailing Campaign
03/29
All IEHP Providers & Pharmacies
MTM Medicare Provider Mailing Campaign
03/29
All IEHP Providers & Pharmacies
Initial Health Assessment (IHA)
03/28
All Medi-Cal PCPs
REMINDER - 2022 OB P4P Kickoff Meeting – March 31, 2022!
03/28
All Medi-Cal OB/GYNs
CMS Signature Requirement Guidelines for Member Medical Records
03/25
All IPAs, PCPs, Specialists & BH Providers
REMINDER: IEHP Claims, Appeals/Disputes and Audit Recovery Mailing Addresses
03/25
All Direct PCPs, Specialists & BH Providers
2021 GQ P4P Program- Data Submission Extension Until March 31, 2022
03/22
All Medi-Cal PCPs
REMINDER: IEHP Wants to Know Your Interest in Pilot Program to Implement a Community Electronic Health Record (EHR)
03/22
All Medi-Cal PCPs
REMINDER - American Rescue Plan Act – Extension of Postpartum Care Coverage
03/21
All Medi-Cal PCPs, OBs & IPAs
Behavioral Health Access Standards – Appointment Availability
03/16
All Behavioral Health Providers
New DHCS DUR Board Educational Article
03/16
All IEHP Providers & Pharmacies
IEHP Wants to Know: Interest in Pilot Program to Implement a Community Electronic Health Record (EHR)?
03/15
All Medi-Cal PCPs
REMINDER - 2022 Global Quality P4P Program – CAIR2 Participation Requirement
03/14
All Medi-Cal PCPs & IPAs
Riverside County Legionnaires' Disease Advisory
03/14
All PCPs & IPAs
Coordination of Benefits with Other Health Coverage (OHC) – Medi-Medi Coverage Added to Provider Portal
03/11
All IEHP Providers & IPAs
Notice of Dismissal of Coverage Letter Updates & Attestation Form
03/11
All Medicare IPAs
Process for IEHP Medi-Cal Members: Continuous Glucose Monitors (CGM)
03/10
All Medi-Cal PCPs
UPDATED Integrated Denial Notice Medicare Letter Templates
03/08
All Medicare IPAs
Process for IEHP Medi-Cal Members: Blood Pressure Monitors and Nebulizers
03/07
All Medi-Cal PCPs
Recalls, Withdrawals & Safety Alerts
03/07
All IEHP Providers & Pharmacies
IEHP’s Quarterly BH Provider Training
03/04
All Behavioral Health Providers
Update: Enhanced Care Management Roster Available on Provider Portal
03/01
All Medi-Cal PCPs & IPAs
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