Inland Empire Health Plan (IEHP) Remove Inland Empire Health Plan (IEHP) from comparison. To find out about other free AHRQ continuing education opportunities, go to www.ahrq.gov. No fees are charged for the two CE activities: 1. You will need Adobe Acrobat Reader 6.0 or later to view the PDF files. Waste includes overuse of services, or other practices that, directly or indirectly, result in unnecessary costs. If you need IEHP to direct the referral, please indicate that on the form. National Library of Medicine: Seniors' Health, IEHP Texting Program Terms and Conditions. Here, you will find links to the Pharmacy Program Manual, Communications, DTM Program, Prior Authorization Criteria, Clinical Practice Guidelines, Forms, IEHP Formulary, and Safety Resources with drug recall information. All original â¦ Link (optumhealtheducation.com) Link (optumhealtheducation.com) 1-800-440-4347 (TTY 1-909-890-0731 or 1-800-718-4347) www.iehp.org. IEHP, through its Delegation Oversight process, will monitor the IPAs’ compliance with documentation and reporting requirements, as outlined in Policy 25A2, “Delegation Oversight Audit.”, (0-36 months): Head Circumference-For-Age And Weight- For-Length Percentiles, (0-36 months): Length and Weight-For-Age Percentiles, (2-20 years): Stature and Weight-For-Age-Percentiles, (2-20 years): Body Mass Index For-Age Percentiles. Please do not forget to fax in the Proof of Training Form to (909) 890-2968 when the training has been completed. (866) 294-4347 E-mail: [email protected], DHCS MEDI-Cal Fraud Hotline Member Services Hotline. Ensure we comply with applicable laws, rules, and regulations, Reduce or eliminate Fraud, Waste, and Abuse (FWA), Prevent, detect, and correct non-compliance, Reinforce our commitment to culture of compliance for which we strive, Establish and implement our shared commitment to honesty, integrity, transparency, and accountability, Office of Inspector General (OIG) List of Excluded Individuals and Entities (LEIE list), DHCS Medi-Cal Suspended and Ineligible Provider List. Contact [email protected] with questions. Click on the following links to jump to that specific section: ABA 6 Month and Exit Progress Report Template (Word), ABA School BHT Services Request Form (Word), Behavioral Health Authorization Request Form (PDF), Coordination of Care Treatment Plan Form (PDF), Psych Testing Battery Plan (for Psychologist use only) (PDF), Universal Authorization release of Information Form - English (PDF), Universal Authorization release of Information Form - Spanish (PDF), Clean Claim Tool Guide - UB04 Inpatient Form (PDF), Clean Claim Tool Guide - UB04 Outpatient Form (PDF), Waiver of Liability Statement - Cal MediConnect Plan (PDF), Revised CMS 1500 Health Insurance Claim Form (PDF), CMS 1500 Reference Instruction Manual (PDF), Compliance Program Effectiveness DOA Audit Tool - Medi-Cal, Compliance Program Effectiveness DOA Audit Tool - Medicare, Sub-Contracted Facility/Agency Services and Delegated Functions (PDF), Electronic Funds Transfer (EFT) Form & FAQs (PDF), Positive Airway Pressure Devices for Obstructive Sleep Apnea (PDF), Transcutaneous Electrical Nerve Stimulator (TENS) (PDF), Referral Authorization Request Form - 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This includes making a plan to improve safety and taking routine tests and health screenings to detect health problems and treat them early. If you suspect that errors in billing may have occurred, contact your IEHP Provider Services Representative at (909) 890-2054. Hmong, Korean, Russian, Tagalog, Vietnamese. Fax: (909) 477-8536 A monthly review of the Department of Health Care Services Medi-Cal Suspended and Ineligible list. Contacting the Office of the Inspector General For questions please contact IEHP Health Education Department at (866) 224-4347. 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. National Library of Medicine: Seniors' Health. By clicking on these links, you will be leaving the IEHP website. This file will also map ZIP Codes to their State and can determine whether the ZIP Code has a rural designation as determined by CMS. IEHP's provider portal is equipped with resources to equip all of our providers with easy to use tools. Educates Members about their health conditions and achieve health goals. Organized as a Joint Powers Agency, Inland Empire Health Plan (IEHP) is a local, not-for-profit, public health plan. The following courses are great resources for Health Professionals, Physicians, Physician Assistants and Nurse Practitioners. Decisions can be large and small. Pharmacies. All Rights Reserved. For example, “Who will be responsible for communicating with your family?” or “In the final stages of living, do you want to be at home?”. The Staying Healthy Assessment (SHA) forms consist of seven age-specific pediatric questionnaires and two adult questionnaires. (866) 577-8355 (TTY), To Enroll with IEHP E-mail: [email protected], Online: (By clicking on the following links, you will be leaving the IEHP website), Report a Privacy Incident/Breach Click Here. The Medi-Cal Learning Portal provides extensive resources and a broad range of topics for all types of Providers with questions regarding billing requirements and claims processing guidelines. Then, contact IEHP’s Compliance Department at (866) 355-9038 and explain the case to one of our Representatives. IEHP has created UM Subcommittee Approved Authorization Guidelines to serve as one of the sets of criteria for medical necessity decisions. What’s an Advanced Care Directive and why do I need someone else to help me? IEHP partners with Providers to help educate Members about their health conditions and achieve health goals. ... Health education. No person is alike, so the program will be tailored to meet your needs and honor your customs and values. Senior health deals with ways to stay healthy as we age. Our goal in creating this page is to provide you with easily accessible electronic versions of IEHP’s UM guidelines. Online: Report a Compliance Issue Click Here (By clicking on this link, you will be leaving the IEHP website). Easy-to-read educational handouts on many health topics and in multiple languages. All content has been reviewed by IEHP to align with the standards practiced by leading health organizations. Pamphlets, newsletters, health education â¦ To obtain more compliance guidelines, the Department of Health and Human Services (HHS) offers assistance (By clicking on this link, you will be leaving the IEHP website). Office of Minority Health - https://cccm.thinkculturalhealth.hhs.gov/, U.S. Department of Health and Human Service, Health Resources and Services Administration - www.hrsa.gov. Waste is generally not considered to be caused by criminally negligent actions but rather by the misuse of resources. Public Transportation. Reporting results to Compliance Committee, Governing Body, and IEHP as necessary. Rancho Cucamonga, CA 91729-1800. PHI is health information that relates to a Member’s past, present or future physical or mental health or condition, including the provision of his/her health care, or payment for that care and contains personally identifiable information (PII) such as name, SSN, DOB, Member ID, address, or any other unique identifier related to the Member. Dr. Anderson has addressed the health needs of the underserved and â¦ If you are interested in becoming a network Provider, please click here. IEHP administers the GNA every five years; the findings of the GNA may help Providers better understand and serve our Members. Further information is available on the following pages: Medicare and Medi-Cal lines of business must follow the instructions below: Category 1 - HCACs (For Any Inpatient Hospital Setting in Medicaid), Category 2 - Other Provider Preventable Conditions (For Any Health Care Setting). IEHP offers free Advanced Care Directive Workshops to help you. Schedule appointments, message your physician, view test results, refill medications and more with MyDMG Health. 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. Fraud is knowingly and willfully executing, or attempting to execute, a scheme or artifice to defraud any health care benefit program, or to obtain, by means of false or fraudulent pretenses, representations, or promises, any of the money or property owned by, or under the custody or control of, any health care benefit program. To login, visit https://www.capolstregistry.org/#/. Medical plan materials ... Doctors you can go to. (800) 718-4347 (TTY), IEHP DualChoice Member Services (888) 244-4347 In April 2008 he was appointed to the IEHP Governing Board and served as the Vice-Chair from January 2018 - December 2020. Notify Providers with atypically high billing errors - eQHealth analyzes review statistics and provides data and education â¦ Click below to learn more about age milestones, immunization and Well Baby Visits Schedule, and teen health support. Abuse includes actions that may, directly or indirectly, result in unnecessary costs and improper payment or services. For the complete, up to date list of recommendations, please visit (by clicking on this link, you will be leaving the IEHP website) https://www.uspreventiveservicestaskforce.org/Page/Name/uspstf-a-and-b-recommendations/. IEHP has the following resources available for reporting fraud, waste or abuse, Privacy issues, and other compliance issues: Compliance Hotline: (866) 355-9038 Topics are available in multiple languages. First, document your suspicions. Search job openings, see if they fit - company salaries, reviews, and more posted by Inland Empire Health Plan employees. AHRQ Health Literacy Modules Available for Continuing Education (CE) and Maintenance of Certification (MOC) Credit. Easy to read “Handouts and Visual Aids” in color on diabetes care and nutrition to help patients eat the right foods to control blood sugar. Box 1800 Resource: website, This website is aimed at providing information to Providers on Medicare's National CCI edits, but will not address specific CCI edits. You may want to ask for another form of identification in addition to the IEHP Member identification card. Our bodies and mind change as we get older. Fax: (909) 477-8536 With MyDMG Health â¦ RANCHO CUCAMONGA, Calif., Nov. 19, 2020 /PRNewswire/ -- Inland Empire Health Plan (IEHP) received the 2020 Health Equity Award for their ability to engage and connect with members via â¦ Provider Login =====TEXT INFOPANEL. This was created by the IEHP Health Education department to inform teens of proper birth control methods as well as STD prevention. This package is designed to help you stay healthy, meet your financial and retirement goals, develop your career and continue your education â all while achieving a healthy work/life balance. After hour care includes the 24-Hour Nurse Advice Line, DocOnline and Urgent Care Clinics. MyDMG Health is the secure patient portal for DuPage Medical Group. Providers also have direct access to their Regional Representative and the Small Provider Billing Unit (SPBU) through this link (By clicking on this link, you will be leaving the IEHP website) https://learn.medi-cal.ca.gov/. Knowingly billing for services or prescriptions not furnished or supplies not provided, Knowingly altering claim forms for a higher payment, Selling medicine, medical equipment, or other things received through IEHP, Writing excessive prescriptions or ordering excessive tests, Prescribing more medications than necessary for the treatment of a specific condition, Billing for unnecessary medical services or medical equipment, Billing for brand name drugs when generics are dispensed. =========== TABBED SINGLE CONTENT GENERAL, Decisions can be large and small. (800) 718-4347 (TTY), IEHP 24-Hour Nurse Advice Line (for IEHP Members only) Resource: website, This file is primarily intended for use by ambulance suppliers to map ZIP Codes to CMS carriers and localities. (800) 718-4347 (TTY), IEHP DualChoice Member Services If you have questions or additional suggestions, please e-mail The IEHP Compliance Department at [email protected] RANCHO CUCAMONGA, Calif., Nov. 20, 2020 /PRNewswire/ -- Inland Empire Health Plan will provide two flu vaccine and grocery distribution events for the communities of Riverside, San â¦ The National LGBT Health Education Center is part of the Division of Education and Training at The Fenway Institute, Fenway Health. Easy to read information and audio tutorials on many health topics in English and Spanish. Evidence-based guidelines from nationally recognized professional healthcare organizations and public health agencies. Report potential FWA Click Here (By clicking on this link, you will be leaving the IEHP website). Printed English and Spanish versions are available through your IPA or you can get the forms you need by using the menu below. Materials can be printed or ordered. The Centers for Medicare & Medicaid Services (CMS) and the Department of Health Care Services (DHCS) require that IEHP staff and contracted Delegates, Practitioners, and Providers receive training on the Cal MediConnect program and IEHP’s model of care: The Office of the Inspector General (OIG) is there to assist you and maintains a hotline, which offers a confidential means for reporting vital information. Do not leave prescription pads, which include a Provider's identification and license number, out in the open. You will also be paired with a health coach for one year to help you set your goals, such as how to: Studies have shown that those who finish the program can lose weight and prevent Type 2 Diabetes. Phone: (800) 822-6222 To learn about AHRQ’s tools to address health literacy, visit Health Literacy Topics at https://www.ahrq.gov/health-care-information/topics/topic-health-literacy.html This generally means that a breach occurs when PHI is accessed, used, or disclosed to an individual or entity that does not have a business reason to know that information. IEHP Compliance Officer Abuse involves payment for items or services when there is no legal entitlement to that payment and the provider has not knowingly and/or intentionally misrepresented facts to obtain payment. Select the growth chart form that you need by clicking on the link below: To submit a referral to IEHP, please fill out the referral form below, include all clinical notes and fax it to IEHP. Please select on the links below to obtain the revised CMS 1500 form (version 02/12) and the CMS 1500 Reference Instruction Manual. Please refer to IEHP Provider Policy 10D1, "Obstetrical Services, Guidelines for Obstetrical Services" for further detail. The Inland Empire Health Plan (IEHP), part of an expanding network of private-public collaborations in support of the mission of the California University of Science and Medicine (CUSM), has committed a â¦ 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. IEHP is committed to a culture of compliance, ethics, and integrity, the goal of Compliance Training is to provide all associated parties the ability to demonstrate awareness of IEHP’s requirements, including regulations and policies & procedures associated with Compliance as it relates to daily work. If you are referring back to yourself, please indicate such. 1. Nondiscrimination Language Access Notice: You will need Adobe Acrobat Reader 6.0 or later to view the PDF files. IEHP â¦ Our Plans Medi-Cal Plan. (800) 720-4347 (TTY). Browser suggestions for the live audio cast:(results may vary based on individual settings on your device) IEHP offers free Advanced Care Directive Workshops to help you. 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. Periodically perform internal audits of billing practices and compare billing records with payments received. © 2020 Inland Empire Health Plan. Listen in. Physicians may also give treatment advice, refill select prescriptions and refer Members for in-person care. (877) 273-4347 For example, do not store prescription pads in exam room cabinets or leave on office counters. (888) 244-4347 Resource: website, Interdisciplinary Care Team (ICT) Fact Sheet (PDF), Healthcare Provider Toolkit: Assisting Patients with Requests for Workplace Accommodations or Leaves of Absence (PDF). 44 Inland Empire Health Plan jobs in Rancho Cucamonga, CA. Paying a "kickback" in exchange for a referral for medical services or goods, Allowing unauthorized individuals to use ID card to obtain benefits, Falsifying residence information to obtain benefits, Drug seeking or doctor shopping to obtain narcotics. On May 23,2017, the Department of Healthcare Services (DHCS) released All Plan Letter (APL) 17-009, reporting requirements related to Provider Preventable Conditions. Resources are reviewed regularly and updated to reflect changes from a regulatory and clinical standpoint. OptumHealth Education is issuing continuing education credit for taking the AHRQ-developed Health Literacy Knowledge Self-Assessment. Health Education Classes; Community =====TEXT INFOPANEL. Search job openings at Inland Empire Health Plan. Inland Empire Health Plan (IEHP) expects Team Members and business entities doing business with IEHP to conduct business activities in an ethical and professional manner that promotes public trust and confidence in the integrity of IEHP. It's just one click away. 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. For questions please contact IEHP Health Education Department at (866) 224-4347. Health Education Specialist IEHP Rancho Cucamonga, CA ... Inland Empire Health Plan (IEHP) is the largest not-for-profit Medi-Cal and Medicare health plan in the Inland Empire. Mental Health Care Professionals: Help Your Patients Quit Smoking: Breastfeeding Support "BONUS Helpline" News Release, Medicare and Medi-Cal’s coverage policy statements, Evidence in the peer-reviewed published medical literature, Technology assessments and structured evidence reviews. The training resources below provide information on completing the SHA for your patients. Listen to the board meeting live! Providers must complete the SHA Training. 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. 2. ©2020 Inland Empire Health Plan All Rights Reserved. In an effort to prevent fraud and abuse, IEHP encourages Providers and their staff to report any suspicious circumstances when they arise. Download Adobe Acrobat Reader. Must also demonstrate knowledge proficiency of internal IEHP and external community resources in Inland Empire to support Member needs. (866) 294-4347 To enroll with IEHP: If you need healthcare coverage, call 1-866-294-4347, 8am-5pm Monday-Friday. The guidelines contained on this page are recommended by IEHP with the intent to enhance Member care. (800) 440-4347 ... IEHP 24-Hour Nurse Advice Line (for IEHP â¦ Download free “Health Tips” in English and Spanish on a variety of health topics, or order. Urgent Care Centers. A service of the US National Library of Medicine and the National Institutes of Health. This online year-long lifestyle change program helps you make real changes that last. PCPs are responsible for assuring the Staying Healthy Assessment (SHA) Questionnaire is administered during the Initial Health Assessment to each IEHP Member within 120 days of the Member's enrollment.The SHA Questionnaire is available in over nine different languages and in nine separate age categories. During the first 6 months, you will meet weekly with a small online group to learn how to make healthy choices into your life. Youâll speak to one of our friendly bilingual Enrollment Advisors. Quarterly educational presentations - offered as targeted Provider Outreach and education on varying utilization review topics. The Code is meant to provide guidance about the compliance culture at IEHP and the role that each Team Member, including management, Chief Officers and the Governing Board, plays in building and preserving that culture. Npdb ) identification in addition to the UM Department childâs Health at every of! Get the forms you need by using the menu below their Health conditions and achieve Health goals in unnecessary and... Health Professionals, Physicians, Physician Assistants and Nurse Practitioners for low-income,.: 1 Providers better understand and serve our Members Notice: you will leaving! Health goals intent to enhance Member Care abuse, IEHP encourages Providers their! Any suspicious circumstances when they come to you and provide diagnoses for minor acute conditions and! Our Members more posted by Inland Empire Health Plan ( IEHP ) is pleased to announce that we engaged! About age milestones, immunization and Well Baby Visits Schedule, and IEHP as necessary staff to report any circumstances! To women ’ s Health & Wellness programs help Members learn how to manage their and! Suggestions, please click Here //www.capolstregistry.org/ # /mdsignup under forms, please indicate that on the below! Salaries, ratings, and Russian large and small not leave prescription in. ( NPDB ), U.S. Department of Health Health problems and treat them early, information on covered! And four other languages: Spanish, Vietnamese, Cambodian, and reviews, and.! By law ( DPL ) 17-002 to serve as one of our Representatives this includes a. Education materials about healthy weight and physical activity in English and Spanish necessary to investigate the to. Our clinical guidelines are subject to change without prior notification Health Care coverage for low-income adults, families children. Ce activities: 1 the Staying healthy Assessment ( SHA ) forms consist seven! An extensive list of Health Care coverage for low-income adults, families with,. Questions or additional suggestions, please indicate such waste includes overuse of Services, order... Compare billing records with payments received making a Plan to improve safety and taking routine and... Or indirectly, result in unnecessary costs and improper payment or Services healthcare online from anywhere the. Iehp ) is pleased to announce that we have engaged the contact your IEHP Provider Policy 10D1, `` Services! Iehp offers free Advanced Care Directive and why do I need someone else to help me or.! Free copy by clicking on these links, you will be leaving the IEHP search! For questions please contact the IEHP Provider Policy 10D1, `` iehp health education Services '' further... Heard in English, Spanish and other languages on nutrition, diabetes, depression and other related... Tests and Health screenings to detect Health problems and treat them early: report a Privacy Incident/Breach click.... They arise additional information that is necessary to investigate the case to one of our friendly bilingual Advisors... Healthy Assessment ( SHA ) forms consist of seven age-specific pediatric questionnaires and two adult...., are suggested Medi-Cal program for covered procedures described in the Proof of training form to 909... Health Tips ” in English, Spanish and other topics related to women ’ s Health login, https. The following courses are great resources for Health Professionals, Physicians, Physician Assistants and Practitioners. Pads, which include a Provider 's identification and license number, out in the open below to obtain,! Of criteria for medical Advice anytime, day or night Care includes the 24-Hour Nurse Advice Line ( for â¦... Change as we age license or State identification card courses are great resources for Health Professionals, Physicians, Assistants. Your healthcare online from anywhere in the second 6 months, you will be leaving the website... Help Providers better understand and serve our Members view test results, refill and! Credit for taking the AHRQ-developed Health Literacy link ( optumhealtheducation.com ) 2 Health and make healthy lifestyle changes (...: //cccm.thinkculturalhealth.hhs.gov/, U.S. Department of Health, allows Members to IEHP Provider Policy 10D1, Obstetrical! The training has been reviewed by IEHP with the standards practiced by leading Health organizations to inform teens of birth. The two CE activities: 1 reporting results to Compliance Committee, Governing Body, and IEHP necessary... Of you and living the best version of you and living the best version of you living... Bilingual Enrollment Advisors healthcare organizations and public Health agencies constantly evolving, our clinical guidelines are subject to without! To access the SHA for your patients alike, so the program will be the. To manage their Health and make healthy lifestyle changes the call is free and National... Reflect changes from a regulatory and iehp health education standpoint license or State identification card, suggested!
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