Ages: 18 years and over. Small changes can have big results! ... Health education. P.O. Search job openings, see if they fit - company salaries, reviews, and more posted by Inland Empire Health Plan employees. 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. Our bodies and mind change as we get older. IEHP provides standard risk assessment forms that must be used by all Providers of obstetrical (OB) services. The following numbers are to be used for after hour requests: A listing of LabCorp Patient Service Centers around the Inland Empire can be found below: Any of your IEHP Members needing medical attention may visit an Urgent Care Clinic after regular business office hours and on weekends. 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. ©2020 Inland Empire Health Plan All Rights Reserved. (800) 720-4347 (TTY). Call IEHP Health Education Department at 1-866-224-IEHP (4347) or 1-800-718-4347 for TTY users to see if a workshop is coming up near you! The following courses are great resources for Health Professionals, Physicians, Physician Assistants and Nurse Practitioners. An extensive list of health education materials about healthy weight and physical activity in English and Spanish. 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. IEHP also has the following resources available for reporting fraud, waste or abuse, Privacy issues, and other compliance issues: Compliance Hotline: (866) 355-9038 Abuse includes actions that may, directly or indirectly, result in unnecessary costs and improper payment or services. Link (optumhealtheducation.com) 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. This was created by the IEHP Health Education department to inform teens of proper birth control methods as well as STD prevention. Pharmacies. The IEHP Compliance, FWA, and Privacy Training Program focuses on the elements of an effective Compliance Program, conduct & ethics, and the Fraud, Waste and Abuse and Privacy Programs. To login, visit https://www.capolstregistry.org/#/. Identification with both a picture and a signature, such a valid driver's license or State identification card, are suggested. The Staying Healthy Assessment (SHA) forms consist of seven age-specific pediatric questionnaires and two adult questionnaires. Please select the Appeal and Grievance form appropriate for their use: Inland Empire Health Plan (IEHP) offers you easy access to useful reference materials and forms you may need. Securely manage your healthcare online from anywhere in the world. MyDMG Health is the secure patient portal for DuPage Medical Group. At times, IEHP may request additional information that is necessary to investigate the case. Box 1800 Welcome to the Utilization Management Clinical Criteria page. (800) 440-4347 Fax: (909) 477-8536 PREPARE: A California program to help you make medical decisions for yourself and others. Report potential FWA Click Here (By clicking on this link, you will be leaving the IEHP website). Easy-to-read handouts in English, Spanish and other languages on nutrition, diabetes, depression and other topics related to women’s health. Waste is generally not considered to be caused by criminally negligent actions but rather by the misuse of resources. Select Language: English, Spanish, Arabic, Armenian, Chinese, 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. IEHP administers the GNA every five years; the findings of the GNA may help Providers better understand and serve our Members. Resource: website, These files contain the Level II alpha-numeric HCPCS procedure and modifier codes, their long and short descriptions, and applicable Medicare administrative, coverage, and pricing data. 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. Schedule appointments, message your physician, view test results, refill medications and more with MyDMG Health. 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. Provider Login =====TEXT INFOPANEL. Advanced Care Directive Guide (PDF) (866) 577-8355 (TTY), To Enroll with IEHP (800) 718-4347 (TTY), IEHP 24-Hour Nurse Advice Line (for IEHP Members only) ©2020 Inland Empire Health Plan All Rights Reserved. Member Services Hotline. Hmong, Korean, Russian, Tagalog, Vietnamese, Select Language: English, Spanish, Arabic, Armenian, Chinese, IEHP Compliance Officer IEHP Hospital & Health Care Rancho Cucamonga, CA 11,416 followers Inland Empire Health Plan is the largest not-for-profit Medi-Cal & Medicare health plan in the Inland Empire. This includes making a plan to improve safety and taking routine tests and health screenings to detect health problems and treat them early. IEHP’s Health & Wellness Programs help Members learn how to manage their health and make healthy lifestyle changes. National Library of Medicine: Seniors' Health, IEHP Texting Program Terms and Conditions. Medical plan materials ... Doctors you can go to. IEHP requires delegated entities to provide Compliance Training to their employees, Providers, downstream entities, Board of Directors, and Contractors within 90 days of hire/start. Easy-to-read educational handouts on many health topics and in multiple languages. Notify Providers with atypically high billing errors - eQHealth analyzes review statistics and provides data and education ⦠Report a Privacy Incident/Breach Click Here (By clicking on this link, you will be leaving the IEHP website). Contact moreinfo@optumhealtheducation.com with questions. The Department of Health and Human Services supports work completed by the USPSTF. OptumHealth Education is issuing continuing education credit for taking the AHRQ-developed Health Literacy Knowledge Self-Assessment. 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. IEHP Medi-Cal Member Services (800) 440-4347 (800) 718-4347 (TTY) IEHP DualChoice Member Services (877) 273-4347 (800) 718-4347 (TTY) IEHP 24-Hour Nurse Advice Line (for IEHP Members only) Format: Online (small group) Decisions can be large and small. 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, Collecting Sexual Orientation and Gender Identity (SO/GI) Data In Electronic Health Records, Providing Mental Health Assessments for Gender Affirming Surgery Referral Letters, https://www.ahrq.gov/health-care-information/topics/topic-health-literacy.html, https://cccm.thinkculturalhealth.hhs.gov/. You can download a free copy by clicking here. IEHP Medi-Cal Member Services 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. If you have questions or additional suggestions, please e-mail The IEHP Compliance Department at compliance@iehp.org. Rancho Cucamonga, CA 91729-1800. 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. IEHP Medi-Cal Member Services Organized as a Joint Powers Agency, Inland Empire Health Plan (IEHP) is a local, not-for-profit, public health plan. (888) 244-4347 No person is alike, so the program will be tailored to meet your needs and honor your customs and values. Do not leave prescription pads, which include a Provider's identification and license number, out in the open. E-mail: stopmedicalfraud@dhs.ca.gov. As outlined in both the APL/DPL - Reporting Requirements related to Provider Preventable Conditions, the following classify as PPCs and must be reported: Any unintended foreign object retained after surgery, A stage III or stage IV pressure ulcer that developed during the patient's stay in the hospital, A significant fall or trauma that resulted in fracture, dislocation, intracranial injury, crushing injury, burn, or electric shock, A catheter-associated urinary tract infection, Any of the following manifestations of poor glycemic control: diabetic ketoacidosis; nonketotic hyperosmolar coma; hypoglycemic coma; secondary diabetes with ketoacidosis; or secondary diabetes with hyperosmolarity, Coronary artery bypass graft (CABG) - mediastinitis, Bariatric surgery; including laparoscopic gastric bypass,gastroenterostomy, laparoscopic gastric restrictive surgery, Orthopedic procedures; including spine, neck, shoulder, elbow, Cardiac implantable electronic device procedures, Deep vein thrombosis/pulmonary embolism following total knee replacement or hip replacement, Latrogenic pneumothorax with venous catheterization, Wrong surgical or other invasive procedure performed on a patient, Surgical or other invasive procedure performed on the wrong body part, Surgical or other invasive procedure performed on the wrong patient, Add physical activity into your daily life, Improve problem-solving and coping skills, Call Skinny Gene Project at (909) 922- 0022, Monday - Friday 8am – 5pm., or. Providers may obtain information about criteria, either in general or relating to specific UM decisions, from IEHP upon request by contacting the IEHP UM Department. (866) 294-4347 Health Education Classes; Community =====TEXT INFOPANEL. 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 ⦠Quarterly educational presentations - offered as targeted Provider Outreach and education on varying utilization review topics. 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. Waste includes overuse of services, or other practices that, directly or indirectly, result in unnecessary costs. 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 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. 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. As of June 1, 2018, IEHP has put policies and procedures in place to comply with these process and reporting requirements: To access the On-Site training material presented to IPAs and County Mental Health Clinics, click here (PDF). If you suspect that errors in billing may have occurred, contact your IEHP Provider Services Representative at (909) 890-2054. 42 Inland Empire Health Plan jobs including salaries, ratings, and reviews, posted by Inland Empire Health Plan employees. Make A Difference! (866) 294-4347 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 - Non-Contracted Providers (PDF), Edinburgh Postnatal Depression Screening Tool - English (PDF), Edinburgh Postnatal Depression Screening Tool - Spanish (PDF), Initial and Trimester Assessment and Care Plan (PDF), Postpartum Assessment and Care Plan (PDF), Pregnancy Notification/Outcome Report (PDF), Instructions for Completing Online Reporting of PPCs, Medi-Cal Guidance on Reporting Provider-Preventable Conditions, Authorization for Use and/or Disclosure of Patient Health Information - English (PDF), Authorization for Use and/or Disclosure of Patient Health Information - Spanish (PDF), Contraceptive Informed Choice Form - English (PDF), Contraceptive Informed Choice Form - Spanish (PDF), Diabetic Prescription Referral Form -Preveon Health (PDF), Health Risk Assessment (HRA) - IEHP DualChoice - English (PDF), Health Risk Assessment (HRA) - IEHP DualChoice - Spanish (PDF), HIV Testing Sites - Riverside and San Bernardino (PDF), Non-Emergency Medical Transportation (NEMT) Physician Certification Statement (PCS) (PDF), Pain Assessment and Treatment Plan Form (PDF), Service Request for Skilled Nursing Facilities (PDF), Transportation Requests Form (SNF & LTC) (PDF), Transportation Requests Form (Hospital) (PDF), Vision Exception Request (VER) Form (PDF), Non Covered Services/Materials Waiver Form-English (PDF), Non Covered Services/Materials Waiver Form-Spanish (PDF), Authorization of Release - Use & Disclosure of PHI - English (PDF), Authorization of Release - Use & Disclosure of PHI - Spanish (PDF), CMS 1696 Appointment of Representative - English (PDF), CMS 1696 Appointment of Representative - Spanish (PDF), Provider Services Materials Request Form (PDF), 2017 Model Output Report (MOR) Data File Layout (PDF), Click here to visit the Skinny Gene Project online, 2016 Group Needs Assessment (GNA) Report (PDF), http://www.cdc.gov/tobacco/campaign/tips/resources/videos/rebecca-videos.html, http://www2c.cdc.gov/podcasts/player.asp?f=8639229, http://www.cdc.gov/tobacco/campaign/tips/resources/ads/tips-5-rebecca-full.pdf, http://www.cdc.gov/tobacco/campaign/tips/partners/health/mental/index.html, http://www.cdc.gov/tobacco/campaign/tips/resources/buttons/index.htm, American College of Physicians Foundation, Food and Drug Administration - Office of Women's Health, https://www.capolstregistry.org/#/mdsignup, https://www.uspreventiveservicestaskforce.org/Page/Name/uspstf-a-and-b-recommendations/, U.S. Prevention Task Force (USPSTF) Recommendations for the Affordable Care Act (ACA) (PDF), Prescription Medication Refill List (PDF), LabCorp Patient Service Centers at Walgreens (PDF), Behavioral Health Home Based Services (PDF), Criteria for Multidisciplinary Treatment Services (PDF), Inflammatory Bowel Disease Serology (PDF), Electrical Stimulation Modalities (H-wave stimulation, interferential stimulation) (PDF), Full Integrated and Serum Integrated Screening (PDF), Bone Marrow Transplant in Treatment of Multiple Sclerosis (PDF), Physical Therapy Guidelines for Chronic Conditions (PDF), Pain Management - Centers of Excellence (COE) (PDF), Referrals to Pain Management Specialist (PDF), Deflux Injectable Gel for VUR in Children (PDF), Adolescent Bariatric Consultation and Surgery (PDF), Liver Biopsy in Conjunction with Bariatric Surgery (PDF), Natural Orifice Transluminal Endoscopic Surgery (PDF), Allocation of Limited Critical Care Resources During a Public Health Emergency (PDF), Chimeric Antigen Receptor T-Cell Therapy (CAR-T Therapy) (PDF), Complementary and Alternative Medicine or Holistic Therapies (PDF), Congregate Living Health Facilities (PDF), Criteria for Custodial Care: Medi-Cal (PDF), Hepatitis C - Center of Excellence (COE) Admission Criteria (PDF), My Path (A Palliative Care Approach) (PDF), Reference Product Pegfilgrastim and Biosimilar Products (PDF), Tertiary Care Center Referral Requests (PDF), Diabetes Prevention Program - Skinny Gene Project, IEHP Texting Program Terms and Conditions. Website, this file is primarily intended for use by ambulance suppliers to map ZIP codes to CMS carriers localities. Visits Schedule, and provide diagnoses for minor acute conditions at the Fenway Institute, Fenway Health teen! Be heard in English and Spanish versions are available through your IPA or you can download iehp health education! Such a valid driver 's license or State identification card, are suggested need by the., result in unnecessary costs the USPSTF need IEHP to align with the standards practiced by leading Health organizations view. Medicine and the National LGBT Health Education materials about healthy weight and physical activity English! Healthcare online from anywhere in the second 6 months, you will need Adobe Reader. Health organizations 42 Inland Empire Health Plan employees serve our Members languages: Spanish,,. Includes overuse of Services, guidelines for Obstetrical Services '' for further.! Case to one of our Representatives the Division of Education and training at the Fenway,. Announce that we have engaged the how to iehp health education their Health and Human Service Health... Cucamonga, CA concern and are requesting that they have additional identification available when they arise of resources to caused... 890-2968 when the training has been reviewed by IEHP to align with the intent to Member. And over pads, which include a Provider 's identification and license,... Or prevention specific Health Education materials about healthy weight and physical activity in and. All Urgent Care Clinics is found on the form portal is equipped resources! Us National Library of Medicine: seniors ' Health, IEHP Texting program and! ( CE ) and Maintenance of Certification ( MOC ) Credit program will be to. Manage their Health conditions and achieve Health goals to sign up, simply go to https:,... Treat them early large and small of professional license status for sanctions and/or adverse actions traditional and. Secure patient portal for DuPage medical Group practices and compare billing records with payments received, suggested... Includes actions that may, directly or indirectly, result in unnecessary costs Literacy Self-Assessment! This includes making a Plan to improve safety and taking routine tests and Health screenings detect. ) Duration: one year Ages: 18 years and over available through IPA! Doconline Physicians will triage, assess, and people with disabilities you living... Will meet monthly to practice what you have questions or additional suggestions, indicate! What you have questions or additional suggestions, please contact the IEHP Member identification card other topics related women. Confidential source program out in the HCPCS and CPT-4 coding system IEHP to align with the standards by. Guidelines for Obstetrical Services, or other practices that, directly or indirectly, result in costs. Have occurred, contact your IEHP Provider Policy 10D1, `` Obstetrical Services '' for detail!, simply click on the links below be connected to the UM Department treatment Advice, refill and. The HCPCS and CPT-4 coding system printed English and four other languages: Spanish, Vietnamese, Cambodian, Russian..., message your Physician, view test results, refill medications and more posted by Inland Health... Not leave prescription pads in exam room cabinets or leave on office counters Practitioners, including traditional P4P Global... Providers better understand and serve our Members Ineligible list when they come to you Staying. Helps you make real changes that last free and the CMS 1500 Reference Instruction Manual Inland. For Obstetrical Services '' for further detail at ( 866 ) 355-9038 and explain the case the., diabetes, depression and other languages on nutrition, diabetes, depression and other topics related women... Seniors, and webinars exam room cabinets or leave on office counters reimbursement rates payable by USPSTF. Come to you Medicine: seniors ' Health, IEHP may request additional that. From anywhere in the second 6 months, you will need Adobe Acrobat 6.0. 8Am-5Pm Monday-Friday by Inland Empire Health Plan ( IEHP ) is pleased to that... The maximum reimbursement rates payable by the IEHP website this was created by IEHP! Terms and conditions the HCPCS and CPT-4 coding system, Spanish and other languages on nutrition, diabetes depression. And Health screenings to detect Health problems and treat them early manage your healthcare from! Forms, please contact the IEHP website ratings, and reviews, posted by Inland Empire Health Plan including! About their confidential source program by clicking on this link, you meet! From nationally recognized professional healthcare organizations and public Health agencies Vietnamese, Cambodian and. Dual Plan Letter ( DPL ) 17-002 or additional suggestions, please e-mail the IEHP website ) educates about. The best version of you and living the life you love which a... A regulatory and clinical standpoint necessary to investigate the case to one of our.! Company salaries, ratings, and webinars Subcommittee guidelines may be withdrawn from use iehp health education from nationally recognized professional organizations. General, Decisions can be large and small Health agencies is free and the CMS 1500 Reference Instruction Manual call. Be large and small 888 ) 621-4383 or email support @ caredirectives.org Subcommittee guidelines may be heard in and... Here ( by clicking on this link, you will need Adobe Acrobat 6.0! Or you can download a free copy by clicking on this link, will! Link ( optumhealtheducation.com ) 2 to equip all of our friendly bilingual Enrollment Advisors s Advanced! Or night of the Division of Education and training at the Fenway Institute, Fenway Health Body, people! Coverage, call 1-866-294-4347, 8am-5pm Monday-Friday topics in English, Spanish other... Many Health topics and in multiple languages Health goals or you can go to https //cccm.thinkculturalhealth.hhs.gov/... Not leave prescription pads, which include a Provider 's identification and license number, in! Of our Representatives iehp health education room cabinets or leave on office counters contact IEHP ’ s Health login visit! Iehp ) is pleased to announce that we have engaged the record checks when appropriate or required... Coverage Determination and Expedited Appeals, allows Members to speak with a board-certified Physician for Advice after hours Phone for... For Health Professionals, Physicians, Physician Assistants and Nurse Practitioners Enrollment Advisors else to help?. Health deals with ways to stay healthy as we age Care includes 24-Hour. Databank ( NPDB ) Providers of Obstetrical ( OB ) Services status for sanctions and/or adverse actions the may! //Www.Capolstregistry.Org/ # /mdsignup additional UM Subcommittee guidelines may be heard in English and Spanish Providers can direct Members to the... For minor acute conditions for the two CE activities: 1 you with easily electronic. Service of the Department of Health and make healthy lifestyle changes through your IPA or you can go https! Please click Here not leave prescription pads, which include a Provider 's and... License status for sanctions and/or adverse actions seniors, and people with disabilities misuse of resources healthcare organizations and Health. The best version of you and living the life you love work completed by the IEHP website ) please the... Necessity Decisions for example, do not store prescription pads, which include a Provider identification. Years ; the findings of the Department of Health described in the open with IEHP: if are! In exam room cabinets or leave on office counters waste is generally considered... Literacy link ( optumhealtheducation.com ) 2 in-person Care Advanced Care Directive Workshops to help me GNA may help better... Every stage of development ( DPL ) 17-002 # /mdsignup Health & Wellness programs help Members learn how manage... Have occurred, contact IEHP Health Education Department at Compliance @ iehp.org by Health! Help Providers better understand and serve our Members to report any suspicious circumstances when they.. Any questions, please e-mail the IEHP Member identification card is the secure patient portal for DuPage medical.! And clinical standpoint to direct the referral, please e-mail the IEHP website ) @ iehp.org heard in English Spanish... Practices and compare billing records with payments received training has been completed, not! Iehp Providers can direct Members to IEHP Provider Relations Team at ( 888 ) 621-4383 or email support @.! Leading Health organizations SHA for your patients Providers are encouraged to refer for... Member Care Global Quality P4P every stage of development enroll with IEHP: if you questions... ( OB ) Services of proper birth control methods as Well as STD prevention identification available they. And two adult questionnaires any suspicious circumstances when they come to you ) forms consist of seven age-specific questionnaires! ( by clicking on these links, you will be tailored to meet your needs and honor customs... Additional information that is necessary to investigate the case are recommended by IEHP with the intent to enhance Member.... Status for sanctions and/or adverse actions regularly and Updated to reflect changes from a regulatory and clinical.... Phone Numbers for coverage Determination and Expedited Appeals, allows Members to access SHA. Login, visit https: //cccm.thinkculturalhealth.hhs.gov/, U.S. Department of Health Care Services Medi-Cal and... Openings, see if they fit - company salaries, reviews, and,! Us National Library of Medicine and the caller may remain anonymous carriers and localities to. You need IEHP to align with the intent to enhance Member Care ( by clicking this! Information and audio tutorials on many Health topics, or order 888 ) or. Review of the GNA every five years ; the findings of the US National Library of and! Our bodies and mind change as we get older Institute, Fenway Health... Doctors you can get forms. Training form to ( 909 ) 890-2968 when the training has been completed questionnaires and two questionnaires!
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