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Notices

For Pharmacy Times Notices please click here.

 
TITLEDATERECIPIENTS
Pharmacy Home Delivery Benefit for IEHP DualChoice (HMO D-SNP) & IEHP Covered (CCA) Members11/26IEHP DualChoice & IEHP Covered (CCA) PCPs
Health Alert – Infant Formula and Botulism11/26Medi-Cal & IEHP Covered (CCA) PCPs
Behavioral Health Treatment (QASP) Provider Training Webinar11/26BHT Providers
CMS Preclusion List - December 11/25Medicare IPAs
FIMR Community Action Team Event - December 1111/25San Bernardino County PCPs & OBs
Grievance & Appeals Reminders and Tips11/25Direct Providers
UPDATE - 2025 Global Quality P4P Interim Reports (November 1 Refresh)11/24Medi-Cal PCPs
Webinar Series: Medi-Cal Enrollment and Funding Changes - How You Can Prepare Now!11/24Medi-Cal Provider Network
Holiday Gift Policy Reminder11/20Provider Network
2025 Global Quality P4P Program - Data Submission Deadlines!11/20Medi-Cal PCPs
SAVE THE DATE: 2026 Global Quality P4P PCP Best Practices Summit11/20Medi-Cal PCPs
Now Available – Respond to IEHP Direct Grievances via the Provider Portal11/20Direct Specialists
Required - Optimal Care for Every Community (OCEC) Training and FAQs11/20Medi-Cal BH, BHT, Vision, Ancillary & Hospitals
Best Practices for Care of Older Adults (COA) - Functional Status Assessment and Medication Review Measure11/20Direct DualChoice PCPs
ACTION REQUIRED: 2026 IEHP Direct Stars Incentive Program Guide Preliminary Release!11/19Select DualChoice PCPs
ACTION REQUIRED: Urgent Care + Wellness Quality Incentive Program - 2026 Program Guide Release!11/19Medi-Cal Urgent Care Providers
ACTION REQUIRED: 2026 Global Quality P4P PCP Program – Program Guide Preliminary Release!11/19Medi-Cal PCPs
NEW Look: Hospice Referral Request Form11/18PCPs & Specialists
DHCS EVV Office Hours – December 111/18EVV Impacted Providers, Individual Nurse Provider & CBAS
IEHP Outbound 834 File Delay - Alert 211/18834 Trading Partners
Webinar Series: Medi-Cal Enrollment and Funding Changes - How You Can Prepare Now!11/18Medi-Cal Provider Network
I.D.E.A. Monthly Trainings - Addressing Social Determinants Within Rural Communities and Populations11/18Provider Network
2025 HPV Vaccination Promising Practices Series - 11/1911/17Medi-Cal PCPs, OB/GYNs & IPAs
IEHP Outbound 834 File Delay - Alert 111/17834 Trading Partners
IEHP Holiday - Thanksgiving Day 11/13Provider Network & IPAs
Coming Soon - Behavioral Health Treatment (BHT) Benefit Updates11/13Medi-Cal BHT (QASP) Providers
2025 Global Quality P4P Program – MCAS MPL Update11/13Medi-Cal PCPs and IPAs
Required: Optimal Care for Every Community (OCEC) Training & FAQs11/13Medi-Cal Specialists
Mandatory Biennial PCP Training - December 1111/13PCPs
Mandatory Biennial Provider Training - December 1811/13Non-PCP Providers
October 2025 IEHP Covered Pharmacy & Therapeutics Update11/13IEHP Covered (CCA) PCPs & Pharmacy Network
New DHCS Drug Use Review (DUR) Board Educational Articles11/13Medi-Cal PCPs & Pharmacy Network
October - 2025 Ad Hoc Changes - IEHP Covered (CCA)11/10IEHP Covered (CCA) PCPs, Specialists, Ancillary, BH & Hospitals
October - 2025 Ad Hoc Changes - DualChoice11/10DualChoice PCPs, Specialists, Ancillary, BH, Medical Directors, Hospitals, IPAs
October - 2025 Ad Hoc Changes - Medi-Cal11/10Medi-Cal PCPs, Specialists, Ancillary, BH, BHT, Medical Directors, Hospitals & IPAs
2026 Covered California Quality Transformation Program - Program Guide Preliminary Release!11/10IEHP Covered (CCA) PCPs
ACTION REQUIRED OB P4P Program – 2026 Program Guide Preliminary Release!11/10OB Providers
IEHP Outbound 834 File Delay11/07834 Trading Partners
2025 IEHP Direct Stars Incentive Program - Data Submission Deadlines!11/06Select DualChoice PCPs
2025 Covered California Quality Transformation Program - Data Submission Deadlines!11/06IEHP Covered (CCA) PCPs
2025 Global Quality P4P Program - Data Submission Deadlines!11/06Medi-Cal PCPs
ACTION REQUIRED: Contractual Updates Due by December 1411/06Provider Network
EVV Spotlight - November11/04EVV Impacted Providers, Individual Nurse Providers & CBAS
A Special CEO Message - CAHPS11/06Medi-Cal PCPs
REQUIRED: Optimal Care for Every Community (OCEC) Training and FAQs11/06Medi-Cal PCPs
2026 Changes to D-SNP Benefits: How You Can Assist Members11/06DualChoice Providers
Important Reminder: Prescription Drug Benefit Changes Coming in 202611/06DualChoice Providers
IEHP HOLIDAY – Veteran’s Day11/06Provider Network & IPAs
APL 25-011 - H.R.1 Federal Payments to Prohibited Entities11/04PCPs, OB/GYN, Family Planning Providers & IPA Network
CMS Preclusion List11/04Medicare IPAs

 

 
TITLEDATERECIPIENTS
IEHP Outbound 834 File Delay 10/30IEHP 834 Trading Partners
Coming Soon: Portal Enhancements for BHT Coordination of Care10/30BHT (QASP) Providers
Help Retain Your IEHP Covered (CCA) Members in 2026!10/30IEHP Covered (CCA) PCPs
IMPORTANT: IEHP DualChoice Claims with Local Codes – Reject Nov 1, 202510/30IEHP DualChoice (HMO D-SNP) PCPs & Medicare IPAs
Updated Independent Medical Review and Notice of Availability Forms10/30IPA Network
DHCS EVV Office Hours – November 710/30EVV Impacted Providers, Individual Nurse Providers & CBAS
A Special CEO Notice: Provider DOJ Lawsuit Update10/27Provider Network
IMPORTANT - Telehealth for IEHP Members (Medicare, Medi-Cal and CCA)10/23Provider Network
2026 IEHP Direct Stars Program Preview Meeting Invite_November 2110/23Select DualChoice PCPs
Reminder - Accessing Remittance Advice via the Provider Portal10/23Provider Network
APL 25-007: Assembly Bill 3275 Guidance - Claim Reimbursement10/23Medi-Cal IPAs & IEHP Covered Delegates
Mandatory Biennial Provider Training - November 2010/23Specialists, BH, BHT, Ancillary, ECM, CS, ICF/DD, Vision, Doulas & Hospitals
Mandatory Biennial PCP Training - November 1310/23PCPs
Follow-Up for Members Seen in ED for Certain Conditions10/22PCPs
Flu Season is Here! Safeguard Our Pregnant Members with Timely Vaccination10/16PCP & OB/GYN Providers
SAI/C360 Online Policy Search Guide10/16Hospitals, IPAs, PCPs, Specialists, Ancillary, and BH Providers
2025 Appointment Availability Survey (2nd Wave)10/16Specialists, Ancillary & IPAs
2025 Appointment Availability Survey (2nd Wave)10/16PCPs & IPAs
2025 Appointment Availability Survey (2nd Wave)10/16BH Providers
Updated Notice of Availability - Letter Templates10/16IPA Network
Academic Detailing Services Now Offered10/16PCPs & Pharmacy Network
AB 144 - Immunization Provider Liability Protections10/15PCPs
Transportation Referral Requests Disabled10/14Transportation Vendors
SEPTEMBER - 2025 Ad Hoc Changes-IEHP Covered (CCA)10/13IEHP Covered (CCA) Hospitals, PCPs, Specialists, Ancillary, and BH Providers
SEPTEMBER - 2025 Ad Hoc Changes-Medi-Cal10/13Medi-Cal IPAs, Hospitals, PCPs, Specialists, Ancillary, BH & BHT Providers
CORRECTION: Hospital Discharge Information - Additions to Medical Referral Requests10/10PCPs, Specialists & Ancillary
DHCS Spotlight & EVV Office Hours – October 16 & 3110/09EVV Impacted Providers, Individual Nurse Providers & CBAS
NEW: Policy Alert Changes via Portal10/09Provider Network
NEW: EFT Enrollment Direct Deposit and New PO Box for Faster Payment Processing Flyers10/09Provider Network
Hospital Discharge Information: Additions to Medical Referral Requests10/08Hospitals
APL 25-015 - Updated Immunization Recommendations10/07PCPs & OB/GYN
IMPORTANT -The Government Shutdown and IEHP10/06Provider Network
Reminder - Contractual Updates Due to Regulatory Updates, Targeted Rate Increase (TRI), and CMS Final Rule on Provider Incentives10/02Provider Network
IMPORTANT - Email Correction for Electronic RA Sign-Ups10/02Provider Network
2025 Global Quality P4P Program Guide – Update10/02Medi-Cal PCPs & IPAs
2026 Global Quality P4P PCP Program Preview10/02Medi-Cal PCPs
2025 Covered CA Quality Transformation Program Guide – Update10/02IEHP Covered (CCA) PCPs
IMPORTANT - Prescription Drug Benefit Changes Coming in 202610/02DualChoice Providers
REMINDER - Duplicate Claim Submission10/02Provider Network
REVISED - UM Authorization Guidelines10/01Medical Directors & IPA Network 

 

 
TITLEDATERECIPIENTS
Provider Guide: Requesting Additional VFC Vaccine Doses09/25Medi-Cal & IEHP Covered (CCA) PCPs
August 2025 Pharmacy & Therapeutics Update09/25PCPs & Pharmacy Network
2025 Appointment Availability Survey - Expanded Appointment Set09/25PCPs & OB/GYNs
Mandatory Biennial Provider Training – October 2309/25Medi-Cal Specialists, BH, BHT, Ancillary, ECM, CS, ICF/DD, Vision Providers, Doulas & Hospitals
Mandatory Biennial PCP Training – October 1609/25Medi-Cal PCPs
Ad Hoc Changes – Provider Policy and Procedure Manual for Medi-Cal09/22Medi-Cal PCPs, Specialists, Ancillary, BH, BHT, Hospitals & IPAs
Ad Hoc Changes – Provider Policy and Procedure Manual for IEHP DualChoice (HMO D-SNP)09/22DualChoice PCPs, Specialists, Ancillary, BH, Hospitals & IPAs
Ad Hoc Changes – Provider Policy and Procedure Manual for IEHP Covered (CCA)09/22IEHP Covered (CCA) PCPs, Specialists, Ancillary, BH & Hospitals
Update to 834 File - Adding Veteran Home Indicator09/22834 Trading Partners
Dx Billing Codes Under AB 2843: Care For Rape or Sexual Assault Victims09/19IEHP Covered (CCA) PCPs, Specialists, BH Providers & Hospitals
2025 Member Language Demographics Survey Results - Free Interpreter Services Available09/19Provider Network
New Feature: Members Can Now Request Interpreter Appointments09/17Provider Network
REMINDER-Provider Preventable Conditions (PPC)–Reporting Requirements09/17Provider Network, IPAs, Contracted Hospitals & Ambulatory Surgical Centers
BHT Provider FAQ09/16BHT/QASP Providers
Pharmacy No-Cost Prescription Delivery Benefit for IEHP Members09/16Provider Network
REMINDER: Enhanced Care Management (ECM) Available to Members09/11Medi-Cal PCPs & IPAs
New Diabetes Prevention Program Launching in Palm Desert09/11PCPs (Low Desert)
REMINDER: Eye Exam for Members with Diabetes (EED)09/11PCPs, Vision & IPAs
NEW: Frequency Field Added on Referral Status09/11Provider Network
EVV Spotlight - September09/11EVV Impacted Providers, Individual Nurse Providers & CBAS 
SB 1019: Member Access to Non-Specialty Mental Health Services (NSMHS) –No Wrong Door Policy09/08Medi-Cal PCPs
REMINDER: Submitting Disputes Vs. Updated/Corrected Claims09/08Provider Network
Optimal Care for Every Community Training09/05IPAs & Vendors
Electronic Remittance Advice (ERA) to Improve Efficiency and Reduce Costs!09/04Provider Network
REMINDER: Medication Reconciliation Letters Available in Provider Portal09/04Medi-Cal PCPs
July 2025: IEHP Covered (CCA) Pharmacy & Therapeutics Update09/04IEHP Covered (CCA) PCPs & Pharmacy Network
New DHCS Drug Use Review (DUR) Board Educational Articles09/04Medi-Cal PCPs
Mandatory Biennial PCP Training - September 1809/04PCPs
Mandatory Biennial Provider Training - September 2509/04Specialists, BH, BHT, Ancillary, ECM, CS, ICF/DD, Vision Providers, Doulas & Hospitals  
2025 IEHP Direct Stars Incentive Program Guide – Updates 09/04Direct D-SNP PCPs 
I.D.E.A. Monthly Trainings - Reducing Breast Cancer in Marginalized Communities09/04PCPs & OB/GYNs

 

 
TITLEDATERECIPIENTS
CMS Preclusion List - September08/29Medicare IPAs
IEHP Outbound 834 File Delay08/28834 Trading Partners
Contractual Updates Due to Regulatory Updates, Targeted Rate Increase (TRI), and CMS Final Rule on Provider Incentives08/28Provider Network
DHCS EVV Office Hour – September 808/27EVV Impacted Providers, Individual Nurse Providers & CBAS  
2025 IEHP Direct Stars Incentive Program Guide – Updates08/28Direct DualChoice PCPs
REVISED – UM Authorization Guidelines08/28Medical Directors & IPA Network
Ad Hoc Changes – Provider Policy and Procedure Manual for Medi-Cal08/26Medi-Cal PCPs, Specialists, Ancillary, BH, BHT, Hospitals & IPAs
Ad Hoc Changes – Provider Policy and Procedure Manual for IEHP DualChoice (HMO D-SNP)08/26DualChoice PCPs, Specialists, Ancillary, BH, Hospitals & IPAs
Ad Hoc Changes – Provider Policy and Procedure Manual for IEHP Covered (CCA)08/26IEHP Covered (CCA) PCPs, Specialists, Ancillary, BH & Hospitals
IEHP HOLIDAY – Labor Day08/21Provider Network
2025 Global Quality P4P Program Guide - Updates08/21Medi-Cal PCPs
2025 HPV Vaccination Promising Practices Series08/21PCPs
NEW: D-SNP Letter Template Nondiscrimination Notice & Notice of Availability08/21DualChoice IPAs
Provider Quality App is Live! + FAQs08/18Medi-Cal PCPs
Update to IEHP Month-End Non-CCA 834 File Process08/18Non-CCA Trading Partners 
Update to 834 File - Adding ECM Reporting Category08/18Non-CCA Trading Partners 
2025 Covered CA Quality Transformation Program (QTP) for PCPs – Updates08/14IEHP Covered (CCA) PCPs
90-day Service Hold Lifted for select Community Supports Services08/14PCPs & Community Supports Providers 
NEW: Medi-Cal Letter Templates, Nondiscrimination and Notice of Availability08/14Medi-Cal IPAs
IMPORTANT - P4P Services that can be Delivered via Telehealth08/13PCPs & IPAs
Coming Soon! Provider Quality App08/13Medi-Cal PCPs
Access Standards - Appointment Availability for BH Providers08/13BH Providers
Access Standards - Appointment Availability for PCPs & OB/Gyns08/13PCPs & OB/GYNs
Access Standards - Appointment Availability for Specialists08/13Specialists
2025 Appointment Availability Survey08/13Specialists, Ancillary & IPAs
2025 Appointment Availability Survey08/13PCPs & IPAs
REMINDER: Member Eligibility Now Includes SOGIE Data!08/13Provider Network
Important Reminder for IEHP Covered (CCA) Claim Dispute Submissions08/12IEHP Covered (CCA) Provider Network
REMINDER - 2025 IEHP Direct STARS Program Updates Meeting on August 1108/06Direct DualChoice PCPs 
UPDATE Clinical Criteria for UM Decisions & Skin Substitute Flow Diagram 08/05
PCPs, Specialists & IPAs

 

 
TITLEDATERECIPIENTS
New Process When Selecting Any-in-Network for Referral Requests07/31Direct Providers
UPCOMING: After-Hours Access Survey07/31PCPs & BH 
UPCOMING: Emergency Instructions Survey – PCPs & Specialists07/31PCPs & Specialists
UPCOMING: Emergency Instructions Survey – BH Providers07/31BH Providers
IEHP Outbound 834 File Delay07/31IEHP 834 Trading Partners
Mandatory Biennial Provider Training - August 2807/31Medi-Cal Specialists, BH, BHT, Vision, & Ancillary 
REVISED – UM Authorization Guidelines07/31Medical Directors & IPA Network
90-day Community Service Hold Lift for Housing Supports Services07/30PCPs, Specialists &  CS Housing Providers
IEHP Outbound 834 File Delay07/29IEHP 834 Trading Partners (CCA)
CMS Preclusion List – August 202507/29Medicare IPAs
Month-End IEHP Non-CCA Outbound 834 File Reminder07/28IEHP 834 Trading Partners (Non-CCA)
DHCS EVV Office Hours – August 8 & 2507/25EVV Impacted Providers, Individual Nurse Providers & CBAS
IEHP Outbound 834 File Delay 07/25IEHP 834 Trading Partners
2025 IEHP Direct Stars Program Updates Meeting 07/24Direct DualChoice PCPs
2024 Global Quality P4P Final Reports Available!07/24Medi-Cal PCPs
2025 Medi-Cal Member Incentive FAQ07/23Medi-Cal PCPs & IPAs
2025 Medicare  Member Incentive FAQ07/23Medicare PCPs & IPAs
You're Invited - Celebration of Black Motherhood07/23PCPs & OB/GYN 
IEHP Direct Stars Incentive Program – 2024 Star Quality PMPM Payment07/23Direct DualChoice PCPs
Mandatory Biennial PCP Training - August 2107/23Medi-Cal PCPs
New: Interpreter Requests Can Now be Created Via the Portal07/22Provider Network
ALERT - Medicare Fraud Scheme Involving Phishing Fax Requests!!07/22DualChoice Providers
Effective July 1, 2025,  Closed-Loop Referrals (CLR)07/22CS & ECM Providers
Global Quality P4P Program for PCPs:  2025 Program Updates and 2026 Preview07/22Medi-Cal PCPs
90-day & 60-day Service Hold Lift for Limited Community Supports Services07/22PCPs, Specialists &  CS Contracted Providers
Requirements Under APL 25-008-Hospice Services and Medi-Cal Managed Care07/18Hospice Providers
Claims Submission - POS 99 – Other Place of Service07/17Doulas
Behavioral Health Provider Training Webinar - July 29 07/17BH Providers
2025 Provider Satisfaction Survey Began July 8th!07/17PCPs, Specialists & BH  
IEHP Outbound 834 File Delay07/16EDI Partners
Reminder: How to Submit Prior Authorizations Drug Requests07/15PCPs, Specialists & Vision Providers
Ad Hoc Changes – Provider Policy and Procedure Manual for Medi-Cal07/15Medi-Cal PCPs, Specialists, Hospitals, Ancillary, BH, BHT & IPAs
Ad Hoc Changes – Provider Policy and Procedure Manual for IEHP DualChoice (HMO D-SNP)07/15DualChoice PCPs, Specialists, Hospitals, Ancillary, BH & IPAs
Ad Hoc Changes – Provider Policy and Procedure Manual for IEHP Covered (CCA)07/15IEHP Covered (CCA) PCPs, Specialists, Ancillary, BH & Hospitals 
New DHCS Drug Use Review (DUR) Board Educational Articles07/15Medi-Cal PCPs & Pharmacy Network
Academic Detailing Services Now Offered07/15PCPs & Pharmacy Network
New EFT Enrollment for Direct Deposit Option and New P.O. Box for Faster Payment Processing Flyers07/15Provider Network
Provider/Hospital Partner Update –Video Message from CEO Jarrod McNaughton07/11Provider Network
ALERT: Referral Request Capability Reinstated for Specified Ancillary Services07/10Direct PCPs & Ancillary
EVV Spotlight - July07/10EVV Impacted Providers, Individual Nurse Providers & CBAS
2025 Covered California Quality Transformation Program Overview Webinar for PCPs invite07/10CCA PCPs
2025 IEHP Direct Stars Incentive Program Guide – Updates07/09Direct D-SNP PCPs
Action Required: Verify Billing Alignment with TRI Rate by 9/1/202507/09Medi-Cal PCPs, Medi-Cal Specialists, Medi-Cal IPAs, BH & Doulas
HR1 Implication to Physicians and the Healthcare System in the IE07/07PCPs, Specialists, Vision, BH & BHT
California Department of Public Health TB Screening Recommendations07/07Medi-Cal PCPs
Introducing the New Weekly Provider Bulletin!07/07PCPs, Specialists, BH, BHT, Vision, Ancillary & IPAs
DHCS EVV Office Hours – July 18 & 2807/03EVV Impacted Providers, Individual Nurse Providers & CBAS  
Important - Compliance with Authorized Procedure Codes for Medical Claims_ Transportation07/03Transportation Providers
2025 Global Quality P4P PCP Program Guide – Updates07/03Medi-Cal PCPs
IEHP Covered (CCA) Coding and Documentation Workshop - JULY 2307/01IEHP Covered (CCA) PCPs
Complex Case Management (CCM) Program – Severe Chronic Conditions07/01IEHP Covered (CCA) PCPs, Specialists & BH Providers
CMS Preclusion List - July07/01Medicare IPAs
NEW/REVISED – UM Authorization Guidelines07/01IPAs and Medical Directors

 

 
TITLEDATERECIPIENTS
IEHP HOLIDAY – Independence Day06/27All IEHP Providers and IPAs
Mental Health Resources Available to Members06/27PCPs, Ancillary, BH, Specialists & Hospitals
IEHP Outbound CCA 834 File Delay06/27IEHP 834 (CCA) Trading Partners 
Mental Health & Substance Use Disorder Treatment for CCA Members06/26IEHP Covered (CCA) PCPs
Month-End IEHP Non-CCA Outbound 834 File Reminder06/26IEHP 834 Trading Partners
Offer Telehealth/Virtual Care to Members Today – Reduce “No Shows” 06/23PCPs, Ancillary, BH, Specialists & Hospitals
Urgent Care + Wellness Quality Incentive Program – Updates06/18IEHP Medi-Cal Urgent Care Providers
IEHP Temporary Pause on New Enrollments for Community Support Services06/18Medi-Cal & DualChoice (HMO D-SNP) PCPs, Specialists, BH & CS Providers
Behavioral Health Training (BHT/QASP) Webinar Training - July 906/18Behavioral Health Training (BHT/QASP) Providers
2025 Covered California Quality Transformation Program Overview Meeting for PCPs06/17All IEHP Covered (CCA) PCPs
2025 Diabetic Eye Exam Outreach Campaign - July 3, 2025 Deadline!06/16All Vision Providers
2025 Cervical Cancer Screening Outreach Campaign - July 3, 2025 Deadline!06/16All OB/GYN Providers
Compliance with California Electronic Visit Verification (CalEVV) Requirements06/13Select IEHP Providers of Home & Community-Based Personal Care Services
Compliance with California Electronic Visit Verification (CalEVV) Requirements - Non-Contracted06/13Select Non-Contracted Providers of Home & Community-Based Personal Care Services
REMINDER: 2025 Global Quality P4P Program – CAIR2 Participation Requirement06/13All Medi-Cal PCPs
REMINDER - 2025 Global Quality P4P Program – Manifest MedEx (MX) Connectivity06/13All Medi-Cal PCPs
IEHP HOLIDAY – Juneteenth06/12All IEHP Providers and IPAs
2025 Covered CA Quality Transformation Program (QTP) for PCPs – Program Guides Release! 06/12IEHP Covered (CCA) PCPs
ACTION REQUIRED: 2025 HIV/AIDS Specialist Survey06/12All IEHP Direct PCPs & Specialists
Best Practices for SMART Asthma Management06/11Urgent Care (UC) and Emergency Department (ED) Facilities
Ad Hoc Changes – Provider Policy and Procedure Manual for Medi-Cal06/10Medi-Cal PCPs, Specialists, Hospitals, Ancillary, BH and BHT Providers & IPAs
Ad Hoc Changes – Provider Policy and Procedure Manual for IEHP DualChoice (HMO D-SNP)06/10IEHP DualChoice (HMO D-SNP) PCPs, Specialists, Hospitals, Ancillary, BH Providers & IPAs
Ad Hoc Changes – Provider Policy and Procedure Manual for IEHP Covered (CCA)06/10IEHP Covered (CCA) PCPs, Specialists, Hospitals, Ancillary, and BH Providers
IMPORTANT: Pharmacy Options Due to Rite Aid Closure in Blythe, CA + Attachments06/09All Blythe Area Providers
IEHP Outbound 834 File Delay06/09IEHP 834 Trading Partners
Covered CA Coding and Documentation Workshop06/06All IEHP Covered (CCA) PCPs
REMINDER - 2025 Diabetic Eye Exam Outreach Campaign 06/06All Vision Providers
REMINDER - 2025 Cervical Cancer Screening Outreach Campaign06/06All OB/GYN Providers 
Additional 2025 IEHP Covered (CCA) Pharmacy & Therapeutics Update06/05All IEHP Covered (CCA) PCPs and IEHP Pharmacy Network
May 2025 Pharmacy & Therapeutics Update06/04All PCPs and IEHP Pharmacy Network
CMS Preclusion List - June06/04All Medicare IPAs
2025 OB P4P Program Guide Updates!06/03Medi-Cal OB Providers
REMINDER: Medication Reconciliation Letters Available in Provider Portal06/03All Medi-Cal PCPs
APL 24-019  Minor Consent to Outpatient Mental Health Treatment06/02All Medi-Cal PCPs & BH Providers

 

 
TITLEDATERECIPIENTS
REMINDER - DHCS Quarterly Timely Access Survey 05/30IEHP Medi-Cal PCPs, Specialists, BH & Ancillary
Requirements Under AB 2843: Care For Rape or Sexual Assault Victims05/30IEHP Covered (CCA) PCPs, Specialists & BH Providers
Pharmacy Mail Order Benefit for IEHP DualChoice (HMO D-SNP) & IEHP Covered (CCA) Members05/29IEHP PCPs
CORRECTION: 2025 Global Quality P4P PCP and IPA Program Guide – Updates05/28IEHP – Global Quality P4P PCP & IPA Participants
DHCS EVV Office Hours – June 9, 20, 2605/28EVV Impacted Providers, Individual Nurse Providers & CBAS
Healing After Suicide Loss05/27All BH Providers
Annual Behavioral Health Member Experience Study05/27All Medi-Cal BH Providers
Month-End Outbound 834 File (Non-CCA) Reminder05/27EDI Partners (Non-CCA)
Measles 2025 - The State of the Outbreak Webinar05/23All Medi-Cal PCPs (SB County)
REMINDER – Early Start Program – Refer and Review05/23All Medi-Cal IPAs and PCPs
Guidance to Dispense Medication While Waiting for New Prescriptions05/22All IEHP Pharmacy Network
IEHP HOLIDAY – Memorial Day05/22All IEHP Providers and IPAs
April 2025: IEHP Covered (CCA) Pharmacy & Therapeutics Update05/21All IEHP Covered (CCA) PCPs and IEHP Pharmacy Network
2025 OB P4P Program Guide Updates!05/20Medi-Cal OB Providers
REMINDER: 2025 Global Quality P4P Program – CAIR2 Participation Requirement05/20Medi-Cal PCPs
Self-Collection Testing for HPV– Now Available through LabCorp!05/19IEHP Direct - PCP and OBGYN Providers
Updated: DOFR, IEHP Hospital Regional & Ambulatory Surgery Center Directories05/19All Medi-Cal IPAs
2025 Global Quality P4P PCP Program Guide Updates05/16All Medi-Cal PCPs
2024 & 2025 Global Quality P4P PCP Program Changes Meeting invite05/16All Medi-Cal PCPs
Behavioral Health Treatment (BHT) HCPC Code Reminder05/16All Behavioral Health Treatment (BHT/QASP) Providers
Best Practices Quality of Care (BPQOC) Reviews05/13All IPAs
APRIL - Ad Hoc Changes – Provider Policy and Procedure Manual for Medi-Cal05/12All IPAs, Hospitals, PCPs, Specialists, Ancillary, BH and BHT Providers
APRIL - Ad Hoc Changes – Provider Policy and Procedure Manual for IEHP DualChoice (HMO D-SNP)05/12All IPAs, Hospitals, PCPs, Specialists, Ancillary and BH Providers
APRIL - Ad Hoc Changes – Provider Policy and Procedure Manual for IEHP Covered (CCA)05/12All Hospitals, PCPs, Specialists, Ancillary, and BH Providers
New DHCS Drug Use Review (DUR) Board Educational Articles05/08All Medi-Cal PCPs & All IEHP Pharmacy Network
2024 Global Quality P4P PCP Program Guide Updates!05/07All Medi-Cal PCPs
2025 Diabetic Eye Exam Outreach Campaign05/06All IEHP Vision Providers
2025 Cervical Cancer Screening Outreach Campaign05/06All IEHP OB/GYN Providers
DHCS EVV Office Hours – May 12, 23 & 2905/02All EVV Impacted Providers, Individual Nurse Providers & CBAS

 
TITLEDATERECIPIENTS
REMINDER: (AB) 1936 Maternal Mental Health Screenings04/30All PCPs & OB/GYN
REMINDER: Free Health Education Classes for Members04/28All PCPs, Specialists & IPAs
2025 Breast Cancer Screening Standing Orders Program Enrollment   04/25Medi-Cal IPAs, Direct Medicare and IEHP Covered (CCA) Providers
DELAY: IEHP Outbound 834 File (CCA)04/25IEHP CCA 834 Trading Partners
Month-End IEHP Outbound 834 File Reminder (Non-CCA)04/25IEHP 834 Trading Partners (Non-CCA)
CMS Preclusion List - May04/25Medicare IPAs
2025 HPV Vaccination Health System Learning Community 04/23Direct & Delegated PCPs, Family Practice, Pediatricians 
Effective May 1, 2025 - PCPs Must Submit Referrals for Specified Ancillary Services04/23Direct PCPs, Direct Specialists & Ancillary
2025 IEHP Direct Stars Incentive Program Guide – Updates04/22IEHP Direct D-SNP Primary Care Providers (PCPs)
IMPORTANT: Vision Request Updates and Reminders04/22Vision Providers
UPDATE: Medi-Cal Denial Log Review Tool04/22Medi-Cal IPAs
UPDATE: IEHP DualChoice Denial Log Review Tool04/22Medicare IPAs
UPDATE: IEHP Covered Denial Log Review Tool04/22IEHP Covered Delegates
REMINDER: Provision of Dialysis Bundle Drugs04/21IEHP Dialysis Centers
2025 Global Quality P4P Coding Resource Tool04/17Medi-Cal PCPs
Interim Changes – Provider Policy and Procedure Manuals for IEHP Covered04/16All IPAs, Hospitals, PCPs, Specialists, Ancillary, BH & BHT Providers
Interim Changes – Provider Policy and Procedure Manuals for IEHP DualChoice (HMO D-SNP)04/16All IPAs, Hospitals, PCPs, Specialists, Ancillary,  & BH Providers
Interim Changes – Provider Policy and Procedure Manuals for Medi-Cal04/16All IPAs, Hospitals, PCPs, Specialists, Ancillary, BH & BHT Providers
Academic Detailing Services Now Offered04/15All PCPs & IEHP Pharmacy Network
REMINDER: 2025 Global Quality P4P Program – CAIR2 Participation Requirement04/15Medi-Cal PCPs
REMINDER - 2025 Global Quality P4P Program – Manifest MedEx (MX) Connectivity04/15Medi-Cal PCPs
UPDATE: Medi-Cal Letter Template04/11Medi-Cal IPAs
Transition of Care (TOC) Log Modifications04/11Medicare IPAs
NEW Claims Status & Provider Dispute Resolution Via Portal04/11All Direct Medi-Cal and IEHP Covered (CCA) Providers
REMINDER: Initial Health Appointment (IHA) Roster04/10Medi-Cal PCPs and IPAs
Complex Case Management (CCM) Program – Severe Chronic Conditions04/10Medi-Cal PCPs, Specialists, BH Providers & IPAs
REMINDER: IEHP Interpreter Services – Benefit for Members!04/08All Providers and IPAs
New DHCS Drug Use Review (DUR) Board Educational Articles04/03All Medi-Cal PCPs & IEHP Pharmacy Network
2025 Medicare Stars Quality Withhold – Online Reports and Rosters04/02IEHP DualChoice (D-SNP) IPAs
Care Plans and Health Risk Assessments (HRAs) Reminder04/02All PCPs, Specialists, SNFs, ICF/DD and CBAS
2025 Global Quality P4P PCP Program Guide - Updates!04/02IEHP – Global Quality P4P PCP
2025 Global Quality P4P IPA Program Guide - Updates!04/02IEHP – Global Quality P4P IPA
IEHP Direct Stars Incentive Program – NEW 2025 Interim Reports!04/01IEHP D-SNP Primary Care Providers (PCPs)
Effective May 1, 2025 - PCPs Must Submit Referrals for Specified Ancillary Services04/01Direct PCPs, Direct Specialists & Ancillary

 
TITLEDATERECIPIENTS
Behavioral Health Treatment (BHT) Reminders03/31All BHT (QASP) Providers
CMS Signature Requirement Guidelines for Member Medical Records03/28All IPAs, PCPs, Specialists, and BH Providers
2025 Global Quality P4P Program - Manifest MedEx (MX) Connectivity Reminder03/28IEHP Global Quality P4P PCP Participants
DHCS EVV Office Hours – April 4, 14 & 2503/28EVV Impacted Providers, Individual Nurse Providers & CBAS
IEHP UM Department Availability03/27All PCPs, Specialists and BH Providers
CMS Preclusion List – April03/27All Medicare IPAs
2nd Annual AI Healthcare Conference Invitation03/27All PCPs
Month-End IEHP Outbound 834 File Reminder (Non-CCA)
03/26834 Trading Partners (Non-CCA)
Measles Public Health Advisory03/24All Riverside County PCPs, Specialists & IPAs
Webinar - Colorectal Cancer Prevention and Screening for CHCs – March 2703/21All CHCs, RHCs and FQHCs
2025 HPV Vaccination Promising Practices Series Webinar03/20All PCPs
New Provider Portal Enhancements: Training Guides, Referral Filter03/17All Providers
2024 Topical Fluoride for Children and Adolescents FQHC Incentive Program- Encounter Data Submission Deadline!03/14All FQHCs, RHCs, and IHFs
REMINDER 2025 Global Quality P4P Program – CAIR2 Participation Requirement03/14All Medi-Cal PCPs
White Coat Spring Break Program for San Bernardino County and Riverside County High Schools03/13San Bernardino County PCPs & Specialists
UPDATE: D-SNP Letter Template_Notice of Dismissal of Coverage Request03/11All Medicare IPAs
Quality Improvement Best Practices - Rotavirus Vaccine03/11All IEHP Covered (CCA) & Medi-Cal PCPs
Updated MC_09A - Access Standards03/11All Medi-Cal IPAs
Updated MA_09A - Access Standards03/11All DualChoice IPAs
Updated MC-18D1 - IPA Reported Provider Changes  03/10All Medi-Cal IPAs
Transgender, Gender Diverse or Intersex (TGI) Cultural Competency Training + Attestation03/07All IPAs & Subcontractors
Provider and Hospital Partner Update – Video Message from Jarrod03/07All Providers, Hospital Partners & IPAs
Interim Changes – Provider Policy and Procedure Manuals for IEHP Covered (CCA)03/07All IEHP Covered (CCA) Hospitals, PCPs, Specialists, Ancillary & BH Providers
Interim Changes – Provider Policy and Procedure Manuals for IEHP DualChoice (HMO D-SNP)03/07All DualChoice IPAs, Hospitals, PCPs, Specialists, Ancillary & BH Providers
Interim Changes – Provider Policy and Procedure Manuals for IEHP Medi-Cal03/07All Medi-Cal IPAs, Hospitals, PCPs, Specialists, Ancillary, BH & BHT Providers
February 2025 Pharmacy & Therapeutics Update 03/06All PCPs
REVISED – UM Authorization Guidelines03/06All IPA Administrators and Medical Directors
2024 IEHP Direct Stars Incentive Program – Encounter Data Submission Deadline!03/05IEHP Direct D-SNP Primary Care Physician (PCPs)
DHCS EVV Office Hours – March 10, 14, 2403/04EVV Impacted Providers, Individual Nurse Providers & CBAS
REMINDER: Medication Reconciliation Letters Available in Provider Portal03/03All Medi-Cal PCPs
UPDATE - 2025 Historical Data Submissions03/03Medi-Cal PCPs and IPAs
NEW: Accepting Contracts for Pharmacy Provided Services03/03All IEHP Pharmacy Providers
Reminder – February Capitation Payments03/03IEHP Direct PCPs

 
TITLEDATERECIPIENTS
2024 and 2025 Global Quality P4P PCP Program Guide - Updates!02/28IEHP Medi-Cal PCPs
2024 Topical Fluoride for Children and Adolescents FQHC Incentive Program- Encounter Data Submission Deadline!02/28All FQHCs, RHCs, and IHFs
UPDATE: IEHP Pre-Service Denial Reason Matrix - D-SNP 02/28Medicare IPAs
UPDATE: IEHP Covered UM Referral Universe Template02/28IEHP Covered Delegates
Global Quality P4P PCP Program – NEW 2025 Interim Reports02/27All Medi-Cal PCPs
CANCELED 2025 OB P4P Kick Off Meeting on March 5, 202502/27All OB/GYN Providers
DELAY-IEHP Outbound 834 File (CCA)02/27IEHP 834 Trading Partners (CCA)
REMINDER: 2025 IEHP DualChoice (HMO D-SNP) Plan Benefits02/26Medicare PCPs, Specialists, Vision Providers & IPAs
Inland Empire Climate Conference Schedule02/26All PCPs & Specialists
CMS Preclusion List - March02/26Medicare IPAs
Month-End IEHP Outbound 834 File Reminder (Non CCA)02/26IEHP 834 Trading Partners (Non-CCA)
2024 Topical Fluoride for Children & Adolescents FQHC Incentive Program – Update02/25All FQHCs, RHCs, and IHFs
Blood Pressure Monitor (BPM) Coverage FAQs02/24All DualChoice PCPs & Ancillary Providers
2025 Medi-Cal Member Incentive FAQs02/21All GPs, FPs and Peds PCPs
Interim Changes – Provider Policy and Procedure Manuals for IEHP Covered (CCA)02/20Hospitals, PCPs, Specialists, Ancillary, and BH Providers
2025 GQ P4P Learning Session_Pediatric Preventive Care Measures02/20All Medi-Cal PCPs
Mail Order Pharmacy Available for Members + Fliers02/19All IEHP DualChoice (HMO D-SNP) and IEHP Covered (CCA) PCPs, Specialists & Psychiatrists
Academic Detailing Services Now Offered02/19All IEHP PCPs, All IEHP Pharmacy Providers
2024 Global Quality P4P Program - Encounter Data Submission Deadline!02/14All Medi-Cal IPAs
CANCELED: 2025 Urgent Care + Wellness Quality Incentive Program Kick Off Meeting on February 19, 2025!02/14IEHP Medi-Cal Urgent Care Providers
2024 Global Quality P4P Program – Encounter Data Submission Deadline!02/14All Global Quality P4P PCP Participants
2024 IEHP Direct Stars Incentive Program – Encounter Data Submission Deadline!02/14IEHP Direct D-SNP Primary Care Physician (PCPs)
UPDATE: Medi-Cal UM Referral Universe Template02/13All Medi-Cal IPAs
UPDATE: D-SNP Templates02/12All Medicare IPAs
DELAY: IEHP Outbound 834 Files for Medi-Cal & IEHP Covered (CCA)02/11All 834 Trading Partners
IEHP HOLIDAY – Presidents’ Day 02/10All IEHP IPAs & Providers
2025 Fielding of the Consumer Assessment of Healthcare Providers and Systems Survey (CAHPS)02/07All PCPs and IPAs
January 2025: IEHP Covered (CCA) Pharmacy & Therapeutics Update02/06All IEHP Covered (CCA) PCPs & Pharmacy Providers
2025 OB P4P Kick-Off Meeting 02/05All OB/GYN Providers 
DHCS EVV Office Hours – February 28 + Provider Resources02/05EVV Impacted Providers, Individual Nurse Providers & CBAS
CANCELLED: 2025 IEHP Direct Stars Kick Off Meeting on February 5, 2025!02/042025 IEHP Direct Stars PCPs
REMINDER: 2025 Global Quality P4P Program – CAIR2 Participation Requirement02/03All Medi-Cal PCPs
Access Standards – Appointment Availability for PCPs & OB/GYN02/03All IEHP PCPs and OB/GYNs
Access Standards – Appointment Availability for Specialist Care02/03All IEHP Specialists
Access Standards – Appointment Availability – Behavioral Health Providers02/03All Behavioral Health Providers

 
TITLEDATERECIPIENTS
CMS Preclusion List - February01/31Medicare IPAs
01/31All SB County PCPs & IPAs
REMINDER: Submit 2025 Provider Policy and Provider Manual Acknowledgement of Receipt (AOR) Today01/31PCPs, Specialists, OB/GYNs, BH, Ancillary, and Vision Providers
Monthly IEHP Outbound 834 File Delay (Non-CCA)01/31IEHP 834 Trading Partners (non-CCA)
Available Online! Winter 2025 Provider Newsletter - Heartbeat01/29All IEHP Providers
Month-End IEHP Non-CCA Outbound 834 File Reminder01/28IEHP Non-CCA 834 Trading Partners
REMINDER - Provider Survey for Prenatal Immunizations Due February 601/28All OB/GYN Providers
REMINDER - ACTION REQUIRED: Remind Members Due for Medi-Cal Renewal - Renew Today!01/27All Medi-Cal PCPs & IPAs
UPDATE -Removal of Car/Sedan Option on Transportation Forms01/27All PCPs, Specialists, Hospitals, SNFs & LTCs
UPDATE: Notice of Medicare Non-Coverage Template01/24Medicare IPAs
Asthma Medication Ratio (AMR) – Data Correction01/24IEHP Medi-Cal PCPs
CORRECTION & REMINDER - 2024 IEHP Direct Stars Incentive Program – Data Submission Deadlines!01/24IEHP Direct D-SNP Primary Care Physician (PCPs)
UPDATE: Behavioral Health Treatment (BHT) Authorization Quantity Field01/23All BHT/QASP Providers
NEW: Academic Detailing Services Now Offered01/23All IEHP PCPs, All IEHP Pharmacy Providers
Practitioners Providing Gender-Affirming Care & Questionnaire01/22IEHP Direct Providers
2025 Urgent Care + Wellness Quality Incentive Program Kick-Off Meeting01/22Urgent Cares 
Webinar - Cervical Cancer Prevention and Screening - January 2901/22All Medi-Cal PCPs and OB/GYN Providers
Interim Changes – Provider Policy and Procedure Manuals for IEHP Medi-Cal01/17All Medi-Cal IPAs, Hospitals, PCPs, Specialists, Ancillary, BH and BHT Providers
Interim Changes – Provider Policy and Procedure Manuals for IEHP DualChoice (HMO D-SNP)01/17All Medicare IPAs, Hospitals, PCPs, Specialists, Ancillary, and BH Providers
Interim Changes – Provider Policy and Procedure Manuals for IEHP Covered (CCA)01/17All IEHP Covered (CCA) Hospitals, PCPs, Specialists, Ancillary & BH Providers
2025 IEHP Direct Stars Kick Off Meeting01/16All IEHP Direct D-SNP Primary Care Physician (PCPs)
ACTION REQUIRED – Provider Survey for Prenatal Immunizations01/16All OB/GYN Providers
Climate Health Action Coalition - 2025 Webinar Schedule01/16All PCPs & Specialists
Update: CMS Preclusion List – January01/16All Medicare IPAs
IMPORTANT - Compliance with Authorized Procedure Codes for Medical Claims01/15All Direct Providers
IEHP HOLIDAY - Martin Luther King Jr. Day 01/13All IEHP IPAs & Providers 
REMINDER - ACTION REQUIRED: Remind Members Due for Medi-Cal Renewal - Renew Today! 01/13All Medi-Cal PCPs & IPAs
2025 GQ P4P Program Kick-Off Meeting for PCPs - January 3001/13All Medi-Cal PCPs
NEW: Make Non-Emergency Medical Transportation (NEMT) Requests on Provider Portal + Training Guide01/10All IEHP Providers
UPDATE - NEMT PCS Transportation Services Form Changes01/10All IEHP Providers
2025 Global Quality P4P PCP Program Guide– Updates01/09All Medi-Cal PCPs
REMINDER- 2024 Global Quality P4P Program – Data Submission Deadlines01/09All Medi-Cal PCPs
Outbound 834 CCA File Layout 01/08834 CCA Trading Partners
CANCELLED -Tomorrow’s GQ P4P Kick Off Meeting!01/07All Medi-Cal PCPs
REMINDER: Updated Vision Lab Form is Now Available 01/07All IEHP Vision Providers
Appropriate Use of Antibiotics in Common Respiratory Infections01/03All PCPs, Specialists, UCs & IPAs
ACTION REQUIRED: Remind Members Due for Medi-Cal Renewal - Renew Today!01/02All Medi-Cal PCPs & IPAs
REVISED/RETIRED - UM Authorization Guidelines01/02IPA Administrators and Medical Directors
New: IEHP Covered UM Referral Universe Template 01/02IEHP Covered Delegates

 
TITLEDATERECIPIENTS
RUHS Vaccine Clinics Flyers 12/31All PCPs
DHCS EVV Office Hours – January 10, 16, 2412/31EVV Impacted Providers, Individual Nurse Providers & CBAS  
CMS Preclusion List Monthly - January12/30Medicare IPAs
Month-End IEHP Outbound 834 File Reminder12/26834 Trading Partners 
UPDATE - Independent Medical Review Forms12/23All IPAs
Provider Targeted Rate Increase (TRI)12/20All Medi-Cal PCPs, Medi-Cal Specialists, BH and Doulas
Targeted Rate Increase (TRI) Provider FAQ 12/20All Medi-Cal PCPs, Medi-Cal Specialists, BH and Doulas
2024 Global Quality P4P Program Guide - Updates!12/20IEHP – Global Quality P4P PCP & IPA Participants
Updates to 2025 IEHP DualChoice (HMO D-SNP) Benefits12/19All IEHP DualChoice (HMO D-SNP) Providers & Medicare IPAs
REMINDER: 2024 Global Quality P4P Program – Data Submission Deadlines!12/19All Global Quality P4P PCP Participants
REMINDER - 2024 IEHP Direct Stars Incentive Program – Data Submission Deadlines!12/19IEHP Direct DualChoice (HMO D-SNP) PCPs 
IEHP Renews Covered California for 202512/18All IEHP Covered Providers
Topical Fluoride (TFL) Application in Primary Care Setting12/18Pediatricians, Family Practice & Medi-Cal Urgent Care Providers
November 2024 Pharmacy & Therapeutics Subcommittee Update12/17All IEHP PCPs, All IEHP Pharmacy Providers
IEHP Finance Update12/17All Providers & IPAs
IEHP 2024-2025 Holiday Hours12/17All Providers & IPAs
IEHP Outbound 834 File Delay12/16IEHP 834 Trading Partners
UPDATE - Medi-Cal Referral Universe Template12/13Medi-Cal IPAs
UPDATE - Provider Policy and Procedure Manual - Tertiary Care Requirements12/12All IPAs
UPDATE: D-SNP Letter Templates12/11Medicare IPAs
REMINDER - Behavioral Health Treatment (QASP) Provider Training Webinar - December 1812/11All Behavioral Health Treatment (BHT/QASP) Providers
Enhanced Care Management - New ECM Referral Standards12/09All Medi-Cal PCPs
Process Update When Reporting Delegated Provider Changes12/09All IPAs
REMINDER: Behavioral Health Training Webinar - December 1012/06All Behavioral Health Providers
Interim Changes - Provider Policy and Procedure Manuals for IEHP Covered (CCA) 12/05Hospitals, PCPs, Specialists, Ancillary, and BH Providers
Interim Changes - Provider Policy and Procedure Manuals for IEHP DualChoice (HMO D-SNP)12/05All IPAs, Hospitals, PCPs, Specialists, Ancillary, and BH Providers
Interim Changes - Provider Policy and Procedure Manuals for Medi-Cal12/05All IPAs, Hospitals, PCPs, Specialists, Ancillary, BH and BHT Providers
Pharmacy Mail Order Benefit for IEHP DualChoice (HMO D-SNP) & IEHP Covered (CCA) Members12/04All PCPs
Living the Mission Awards Nomination Form12/02All IEHP Providers

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