News & Updates
News & Updates

Heartbeat Newsletter

Don't miss out on the latest news! Our Heartbeat Newsletter keeps you in-the-know about our newest programs, incentive opportunities, study results, and more.

Read the newsletter
- Notices Keep up to date with the latest healthcare plan information.
  
  Heartbeat Newsletter
  
  Don't miss out on the latest news! Our Heartbeat Newsletter keeps you in-the-know about our newest programs, incentive opportunities, study results, and more.
  
  Read the newsletter
- Heartbeat Newsletter Read our newsletter to find out about the latest Provider tips and stories.
  
  Heartbeat Newsletter
  
  Don't miss out on the latest news! Our Heartbeat Newsletter keeps you in-the-know about our newest programs, incentive opportunities, study results, and more.
  
  Read the newsletter
- Public Health Advisory Find out about the latest public health advisories impacting the region.
  
  Heartbeat Newsletter
  
  Don't miss out on the latest news! Our Heartbeat Newsletter keeps you in-the-know about our newest programs, incentive opportunities, study results, and more.
  
  Read the newsletter
- Coronavirus (COVID-19) Advisory Learn about Coronavirus (COVID-19) advisories, testing centers, vaccinations, and more.
  
  Heartbeat Newsletter
  
  Don't miss out on the latest news! Our Heartbeat Newsletter keeps you in-the-know about our newest programs, incentive opportunities, study results, and more.
  
  Read the newsletter
- Regulatory Updates Stay informed about healthcare regulations and updates.
  
  Heartbeat Newsletter
  
  Don't miss out on the latest news! Our Heartbeat Newsletter keeps you in-the-know about our newest programs, incentive opportunities, study results, and more.
  
  Read the newsletter
Resources
Resources

Find Forms

Access our commonly used healthcare plan forms.

Stay Compliant

Find out how to stay compliant with IEHP, state, and federal requirements.

Medi-Cal Renewal

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Medi-Cal Renewal

Help Members renew their Medi-Cal coverage by reminding them to complete and submit required forms on time.
- Provider Manuals & Training Access our Provider manuals, training, and other regulatory resources.
  
  Provider Manuals & Training
  
  Manuals
  
  Medi-Cal
  
  IEHP DualChoice (HMO D-SNP)
  
  IEHP Covered (CCA)
  
  EDI Manual
  
  Benefits Manuals
  
  Acknowledgement of Receipt
  
  Training
  
  IEHP DualChoice (HMO D-SNP) Model of Care Training
  
  Compliance Training (FWA, HIPAA Privacy and Security)
  
  Medi-Cal for Kids and Teens Provider Training
  
  Optimal Care for Every Community Training
  
  Transgender, Gender Diverse or Intersex Cultural Competency Training
- Resources for Providers Utilize helpful resources that can assist you conduct your day-to-day practice.
  
  Resources for Providers
  
  Claims
  
  Compliance
  
  Clinical Practice Guidelines
  
  Dyadic Care Services
  
  Data Exchange Framework
  
  Site Review Resources
  
  Forms
  
  IEHP Holiday Schedule
  
  Independent Living and Diversity Resources
  
  Medi-Cal Renewal Process
  
  Physician Wellness
  
  SABIRT Tools
  
  Timely Access to Care Standards
  
  Utilization Management Clinical Criteria
  
  Vaccine Resources
  
  ICF/DD and Subacute Care Facilities Benefit
  
  Educational Opportunities
- Resources for Members Find tools, programs and resources to help support our Members.
  
  Resources for Members
  
  Health and Wellness
  
  Services for Teen Patients
  
  Tobacco Cessation Services
  
  POLST Registry
- Non-Contracted Provider Resources Learn about our resources for non-contracted Providers.
  
  Find Forms
  
  Access our commonly used healthcare plan forms.
  
  Stay Compliant
  
  Find out how to stay compliant with IEHP, state, and federal requirements.
  
  Medi-Cal Renewal
  
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  Medi-Cal Renewal
  
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  Medi-Cal Renewal
  
  Help Members renew their Medi-Cal coverage by reminding them to complete and submit required forms on time.
Programs & Services
Programs & Services

Pay for Performance Programs

Find out more about best practices to help improve quality scores and health outcomes for our Members.
- Provider Incentive Programs Learn about incentive programs that offer subsidies and funding for Providers.
  
  Provider Incentive Programs
  
  Pay for Performance Program
  
  Proposition 56 & GEMT
  
  PHDP - EPP Program
  
  Skilled Nursing Facility Workforce and Quality Incentive Program
  
  Quality Performance Learning Guide
- Specialty Health Find out about resources for Members with qualifying conditions.
  
  Specialty Health
  
  IEHP Gender Health
  
  Major Organ Transplant
  
  My Path Palliative Care
  
  Total Fracture Care
- Community Supports Learn about care options offered to qualified Members.
  
  Pay for Performance Programs
  
  Find out more about best practices to help improve quality scores and health outcomes for our Members.
- Enhanced Care Management (ECM) Access information about ECM benefits for qualifying Members.
  
  Pay for Performance Programs
  
  Find out more about best practices to help improve quality scores and health outcomes for our Members.
- California Children Services Find out more about CCS, a statewide program that provides services to children with qualifying conditions.
  
  Pay for Performance Programs
  
  Find out more about best practices to help improve quality scores and health outcomes for our Members.
- CalAIM Access information about the CalAIM program for Medi-Cal Members.
  
  Pay for Performance Programs
  
  Find out more about best practices to help improve quality scores and health outcomes for our Members.
- Community Health Worker Benefit Discover the benefits of a Community Health Worker and how this resource can help a qualified Member.
  
  Pay for Performance Programs
  
  Find out more about best practices to help improve quality scores and health outcomes for our Members.
Pharmacy
Pharmacy

IEHP PAD Prior Authorization

Access the latest IEHP Medi-Cal Physician Administered Drug (PAD) Prior Authorization criteria and list.

Drug Recall Information

Stay informed about drug recalls and market withdrawals.
- Formulary Access the various formularies for an updated list of high quality and cost-effective drug therapies available.
  
  Formulary
  
  IEHP Medi-Cal Physician Administered Drug Prior Authorization List
  
  IEHP DualChoice (HMO D-SNP)
  
  IEHP Covered California
- Pharmacy Programs Find out about our pharmacy clinical program designed to focus on pharmacy quality and Medicare Star Ratings.
  
  Pharmacy Programs
  
  Medication Therapy Management
  
  Academic Detailing
  
  Pharmacy Pain Management
  
  High Risk Medications Program
- Pharmacy Resources Keep up to date with drug safety information, Provider notices, and pharmacy policies.
  
  Pharmacy Resources
  
  Pharmacy Provider Communications
  
  Drug Recall Information
  
  Pharmacy Forms & Manuals
  
  Pharmacy Policies
Join our Network
Join our Network

Provider Network Expansion Fund

Get up to $200,000 in grant funding to facilitate the recruitment of qualified Providers committed to serving Medi-Cal beneficiaries in the Inland Empire.
- Screening and Enrollment Review how Providers enroll in the Medi-Cal Program.
  
  Provider Network Expansion Fund
  
  Get up to $200,000 in grant funding to facilitate the recruitment of qualified Providers committed to serving Medi-Cal beneficiaries in the Inland Empire.
- Provider Contract Forms Access our Provider contracting process and forms.
  
  Provider Contract Forms
  
  PCP and Specialists
  
  Behavioral Health
  
  Vision
  
  Ancillary
  
  ICF/DD Providers
- Facilities and IPAs Look up information about our participating hospitals and Independent Physician Associations (IPAs).
  
  Facilities and IPAs
  
  Hospitals
  
  Independent Physician Associations
- Provider Network Expansion Fund Find out how to qualify and receive support through the NEF Program.
  
  Provider Network Expansion Fund
  
  Get up to $200,000 in grant funding to facilitate the recruitment of qualified Providers committed to serving Medi-Cal beneficiaries in the Inland Empire.

2026 Provider Manuals