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  • 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 thumbnail
      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 thumbnail
      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 thumbnail
      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 thumbnail
      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 thumbnail
      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 thumbnail
      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

      Transgender, Gender Diverse or Intersex Cultural Competency Training

       

    • Resources for Providers thumbnail
      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 thumbnail
      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 thumbnail
      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 thumbnail
      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 thumbnail
      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 thumbnail
      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) thumbnail
      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 thumbnail
      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 thumbnail
      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 thumbnail
      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 thumbnail
      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 thumbnail
      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 thumbnail
      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 thumbnail
      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 thumbnail
      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 thumbnail
      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 thumbnail
      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.

       

       

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Provider Services Phone

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1-866-223-IEHP (4347)

Provider Services Email

ProviderServices@iehp.org

 


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