Provider login

Notices

For Pharmacy Times Notices please click here.

 
TITLEDATERECIPIENTS
Thanksgiving Day Holiday 202411/19All IEHP Providers
2024 Member Language Demographics Survey Results - Free Interpreter Services Available11/19All IEHP Providers
2025 Global Quality P4P IPA Program – Program Guide Preliminary Release!11/18Medi-Cal IPAs
2025 Global Quality P4P PCP Program – Program Guide Preliminary Release 11/18Medi-Cal PCPs
2025 IEHP Direct Stars Incentive Program Guide Preliminary Release!11/15D-SNP Primary Care Providers
Agenda Update to 2025 Global Quality P4P Program Meeting on December 4: Provider Incentive Amendments will not be distributed at this time and meeting invite11/15All Global Quality P4P PCP Participants
2024-2025 Flu Vaccine Letter to Providers from Pharmacy11/14All PCPs & OBs
Update - Clinical Criteria for UM Decisions and Skin Substitute Documentation Requirements + Attachment (PCP)11/14All PCPs & Specialists
Update -  Clinical Criteria for UM Decisions and Skin Substitute Documentation Requirements + Attachment (IPA)11/13All IPAs
Interim Changes – Provider Policy and Procedure Manuals for IEHP Covered (CCA)11/13All PCPs, Specialists, BH, Ancillary, Hospitals 
Interim Changes – Provider Policy and Procedure Manuals for IEHP DualChoice (HMO D-SNP)11/13All PCPs, Specialists, BH, Ancillary, Hospitals & IPAs
Interim Changes – Provider Policy and Procedure Manuals for Medi-Cal11/13All PCPs, Specialists, BH, BHT, Ancillary, Hospitals & IPAs
CBAS Updates & DHCS EVV Office Hours for November 15 & December 911/12All EVV Impacted Providers, Individual Nurse Providers & CBAS 
New Enhancements to Provider Portal!11/12All IEHP Providers
NEW - UM Timeliness Standards and Cancellation Audit Tools – IEHP Covered11/07IEHP Covered Delegates
NEW - UM Cancellation Audit Tool – Medi-Cal11/07Medi-Cal IPAs
NEW - UM Cancellation Audit Tools – Medicare11/07Medicare IPAs
October 2024 IEHP Covered Pharmacy & Therapeutics Update11/07All IEHP PCPs, All IEHP Pharmacy Providers
Veterans Day Holiday – Monday November 11th11/05All IEHP Providers and IPAs
Provider and Hospital Partner Budget Message11/04All IEHP Providers and IPAs
Reminder - 2024 Urgent Care + Wellness Quality Incentive Program11/04All IEHP Medi-Cal Urgent Care Providers
New DHCS Drug Use Review (DUR) Board Educational Articles11/01All IEHP PCPs, All IEHP Pharmacy Providers

 
TITLEDATERECIPIENTS
You're Invited - IE-CHI Virtual Health Education Forum on Nov. 5th.10/31All Providers 
2024 IEHP Direct Stars Incentive Program – Data Submission Deadlines!10/31IEHP Direct DualChoice (HMO D-SNP) PCPs 
2024 Global Quality P4P Program – Data Submission Deadlines!10/31All Global Quality P4P PCP Participants
IEHP Outbound 834 File Delay         10/30834 Trading Partners
Month-End IEHP Outbound 834 File Update10/28834 Trading Partners
CMS Preclusion List – November 202410/28Medicare IPAs
Access Standards – Appointment Availability  - PCPs and OB/GYNs10/28All PCPs & OB/GYNs
Access Standards – Appointment Availability for Specialist Care10/28All Specialists
Access Standards – Appointment Availability – BH Providers10/25All Behavioral Health Providers
Effective November 1 - New Standards for Incontinence Supply Requests 10/25All Direct PCPs, Specialists, Ancillary & Hospitals
DHCS EVV Office Hours – November 4 & 1510/25EVV Impacted Providers, Individual Nurse Providers & CBAS
New Member Education Brochure for Recommended Adult Vaccines10/24All IPAs and PCPs
New Access Standard for IEHP DualChoice (HMO D-SNP) Members10/24All DualChoice (HMO D-SNP) PCPs, OB/GYNs & BH Providers
IEHP’s Quality Hospice Network - Important Program Changes 10/24All PCPs, Specialists, Hospitals, Hospices and SNFs
2025 D-SNP Care Management Review & D-SNP TOC Review Tools10/24Medicare IPAs
Updated 2025 Medi-Cal Care Coordination Review Tool10/24Medi-Cal IPAs
UPDATES: 2024 Global Quality P4P PCP Program Guide10/21IEHP – Global Quality P4P PCP Participants
2024 IEHP Direct Stars Incentive Program Star – Performance Goals Update10/17IEHP Direct DualChoice (HMO D-SNP) PCPs 
Inappropriate Use of “Expedited” For Authorization Requests10/17All Direct Providers
Help Protect Your Members Against the Flu10/16All IPAs and PCPs
Updated: ABA (BHT) 6-Month and Exit Progress Report Template10/16Behavioral Health Treatment (BHT) Providers
Blood Lead Level Screening in Children - On or Before Second Birthday! 10/16All Pediatricians & Family Practice PCPs
Medi-Cal Rx Update - Deactivation of Override Code “55555” for All Drugs & Products10/16Medi-Cal PCPs, Specialists & BH Providers
REMINDER - Digital Member ID Cards Serve as Valid Proof of Insurance10/14All Providers
REMINDER - DHCS Quarterly Timely Access Survey10/14IEHP Medi-Cal PCPs, Specialists, BH, & Ancillary 
Interim Changes – Provider Policy and Procedure Manuals for IEHP Medi-Cal10/09All IPAs, Hospitals, PCPs, Specialists, Ancillary, BH and BHT Providers
Interim Changes – Provider Policy and Procedure Manuals for IEHP DualChoice (HMO-SNP)10/09All IPAs, Hospitals, PCPs, Specialists, Ancillary, and BH Providers
Interim Changes – Provider Policy and Procedure Manuals for IEHP Covered 10/09Hospitals, PCPs, Specialists, Ancillary, and BH Providers
10/08Internal Medicine PCPs, Family Practice PCPs, Endocrinologists, Gastroenterologists and Cardiologists
Covered CA Coding and Documentation Workshop invite 10/08All IEHP Covered (CCA) PCPs
New: Claims Submission via the Portal Now Available for Community Support Service Providers10/07All Community Support Service Providers
Update to BH Authorization/Claims Submission Process10/07All BH Providers
REMINDER - Eye Exam for Members with Diabetes (EED)10/04All PCPs, Vision Providers & IPAs
NEW: Claim Submission via the Portal Now Available for Doulas10/04All Doulas
REVISED - UM Authorization Guidelines10/04All IPA Administrators and Medical Directors
2024 Cervical Cancer Screening Outreach10/03IEHP OB/GYN Providers
2024 Member Incentives for Medi-Cal Child Programs10/03All Medi-Cal PCPs and IPAs
UPCOMING - Emergency Instructions Survey  - BH Providers10/02All Behavioral Health Providers
UPCOMING - Emergency Instructions Survey  -  PCPs10/02All PCPs
UPCOMING - Emergency Instructions Survey  - Specialists 10/02All Specialists
2025 Provider Manual Summary of Changes10/01All IPAs, Hospitals, PCPs, Specialists, Ancillary, Vision, BH & BHT Providers 
Instructions for Member PCP or IPA Assignment Change Request10/01All PCPs, Specialists & IPAs
New DHCS Drug Use Review (DUR) Board Educational Articles10/01All IEHP PCPs, All IEHP Pharmacy Providers

 
TITLEDATERECIPIENTS
URGENT - IEHP Monthly Outbound 834 File Delay09/30834 Trading Partners
CMS Preclusion List – October 202409/30Medicare IPAs
DHCS EVV Office Hours – October 7, 17 & 2409/30All EVV Impacted Providers, Individual Nurse Providers & CBAS 
Ordering an At-Home Blood Pressure Cuff for IEHP Members09/30All PCPs & IPAs
New Tobacco Cessation Course & Support Available for Members09/27All PCPs, Specialists, BH & IPAs
UPDATED: Vision Lab Form Now Available & FAQ09/27All Vision Providers
IEHP Covered (CCA) - IEHP Outbound 834 File Delay09/26IEHP Covered (CCA) 834 Trading Partners
August 2024 Pharmacy and Therapeutics Update09/26All IEHP PCPs, All IEHP Pharmacy Providers
REMINDER - Physician Certification Statement (PCS) Required for NEMT Services09/25All PCPs, Specialists, BH Providers & IPAs
Month-End IEHP Outbound 834 File Update09/25834 Trading Partners
2024 IEHP Direct Stars Incentive Interim Reports Data Delay: Next Refresh 10/10/202409/24IEHP Direct DualChoice (HMO D-SNP) PCPs 
2024 Global Quality P4P Interim Reports Data Delay: Next Refresh 10/10/2409/24Global Quality P4P PCP Participants
REVISED - Deadline Update - Enhanced Care Management (ECM) Population of Focus IPA Reporting09/24Medicare IPAs
UPDATE - 2024 Historical Data Submissions Deadline09/23All PCPs & IPAs
You're Invited - Improving Outcomes for Black Birthing Individuals09/18All Medi-Cal PCPs
CAADS Fall Conference - Registration is OPEN!09/16All Community Based Adult Services (CBAS) Providers
REMINDER - Enhanced Care Management (ECM) Available for Members09/12Medi-Cal PCPs and IPAs
2024 IEHP Direct Stars Incentive Program – NEW Quality Bonus Service!09/12IEHP Direct DualChoice (HMO D-SNP) PCPs
UPDATE - 2024 Urgent Care + Wellness Quality Incentive Program09/12IEHP Urgent Care Providers
REVISED - UM Authorization Guideline09/11All IPA Administrators and Medical Directors
MFTs & MHCs Must Bill Medicare as Primary for Medi-Medi Members09/11Medicare MFTs & MHCs
Provider Billing Education - Corrected or Voided Claim Submissions09/11All Providers
REMINDER – Accessible Clinics Program 2024 - Deadline September 16th09/10All Providers
UPDATES! 2024 Global Quality P4P PCP Program Guide09/09All Medi-Cal PCPs
IMPORTANT - Notify IEHP if Your Office is Impacted by Area Fire09/09All Providers in the SB Mountain Regions, Highland & Yucaipa
Interim Changes – Provider Policy and Procedure Manuals for IEHP Medi-Cal09/06Medi-Cal Hospitals, PCPs, Specialists, Ancillary, BH, BHT & IPAs
UPDATE - Utilization Management Timelines Standards (Medi-Cal) Form09/05Medi-Cal IPAs
Removal of Letter Template - Extension Needed for Additional Information09/05Medicare IPAs
REMINDER - Continuity of Care Approval Letter Notification Requirements09/05All IPAs
2024 Member Incentive FAQ: Medicare & Medi-Cal Programs09/05All PCPs and IPAs
REMINDER: Provider Preventable Conditions (PPC) – Reporting Requirements09/05All Providers, IPAs, Contracted Hospitals, and Ambulatory Surgical Centers
Update - NEMT Transportation Requests Require Five Calendar-Day Notice09/05All Providers, Hospitals & SNFs
REMINDER – Educate Your Members on their Rights and Responsibilities09/04All BH & BHT Providers
REMINDER - EVV Required for In-Home Care & CBAS Emergency Remote Services (ERS) 09/04EVV Impacted Providers, Individual Nurse Providers & CBAS 
September IDEA Flyer - Join Us!09/04All PCPs
New DHCS Drug Use Review (DUR) Board Educational Articles 09/03All IEHP PCPs, All IEHP Pharmacy Providers

 
TITLEDATERECIPIENTS
DualChoice (HMO D-SNP): Pharmacy Mail Order Benefit08/30All IEHP PCPs, All IEHP Pharmacy Providers
Month-End IEHP Outbound 834 File Update08/29IEHP 834 Trading Partners
Additional July 2024 IEHP Covered Pharmacy & Therapeutics Update08/29All IEHP PCPs, All IEHP Pharmacy Providers
Reminder - PT Authorization Requests Require Medical Justification to Avoid Potential Overutilization08/28All Physical Therapists
Labor Day Holiday - September 2nd08/28All Providers & IPAs
Academic Detailing Services Now Offered08/27All IEHP PCPS, All IEHP Pharmacy Providers
DHCS EVV Office Hours – September 9th, 20th & 24th08/27All EVV Impacted Providers, Individual Nurse Providers & CBAS 
CMS Preclusion List - September08/27All Medicare IPAs
Interim Changes – Provider Policy and Procedure Manuals for IEHP Covered (CCA)08/21All IEHP Covered (CCA) Hospitals, PCPs, Specialists, Ancillary & BH Providers
Interim Changes – Provider Policy and Procedure Manuals for IEHP DualChoice (HMO D-SNP)08/21All Medicare IPAs, Hospitals, PCPs, Specialists, Ancillary, and BH Providers
HPV Vaccination Best Practice Sessions – Provider Interventions Webinar08/20All Family Practice, General Practice & Pediatric Providers
Proper Use of Z Diagnosis Codes Required when Billing IEHP Covered (CCA) Services08/19All IEHP Covered (CCA) Providers
New: Enhanced Care Management (ECM) Population Of Focus IPA Reporting08/19All Medicare IPAs
DMHC APL 24-007 - SB 855 Regulation Implementation - Mental Health and Substance Use Disorder (MHSUD) Coverage08/16All IEHP Covered (CCA) Providers
Outreach to IEHP Covered Members to Establish Care and Provide Preventive Care Screenings!08/16Select CCA Providers
NEW Topical Fluoride for Children and Adolescents FQHC Incentive Program08/16All FQHCs, RHCs, and IHFs 
Accessible Clinics Program 202408/16All PCPs & Specialists
Preventive Care Roster - AMR Update08/14Global Quality P4P PCP Participants & IPAs
NEW - Corrective Action Plans Accessible on IEHP Website08/14All IPAs
July 2024 IEHP Covered Pharmacy & Therapeutics Update08/12All IEHP PCPs, All IEHP Pharmacy Providers
2024 Appointment Availability Survey - BH08/12All BH Providers
2024 Appointment Availability Survey - PCPs & IPAs08/12All PCPs & IPAs
2024 Appointment Availability Survey -Specialists, Ancillary & IPAs08/12All Specialists, Ancillary & IPAs
UPDATES: 2024 Urgent Care + Wellness Quality Incentive Program08/09IEHP Urgent Care Providers
IMPORTANT - Fraudulent All Plan Letter (APL) in Circulation08/08All Providers & IPAs
ACTION REQUIRED - Quality Performance Learning Guide Provider Survey08/05All PCPs & IPAs
UPCOMING - After Hours Access Survey - (GQ P4P Measure for Medi-Cal PCPs)08/02All PCPs & BH Providers
IEHP Outbound 834 File Delay08/01IEHP 834 Trading Partners

 
TITLEDATERECIPIENTS
DHCS EVV Office Hours – August 9th, 15th, 19th & In-Person Summer Events07/31EVV Impacted Providers, Individual Nurse Providers & CBAS 
CMS Preclusion List - August 202407/30Medicare IPAs
UPDATE: 2024 Historical Data Submissions Deadline and Accepted Measures07/26All PCPs and IPAs
Month-End IEHP Outbound 834 File Update07/26IEHP 834 Trading Partners 
UPDATES: 2024 Global Quality P4P PCP Program07/26GQ P4P Participating PCPs 
REMINDER: Cologuard Home Screening Kit – IEHP Plan Risk 07/24Medi-Cal IPAs
REMINDER - DOFR Out-of-Network Referral and Authorization Requirements07/19Medicare IPAs
Interim Changes – Provider Policy and Procedure Manuals for IEHP Covered - June07/19Hospitals, PCPs, Specialists, Ancillary, BH and BHT Providers
Interim Changes – Provider Policy and Procedure Manuals for DualChoice (HMO D-SNP) - June07/19IPAs, Hospitals, PCPs, Specialists, Ancillary, BH and BHT Providers
Interim Changes – Provider Policy and Procedure Manuals for IEHP Medi-Cal - June07/19IPAs, Hospitals, PCPs, Specialists, Ancillary, BH and BHT Providers
New Health Navigation Services07/18All PCPs, Specialists & IPAs
Proposition 56 and GEMT Payment Date Change for July 202407/17Medi-Cal PCPs, Specialists & IPAs
Reminder - Data Exchange Framework (DxF) Registration Required!07/17Medi-Cal PCPs & Specialists
Specialist Provider Termination Notification Requirements (Medi-Cal)07/16Medi-Cal IPAs
IEHP Outbound 834 File Delay07/16IEHP 834 Trading Partners
CalEVV - Data Integrity Guidelines Notice 24-0107/12EVV Impacted Providers, Individual Nurse Providers & CBAS 
DHCS’ CY 2024 Targeted Rate Increase Provider Webinar on July 17th07/12All PCPs, Specialists, BH Providers and Doulas
Electronic Visit Verification (EVV) – Sandata Technologies Automated Email Alerts07/12All CBAS Providers
Complex Case Management (CCM) Program – Severe Chronic Conditions07/09IEHP Covered (CCA) PCPs, Specialists & BH Providers
Share with Us: Best Practices in Administering Topical Fluoride07/03Select PCPs & Medi-Cal Urgent Care Providers
Share with Us - Barriers to Topical Fluoride Application07/03Select PCPs & Medi-Cal Urgent Care Providers
Global Quality P4P Reminder – Alternative Member Contact Information07/03GQ P4P Participating PCPs and IPAs
Short Term Bereavement Counseling Training - IEHP07/02All BH Providers
July 2024 - Equity Diversity Inclusion and Access Trainings: Healthy Pregnancies A Focus on Prenatal Care07/02All Family Practice PCPs, OB/GYNs and Medi-Cal IPAs
Updated Health Risk Assessment Questions for DSNP and Medi-Cal SPDs07/01All PCPs, Specialists, BH Providers and IPAs
2024 Provider Satisfaction Survey07/01All Providers
UPDATED: Change to Quarterly Workplan Requirements for Over and Under Utilization07/01All IPAs

 
TITLEDATERECIPIENTS
CMS Preclusion List – July 202406/28Medicare IPAs
Highly Pathogenic Avian Influenza A (H5N1) Virus Public Health Advisory06/28PCPs and IPAs
Independence Day Holiday – July 4th06/27All IEHP Providers & IPAs
2024 Global Quality P4P IPA Program Guide - Updates06/26All Medi-Cal IPAs
2024 Global Quality P4P PCP Program Guide - Updates 06/26All IEHP Covered (CCA) & Medi-Cal PCPs
IEHP Transportation Services – Inpatient Transportation Request06/26All Hospitals and Skilled Nursing Facilities (SNFs)
Month-End IEHP Outbound 834 File Update (Non-CCA)06/26All 834 Trading Partners
CM Medi-Cal Care Coordination File Review Tool and Data Dictionary06/21Medi-Cal IPAs
Billing Code Guidance – Phototherapy and Photochemotherapy06/20All Dermatology Providers
DHCS EVV Office Hours – July 1st, 11th, 19th & In-Person Summer Events06/20EVV Impacted Providers, Individual Nurse Providers & CBAS 
Human Papillomavirus (HPV) Vaccination – Member Incentives and Best Practices Webinar Invitation06/17Family Practice, General Practice and Pediatric physicians
REMINDER - 2024 Global Quality P4P Program – CAIR2 Participation Requirement06/17All GQ P4P Participating PCPs
REMINDER - Individual Provider Taxonomy Required for CCA Billing06/14All IEHP Covered (CCA) Providers
ALERT -Authorization Errors on June 14, 2024, Requiring Resubmission!06/14Direct PCPs & Specialists, All BH, BHT & VIsion Providers
Juneteenth Holiday – Wednesday June 19th06/12All IEHP Providers & IPAs
ACTION REQUIRED: 2024 HIV/AIDS Specialist Survey06/11All IEHP Direct PCPs and Specialists
Cologuard Home Screening Kit - IEHP Plan Risk06/11All Medi-Cal IPAs
Daily IEHP Outbound 834 File Delay06/11IEHP 834 Trading Partners
May 2024 Pharmacy & Therapeutics Update06/11All IEHP Pharmacy Providers
Measles Outbreak Signage for Waiting/Exam Rooms Available for Download06/07All PCPs and IPAs
DualChoice (HMO D-SNP): Known Billing Issue06/05All IEHP Pharmacy Providers
Community Supports (CS): Improved Referral Submission Process06/05All PCPs. Specialists, BH Providers and IPAs
DHCS EVV Office Hours – June 10th, 21st, 24th + In Person Summer Events06/05EVV Impacted Providers, Individual Nurse Providers and CBAS
Interim Changes – Provider Policy and Procedure Manuals for IEHP Covered - May06/05All IPAs, Hospitals, PCPs, Specialists, Ancillary, BH and BHT Providers
Interim Changes – Provider Policy and Procedure Manuals for IEHP DualChoice (HMO D-SNP) - May06/05All IPAs, Hospitals, PCPs, Specialists, Ancillary, BH and BHT Providers
Interim Changes – Provider Policy and Procedure Manuals for IEHP Medi-Cal - May06/05All IPAs, Hospitals, PCPs, Specialists, Ancillary, BH and BHT Providers
2024 OB P4P Program – Manifest MedEx Connectivity Deadline Extension06/03IEHP OB/GYN Providers
REMINDER - Initial Health Appointment (IHA) Roster06/03Medi-Cal PCPs and IPAs

 
TITLEDATERECIPIENTS
New DHCS Drug Use Review (DUR) Board Educational Articles05/31All IEHP PCPs, All IEHP Pharmacy Providers
Primary Care Roster – Members Who Have Not Visited PCP in Prior 12 Months05/31All Direct PCPs
Care Plans and Health Risk Assessments (HRAs) Reminder05/31All PCPs, Specialists, SNFs, ICF/DDs, & CBAS
New IEHP Provider Manual Policy Search Available May 30, 202405/30All IEHP Providers and IPAs
Behavioral Health Training Webinar05/30All BH Providers
Behavioral Health Treatment Training Webinar05/30All BHT Providers
Provider Website Redesign Phase II Updates05/29All IEHP Providers
Month-End IEHP Outbound 834 File Update (Non-CCA)05/28All 834 Trading Partners
Updated D-SNP Detailed Notice of Discharge Letter05/23All Medicare IPAs
2024 Urgent Care + Wellness Quality Incentive Program– Billing Clarification05/21IEHP Urgent Care Providers
Your Feedback Matters! SB 525: Minimum Wages: Health Care Workers05/20All FQHCs, Rural Health Clinics, Urgent Cares and Ambulatory Surgery Centers
Memorial Day Holiday05/20All Providers & IPAs
DHCS EVV Office Hours – May 29th05/17All EVV Impacted Providers and Individual Nurse Providers
Referral Restrictions for Non-IEHP Covered (CCA) Vision Providers05/17All Vision Providers
NEW -Transitional Care Services - Single Point of Contact Team05/16 ICF/Developmentally Disabled – Continuous Nursing
NEW -Transitional Care Services - Single Point of Contact Team05/16Intermediate Care Facility (ICF)/Developmentally Disabled
NEW -Transitional Care Services - Single Point of Contact Team05/16Intermediate Care Facility,  ICF/Developmentally Disabled-Habilitative, ICF/Developmentally Disabled-Nursing, Nursing Facility
REMINDER - 2024 Global Quality P4P Program – CAIR2 Participation Requirement05/15All GQ P4P Participating PCPs
2024 Global Quality P4P Program – Manifest MedEx (MX) Connectivity Reminder05/14IEHP – Global Quality P4P PCP Participants
Now Available – Respond to IEHP Direct Grievances via the Provider Portal05/13All Direct PCPs
Governor Releases State Budget Revision05/10All Providers
Please Join Us! Equity, Diversity, Inclusion, & Access Training - May 2205/10All IEHP Providers & IPAs
Family Planning Augmented Rates05/10All IPAs
REMINDER Diversity, Equity and Inclusion (DEI) Survey – Process Measure05/10All Medi-Cal PCPs
2024 OB P4P Program – Payment Methodology Overview05/08All OB/GYNs
REMINDER: IEHP Interpreter Services – Benefit for Members!05/08All Providers and IPAs
April 2024 IEHP Covered Pharmacy and Therapeutics Update05/07All IEHP PCPs, All IEHP Pharmacy Providers
REVISED/RETIRED - UM Authorization Guidelines05/07All IPAs and Medical Directors
Academic Detailing Services Now Offered05/07All IEHP PCPs, All IEHP Pharmacy Providers
April - Interim Changes – Provider Policy and Procedure Manuals for IEHP Covered (CCA)05/07All IPAs, PCPs, Specialists, Ancillary, BH and BHT Providers
April - Interim Changes – Provider Policy and Procedure Manuals for IEHP DualChoice (HMO D-SNP)05/07All IPAs, PCPs, Specialists, Ancillary, BH and BHT Providers
April - Interim Changes – Provider Policy and Procedure Manuals for IEHP Medi-Cal05/07All IPAs, PCPs, Specialists, Ancillary, BH and BHT Providers
UPDATE Final Data Submission Deadline – May 10, 2024 for 2023 Global Quality P4P Program05/03All GQ P4P Participating PCPs and IPAs
REMINDER - PCPs Must Submit Auths for Ancillary Services for IEHP Covered (CCA) Members05/03All IEHP Covered (CCA) PCPs
REMINDER – Early Start Program – Refer and Review05/01All Medi-Cal PCPs and IPAs

 
TITLEDATERECIPIENTS
CMS Preclusion List – May04/29All Medicare IPAs
Maternal Wellness Event Flyer04/25All PCPs, OBs, Family Planning and BH Providers
Month-End IEHP Outbound 834 File Update (Non-CCA)04/24All 834 Trading Partners
DHCS ICF/DD Office Hours – April 25th04/23All ICF/DD Providers
Public Health Advisory has been issued for Cao Bôi Trĩ Cây Thầu Dầu04/19All PCPs 
Global Quality P4P IPA DEI Survey Reminder + Survey Overview04/19All Medi-Cal IPAs
Registration Fee Supplemented for WPath GEI Online Foundations Course04/19All PCPs and Specialists
REMINDER: Diversity, Equity and Inclusion (DEI) Survey – Process Measure04/18All Medi-Cal PCPs
New DHCS Drug Use Review (DUR) Board Educational Articles04/16All IEHP PCPs
March - Interim Changes – Provider Policy and Procedure Manuals for Medi-Cal04/16All Medi-Cal IPAs, PCPs, Specialists, Ancillary, BH & BHT Providers
March - Interim Changes – Provider Policy and Procedure Manuals for IEHP DualChoice (HMO D-SNP)04/16All IEHP DualChoice (HMO D-SNP) IPAs, PCPs, Specialists, Ancillary, BH & BHT Providers
March - Interim Changes – Provider Policy and Procedure Manuals for IEHP Covered (CCA)04/16All IEHP Covered PCPs, Specialists, Ancillary, BH & BHT Providers
REMINDER - 2024 Global Quality P4P Program – CAIR2 Participation Requirement04/15All Global Quality P4P Participating Providers
RESPONSE REQUIRED - Diversity Equity and Inclusion Pre-Training Survey04/12All Medi-Cal PCPs
Billing and Services not Requiring Prior Auth - IEHP Covered (Covered CA)04/09IEHP Covered (CCA) BH Providers
2024 Urgent Care + Wellness Quality Incentive Program - Payment Delay04/09All Urgent Care Providers
My Life. My Choice. - An Online Advanced Care Planning Program for DualChoice (HMO D-SNP) Members 04/05IEHP Direct DualChoice (HMO D-SNP) PCPs 

 
TITLEDATERECIPIENTS
Respiratory Syncytial Virus (RSV) Vaccine Timing Guide03/29All Medi-Cal PCPs
REMINDER - 2024 CAHPS Member Satisfaction Survey – Member Satisfaction Begins with You03/29All PCPs & IPAs
Update - Grace Period Reporting Codes Added to Outbound CCA 834 File Layout03/29IEHP Covered (CCA) 834 Trading Partners
RESPONSE REQUIRED - Diversity Equity and Inclusion Pre-Training Survey03/29All Medi-Cal PCPs
Interim Changes – Provider Policy and Procedure Manuals03/29All PCPs, Specialists, Ancillary, BH, BHT Providers & IPAs
2024 Updates ITC - Protocols for Emergency and Post-Stabilization Care for IEHP Members03/29California Hospitals
CMS Signature Requirement Guidelines for Member Medical Records03/29All PCPs, Specialists, BH Providers & IPAs
2024 Global Quality P4P Program Coder/Biller Workshop Invite03/28Global Quality P4P Medi-Cal & CCA PCPs
CMS Preclusion List - April03/28All Medicare IPAs
2024 Urgent Care + Wellness Quality Incentive Program Guide – Update03/28IEHP Medi-Cal Urgent Care Providers
Complex Case Management (CCM) Program – Severe Chronic Conditions03/28All Medi-Cal PCPs, Specialists, BH & IPAs
REMINDER - AI First Annual Healthcare Conference03/26All Providers
Month-End IEHP Outbound 834 File Update (Non-CCA)03/26834 Trading Partners
DHCS EVV Office Hours – April 4th & 30th03/25All EVV Impacted Providers and Individual Nurse Providers
Please Join Us! Launching Our Monthly Equity, Diversity, Inclusion & Access Series03/22All Providers & IPAs
CANCELLED! IPA Provider Finance Experience Meeting on March 27, 2024 - DOFR03/22All Medi-Cal IPAs
IEHP Outbound 834 File Delay - Non IEHP Covered (CCA)03/22834 Trading Partners
IEHP Outbound 834 File Delay03/21834 Trading Partners
Jimmo Settlement Coverage and Training Policies 03/21All Medicare IPAs
Global Quality P4P Program – NEW 2024 Interim Reports for PCPs03/20Global Quality P4P PCP Participants
2024 Global Quality P4P PCP Program Guide  Updates03/20Global Quality P4P PCP Participants
IEHP Single Point of Contact Team and Alpha Split03/20All Hospitals and Skilled Nursing Facilities (SNFs)
IEHP Transportation Services – Appointments03/19All Hospitals and Skilled Nursing Facilities (SNFs)
Additional Field Added to BH Referral for Continuity of Care 03/19IEHP Covered (CCA) BH Providers
DHCS ICF/DD Office Hours – March 22nd & April 25th03/18Intermediate Care Facilities for the Developmentally Disabled (ICF/DD)
2024 CAHPS Member Satisfaction Survey – Taking Place Now!03/15Medi-Cal IPAs & PCPs
REMINDER: 2023 Global Quality P4P Program Final Data Submission Deadline is April 1, 202403/15IEHP – All Global Quality P4P PCP & IPA Participants
IE 12th Annual Legislative Forum on March 22nd03/15All PCPs, Specialists, BH, BHT, Vision providers and IPAs 
Access Standards – Appointment Availability – BH Providers03/15All BH Providers
REMINDER - 2024 Global Quality P4P Program – CAIR2 Participation Requirement03/15All GQ P4P Participating PCPs
REMINDER - 2024 IEHP DualChoice (HMO D-SNP) Plan Benefits03/15All IEHP DualChoice (HMO D-SNP) PCPs, Specialists, Vision Providers and IPAs
Training Road Show Announcement + Flyer - EVV Providers03/13All EVV Providers
CORRECTION: Enhanced Care Management Benefit - New Populations of Focus Included 03/13All Medi-Cal PCPs
RETIRED - UM Authorization Guideline03/12All IPA Administrators and Medical Directors
REVISED/RETIRED – UM Authorization Guidelines03/11All IPA Administrators and Medical Directors
Change Healthcare Outage - Clearinghouse Services Impacted_Out of County Hospitals03/07Contracted Hospitals (Outside Riverside and San Bernardino Counties)
Change Healthcare Outage: Clearinghouses Impacted - RelayHealth and Emdeon03/05All PCPs, BH Providers, IPAs, Vision and BHT Providers 
February 2024 Pharmacy & Therapeutics Update03/05All IEHP PCPs, All IEHP Pharmacy Providers
Potential Quality Incident (PQI) and Critical Incident Reporting Form03/01Hospitals and Sub-Acute Facilities
Potential Quality Incident (PQI) and Critical Incident Reporting Form03/01Long Term-Care Facilities (Community-Based Adult Services, Congregate Living Health Facility)
Potential Quality Incident (PQI) and Critical Incident Reporting Form03/01Long Term-Care Facilities (Intermediate Care Facility, Intermediate Care Facility(ICF)/Developmentally Disabled)
Potential Quality Incident (PQI) and Critical Incident Reporting Form03/01Long Term-Care Facilities (ICF/Developmentally Disabled–Continuous Nursing, ICF/Developmentally Disabled-Habilitative)
Potential Quality Incident (PQI) and Critical Incident Reporting Form03/01Long Term-Care Facilities (ICF/Developmentally Disabled-Nursing, Nursing Facility, Skilled Nursing Facility)  

 
TITLEDATERECIPIENTS
Change to Telehealth Medicare Reimbursement2/29IEHP DualChoice (HMO D-SNP) Providers
DELAYED - Month-End IEHP Outbound 834 File2/29834 Trading Partners
2023 and 2024 D-SNP Model of Care Incentive Program Guide Updates2/29All Medicare IPAs
Congressman Jay Obernolte Virtual Presentation on March 8th2/27Riverside and San Bernardino County PCPs and Specialists  
Month - End  IEHP Outbound 834 File Update2/27834 Trading Partners
New! 2024 Global Quality P4P Coding Resource Tool2/26All PCPs
REMINDER - Medication Reconciliation Letter Available on Provider Portal2/23DualChoice (HMO D-SNP) PCPs
2024 OB P4P Program Guide Update Flu Immunization Measure2/23All OB/GYN Providers
REMINDER - AI First Annual Healthcare Conference2/23All Providers
Updated Medi-Cal Letter Templates - NOA2/22All Medi-Cal IPAs
REMINDER - 2024 Global Quality P4P Program – CAIR2 Participation Requirement 2/21All Medi-Cal PCPs
IEHP UM Department Availability2/20All PCPs, Specialists & BH Providers
Medi-Cal for Kids and Teens (EPSDT) Provider Training2/16All Medi-Cal Providers
DELAYED - Daily IEHP Outbound 834 File2/16834 Trading Partners
Important - Institutional 837 Processing Update2/16837 Trading Partners
REMINDER - Required - Multi-factor Authentication (MFA) – February 21, 20242/16EVV Impacted Providers and Individual Nurse Providers 
Volunteer Healthcare Professionals Needed - 2024 Coachella Valley Free Healthcare Clinic2/15Coachella Valley PCPs & Specialists 
Pharmacy Options Due to Rite Aid Closure in Needles CA2/15City of Needles-Adjacent Providers
Updated D-SNP Coverage Decision Letter Templates2/12All Medicare IPAs
Presidents' Day Holiday2/12All Providers & IPAs
Updated Care Coordination File Review Tool2/09All Medi-Cal IPAs
Updated D-SNP Care Management Review Tool2/09All Medicare IPAs
2024 Member Incentive FAQ Medi-Cal Child Programs2/09All Medi-Cal PCPs & IPAs
Effective Immediately – Change to PT Authorization Process to Avoid Potential Overutilization2/07All Contracted Physical Therapy Groups
DELAYED - Daily IEHP Outbound 834 File2/06834 Trading Partners
Interim Changes - Provider Policy and Procedure Manuals2/05All IPAs, PCPs, Specialists, ANC, BH and BHT Providers
Provider Manual Acknowledgement of Receipt (AOR) Winners2/02All IEHP Providers
Updates to Medi-Cal Eligibility Renewal (AER) Rosters and Alerts2/01All Medi-Cal PCPs & IPAs
Revised Pre-Service Denial Reason Matrix (D-SNP) Form2/01Medicare IPAs
DELAYED - Month-End IEHP Outbound 834 File2/01834 Trading Partners
New DHCS Drug Use Review (DUR) Board Educational Articles
2/01All PCPs

 
TITLEDATERECIPIENTS
Academic Detailing Services Now Offered 1/31All PCPs
Action Required - Signed Data Sharing Agreement (DSA) Required for CA Data Exchange Framework (DxF)1/30Selected Providers
REMINDER - Living the Mission Awards Nomination Due January 31st 1/30All Providers and IPAs
2024 OB P4P Kick-Off Meeting 1/30Medi-Cal OB/GYNs
NEW! Medi-Cal Expansion Initiative effective January 1, 2024 – Adults Aged 26 through 491/30All Providers and IPAs
2024 Urgent Care + Wellness Quality Incentive Program Guide Update!1/29Medi-Cal Urgent Care Providers
2024 OB P4P Program Guide Update!1/29Medi-Cal OB/GYN Providers
2023 Global Quality P4P Program Guide - Additional Updates!1/29Medi-Cal PCPs and IPAs
January 2024 Provider Newsletter - Heartbeat - Now Available Online1/26All Providers
Provider Quality Performance Learning Guide1/26All PCPs and IPAs
Referral and Claims Status - Multiple Matches1/25All Providers
Updated Medi-Cal UM Referral Universe Form1/25Medi-Cal IPAs
Month-End IEHP Outbound 834 File Update1/24IEHP 834 Trading Partners
Finalized Administrative Risk (FAR) Score Available for all Members1/24All PCPs and IPAs
Required - Multi-Factor Authentication (MFA) – February 21, 20241/24EVV Impacted Providers and Individual Nurse Provider
Access Standards – Appointment Availability – PCPs & OBs1/23All PCPs and OBs
Access Standards – Appointment Availability – Specialists1/23All Specialists
Access Standards – Appointment Availability – BH Providers1/23All BH Providers
UPDATE: Walgreens Human Papillomavirus (HPV) Vaccination Support1/22All Medi-Cal PCPs and IPAs
REMINDER - Living the Mission Awards Nomination Form1/22All Providers
REMINDER - AI First Annual Healthcare Conference1/22All Providers
Complex Case Management (CCM) Program - Severe Chronic Conditions1/19Medi-Cal IPAs, PCPs, Specialists and BH Providers
DHCS EVV Office Hours – February 1st, 5th & 13th1/18EVV Impacted Providers and Individual Nurse Provider
REMINDER- One (1) DHCS EVV Update Coming February 2024!1/18EVV Impacted Providers and Individual Nurse Provider
Updated D-SNP Letter Templates1/18All Medicare IPAs
Individual Provider Taxonomy Required for CCA Billing1/17All IEHP Covered CA Provider
2024 Urgent Care + Wellness Quality Incentive Program Guide Release1/17IEHP Medi-Cal Urgent Care Providers
Connect with WIC on Zoom 1/11Medi-Cal PCP's OB/GYN's and BH Providers
WPATH Standards of Care Version 8 Available Online1/11All PCPs, Specialists, BH and IPAs
REMINDER -  Webinar: D-SNP Model of Care, ECM-Like Services, HRA, & TOC Update1/11Medicare IPAs
2024 OB P4P Kick-Off Meeting1/11Medi-Cal OB/GYNs
Updates to Diabetic Testing Supplies - Effective January 1, 20241/10All IEHP PCPs, All IEHP Pharmacy Providers
Updated Medi-Cal Letter Templates1/09All Medi-Cal IPAs
IEHP HOLIDAY - Martin Luther King Jr. Day1/08All Providers
RESCHEDULED: IPA Provider Finance Experience – DOFR Review and Provider Targeted Rate Increase1/05All Medi-Cal IPAs
UPDATE- 2023 Global Quality P4P Program - Data Submission Deadlines!1/05All GQ P4P PCP Participants
Webinar: D-SNP Model of Care, ECM-Like Services, HRA, & TOC Update1/04All Medicare IPAs
Upcoming Webinar: Contolling High Blood Pressure Best Practices 1/04All IPAs
Dyadic Care Services and Family Therapy Benefit1/04Select IEHP Providers
REVISED/RETIRED – UM Authorization Guidelines1/03All IPAs
REMINDER: 2023 Global Quality P4P Program – Data Submission Deadlines!1/03All GQ P4P PCP Participants
New IEHP Covered Claims Payer ID & P.O. Box Address           1/03All IEHP Covered CA Providers
DHCS EVV Office Hours - January 9th, 18th & 24th1/02EVV Impacted Providers and Individual Nurse Providers 

 
TITLEDATERECIPIENTS
NEW! Referral Request Process Updated 12/29PCPs, BH, & BHT Providers 
Welcome to IEHP - Resources for ICF/DD Providers12/29All ICF/DD Providers
CORRECTION: Medicare P4P Programs - IMPORTANT CHANGES for 202412/29IEHP Direct D-SNP PCPs 
Global Quality P4P PCP Program - 2024 Program Guide Release!12/28All Medi-Cal PCPs
Global Quality P4P IPA Program - 2024 Program Guide Release!12/28All Medi-Cal IPAs
2024 OB P4P Program Guide Release!12/27All Medi-Cal OB/GYN Providers
D-SNP Model of Care Incentive Program - 2024 Program Guide Release12/27IEHP D-SNP IPAs
IEHP Direct Stars Incentive Program - 2024 Program Guide Release!12/27IEHP Direct D-SNP PCPs
REMINDER - Two (2) DHCS EVV Updates Coming In 2024!12/27EVV Impacted Providers and Individual Nurse Providers 
REMINDER -Upcoming Webinar- Controlling High Blood Pressure Best Practices12/27All IPAs
2023 Global Quality P4P Program Guide - Updates!12/26All Global Quality P4P PCP & IPA Providers
2023 Urgent Care + Wellness Quality Incentive Program Guide-IMPORTANT CHANGES12/22All Medi-Cal Urgent Cares
Cancelled and Rescheduled: IPA Provider Finance Experience –Review of DOFR, Provider Targeted Rate Increase (TRI) and Subcontracted Network Certification12/22All Medi-Cal IPAs
Updated Referral Universe Excel Form12/21All Medi-Cal IPAs
REMINDER: Diversity, Equity, & Inclusion Training - Due December 31, 202312/21All IEHP Providers and IPAs
New IEHP Covered Claims Payer ID & P.O. Box Address12/21All CCA IEHP Providers
NEW! Grievance & Appeals Roster Added to Provider Portal12/20All Direct PCPs
2024 Urgent Care + Wellness Quality Incentive Program - Update12/20Medi-Cal Urgent Care Providers
2023 Urgent Care + Wellness Quality Incentive Program Guide!12/20Medi-Cal Urgent Care Providers
IEHP 2023-2024 Holiday Hours12/19All IEHP Providers and IPAs
Updated: IEHP Pre-Service Denial Reason Matrix12/19All Medicare IPAs
DHCS Provider Webinar - SNF WQIP Data12/15All SNFs
CORRECTION: Medicare P4P Programs - IMPORTANT CHANGES for 202412/15IEHP Direct D-SNP Primary Care Physicians (PCPs) 
DHCS Provider Webinar - Targeted Rate Increase12/15All PCPS, OBs, and BH Providers
2023 IEHP Direct Stars Incentive Program - Data Submission Deadlines!12/15IEHP Direct D-SNP PCPs
UPDATE: 2023 Historical Data Submissions Deadline12/14All PCPs and IPAs
REMINDER: Diversity, Equity & Inclusion Training - Due December 31, 202312/14All IEHP Providers and IPAs
DUR Board Educational Articles12/14All Specialists and Medi-Cal PCPs
2024 GQ P4P PCP Kick Off Meeting Invite12/13All Medi-Cal PCPs
2024 GQ P4P IPA Kick Off Meeting Invite12/13All IPAs
Living the Mission Awards Nomination Form12/13All IEHP Providers
Upcoming Webinar: Controlling High Blood Pressure Best Practices 12/12Medi-Cal & Medicare IPAs
Quality Improvement Rotavirus Vaccine Update  Rotarix Liquid Formulation12/12All Medi-Cal PCPs, Specialists & IPAs
REMINDER - Training Alert - IEHP Covered BH Provider Webinar Invitation12/11IEHP Covered BH
REMINDER - Training Alert - IEHP Covered BHT Provider Webinar Invitation12/11EHP Covered BHT
Enhanced Care Management (ECM) Provider Feedback Survey12/06Select Medi-Cal Providers
IPA  - PM Interim Changes- November12/05All IPAs
Walgreens Human Papillomavirus (HPV) Vaccination Support12/04All Medi-Cal PCPs and IPAs
TRAINING ALERT: IEHP Covered BHT Provider Webinar Invitation12/01IEHP Covered BHT
TRAINING ALERT: IEHP Covered BH Provider Webinar Invitation12/01IEHP Covered BH
Submit your 2024 Provider Policy and Provider Manual Acknowledgement of Receipt12/01All IEHP Providers 
DHCS EVV Office Hours – December 11th12/01EVV Impacted Providers and Individual Nurse Providers 
REMINDER! Diversity, Equity, and Inclusion Training-Now Available Online!12/01All IEHP Providers & IPAs
Two DHCS EVV Updates Coming In 2024!12/01EVV Impacted Providers and Individual Nurse Providers 

 
TITLEDATERECIPIENTS
TRAINING ALERT: IEHP Covered Vision Provider Webinar Invitation11/30IEHP Covered Vision
November 2023 Pharmacy & Therapeutics Update11/30All IEHP Providers
Equity and Practice Transformation (EPT) Program Update11/30All EPT Program Applicants
REVISED - UM Authorization Guidelines11/29All IPAs, Medical Directors, BHT and Behavioral Health Providers
TRAINING ALERT: IEHP Covered PCP Webinar11/27IEHP Covered PCPs
Urgent Care + Wellness Quality Incentive Program - Billing Guidance11/21IEHP Medi-Cal Urgent Care Providers 
AI First Annual Healthcare Conference11/20All IEHP Providers
REMINDER! Diversity, Equity, and Inclusion Training: Now Available Online!11/20All IEHP Providers
IEHP Capitation Reports Only Available Online - Effective November 202311/20All PCPs
UPCOMING: Emergency Instructions Survey - Specialists11/17All Specialists
IMPORTANT MESSAGE: Medi-Cal Renewal Process11/16All PCPs, IPAs, Specialists and BH Providers
Thanksgiving Day Holidays11/16All IEHP Providers
UPCOMING - Emergency Instructions Survey - PCP11/16All PCPs
UPCOMING - Emergency Instructions Survey - BH11/16All BH Providers
ICF/DD and Subacute Care Facilities – Plan Benefit effective January 1, 202411/15All IEHP Providers
2023 IEHP Direct Stars Incentive Program - Data Submission Deadlines!11/15IEHP Direct D-SNP PCPs
Vibrant Health Card: 2024 Over-the-Counter Benefit for IEHP DualChoice Members11/13IEHP DualChoice PCPs and Medicare IPAs
IPA Monthly Interim Provider and EDI Manual Changes11/09IPA Administrators
ACTION REQUIRED - Provider  Vaccine Barriers Survey11/08All Medi-Cal PCPs
DHCS EVV Office Hour - January 1, 202411/07EVV Impacted Providers and Individual Nurse Providers
Required! Adult & Youth Screening & Transition of Care Tools Webinar: December 4, 202311/03All BH Providers
Veteran's Day Holiday - November 10th11/03All IEHP Providers
IEHP Partnership with Transtreme11/02IEHP Direct PCP Providers
Train New Trainers (TNT) Fellowships - Primary Care Psychiatry (PCP) and Addiction Medicine (PC-TEAM)11/02All PCPs, Peds and Obs
2023 IEHP Direct Stars Incentive Program - Data Submission Deadlines!11/01IEHP Direct D-SNP PCPs
REVISED - UM Authorization Guidelines11/01All IPAs, Medical Directors and BH Providers
Medicare P4P IEHP Direct - Blood Pressure Control Billing Guidance11/01IEHP Direct DualChoice PCPs

You will need Adobe Acrobat Reader 6.0 or later to view the PDF files. You can download a free copy by clicking here.