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Notices

For Pharmacy Times Notices please click here.

 
TITLEDATERECIPIENTS
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

 
TITLEDATERECIPIENTS
2024 IEHP Direct Stars Incentive Program Performance Goal Update - Flu Vaccine11/27IEHP Direct DualChoice (HMO D-SNP) PCPs 
2024 Global Quality P4P PCP Program Guide Updates11/27All Medi-Cal PCPs
Month-End IEHP Outbound 834 File Reminder (Medi-Cal & Medicare)11/27IEHP 834 Trading Partners
CMS Preclusion List – December 202411/27Medicare IPAs
2025 Urgent Care + Wellness Quality Incentive Program Guide Release11/26All Medi-Cal Urgent Care Providers
DHCS EVV Office Hours – December 911/26All EVV Impacted Providers, Individual Nurse Providers & CBAS 
OB P4P Program – 2025 Program Guide Release11/26All OB/GYN Providers
REVISED – UM Authorization Guidelines11/26All IPAs and Medical Directors
Behavioral Health Treatment (QASP) Training Webinar - December 1811/25All BHT (QASP) Providers
Behavioral Health Training Webinar - December 1011/25All Behavioral Health Providers
Behavioral Health Treatment (BHT) HCPC Code Reminder11/22Behavioral Health Treatment Providers
REMINDER: 2024 Global Quality P4P Program – Data Submission Deadlines!11/20All Global Quality P4P PCP Participants
REMINDER: 2024 IEHP Direct Stars Incentive Program – Data Submission Deadlines!11/20IEHP Direct DualChoice (HMO D-SNP) PCPs 
Update to Outbound 834 CCA File Layout11/20IEHP 834 CCA Trading Partners
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

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