Contracted providers may visit our online secure provider portal at www.iehp.org for more information. Bariatric Surgeons: Want to research a weight loss surgery surgeon? Billy123 I Shld be skinny for the first time in my life. Easy-to-read handouts in English, Spanish and other languages on nutrition, diabetes, depression, and other topics related to womens health. Congrats!!!! The goal of Compliance Training is to provide all associated parties the ability to demonstrate awareness of IEHPs requirements, including regulations and policies & procedures associated with Compliance as it relates to daily work. } This program includes but is not limited to: IEHP has established a Fraud, Waste, and Abuse Program to detect, correct, and prevent fraud, waste, and abuse on part of Team Members, IEHP Members, Providers, Vendors, delegated entities and any other entity doing business with IEHP. My heart rate is super good apparently. Will be weird lol. googletag.defineSlot('/15547294/BP_Header_900x50_U1_Tracking', [1, 1], 'div-gpt-ad-U1-Tracking').addService(googletag.pubads()); { }); Sign in to follow this . Attn: Claims Department IEHP Direct @media only screen and (max-width: 383px) {} .visely-pagination ul { width: 100%; display: table; table-layout: fixed; background-color: #e3e3e3; margin: 0; padding: 0; } If you have one of these, call your plan to see if it covers gym memberships or fitness programs. Skip to content. Who wants to see my skin flapping through a bikini ahhhh lol. // END Polyfill After a half week of binge eating out of nervousness for the surgery (oddly enough didn't gain scale weight but I can tell my tummy grew some. I am all good now. var ipsSettings = { If a Member presents at the emergency department for non-emergency services, please refer the Member to their IEHP Member Handbook, section 3 (How to Get Care), which outlines the process for obtaining a referral. @media only screen and (min-width: 1024px) { .visely-widget-container:before { content: 'large'; } } I still have a big head from that lol. All plans cover treatment and vaccines for COVID-19. Topics are available in multiple languages. Cases From a Sexual Health Clinic, Insurance Considerations for Navigating Gender-affirming Care, Building Your Family: LGBTQ Reproductive Options, Behavioral Health Assessments and Referral for Gender-Affirming Surgery, Collecting Sexual Orientation and Gender Identity (SO/GI) Data In Electronic Health Records, Providing Mental Health Assessments for Gender Affirming Surgery Referral Letters, https://www.ahrq.gov/health-literacy/index.html, https://www.ahrq.gov/patient-safety/education/continuing-ed/index.html, https://cccm.thinkculturalhealth.hhs.gov/, ABA 6 Month and Exit Progress Report Template (Word), ABA School BHT Services Request Form (Word), Authorization Release of Information Form - English (PDF), Authorization Release of Information Form - Spanish (PDF), Behavioral Health Authorization Request Form (PDF), Coordination of Care Treatment Plan Form (PDF), Psych Testing Battery Plan (for Psychologist use only) (PDF), Provider Identified Overpayment Form (PDF), Provider Identified Overpayment Form (Multiple) (PDF), Clean Claim Tool Guide - 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30 day appeal - IPA, Continuity of Care - Notice of Authorization, Continuity of Care Notice of Termination, Informational Letter to Beneficiary and PCP, Coverage Decision Letter Part B - 7 Day Appeal, Coverage Decision Letter Medical 30 Day Appeal, Positive Airway Pressure Devices for Obstructive Sleep Apnea (PDF), Transcutaneous Electrical Nerve Stimulator (TENS) (PDF), Referral Authorization Request Form - Non-Contracted Providers (PDF), Edinburgh Postnatal Depression Screening Tool - English (PDF), Edinburgh Postnatal Depression Screening Tool - Spanish (PDF), Instructions for Completing Online Reporting of PPCs, Medi-Cal Guidance on Reporting Provider-Preventable Conditions, Acute Hospital Discharge Needs Request Form (PDF), Authorization for Use and/or Disclosure of Patient Health Information - English (PDF), Authorization for Use and/or Disclosure of Patient Health Information - Spanish (PDF), Health Risk Assessment (HRA) - IEHP DualChoice (CMC) - English (PDF), Health Risk Assessment (HRA) - IEHP DualChoice (CMC)- Spanish (PDF), Health Risk Assessment (HRA) - IEHP DualChoice (HMO D-SNP) - English (PDF), Health Risk Assessment (HRA) - IEHP DualChoice (HMO D-SNP) - Spanish (PDF), Health Risk Assessment (HRA) - IEHP DualChoice (HMO D-SNP) - Chinese (PDF), Health Risk Assessment (HRA) - IEHP DualChoice (HMO D-SNP) - Vietnamese (PDF), HIV Testing Sites - Riverside and San Bernardino (PDF), Non-Emergency Medical Transportation (NEMT) Physician Certification Statement (PCS) (PDF), Service Request for Skilled Nursing Facilities (PDF), Standing Referral and Extended Access Referral to Specialty Care (PDF), Transportation Requests Form (SNF & LTC) (PDF), Transportation Requests Form (Hospital) (PDF), Vision Exception Request (VER) Form (PDF), Medi-Cal Non-Covered Services/Materials Waiver Form-English (PDF), Medi-Cal Non-Covered Services/Materials Waiver Form-Spanish (PDF), Medi-Cal Non-Covered Services/Materials Waiver Form-Chinese (PDF), Medi-Cal Non-Covered Services/Materials Waiver Form-Vietnamese (PDF), IEHP DualChoice (HMO D-SNP) Non-Covered Services/Materials Waiver Form-English (PDF), IEHP DualChoice (HMO D-SNP) Non-Covered Services/Materials Waiver Form-Spanish (PDF), IEHP DualChoice (HMO D-SNP) Non-Covered Services/Materials Waiver Form-Chinese (PDF), IEHP DualChoice (HMO D-SNP) Non-Covered Services/Materials Waiver Form-Vietnamese (PDF), Authorization of Release - Use & Disclosure of PHI - English (PDF), Authorization of Release - Use & Disclosure of PHI - Spanish (PDF), CMS 1696 Appointment of Representative - English (PDF), CMS 1696 Appointment of Representative - Spanish (PDF), Provider Services Materials Request Form (PDF), 2017 Model Output Report (MOR) Data File Layout (PDF), Department of Health Care Services (DHCS), 2022Facility Site Review Standards (FSR) (PDF), 2022Facility Site Review Tool (FSR) (PDF), 2022Medical Record Review Standards (MRR) (PDF), 2022Medical Record Review Tool (MRR) (PDF), APL 22-017 - Facility Site Review and Medical Record Review (PDF), DPL 14-005 - FSR Physical-Accessibility Reviews (PDF), Att 06 - IEHP Urgent Care Evaluation Tool (PDF), Medical Record Review Audit Tool Sections, Pre-filled Emergency Medications Dosage Chart (PDF), Medical Emergency, Earthquake, Fire Protocols (PDF), Adult Sterilization & Special Consent P&P (PDF), Comprehensive Pediatric and Adult Health Assessment Forms (PDF), Required Documentation Checklist for Adult (PDF), Checklist for Safe Vaccine Storage and Handling (PDF), Controlled Substance Distribution Log (PDF), Monthly Expiration Date & Verification Log (PDF), P&P Distribution of Sample Medications (PDF), Patient Distribution Log for Samples (PDF), Plan for Vaccine Protection in Case of Power Outage (PDF), Vaccine Information Sheet (VIS) Protocol (PDF), Advance Health Care Directive Acknowledgement Form (PDF), Acknowledgment of Receipt of Notice of Privacy Practice (PDF), AAP Infection Prevention and Control in Pediatric Ambulatory Settings - COVID (PDF), Bloodborne Pathogens & Post Exposure Plan - Fillable (PDF), Communicable Disease (ISOLATION) Protocol (PDF), Infection Control, Biohazardous Waste and Disposition of Patients with Contagious Disease (PDF), Isolation & Transmissions Based Precautions (PDF), P&P Autoclaving Instruments in Peel (PDF), P&P Transport for Reusable Instruments (PDF), Transfer Stations and Treatment Facilities (PDF), CPSP Initial and Trimester Assessment and Care Plan (PDF), CPSP Postpartum Assessment and Care Plan (PDF), Edinburgh Postnatal Depression Scale (EPDS) (PDF), Required Documentation Checklist for OB (PDF), CDC Growth Chart Head Circumference - Boys (PDF), CDC Growth Chart Head Circumference - Girls (PDF), CDC Growth Chart Weight for Age - Boys (PDF), CDC Growth Chart Weight for Age - Girls (PDF), Required Documentation Checklist for Pediatric (PDF), What Do You Eat (8-19 years) - English (PDF), What Do You Eat (8-19 years) - Spanish (PDF), What Does Your Child Eat (Birth - 8 years) - English (PDF), What Does Your Child Eat (Birth - 8 years) - Spanish (PDF), Youth Nutrition and Activity Assessment (8 - 19 years) (PDF), Accessibility Obligations of Medical Practices (PDF), Electronic Resources for Required Employee Training (PDF), IEHP Cultural and Linguistics Training (PDF), IEHP Grievance Resolution Process - English (PDF), IEHP Grievance Resolution Process - Spanish (PDF), IEHP P&P Elder or Adult Abuse Reporting (PDF), IEHP P&P Sensitive Services-Access Standards (PDF), Medical Assistant Letter of Competency - Fillable (PDF), Medical Assistant Venipuncture Form (PDF), Medication Administration Procedures (PDF), Mid-level Supervision of Medical Assistant (PDF), Notice to Consumer PA Sign - English (PDF), Notice to Consumer PA Sign - Spanish (PDF), Standardized Procedures for Nurse Practitioner (PDF), Electronic Resources for Medical Record Review (PDF), Click here to visit the Skinny Gene Project online, 2021 Population Needs Assessment (PNA) Report, Food and Drug Administration - Office of Women's Health, Working Toward a Statewide POLST Registry in California | POLST (capolst.org), POLST for Healthcare Providers | POLST (capolst.org), American College of Obstetricians and Gynecologists (ACOG), American Academy of Pediatricians (AAP) / Bright Futures, Comprehensive Perinatal Services Program (CPSP), Global Strategy for Asthma Management and Prevention (PDF), Global Initiative for Chronic Obstructive Lung Disease COPD (PDF), Hepatitis C Virus Infection in Adolescents and Adults: Screening, American Association for the Study of Liver Diseases Hepatitis C (PDF), Joint National Committee Hypertension Guidelines (PDF), Osteoporosis to Prevent Fractures: Screening, Prescription Medication Refill List (PDF), After Hours Phone Numbers for Coverage Determination and Expedited Appeals, Appointment Standards for All Provider Types (PDF), Appointment Standards for Behavioral Health (PDF), LabCorp Patient Service Centers at Walgreens (PDF), Behavioral Health Treatment (BHT) Criteria (PDF), Behavioral Health Home Based Services (PDF), Criteria for Multidisciplinary Diagnostic Treatment (PDF), Community Transition Services Nursing Facility Transition to a Home (PDF), Nursing Facility Transition-Diversion to Assisted Living (PDF), Housing Transition Navigation Services (PDF), Housing Tenancy and Sustaining Services (PDF), Environmental Accessibility Adaptations (Home Modifications) (PDF), Short-Term Post-Hospitalization Housing (PDF), Inflammatory Bowel Disease Serology (PDF), Bone Marrow Transplant in Treatment of Multiple Sclerosis (PDF), Pain Management - Centers of Excellence (COE) (PDF), Referrals to Pain Management Specialist (PDF), Adolescent Bariatric Consultation and Surgery (PDF), Natural Orifice Transluminal Endoscopic Surgery (PDF), Allocation of Limited Critical Care Resources During a Public Health Emergency (PDF), Complementary and Alternative Medicine or Holistic Therapies (PDF), Congregate Living Health Facilities (PDF), Criteria for Custodial Care: Medi-Cal (PDF), My Path (A Palliative Care Approach) (PDF), Tertiary Care Center Referral Requests (PDF), Diabetes Prevention Program - Skinny Gene Project, IEHP Texting Program Terms and Conditions.

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