googletag.defineSlot('/15547294/BP_Sidebar_125x125_SQ2', [125, 125], 'div-gpt-ad-SQ2').addService(googletag.pubads()); IEHP Special Programs .visely-widget-container.hidden { visibility: hidden; display: flex; } .hidden.visely-pagination button { margin: 0; padding: 0;} We have also indicated any HEDIS/ MCAS measures that are pertinent to the topic. Just thought it wld be harder than this lol. IEHP maintains Policies and Procedures that are shared with Providers to comply with State, Federal regulations and contractual requirements. n.callMethod.apply(n,arguments):n.queue.push(arguments)};if(!f._fbq)f._fbq=n; A listing of LabCorp Patient Service Centers around the Inland Empire can be found below: Any of your IEHP Members needing medical attention may visit an Urgent Care Clinic after regular business office hours and on weekends. Link (optumhealtheducation.com) IF there is a USPSTF guideline relevant to the topic, we have identified it below. } else if (modifyClass === 'remove'){ cookie_ssl: true, Does Medicare Cover Hearing Aids? 2022 Medicare Coverage and Benefits }, Click on the following links to jump to that specific section: IEHP partners with Providers to help educate Members about their health conditions and achieve health goals. ips.setSetting( 'emoji_ascii', jQuery.parseJSON('"1"') ); A non-contracted provider, on his or her own behalf, is permitted to file a standard appeal for a denied claim only if the non-contracted provider completes a waiver of liability statement, which provides that the non-contracted provider will not bill IEHP DualChoice (HMO D-SNP) Plan Members. Medicare consists of different parts. The Doctor Search will help you find a Doctor who accepts Medi-Cal or IEHP DualChoice (HMO D-SNP).You can also search for pharmacies, urgent cares and hospitals near you. Cray cray! I am considering the it works wraps but definitely will be doing toning as best I can\nWell I\u0027m rambling\nGood luck all!\n", "Health plans that provide bariatric coverage will usually have specific requirements to be approved for bariatric surgery," says Dr. Shawn Garber, founder and director at New York . IEHP will identify the most vulnerable members assigned to IPAs. googletag.pubads().enableAsyncRendering(); If the dispute is for multiple, substantially similar claims, complete the spreadsheet on page 2 of the Provider Dispute Resolution Request Form. IEHP has put together a list of webinars, provided by a third party, to provide educational programs, resources, and consultation to health care organizations with the goal of optimizing quality, cost-effective health care for lesbian, gay, bisexual, transgender, and all sexual and gender minority (LGBT) people. Most insurers provide coverage for video visits at the same cost as in-person visits. }, Another surgery down the road for that. // http://osvaldas.info/drop-down-navigation-responsive-and-touch-friendly Started Yesterday at 07:21 PM, By Chiropractic is a health care profession. PO BOX 4319 This generally means that a breach occurs when PHI is accessed, used, or disclosed to an individual or entity that does not have a business reason to know that information. "@type": "InteractionCounter", Inland Empire Health Plan- Does Inland Empire cover Addiction Treatment? To obtain more compliance guidelines, the Department of Health and Human Services (HHS) offers assistance (by clicking on this link you will be leaving the IEHP website). Schedule an appointment. "@context": "http://www.schema.org", Of course then I will have hanging dangling skin lol. The IEHP Compliance, FWA, and Privacy Training Program focuses on the elements of an effective Compliance Program, conduct & ethics, and the Fraud, Waste and Abuse and Privacy Programs. Challenges, appeals, or appeals, or requests reconsideration of a claim (including a bundled group of similar claims) that has been denied, adjusted, or contested, Challenges a request for reimbursement for an overpayment of a claim, Seeks resolution of a billing determination or other contractual dispute, Claims denied for missing or additional documentation requirements such as consent forms, invoices, Explanation of Benefits from primary carrier, or itemized bills are not considered Provider Disputes. I Shld be skinny for the first time in my life. These templates should not be used until the effective date of January 2, 2023. Just thought it wld be harder than this lol. // Toggle class "url": "https://www.bariatricpal.com/profile/177954-squizzo/" var messageDate = new Date(); in General Weight Loss Surgery Discussions, By 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. } "dateCreated": "2015-08-01T20:00:53+0000", ips.utils.cookie.set( 'topBarClosed', 'true', messageDate.toUTCString() ); They tell people to get bikini ready by getting a surgery that requires you to be 100+ over weight ahhahahahahaha! @media only screen and (min-width: 384px) and (max-width: 767px) {} var mappingH1; "url": "https://www.bariatricpal.com/profile/177954-squizzo/" Download BariatricPal for your Android Device. To obtain copies, simply click on the links below. If you are interested in becoming a network Provider, please click here. I find the radio commercials pushing weight loss surgery so silly. }, analyticsProvider: "ga", Fraud is knowingly and willfully executing, or attempting to execute, a scheme or artifice to defraud any health care benefit program, or to obtain, by means of false or fraudulent pretenses, representations, or promises, any of the money or property owned by, or under the custody or control of, any health care benefit program. Oh well lol. Didn't weigh as of yet. Physical Therapy Coverage - Medicare $(document).ready(function(){ Started 17 hours ago, By PHI is health information that relates to a Members past, present or future physical or mental health or condition, including the provision of his/her health care, or payment for that care and contains personally identifiable information (PII) such as name, SSN, DOB, Member ID, address, or any other unique identifier related to the Member. Report potential FWA: Click Here. } Feeling much better about the surgery and less scared. window.addEventListener('load', function() {viselyForumInit();}); googletag.defineSlot('/15547294/BP_Sidebar_125x125_SQ3', [125, 125], 'div-gpt-ad-SQ3').addService(googletag.pubads()); CustomEvent.prototype=window.Event.prototype;window.CustomEvent=CustomEvent})();if(!Array.from){Array.from=(function(){var toStr=Object.prototype.toString;var isCallable=function(fn){return typeof fn==='function'||toStr.call(fn)==='[object Function]'};var toInteger=function(value){var number=Number(value);if(isNaN(number)){return 0} Inland Empire Health Plan (IEHP) is prohibited from issuing payment for services provided, ordered, or prescribed by an individual or entity that is excluded, ineligible, or terminated from participation in State and Federal health care programs in accordance with regulatory and contractual requirements. cookie_path: "/", .ipsLayout_sidebarright .most-popular .visely-pagination {visibility: hidden;} Criminal record checks when appropriate or as required by law. The call is free and the caller may remain anonymous. To report any issues with this system or process or for any questions, please send an email toDGHospitalRelationsServiceTeam@iehp.org, To login, visit Working Toward a Statewide POLST Registry in California | POLST (capolst.org), To sign up, simply go to POLST for Healthcare Providers | POLST (capolst.org). "url": "https://www.bariatricpal.com/profile/254191-sleevefornellie/" }, $(targetElement).toggleClass(className); P.O. (866) 294-4347 Providers \. Congrats!!!! @media only screen and (max-width: 383px) {} Ages:18 years and over. "type": "SearchAction", Of course then I will have hanging dangling skin lol. You can refer your IEHP Members to these programs anytime by logging into the Secure Provider Website and completing the Health Education Program Request Form. }; You may want to ask for another form of identification in addition to the IEHP Member identification card. They tell people to get bikini ready by getting a surgery that requires you to be 100+ over weight ahhahahahahaha! "alternateName": "en-US" No Fertility Coverage?. // Make hover navigation work with touch devices Improving Health Literacy by Improving Communication Skills Provider Login =====TEXT INFOPANEL. Small changes can have big results! The hospital should request prior authorization from IEHPs Utilization Management (UM) Department by: IEHP makes every effort to respond to requests for necessary post-stabilization care within thirty (30) minutes of receipt. How to get your health insurer to pay for your weight-loss surgery If you need IEHP to direct the referral, please indicate that on the form. Resources are reviewed regularly and updated to reflect changes from a regulatory and clinical standpoint. Continue to More Savings Than Ever . Resource: website, This website is aimed at providing information to Providers on Medicare's National CCI edits, but will not address specific CCI edits. "inLanguage": [ E-mail: compliance@iehp.org. Members \. googletag.defineSlot('/15547294/BP_Header_900x50_U1', [900, 50], 'div-gpt-ad-U1').addService(googletag.pubads()); If you have questions or additional suggestions, please e-mail the IEHP Compliance Department at compliance@iehp.org. "datePublished": "2015-05-16T00:08:35+0000", { (function(){if(typeof window.CustomEvent==="function")return!1;function CustomEvent(event,params){params=params||{bubbles:!1,cancelable:!1,detail:undefined};var evt=document.createEvent('CustomEvent');evt.initCustomEvent(event,params.bubbles,params.cancelable,params.detail);return evt} "addressLocality": null, does iehp cover chiropractic - rtr-funding.com "userInteractionCount": 4 Fever? "@type": "DiscussionForumPosting", } First, your doctor must deem a hot tub medically necessary and write you a prescription. New Patient Special Offer. Knowingly billing for services or prescriptions not furnished or supplies not provided, Knowingly altering claim forms for a higher payment, Selling medicine, medical equipment, or other things received through IEHP, Writing excessive prescriptions or ordering excessive tests, Prescribing more medications than necessary for the treatment of a specific condition, Billing for unnecessary medical services or medical equipment, Billing for brand name drugs when generics are dispensed. I had surgery in Mexico with ALO Baratrics & Dr Lopez on February 9th. "name": "BariatricPal", Medically Tailored Meals and Other Community Supports, Pharmacy Services (medication reconciliation and other programs), IPAs are expected to outreach to these Members and their County MH Clinic Provider, as well as, document their outreach attempts and outcomes as outlined in Policy 25C2, Care Management Requirements Delegated IPA Responsibilities.. "@type": "Person", DocOnline, an extension to the Nurse Advice Line, allows Members to speak with a board-certified Physician for advice after hours using telephonic and/or video devices. Victoria_Faith Does Medicare cover a chiropractor? | UnitedHealthcare "interactionType": "http://schema.org/FollowAction", IEHP has the following resources available for reporting fraud, waste or abuse, privacy issues, and other compliance issues: Compliance Hotline: (866) 355-9038 Medicare. IEHP - Gender Health : Welcome to Inland Empire Health Plan \. I am all good now. Post-Op Liquid Diet -- too much fluid? 5041 Six Forks Rd, Suite 105, Raleigh, NC 27609. t.src=v;s=b.getElementsByTagName(e)[0];s.parentNode.insertBefore(t,s)}(window, I find the radio commercials pushing weight loss surgery so silly. You can download a free copy by clicking here. On May 23,2017, the Department of Healthcare Services (DHCS) released All Plan Letter (APL) 17-009, reporting requirements related to Provider Preventable Conditions. Additional UM Subcommittee Guidelines may be developed as needed or may be withdrawn from use. "postalCode": null, Report potential FWA Click Here (By clicking on this link, you will be leaving the IEHP website). IEHP requires contracted and non-contracted hospitals to obtain prior authorization for post-stabilization care for Members (patients). omrhsn, February 16 .ipsLayout_sidebarright .most-popular .visely-recommendations-container > div > div {clear:left;} @-webkit-keyframes fade3 { 0% {opacity: 0;} 5% {opacity: 1;} 35% {opacity: 1;} 40% {opacity: 0;} 100% {opacity: 0;} } Allie Cat, February 7 { "author": { .visely-recommendation-item .cycle img { top:0; -webkit-animation-iteration-count: infinite; animation-iteration-count: infinite; display: block !important; position:absolute; } I am so thirsty but water makes me nauseous. I am bmi 40 and have no health issues. Contacting the Office of the Inspector General var targetElement = classModifiers[2]; var classContent = $(this).attr('data-class'); Provider Manuals. (800) 718-4347 (TTY), IEHP 24-Hour Nurse Advice Line (for IEHP Members only) "text": "I didn\u0027t think I\u0027d get approves so fast. IEHP - Medical Benefits & Coverage Of Medi-Cal In California Find an ASH Plans participating chiropractor or participating acupuncturist near you. __attentive_domain="bariatricpal.attn.tv",function(){window.__attentive={invoked:!1,show:function(){this.invoked=!0}};var t=!1,e=function(){if(document.readyState&&!/loaded|complete/.test(document.readyState))return void setTimeout(e,10);if(!t)return t=!0,void setTimeout(e,50);var n=document.createElement("script");n.setAttribute("async","true"),n.type="text/javascript",n.src="https://cdn.attn.tv/loader.js",((document.getElementsByTagName("head")||[null])[0]||document.getElementsByTagName("script")[0].parentNode).appendChild(n)};if(document.readyState && /loaded|complete/.test(document.readyState))e();else window.addEventListener?window.addEventListener("load",e,!1):window.attachEvent("onload",e)}(),window.__attentive.show(); The Centers for Medicare & Medicaid Services (CMS), the Department of Health Care Services (DHCS) and the National Committee for Quality Assurance (NCQA) require that IEHP staff and contracted consultants/vendors, our Medicare IPAs, Hospitals/SNFs, and Providers, receive training on the Plans Model of Care for our D-SNP Members: The Office of the Inspector General (OIG) is there to assist you and maintains a hotline, which offers a confidential means for reporting vital information. .complete .visely-recommendations-container, .visely-recommendations-title.complete { opacity: 1; } Or visit the ASH Plans website . Chiropractors perform adjustments (manipulations) to the spine or other parts of the body. Fax: (909) 477-8536 "addressRegion": null, document.dispatchEvent(new CustomEvent('viselyWidgetInit', {detail: { widgetType: 'MOST_POPULAR' }})); Debbie2022 Things to know. "headline": "IEHP Approved", If you have one of these, call your plan to see if it covers gym memberships or fitness programs. googletag.defineSlot('/15547294/BP_Sidebar_300x600_S3', [300, 250], 'div-gpt-ad-S3').addService(googletag.pubads()); Quick Answer: Does California Health And Wellness Cover Vision 6405 Day St. IEHP will cover for Medi-Cal Members: Only two (2) chiropractic services per month Limited to treatment of the spine . setTimeout( function() { "streetAddress": "", Learn more in this blog. !function(f,b,e,v,n,t,s){if(f.fbq)return;n=f.fbq=function(){n.callMethod? You can include in medical . $('.ipsNavBar_primary > ul > li:has(ul)').doubleTapToGo(); var className = classModifiers[0]; "url": "https://www.bariatricpal.com/topic/340196-iehp-approved/", // BEGIN Shopify Context Please note that benefits may vary based on Members line of business; therefore, certain services discussed in the UM Subcommittee Guidelines may not be a covered benefit. "@id": "https://www.bariatricpal.com/forum/1300-insurance-financing/", fbq('track', 'PageView', {"item_id":340196,"item_name":"IEHP Approved","item_type":"topic","category_name":"Insurance & Financing"} ); "author": { does iehp cover chiropractic - creditsolutionexperts.com Diagnosed with Cardiovascular Disease AND/OR Diabetes. IEHP utilizes a variety of sources in developing our UM guidelines which include: IEHP is also licensed to use MCG Guidelines, Apollo Medical Review Criteria, and InterQual to guide in utilization management decisions. Topics are available in multiple languages. IEHP has created UM Subcommittee Approved Authorization Guidelines to serve as one of the sets of criteria for medical necessity decisions. That\u0027s why I got approved so fast. fbq('init', '1518864288430229'); Dr. Sophia Myers, DC, FASA is a Chiropractor & Acupuncturist practicing in Raleigh since 1998.