s e v i t c e p s Per
r e t t e l s w e N r e b m Me
A Message from Dolly C. Goel, MD
Member Services Unit-Based Team.................................7 MDLIVE - New Telehealth Benefit.....................................8 Important Information on the VHP Website....................10 Provider Directory..............................................................11 Coordination of Benefits...................................................12
Table of Contents
Valley Health Plan is proud to partner with and support the East San JosĂŠ PEACE (Prevention Efforts Advance Community Equity) Partnership and the State of California to address racial and health inequities by preventing youth, family, and community violence and trauma. The VHP Chief Medical Officer PEACE Partnership identifies, prioritizes, and funds existing and new violence prevention strategies through a new infrastructure model, an Accountable Community for Health. It is one of six pilots in California supported by the California Accountable Communities for Health Initiative (CACHI). We are very excited to be part of a new model of care that promotes and supports safer and healthier communities.
Health Education Programs & Events..............................2 - Weight Watchers - Free Member Wellness Day - Personal Health Assessment (PHA) - Nutrition Talk Series - Adult Diabetes Prevention Program - Breast Cancer Awareness Campaign
Out-of-Network Urgent Care Services............................12 VHP Advisory Board ........................................................13 Change of Address...........................................................13
Member Rights and Responsibilities...............................14 New Autism Care Management Program.......................17
CarePoint - Chronic Health Condition Program.............17
How to Contact the Utilization Management Dept........18
New Technology Review...................................................18 Authorization Review & Criteria Decision Making Process.................................................................18 VHP Quality Management Team Updates......................19 Protected Health Information...........................................20 Affirmative Statement About Financial Incentives........21 Speaking the Language of Health..................................21 Pharmacy Network Information......................................22
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