Committed to Compliance

At Community Health Plan of Imperial Valley (CHPIV), we take compliance seriously to ensure that our health plan operates with the utmost integrity, protects our members’ interests, and maintains the highest standards of care. Our comprehensive compliance program is designed to meet all federal and state regulations, safeguard against fraud, waste, and abuse, and foster a culture of ethics and responsibility throughout our organization.

Why Compliance Matters:

Compliance is at the heart of everything we do. It enables us to provide reliable and transparent healthcare services to our valued members while building trust with our healthcare providers and partners.

Our Key Focus Areas:

  • Fraud Prevention: Our vigilant fraud detection systems and ongoing education for employees and providers help safeguard against fraudulent activities.
  • Regulatory Excellence: We stay updated with the latest regulations and requirements, ensuring that our plan remains fully compliant with all governing laws to protect your rights as members.
  • Ethical Standards: Our commitment to a strong code of conduct and ethical behavior guides our team in delivering compassionate and professional care.
  • Data Security and Privacy: Protecting your sensitive health information is our top priority. We strictly adhere to HIPAA regulations to maintain the privacy and security of your personal data.
  • Quality of Care: We continuously monitor and assess the quality of care delivered to our members, striving for excellence and consistently enhancing patient outcomes