Member Resources

Welcome Letter & Booklet


Download the Welcome Letter (English)
Download the Welcome Letter (Spanish)
Download the Welcome Booklet (English)
Download the Welcome Booklet (Spanish)

Member Handbook


Download Member Rights and Responsibilities (English)
Download Member Handbook (English)
Download Member Handbook (Spanish)


The doctor who refers you will work with you to choose a specialist and let you know if you need pre-approval (prior authorization) or whether you can make the appointment directly.

Referral If you need a specialist for your care, your PCP or another specialist will give you a referral to one. A specialist is a provider who focuses on one type of health care service.

Pre-approval (prior authorization) For some services, your PCP or specialist will need to ask Community Health Plan of Imperial Valley for permission before you get the care. 

Community Health Plan of Imperial Valley makes sure the care is medically necessary. This is called asking for pre-approval or prior authorization.

Your PCP or specialist will work with Community Health Plan of Imperial Valley to get the pre-approval (prior authorization).

Getting a pre-approval may take 5 days or up to an additional 14 days if we need more information from your PCP. If urgent, it will take no more than 72 hours. 


Please refer to your Member Handbook for more information and a complete list of services that require a referral or prior authorization.

The information can be found under Section 3 – How to get Care: Referrals and Section 3 – Pre-Approval (prior authorization). 

You can download the Member Handbook (English) or Member Handbook (Spanish).

Community Supports


Download the Community Supports Brochure (English)
Download the Community Supports Brochure (Spanish)

Member ID Card


 

Provider Network


Download the Provider Directory

Download the Provider Directory Zipped JSON Version

 

Doulas


Preventative Screening Guidelines


Download the PSG Booklet (English)
Download the PSG Booklet (Spanish)

 

Health & Wellness


 

Pharmacy Services


 

Medi-Cal Health & Dental Benefits


 

Continuity of Care


 

 

Personal Health Information


 

Initial Health Appointment


Download the IHA Flyer (English)
Download the IHA Flyer (Spanish)

 

Care Connections


 

Redetermination Flyer & Letter


 

Interoperability and Patient Access


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