Community Health Plan of Imperial Valley Member Services Department
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To ensure appropriate coverage of medical services for Medi-Cal members, Community Health Plan of Imperial Valley (CHPIV) requires the provision of timely responses and accurate information. If prompt and accurate information is not provided, a member may misuse the program, resulting in medical services not being covered. To avoid these problems, CHPIV directs inquiries from members to CHPIV's Medi-Cal Member Services Department. Inquiries from providers are directed to the CHPIV regional provider network administrator where one is available.
The CHPIV Medi-Cal Member Services Department ensures that translation services are available for members when they call. In addition, the CHPIV Member Handbook and other member-informing materials are translated into the required threshold languages.
CHPIV’s Medi-Cal Member Services Department handles phone calls and correspondence from members. Problems are forwarded to CHPIV management. This department is responsible for:
- Medi-Cal questions and explanations.
- Information about access to and delivery of care.
- Professional and hospital services, bills and claims.
- Member problems and inquiries.
- Address changes.
- Identification card requests.
- Primary care physician (PCP) selection and transfer requests.
- Handling complaints about CHPIV programs or staff.
The CHPIV Medi-Cal Member Services Department's 24-hour toll-free number is printed on the back of the member's identification card. While phone assistance is the PCP's responsibility, the CHPIV Medi-Cal Member Services Department can assist members in reaching their PCP when needed. CHPIV Medi-Cal Member Services representatives can provide the phone number for the member's PCP, or the call can be routed to the CHPIV Advice Nurse Telephone Triage program.
21281 Burbank Blvd., C-5 Woodland Hills, CA 91367 833-236-4141