IEHP is dedicated to providing quality care to all Members including those who identify as Transgender and Gender Non-Binary. Provider Services Phone. 909-890-2054. 1-866-223-IEHP (4347) Provider Services Email. [email protected] and Robert soon learned - thanks to the community partnership among Inland Housing Solutions (IHS), CalAIM and IEHP - help was available. In August 2022, Leslie and Robert received an authorization from IEHP for the CalAIM Community Supports Home Modifications (Environmental Accessibility Adaptations), which started the remodel process.C. Respite services are only used to avoid placements for which IEHP would be responsible for. D. Respite services cannot be provided virtually, or via telehealth. E. Community supports shall supplement and not supplant services by the Member through other state, local or federally funded programs.IEHP DualChoice Government-sponsored insurance for low-income individuals, families, seniors, persons with disabilities, and more. ... Community Supports Learn more about how IEHP is bringing the community together to improve health. Enhanced Care Management Enhanced Care Management (ECM) is a collaborative approach to providing intensive and ...Subject: Community Supports - Coming January 1, 2022! Effective January 1, 2022, Inland Empire Health Plan (IEHP) is offering Community Supports for eligible Members. IEHP will be offering the following eleven (11) of fourteen (14) Department of Health Care Services (DHCS) pre-approved Community Supports Services to our …Heartbeat, IEHP's Provider Newsletter, will keep you in the know about our newest programs, incentive opportunities, study results, and more. Volume 36 - Winter 2024 (PDF) Volume 35 - Fall 2023 (PDF) To access past Newsletters, please contact the Provider Communications at providercommunication@iehp. org.Used with HCPCS code G9012 to indicate a single in –person ECM outreach attempt for an individual member, for the purpose of initiation into ECM. (Updated January 2024) Can be used for both successful and unsuccessful outreach attempts. G9012 ECM Outreach Telephonic/Electronic: Provided by Non-Clinical Staff.Community Supports External FAQs 1. What are Community Supports services? Community Supports services are optional services or settings that Managed Care Plans (MCPs) such as IEHP may offer in place or services or settings covered under the Medicaid State Plan. These services should be medically appropriate and cost-effective alternatives. 2.Enhanced Care Management (ECM) ECM is a new program that helps our Members with complex medical and social needs. These new services offer help beyond traditional medical services. These services are provided to eligible adults, children, pregnant and/or postpartum women and justice involved individuals. ECM helps coordinate: Primary care.Who to Call with Questions on IEHPs PDR Process. Contracted providers may visit our online secure provider portal at www.iehp.org for more information. Providers may also call the IEHP Provider Call Center at (909) 890-2054 or (866) 223-4347 Monday-Friday, 8:00 am to 5pm PST.Effective January 1, 2022, Inland Empire Health Plan (IEHP) is offering Community Supports for eligible members. These services are available as medically …2. If a Community Support Provider believes that a Member meets eligibility criteria for Short-Term Post-Hospitalization and the need for the service occurs outside of normal IEHP business hours, the referring Provider can notify IEHP the next business day. The referring Provider can consider the Member pre-authorized for Short-Term Post-Members can also self-refer for Community Supports by calling Member Services at: (800) 440-IEHP (4347). For detailed information about our Community Support services: www.iehp.org > For Providers > Special Programs > Community Supports As a reminder, all communications sent by IEHP can also be found at: www.iehp.org > Providers > Plan UpdatesCommunity Supports or Enhanced Care Management; and . 13. Coordination with IEHP to link Member to health care, mental health services, substance use disorder services based on the individual needs of the Member. for Members who are not receiving this linkage through Community Supports or . Enhanced Care Management.C. Respite services are only used to avoid placements for which IEHP would be responsible for. D. Respite services cannot be provided virtually, or via telehealth. E. Community supports shall supplement and not supplant services by the Member through other state, local or federally funded programs.homelessness entering the Housing Tenancy and Sustaining Services Community Support. D. Active IEHP Membership, excluding those Members for which IEHP is not at risk for entire medical and care management benefits (e.g., Kaiser Members). These services will be provided by Kaiser for Kaiser Members.Jan 14, 2022 · Community Supports. In the meantime, please refer Members to call our Member Services Call Center at: (800) 440-IEHP (4347). Providers can call the Provider Call Center at (909) 890-2054 or (866) 223-4347 for Community Support referral assistance as needed. Who to Call with Questions on IEHPs PDR Process. Contracted providers may visit our online secure provider portal at www.iehp.org for more information. Providers may also call the IEHP Provider Call Center at (909) 890-2054 or (866) 223-4347 Monday-Friday, 8:00 am to 5pm PST. Community Supports Learn about the option to become a Community Supports Provider. Facilities and IPAs Get up to date contact information of participating hospital and IPA partners. Provider Contract Forms Get access to Provider contracting forms to join the IEHP network. Community Support during the reassessment waiting period. C. Community supports shall supplement and not supplant services by the Member through other ... Guidelines (CAG) express IEHP's determination of whether certain services or supplies are medically necessary, experimental and investigational, or cosmetic. IEHP has reached thesePast drug recalls, alerts and market withdrawals. Provider Services Phone. 909-890-2054. 1-866-223-IEHP (4347) Provider Services Email. [email protected] feedback can be submitted via the ECM and Community Supports mailbox: [email protected]. (Added January 2024) This coding guidance applies both to (1) encounter data MCPs submit to DHCS and (2) claims and encounters ECM and Community Supports Providers submit to MCPs. Encounter Data MCPs Submit to DHCS.C. When authorizing asthma remediation as a Community Support, IEHP must receive and document the following: 1. A request from a current licensed health care Provider's order specifying the requested remediation(s) for the Member; 2. A brief written evaluation specific to the Member describing how and why theB. NOTE: Refer to UM Subcommittee Approved Authorization Guideline- Community Supports-Environmental Accessibility Adaptations (Home Modifications) The services provided should be based on individualized assessment of needs and documented in the individualized housing support plan. Members may require and access only a …IEHP DualChoice Government-sponsored insurance for low-income individuals ... Community Wellness Centers Free exercise and health education classes with insurance support in Victorville, ... and Riverside. Community Events Free exercise and healthcare classes in the Inland Empire, near you. Community Partners Check out our community …Call an IEHP broker specialist. Call us between Monday-Friday, 8 a.m. - 5 p.m. You'll speak to one of our friendly IEHP Covered broker specialists. Call: 1-844-264-4347 Email: [email protected] may find that Community Supports with IEHP can help during a transition in housing or care. If you need help managing your health, IEHP's Community Supports might be the right choice. Flexible Care Choices: Community Supports Many Members have used supportive care with Inland Empire Health Plan (IEHP). To learn more, call IEHP Member ...ECM and Community Supports are anchored in the community, where services can be delivered in an in-person manner by community-based ECM and Community Supports Providers, to the greatest extent possible. While ECM and Community Supports may both be appropriate for certain Members, they are separate initiatives, and some Medi-Cal …E. Active IEHP Membership, excluding those Members for which IEHP is not at risk for the entire medical and care management benefits (e.g., Kaiser Members). ... E. Community supports shall supplement and not supplant services received by the Medi-Cal beneficiary through other State, local, or federally-funded programs, in accordance with the ...The goal of CalAIM ECM (Enhanced Care Management)/Community Supports is to improve the quality of life and health outcomes of Medi-Cal recipients. Learn more about these programs, services offered and how to request prior authorization. Questions? Just call us at 1-855-772-9076 (TTY: 711). We're here for you Monday through Friday, 8 AM to 5 PM.Are you a woman looking for a fun and supportive community in your area? Look no further than the Red Hat Society Groups. This vibrant organization brings women together to enjoy l...Apr 20, 2023 · Community Supports PROVIDER APPLICATION DEAR PROSPECTIVE PROVIDER, Thank you for your interest in becoming a Community Supports Provider for Inland Empire Health Plan (IEHP). To get a better understanding of the services you provide, please complete the assessment below: GENERAL INFORMATION 1. Which area(s) do you serve? ¨ San Bernardino County Goodwill is a well-known nonprofit organization that aims to help individuals with disabilities, those who face employment barriers, and other disadvantages. One of the ways that G...Additional events will be hosted at IEHP's San Bernardino and Victorville Community Resource Centers at 805 West 2nd Street, suite C in San Bernardino on Wednesday, May 25 and at 12353 Mariposa ...Community Supports PROVIDER APPLICATION DEAR PROSPECTIVE PROVIDER, Thank you for your interest in becoming a Community Supports provider for Inland Empire Health Plan (IEHP). To get a better understanding of the services you provide, please complete the assessment below: GENERAL INFORMATION 1. Which area(s) do you serve? ¨ San Bernardino CountyYou may find that Community Supports with IEHP can help during a transition in housing or care. If you need help managing your health, IEHP's Community Supports might be the right choice. FLEXIBLE CARE CHOICES: Community Supports If you can be helped by Community Supports, you may get a care team that can assist in identifying your needs ...IEHP DualChoice Government-sponsored insurance for low-income individuals ... Community Wellness Centers Free exercise and health education classes with insurance support in Victorville, ... and Riverside. Community Events Free exercise and healthcare classes in the Inland Empire, near you. Community Partners Check out our community …D. Community supports shall supplement and not supplant services received by the Medi-Cal beneficiary through other State, local, or federally funded programs, in accordance with the ... IEHP Clinical Authorization Guidelines (CAG) are developed to assist in administering plan benefits, they do not constitute a description of plan benefits. ...The Victorville Community Wellness Center is located at 12353 Mariposa Road, Suites C2 and C3, and is open from 9 a.m.-6 p.m., Monday through Friday, and 9 a.m.-1 p.m., Saturdays. Class schedules ...Community Supports Learn about the options available to qualified Members who may need specialized supportive care. Enhanced Care Management ... (HMO D-SNP) website. You may also call IEHP DualChoice (HMO D-SNP) for help at 1-877-273-IEHP (4347), 8am - 8pm (PST), 7 days a week, including holidays. TTY/TDD users should call 1-800-718-4347 ...E. Active IEHP Membership, excluding those Members for which IEHP is not at risk for the entire medical and care management benefits (e.g., Kaiser Members). ... E. Community supports shall supplement and not supplant services received by the Medi-Cal beneficiary through other State, local, or federally-funded programs, in accordance with the ...2. If a Community Support rovider believes that P Member meets eligibility criteria for a Short-Term Post-Hospitalization and the need for the service occurs outside of normal IEHP business hours, the referring Provider can notify IEHP the next business day. The referring Provider can consider the Member pre-authorized for Short-Term Post-A key feature of CalAIM is the introduction of a menu of Community Supports , that offer medically appropriate and cost-effective alternatives to services covered under the State Plan. Federal regulation allows states to permit Medicaid managed care organizations to offer Community Supports as an option to Members (Code of Federal Regulations). Community Supports can substitute for , and potentially decrease utilization of , a range of covered Medi-Cal benefits, such as hos pital care, nursing facility care, and emergency department (ED) use. 1 ECM and Community Supports MCP Contract Template. See also original design expressed in t. he CalAIM Proposal, January 2021. 2 42 CFR 438.3(e)(2). IEHP Dyadic Services Provider Inquiry (PDF) For more information about dyadic services, dyadic caregiver services, and psychotherapy updates, refer to the Non-Specialty Mental Health Services: Psychiatric and Psychological Services section of the provider manual or see DHCS APL 22-029. Provider Services Phone. 909-890-2054. 1-866-223-IEHP (4347 ...Riverside Community Resource Center, Riverside, California. 4,434 likes · 3 talking about this · 148 were here. The IEHP Community Resource Centers (CRC) are your local resource for healthcare...State of California —Health and Human Services Agency Department of Health Care Services MICHELLE BAASS GAVIN NEWSOM DIRECTOR GOVERNOR Page 1 | 83909-890-2054. 1-866-223-IEHP (4347) Provider Services Email. [email protected]. Get to know IEHP's specialty health options available for qualifying Members.homelessness entering the Housing Tenancy and Sustaining Services Community Support. D. Active IEHP Membership, excluding those Members for which IEHP is not at risk for entire medical and care management benefits (e.g., Kaiser Members). These services will be provided by Kaiser for Kaiser Members.General Inquiries. For general inquiries. 8 a.m.-5 p.m., Monday-Friday. Phone 909-890-2000. TTY 909-890-0731. Join our texting program here. Find out more about 211 …From: IEHP - Community Supports Team Date: August 29, 2022 Subject: REMINDER - Community Supports Services Available for Members Effective January 1, 2022, Inland Empire Health Plan (IEHP) is offering Community Supports for eligible members. These services are available as medically appropriate, cost-effective alternatives to standard benefits.2. If a Community Support rovider believes that P Member meets eligibility criteria for a Short-Term Post-Hospitalization and the need for the service occurs outside of normal IEHP business hours, the referring Provider can notify IEHP the next business day. The referring Provider can consider the Member pre-authorized for Short-Term Post-IEHP reviews, confirms, and updates Provider status as it changes. This information may change without prior notice to IEHP. Once IEHP is informed of changes, the information is reviewed, confirmed and updated as needed. ... Both Enhanced Care Management and Community Supports require prior authorization and are limited to Members who meet ...Call the IEHP Enrollment Advisors at 866-294-IEHP (4347), Monday – Friday, 8 a.m.–5 p.m. TTY users should call 800-720-IEHP (4347). You may also call Health Care Options at 800-430-4263 or. TTY users should call 800-430-7077. Click here to enroll.If you have any questions, please do not hesitate to contact the IEHP Provider Relations Team at (909) 890-2054, (866) 223-4347 or email at [email protected] As a reminder, all communications sent by IEHP can also be found at: www.iehp.org > For Providers > Plan Updates > Correspondence2. If a Community Support Provider believes that a Member meets eligibility criteria for Short-Term Post-Hospitalization and the need for the service occurs outside of normal IEHP business hours, the referring Provider can notify IEHP the next business day. The referring Provider can consider the Member pre-authorized for Short-Term Post-If a Provider is in their exam room with a Member and identifies a possible need for Community Supports services, what do they do? Providers may submit a referral to UM via the IEHP Provider Portal or fax (909) 890-5751. If a Member has additional questions, Member may contact IEHP Members Services at 800-440-IEHP (4347). 4.Call Loving Support with any questions or concerns you may have throughout the first year and beyond. You can contact the Loving Support 24/7 Helpline at 1-888-451-2499 / 951-358-7212. The staff speaks English and Spanish.Jan 14, 2022 · Community Supports. In the meantime, please refer Members to call our Member Services Call Center at: (800) 440-IEHP (4347). Providers can call the Provider Call Center at (909) 890-2054 or (866) 223-4347 for Community Support referral assistance as needed. If you have any questions, please do not hesitate to contact the IEHP Provider Relations Team at (909) 890-2054, (866) 223-4347 or email at [email protected] As a reminder, all communications sent by IEHP can also be found at: www.iehp.org > For Providers > Plan Updates > CorrespondenceUsed with HCPCS code G9012 to indicate a single in –person ECM outreach attempt for an individual member, for the purpose of initiation into ECM. (Updated January 2024) Can be used for both successful and unsuccessful outreach attempts. G9012 ECM Outreach Telephonic/Electronic: Provided by Non-Clinical Staff.August 2022. . Medi-Cal Community Supports, or In Lieu of Services (ILOS), Policy Guide. Community Supports-Service Definitions. DISCLAIMER IEHP Clinical Authorization Guidelines (CAG) are developed to assist in administering plan benefits, they do not constitute a description of plan benefits. The Clinical Authorization2 42 CFR 438.3(e)(2). MCPs will have the opportunity to provide details on their elected Community Supports to DHCS as part of their Model of Care (MOC) responses to DHCS. MCPs in all Counties are encouraged to offer one or more of the following Community Supports starting on January 1, 2022:4. Asthma Remediation.Community Supports PROVIDER APPLICATION DEAR PROSPECTIVE PROVIDER, Thank you for your interest in becoming a Community Supports Provider for Inland Empire Health Plan (IEHP). To get a better understanding of the services you provide, please complete the assessment below: GENERAL INFORMATION 1. Which …IEHP's Community Resource Centers closed to the public in March 2020 due to the COVID-19 pandemic. During that time, the resource center teams continued to support their neighbors by organizing ...IEHP Foundation was established to ensure community health, focusing on housing, mental health, substance abuse, and food insecurity. en; es; zh; vi; Careers. Providers. Brokers. Browse Plans. Browse Plans. Did you know 70% of Inland Empire residents are eligible for IEHP plans. Medi-Cal California's government-sponsored Medicaid program for ... IEHP will give notice as quickly as your health condition requires and no later than 72 hours after receiving the request for services. If IEHP does not approve the request, IEHP will send you a Notice of Action (NOA) letter. The NOA letter will tell you how to file an appeal if you do not agree with the decision. You may find that Community Supports with IEHP can help during a transition in housing or care. If you need help managing your health, IEHP’s Community Supports might be the right choice. FLEXIBLE CARE CHOICES: Community Supports If you can be helped by Community Supports, you may get a care team that can assist …If a Provider is in their exam room with a Member and identifies a possible need for Community Supports services, what do they do? Providers may submit a referral to UM via the IEHP Provider Portal or fax (909) 890-5751. If a Member has additional questions, Member may contact IEHP Members Services at 800-440-IEHP (4347). 4.Community Supports Learn about the option to become a Community Supports Provider. Facilities and IPAs Get up to date contact information of participating hospital and IPA partners. Provider Contract Forms Get access to Provider contracting forms to join the IEHP network. Medi-Cal. Medi-Cal Long Term Services and Supports. IEHP covers Long-Term Services and Supports (LTSS) for eligible Members to help them live independently in the community. You may qualify for the LTSS services listed below. IEHP offers free exercise and health education classes at three locations in the Inland Empire: Riverside, San Bernardino, and Victorville. You can also get help with your IEHP …You may find that Community Supports with IEHP can help during a transition in housing or care. If you need help managing your health, IEHP's Community Supports might be the right choice. FLEXIBLE CARE CHOICES: Community Supports If you can be helped by Community Supports, you may get a care team that can assist in identifying your needs ...IEHP DualChoice Government-sponsored insurance for low-income individuals, families, seniors, persons with disabilities, and more. ... Community Supports Learn more about how IEHP is bringing the community together to improve health. Enhanced Care Management Enhanced Care Management (ECM) is a collaborative approach to …Select Language. Chinese : 中文 Spanish : español Vietnamese : Tiếng Việt. Careers; Open Solicitations - RFP's and Bids; Contact UsIEHP DualChoice Government-sponsored insurance for low-income individuals ... Community Wellness Centers Free exercise and health education classes with insurance support in Victorville, ... and Riverside. Community Events Free exercise and healthcare classes in the Inland Empire, near you. Community Partners Check out our community …Loving Support is a program committed to helping mothers achieve their breastfeeding goals. This service offers help and support with the first days at home, return to work, support groups, and timely answers to challenges nursing mothers face. Members can directly contact the Loving Support 24/7 Helpline at 888-451-2499. No referral is necessary.Dr. Gabriel Uribe, DSW, IEHP director of Community Health, said, "Patients with congestive heart failure tend to have a high rate of emergency room visits and hospitalizations. Upon discharge, they often lack social supports to effectuate successful lifestyle changes needed to improve chronic care. Our initiative showed that a holistic ...909-890-2054. 1-866-223-IEHP (4347) Provider Services Email. [email protected]. Read the latest Provider news and updates.IEHP Enhanced Care Management (ECM) is a no-cost program that coordinates and manages care for high-need, high-cost Members with complex needs. …If you have any questions, please do not hesitate to contact the IEHP Provider Relations Team at (909) 890-2054, (866) 223-4347 or email at [email protected] As a reminder, all communications sent by IEHP can also be found at: www.iehp.org > For Providers > Plan Updates > CorrespondenceIEHP Provider Policy and Procedure Manual 01/243 MC_12A1 ... 5. Members who live alone, are frail, have inadequate family support systems, need continuity of care services, and could benefit from Community-Based Adult Services (CBAS), In-Home Supportive Services (IHSS), and/or Multipurpose Senior Services Program (MSSP) services; andThe Provider Network Expansion Fund Program (NEF) helps support the hiring of Providers that will serve the Medi-Cal population of the Inland Empire. Apply to the NEF Program to be considered for funding opportunities. Provider Services Phone. 909-890-2054. 1-866-223-IEHP (4347)IEHP DualChoice (HMO-D-SNP) [Medicare-Medicaid Plan] is a Health Plan that contracts with both Medicare and Medi-Cal to provide benefits of both programs to enrollees. Information on this page is current as of March 2023. H5355_CMC_20_1900233_Accepted. Provider Services Phone. 909-890-2054.Riverside Community Resource Center, Riverside, California. 4,434 likes · 3 talking about this · 148 were here. The IEHP Community Resource Centers (CRC) are your local resource for healthcare...Community Supports is one element of California Advancing and Innovating Medi-Cal (CalAIM), the Department of Health Care Services' multi-year process to transform Medi-Cal. As an extension of the Whole Person Care (WPC) pilot and the Health Homes Program (HHP), Community Supports contributes to an integrated approach to coordinating medical care, behavioral health, and social services to ...IEHP also has the following resources available for reporting fraud, waste or abuse, privacy issues, and other compliance issues: Compliance Hotline: (866) 355-9038. Fax : (909) 477-8536. E-mail: [email protected].
C. Respite services are only used to avoid placements for which IEHP would be responsible for. D. Respite services cannot be provided virtually, or via telehealth. E. Community supports shall supplement and not supplant services by the Member through other state, local or federally funded programs.. Does jmu have rolling admissions
B. NOTE: Refer to UM Subcommittee Approved Authorization Guideline- Community Supports-Environmental Accessibility Adaptations (Home Modifications) The services provided should be based on individualized assessment of needs and documented in the individualized housing support plan. Members may require and access only a subset of theIEHP DualChoice (HMO-D-SNP) [Medicare-Medicaid Plan] is a Health Plan that contracts with both Medicare and Medi-Cal to provide benefits of both programs to enrollees. Information on this page is current as of March 2023. H5355_CMC_20_1900233_Accepted. Provider Services Phone. 909-890-2054.CalAIM Enhanced Care Management and Community Supports Repository of Data Sharing Authorization Forms and Agreements November 2021 Background In 2022, the California Department of Health Care Services (DHCS) is launching the California Advancing and Innovating ... 1 to Memorandum of Understanding No. 18-78 with IEHP to provide coordination of ...IEHP DualChoice Government-sponsored insurance for low-income individuals ... Community Wellness Centers Free exercise and health education classes with insurance support in Victorville, ... and Riverside. Community Events Free exercise and healthcare classes in the Inland Empire, near you. Community Partners Check out our community partnership ...Are you in need of some home decor or kitchen essentials? Instead of turning to online retailers, consider visiting a nearby home goods store. Not only will you find unique and hig...Major Organ Transplant. Effective January 1, 2022, per DHCS All Plan Letter (APL) 21-015, Inland Empire Health Plan (IEHP) is now responsible for coverage of the Major Organ Transplant (MOT) benefit for adult and pediatric transplant recipients and donors, including related services such as organ procurement and living donor care.IEHP offers free exercise classes, health workshops, benefits assistance and plan enrollment at three locations in the Inland Empire. Learn more about the services, events and partners of the Community Resource Centers.Posted 3:42:53 AM. Job Requisition ID:10015Position Summary/PositionThe Community Supports Services Coordinator under…See this and similar jobs on LinkedIn.Through a dynamic partnership with Providers and community, award-winning service and innovative products, IEHP is fully committed to advocating for our Members and providing them with quality ...You may find that Community Supports with IEHP can help during a transition in housing or care. If you need help managing your health, IEHP’s Community Supports might be the right choice. FLEXIBLE CARE CHOICES: Community Supports If you can be helped by Community Supports, you may get a care team that can assist in identifying your needs ...Select Language. Chinese : 中文 Spanish : español Vietnamese : Tiếng Việt. Careers; Open Solicitations - RFP's and Bids; Contact UsB. Community supports shall supplement and not supplant services received by the Medi-Cal beneficiary through other State, local, or federally-funded programs, in accordance with the ... IEHP Clinical Authorization Guidelines (CAG) are developed to assist in administering plan benefits, they do not constitute a description of plan benefits. ...In today’s rapidly changing economic landscape, it is more important than ever for local communities and small businesses to have access to reliable financial services. That’s wher...With over 100 community based agencies in the Inland Empire; you will have the opportunity to network and learn from our special guest speakers. Please RSVP for our Virtual Meeting today! When Thursday, February 8, 2024 from 11:45 AM to 1:30 PM PST ... IEHP Community Partner Network Meeting-Virtual.2. If a Community Supports services Provider believes that a Member meets eligibility criteria for Recuperative Care and the need is outside of IEHP business hours, the referring Provider can notify IEHP the next business day. The referring Provider can consider Member pre-authorized for Recuperative Care services for a period of less.
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