Welcome to the Provider Corner. This section of our website is for our providers, the hospitals, clinics, medical professionals and their staff who provide services for Health Plan of San Joaquin members. If you wish to obtain information regarding plans administered by San Joaquin Health Administrators, go to www.sjha-online.com. And for information on plans offered by Network+^TM, go to www.networkplushealth.com.

Please take a moment to get familiar with the site. Here you have a voice and can provide HPSJ with feedback and comments to help us enhance features of the site, and provide excellent customer service to our growing network of providers and members.

As a HPSJ Provider, there are many resources available to you at your fingertips without logging on to DRE, such as:

• Preventive Health Guidelines for Children
• Preventive Health Guidelines for Adults
• Provider Manual
• Patient Education Opportunities
• Provider Alerts
• A.B.1455 - Dispute Resolution Page
• Equal Employment Opportunity - Affirmative Action Statement
• False Claim Act (Word DOC)
• Radiology RAR Rules for HPSJ Lines of Business
• Medical Authorization Form
• Specialist Referral Form [Word DOC]
• Synagis Recommendations
• Synagis Authorization Information Form (Word DOC)
• Synagis Female Growth Chart
• Syangis Male Growth Chart
• Vaccines for Children - Order Form
• Vaccines for Children - Flu Order Form

Pediatric Obesity Toolkit

• Body Mass Index (BMI)-for-Age Percentile
• Tips for Kids to Support Healthy Weight (English)
• Tips for Kids to Support healthy Weight (Spanish)
• Pediatric Obesity Resource List
• Provider Letter
• Sample PM160 - Obesity Parameters Highlighted

Pharmacy Resources

• Cognitive Services Program
• Formulary Addition Request (Word DOC)
• Formulary Prior-Authorization Form

External Resources

• Go Before You Show - Pregnancy Resources
• CDC - Vaccines for Children Program
• DHS - CHDP Information Page
• DHS - CCS Program

Login to DRE - Secured Provider Login

If you are not currently using DRE, you can register now, by calling our Provider Services department at (209) 942-6340.

Once logged into this website you have immediate access to the following:

• Verify eligibility of a HPSJ Member
• Member PCP determination
• Review your HEDIS scores
• Obtain synagis authorizations
• Check claims status

For further information about Health Plan of San Joaquin and becoming network provider, please contact our Provider Relations Department at (209) 942-6340.