Long Term Care Services & Support
Effective January 1, 2024, or as authorized by the Department of Health Care Services, Long Term Care: ICF DD/DH/DD-N and Sub-Acute will be carved in for HPSJ.
The San Joaquin County Health Commission announced that it will expand operations to El Dorado and Alpine Counties, effective January 1, 2024. Read the full media release HERE
Your new 2024 Evidence of Coverage (EOC) is available
The EOC contains information about access and care, benefits and services, language support, claims, and complaints and appeals.
You can now download or view a copy online!
COMING SOON: Inovalon Value Compass Provider Portal
As of July 1, 2023 HPSJ’s HEDIS Care Gap Provider Portal has sunset. Access to this portal is no longer available.
HPSJ is working with our new HEDIS vendor, Inovalon, to build our new Provider Portal. Please keep an eye out for future Provider Alerts and Communications about:
· Official Launch Date
· Live Training Availability
· Training Videos and Guides
· AND MORE!
As we work to transition to the new portal, you can reach out to your Provider Services Representative by calling our Customer Service Department at 1-888-936-7526 or you may e-mail HEDIS@hpsj.com to request a copy of the latest gap lists for your office.
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Medi-Cal renewals are here, are your patients informed?
MEDICAL
MEDI-CAL
MEDI-CAL BENEFICIARIES
MEDI-CAL BENEFICIARIES
MEDI-CAL BENEFICIARIES
The Summer 2023 digital edition of PlanScan is now available!
Stay informed and up-to-date with PlanScan by Health Plan of San Joaquin.
Provider Manual
The 2023 Provider Manual is now available
Notable Updates:
- Continuity of Care
- Long-Term Care
- Provider Preventable Conditions (PPC)
February