Provider Alerts

On Monday, February 1, 2021, we will begin the annual HEDIS medical review. Health Plan of San Joaquin (HPSJ) would like to inform you of the changes that will take effect this coming HEDIS season.

• Please note that due to COVID-19 restrictions, we will no longer send staff into any clinic or office sites for the 2021 HEDIS Medical Record Review documentation collection process.
• At this time, we are advising you that when patient information is requested from HPSJ, an appropriate response will be to fax back the requested members’ information.
• HPSJ contracted providers are required to participate in medical records reviews.
• It is important that your office responses are timely and accurate.
• Provider offices must always adhere to applicable privacy laws when providing member information.

If you need instance or have any questions, please reach out to HEDIS/ NCQA Staff.

HPSJ COORDINATORS:

• Alisa Thomas athomas@hpsj.com 209-942-5218
• Nicolette Shalita nshalita@hpsj.com 209-942-5292

PREFERRED FAX NUMBER: _______________________________________________________________

CONTACT PERSON:  :_____________________________________________________________________

Health Plan of San Joaquin is dedicated to providing all members the best health care
available in the most effective and efficient manner. Thank you for being one of our valued
partners.

Please return this document via fax, attention to HEDIS team 209-762-4730.