Advance Notice of Possible Site Reviews – 2023 DHCS Audit
| Date: | October 19, 2023 |
| To: | Health Plan of San Joaquin (HPSJ) Primary Care Providers (PCPs) and Specialists |
| Type: | Regulatory |
| Subject: | Advance Notice of Possible Site Reviews – 2023 DHCS Audit |
| Business: | Medi-Cal Managed Care |
The California Department of Health Care Services (DHCS) has scheduled a routine annual medical audit of Health Plan of San Joaquin (HPSJ). The medical audit will consist of an evaluation of HPSJ’s compliance with its contract and regulations.
Auditors will be virtually on-site at HPSJ from October 30, 2023 – November 10, 2023. As a courtesy, we want to let you know that you may be contacted by DHCS for a virtual site visit.
Helpful information:
- The audit will involve facility site visits and medical records review by DHCS.
- DHCS auditors will conduct interviews with some of our HPSJ providers at their practice locations.
- Providers selected by DHCS for a site visit will be contacted directly by a DHCS Nurse Evaluator to schedule the on-site visit.
If you have any further questions, please contact your Provider Services Representative, or call our Customer Service Department at 1-888-936-PLAN (7526). You may also visit https://www.hpsj.com/alerts/ for online access to the documents shared. The most recent information about Health Plan of San Joaquin and our services is always available on our website https://www.hpsj.com/