Provider Alerts
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2020
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Provider Incentive Claims Timeline
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Phenytoin 125mg/5ml suspension Recall
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Good News – Additional supports for your HPSJ patient – myRewards, Texting Pilot Program
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Update – Possible Fraud, Waste and/or Abuse (76811 vs 76805)
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Cost Avoidance and Post-Pay Recoveries – Coming DHCS Intervention
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Formulary Update Effective 4/20/2020
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HEDIS: Annual Medical Records Review
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African American Mental Health Providers Support Group
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Notice of Recoupment- Capitation (CAP) Overpayment – Unallowed payments – CAP paid providers after HSPJ members’ death
2019
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Effective 2/24/2020, the Pharmacy and Therapeutics Committee has approved the following changes.
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REMINDER – Beacon Health Options is available during the holidays 2019
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Formulary Update Effective February 24, 2020
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Prop 56 – Childhood Development Screening Update & Provider Training
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Prop 56 – Screening for Adverse Childhood Experiences Update & Webinar
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Proposition 56: Supplemental Payment Update 2019
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Providers & Community Partners Advisory – California Wildfires & Smoke, and PG&E Power Shut-Offs
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Provider Alert Additional Payments
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DMHC/DHCS Timely Access Standards + Wait Times Set/Monitored by HPSJ
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Measures – Non-FQHC and Non-Clinic providers. Effective July 1, 2019
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DHCS Naloxone Distribution Project
Posted on July 17th, 2015 and last modified on August 17th, 2022.
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