Provider Alerts
Looking for specific topics? Search the provider Alerts here:
2016
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Training: Optimizing Transgender Health
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New Medi-Cal BIC Card Notification
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Quarterly Provider Incentive – Newly Enrolled HPSJ Member Initial Health Assessment (IHA)
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Dental Intravenous Sedation and General Anesthesia authorization requirements
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Restored acupuncture services as a covered benefit under the MediCal program
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Changes to Prior Authorization Requirements
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Z3A Diagnosis Category Information
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Access Standards for Appointments
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Formulary Update – Health Plan of San Joaquin (HPSJ) Physicians and Providers
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REMINDER – Billing for Non-Physician Practitioners
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Community Health Education and Engagement Referral (CHEER) Program
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NEW – DRE Quality Incentive Dashboard
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Update – Refining Continues for System Identification for fraud, waste and abuse capture, as well as claims editing
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J code Medications – Carved-Out to Fee-for-Service (FFS) Medi-Cal
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Provider Network Demographics and Data Validation Project (Practice)
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Provider Network Demographics and Data Validation Project (Facilities)
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ADVICE – Correcting CMS-1500 Claims Submissions Also, when NOT to submit a dispute
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Provider Network Demographics and Data Validation Project
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ADVICE – Proper use of billing modifiers 25 and 59
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Provider Alert Formulary Update – 5/20/2016
Posted on July 17th, 2015 and last modified on January 22nd, 2025.
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