Medi-Cal Rx PBM Information

Date: December 29, 2021 To: All Pharmacies Provider Alert Type: Informational From: Health Plan of San Joaquin Subject: Medi-Cal Rx PBM Information Business: Medi-Cal Beginning January 1, 2022, Health Plan of San Joaquin pharmacy benefits will be transitioned to and administered by the new California State agency, Medi-Cal Rx. Medi Cal Rx is responsible for [...]

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2022 Primary Care Providers Incentives

Date: December 29, 2021 To: All HPSJ Primary Care Physicians (PCP) only Provider Alert Type: Informational/Educational and Procedural Update From: Health Plan of San Joaquin Subject: 2022 Primary Care Providers Incentives Business: Medi-Cal Health Plan of San Joaquin (HPSJ) is pleased to announce the 2022 Provider Incentive Program promoting Quality Care to our members. The [...]

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Pharmacy Carve Out – Medi-Cal Rx Transition

Date: December 23, 2021 To: HPSJ Practitioners and Contracted Facilities From: Health Plan of San Joaquin Provider Alert Type: Informational/Educational Subject: Pharmacy Carve Out – Medi-Cal Rx Transition Business: Medi-Cal Beginning January 1, 2022, Health Plan of San Joaquin pharmacy benefits will be transitioned to and administered by the new California State agency, Medi-Cal Rx. [...]

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Reminder: MANDATORY – Health Insurance Portability and Accountability Act (HIPAA) Training 2021

Date: December 16, 2021 To: Health Plan of San Joaquin (HPSJ) Contracted Providers and Clinics Provider Alert Type: REGULATORY From: Health Plan of San Joaquin Subject: Reminder: MANDATORY – Health Insurance Portability and Accountability Act (HIPAA) Training 2021 Business: Medi-Cal Training Requirement ACTION REQUIRED- Please complete by Monday, December 20th, 2021 It’s time for annual [...]

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Diabetes Prevention Program – Provider Alert

Date: December 8, 2021 To: HPSJ Practitioners and Contracted Facilities Provider Alert Type: Informational/Educational From: Health Plan of San Joaquin Subject: Diabetes Prevention Program Business: Medi-Cal Health Plan of San Joaquin (HPSJ) is proud to present to you The Diabetes Prevention Program. This program is designed to help members that are prediabetic gain control and [...]

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Women’s Health (Cervical and Breast Cancer Screening)

Date: December 08, 2021 To: Health Plan of San Joaquin (HPSJ) Contracted Providers and OB/GYN Offices Provider Alert Type: Informational/Educational From: Health Plan of San Joaquin Subject: Women’s Health (Cervical and Breast Cancer Screening) Business: Medi-Cal Managed Care The State of California Department of Health Care Services (DHCS) requires HPSJ to conduct an annual review [...]

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NAME CHANGE and REVISED DESCRIPTION – Child and Adolescent Well-Care Visits -(WCV)

Date: December 08, 2021 To: Health Plan of San Joaquin (HPSJ) Contracted Providers, Pediatrics and OB/GYN Offices Provider Alert Type: Informational/Educational From: Health Plan of San Joaquin Subject: NAME CHANGE and REVISED DESCRIPTION - Child and Adolescent Well-Care Visits -(WCV) Business: Medi-Cal MANAGED CARE REMINDER: The HEDIS measures (W34) Well Child Visits in the 3rd,4th,5th, [...]

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San Joaquin PHYSICIAN, Winter 2021: More HPSJ Stories (San Joaquin Medical Society, pages 15-16)

San Joaquin PHYSICIAN, Winter 2021: More HPSJ Stories (San Joaquin Medical Society, pages 15-16) With Provider and Community Partners, HPSJ launches COVID-19 vaccination education/outreach program, Ask. Learn. Decide. Rx Transition: From HPSJ to Medi-Cal (Jan 1, 2022) HPSJ contributes to spotlight on enhanced roles for community health workers (CHW) & promotores View PDF

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