REMINDER: MANDATORY – Fraud, Waste and Abuse (FWA) Training 2021

Date: October 15, 2021 To: Health Plan of San Joaquin (HPSJ) Providers From: Health Plan of San Joaquin Subject: REMINDER: MANDATORY – Fraud, Waste and Abuse (FWA) Training 2021 Business: Medi-Cal Annual Training Requirement ACTION REQUIRED- Please complete by Monday, November 1, 2021 Annual Fraud, Waste and Abuse (FWA) training for ALL PROVIDERS Each year, [...]

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REMINDER: MANDATORY – Cultural Competency Training 2021

Date: October 15, 2021 To: Health Plan of San Joaquin (HPSJ) Providers From: Health Plan of San Joaquin Subject: REMINDER: MANDATORY–Cultural Competency Training 2021 Business: Medi-Cal Annual Training Requirement ACTION REQUIRED- Please complete by Monday, November 1, 2021 Annual training is mandated by California’s Department of Health Care Services (DHCS) and the federal Centers for [...]

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Collecting Social Determinants of Health (SDOH) Data

Date: October 12, 2021 To: Health Plan of San Joaquin (HPSJ) All Practitioners and Facilities From: Health Plan of San Joaquin Subject: Collecting Social Determinants of Health (SDOH) Data Business: Medi-Cal Managed Care The Department of Health Care Services (DHCS) has issued APL 21-009 for the purpose of collecting social determinants of health (SDOH) data. [...]

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Provider Appointment Availability Survey – IT IS HERE!

Date: October 11, 2021 To: Health Plan of San Joaquin Contracted Provider Network From: Health Plan of San Joaquin Subject: Provider Appointment Availability Survey – IT IS HERE! Business: Medi-Cal Managed Care HPSJ is required by the California Department of ManagedHealthCare (DMHC) to perform an annual Provider Appointment Availability Survey (PAAS). The first wave of [...]

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UPDATE: Fee-For-Service (FFS) Payments

Date: October 4, 2021 To: Health Plan of San Joaquin (HPSJ) All Contracted Providers From: Health Plan of San Joaquin Subject: UPDATE: Fee-For-Service (FFS) Payments Business: Medi-Cal Managed Care Due to the timing of receipt of the monthly eligibility file from the Department of Health Care Services (DHCS), there may be a delay in the [...]

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Template for upcoming partnerships on community-wide outreach To those who are not vaccinated against covid-19 – 9/18 event in French Camp will soon expand throughout the region

French Camp, California (September 28, 2021) – In partnership with San Joaquin County Public Health Services, San Joaquin County Clinics, and eight community-based organizations (CBOs). Health Plan of San Joaquin (HPSJ) hosted a successful local event on September 18th for residents to receive COVID-19 tests and vaccines in the parking lot of HPSJ’s French Camp [...]

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Formulary Update – Effective November 30th, 2021

Date: September 22 To: Health Plan of San Joaquin (HPSJ) Physicians, Providers, and Pharmacies From: Health Plan of San Joaquin Pharmacy and Therapeutics Committee Subject: Formulary Update - Effective November 30th, 2021 Business: Medi-Cal Managed Care Effective 11/30/2021, the Pharmacy and Therapeutics Committee has approved the following changes. Additions to the Formulary Eluxadoline (Viberzi) 75 [...]

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San Joaquin PHYSCIAN, Fall 2021: More HPSJ Stories (San Joaquin Medical Society)

HPSJ Earns Reaccreditation as a Health Plan NCQA MORE Tools – VBP payments & Prop 56 Reimbursement Guide, Clinical Practice Guidelines: Current Meds for COVID-19 Outpatient Treatment Mental Health Experts, Easy Access for HPSJ Members Improved Payment Experience for HPSJ providers Decision  Medicine &  HPSJ Scholars/Mentors View PDF

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Reminder: Immunization follow up should be conducted by age 2

Date: September 22, 2021 To: Health Plan of San Joaquin (HPSJ) Contracted PCPs, Clinics, Pediatrics Offices From: Health Plan of San Joaquin Subject: Child Immunization Status UPDATE – Reminder: Immunization follow up should be conducted by age 2 Business: Medi-Cal Managed Care SUMMARY FOR MEASURE YEAR (MY) 2021 Childhood Immunization Status: Combination 10 Providers, please [...]

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Updated: Voluntary Recall of Varenicline (Chantix) Lots Containing Nitrosamine

UPDATED: Drug Safety Communication: Voluntary Recall of Varenicline (Chantix) Due to Nitrosamine Varenicline is a prescription medicine that is used to help adults quit smoking. On September 17, 2021, the U.S. Food and Drug Administration (FDA) announced a voluntary manufacturer recall of all lots of varenicline (Chantix) 0.5 mg and 1 mg tablets due to […]

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