May 13, 2021 / by Health Plan / Alerts, Pharmacy Announcements
Date: May 13, 2021 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 07/19/2021 Business: Medi-Cal Effective 07/19/2021, the Pharmacy and Therapeutics Committee has approved the following changes. Additions to the Formulary Teprotumumab (Tepezza) 500mg vial: Reserved for [...]
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Update – Grievance Process
June 7, 2021 / by Health Plan / Alerts
Date: June 4, 2021 To: Health Plan of San Joaquin Contracted Practitioners, Providers & Facilities From: Health Plan of San Joaquin Subject: Update – Grievance Process Business: Medi-Cal Managed Care The Department of Health Care Services (DHCS) and the Department of Managed Health Care (DMHC) require Health Plan of San Joaquin (HPSJ) to monitor and [...]Read more
TOP TOPICS Monthly Spotlights Just for HPSJ Providers, June 2021
June 3, 2021 / by Health Plan / Top Topics
Early CalFires Season – Helping Providers & Members Prepare CDC has tools to help serve our members at www.hpsj.com/providers/. For members, HPSJ offers detailed support at www.hpsj.com/stay-safe-during-fire-season/. When it comes to dangerous fire season air quality, HPSJ asks members to KNOW YOUR COLORS. The EPA’s AirNow site has information on how to stay safe, at [...]Read more
KNOW YOUR COLORS – Protect your health from California fire season deadly smoke (Latino TImes, May 2021)
May 28, 2021 / by Health Plan / News
California Fire season has started early this year. Health Plan of San Joaquin (HPSJ) has facts to help you prep, with guidance at https://www.hpsj.com/stay-safe-during-fire-season/. Air quality from the fires finds all Californians beyond the fire warning zone. View PDF
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HEDIS season 2021 Audit Completed
May 25, 2021 / by Health Plan / Alerts
Date: May 25, 2021 To: Health Plan of San Joaquin (HPSJ) CONTRACTED PROVIDERS From: Health Plan of San Joaquin Subject: HEDIS season 2021 Audit Completed Business: Medi-Cal The HEDIS team in the Quality Department of Health Plan of San Joaquin (HPSJ) would like to thank you for your efforts and delivery of medical records during [...]Read more
KNOW YOUR COLORS – Protect Your Health from California Fires Season Deadly Smoke
May 19, 2021 / by Health Plan / Member News
California Fire season has started early this year. Health Plan of San Joaquin (HPSJ) has facts to help you prep, with guidance at https://www.hpsj.com/stay-safe-during-fire-season/. Air quality from the fires finds all Californians beyond the fire warning zone. To protect loved ones KNOW YOUR COLORS when it comes to air quality for this year’s fire season. [...]Read more
UPDATE Value Based Payment (VBP) Program
May 18, 2021 / by Health Plan / Alerts
Date: May 18, 2021 To: Health Plan of San Joaquin (HPSJ) All Providers & Facilities From: HPSJ Claims Department Subject: ~UPDATE~ Value Based Payment (VBP) Program Business: Medi-Cal Managed Care The following is an update for the Value Based Payment (VBP) Program operations. HPSJ is in the process of implementing a technical update to our [...]Read more
Claims Look-Up Tool – For Non-Contracted Providers
May 18, 2021 / by Health Plan / Alerts
Date: May 18, 2021 To: Health Plan of San Joaquin (HPSJ) Contracted and Non-Contracted Providers From: Health Plan of San Joaquin Subject: Claims Look-Up Tool – For Non-Contracted Providers Business: Medi-Cal Managed Care Health Plan of San Joaquin (HPSJ) has a helpful tool, outside of the provider portal, for contracted and non-contracted providers to track [...]Read more
Drug Safety Communication: Potential Increased Arrhythmia Risk from Lamotrigine
May 13, 2021 / by Health Plan / Alerts, Pharmacy Announcements
Lamotrigine is a sodium channel blocker that is used alone or in combination with other medicines to treat seizures. Lamotrigine may also be used as a maintenance treatment for bipolar disorder to help delay the occurrence of mood episodes such as depression, mania, or hypomania. On March 31, 2021, the U.S. Food and Drug Administration [...]Read more
Formulary Update – Effective 07/19/2021
May 13, 2021 / by Health Plan / Alerts, Pharmacy Announcements
Date: May 13, 2021 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 07/19/2021 Business: Medi-Cal Effective 07/19/2021, the Pharmacy and Therapeutics Committee has approved the following changes. Additions to the Formulary Teprotumumab (Tepezza) 500mg vial: Reserved for [...]Read more
UPDATE– DHCS Guidance – COVID-19 Vaccines & Vaccination Administration
May 6, 2021 / by Health Plan / Alerts
Date: May 5, 2021 To: Health Plan of San Joaquin (HPSJ) Providers and Pharmacists From: Health Plan of San Joaquin Subject: UPDATE– DHCS Guidance – COVID-19 Vaccines & Vaccination Administration Business: Medi-Cal Managed Care The California Department of Health Care Services (DHCS) has now issued updated guidance for all Medi-Cal managed care health care plans [...]Read more