August 31, 2020 / by Health Plan / Alerts, Pharmacy Announcements
Date: August 31, 2020 To: Health Plan of San Joaquin (HPSJ) Physicians, Providers, and Pharmacies From: Health Plan of San Joaquin Subject: Pharmacy Update: Oncology Medicine Business: Medi-Cal Effective 11/2/2020, all oncology medications will require prior authorizations. Please note that the following list of the medications is not all inclusive. Download the Oncology Medicine PDF [...]
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COVID-19: Overpayments on Testing Codes
August 31, 2020 / by Health Plan / Alerts, Non-Contracted Provider
Date: August 31, 2020 To: Health Plan of San Joaquin (HPSJ) All Providers & Facilities From: Health Plan of San Joaquin Subject: COVID-19: Overpayments on Testing Codes Business: Medi-Cal In response to the Novel Coronavirus (COVID-19), the Centers for Medicare & Medicaid Services (CMS) established the following HCPCS codes for COVID-19 diagnostic testing services: U0003: [...]Read more
Pharmacy Update: Oncology Medicine
August 31, 2020 / by Health Plan / Alerts, Pharmacy Announcements
Date: August 31, 2020 To: Health Plan of San Joaquin (HPSJ) Physicians, Providers, and Pharmacies From: Health Plan of San Joaquin Subject: Pharmacy Update: Oncology Medicine Business: Medi-Cal Effective 11/2/2020, all oncology medications will require prior authorizations. Please note that the following list of the medications is not all inclusive. Download the Oncology Medicine PDF [...]Read more
MCAS Measure AMM – Antidepressant Medication Management
August 27, 2020 / by Health Plan / Alerts
Date: August 27, 202 0 To: HPSJ Primary Care Providers {PCP} and Behavioral Health Care Providers From: HPSJ Quality Management Department Subject: MCAS Measure AMM – Antidepressant Medication Management Business: Medi-Cal The HPSJ Quality Team looks at adults ages 18+ who have a diagnosis of major depression and have been subsequently prescribed antidepressants. When documenting [...]Read more
DMHC/DHCS Timely Access Standards + Wait Times Set/Monitored by HPSJ
August 26, 2020 / by Health Plan / Alerts
Date: August 26, 2020 To: HPSJ Quality Management Department From: HPSJ Quality Management Department Subject: DMHC/DHCS Timely Access Standards + Wait Times Set/Monitored by HPSJ Business: Medi-Cal Health Plan of San Joaquin (HPSJ) is charged with maintaining the quality of care for our members. As such we must monitor access and availability within the network, [...]Read more
A virtual training session for HEDIS/NCQA Quality Measures 2020-2021
August 21, 2020 / by Health Plan / Alerts
Join us for your 2020 Vision of HPSJ’s LOOK and LEARN! (A virtual training session for HEDIS/NCQA Quality Measures 2020-2021). Let HPSJ help you and your staff increase quality standards! If your practice is focused on delivering quality services and interested in increasing your earning potential, we encourage you to register for one of the [...]Read more
It’s a different kind of flu season – With Covid-19, let’s not make it a “Twindemic!”
August 21, 2020 / by Health Plan / Covid-19, Health Articles
This year has been unlike any other. Covid-19 is still among us. Now: Flu season. It is believed that the flu virus and the virus that causes Covid-19 will both be spreading during fall and winter. The good news is that for the flu we actually do have a vaccination. We all just need to […]
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Health Plan San Joaquin’s Chief Medical Officer Has a Message for Us All (Latino Times, August 2020)
August 20, 2020 / by Health Plan / News
HPSJ’s Dr. Lakshmi Dhanvanthari, MD, wants each of us to stay safe, stay healthy, and keep being a public health role model during the ongoing COVID-19 pandemic. View PDF
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PPE Distribution to Small and Mid-Sized Practices – HPSJ Support for San Joaquin County Medical Society
August 20, 2020 / by Health Plan / Covid-19, News
Health Plan of San Joaquin worked with our long-time partners, San Joaquin County Medical Society, to plan for distribution in our French Camp parking lot of medical-grade PPE from California Medical Association. On Friday, August 7, we were grateful to provide our central location so over 140 local small and medium-sized practices could safely receive […]
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COVID Outreach Campaign Launched by Health Plan of San Joaquin
August 19, 2020 / by Health Plan / Press Releases
COVID Outreach Campaign Launched by Health Plan of San Joaquin – “Step Up! Help Restore Our Communities” (French Camp, CA) – With the pandemic and resulting societal challenges, Health Plan of San Joaquin (HPSJ) has announced it has continued its community communication initiatives and in August launched the multi-media campaign Step Up! Help Restore Our […]
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Proposition 56 Funded ‐ Value Based Payment (VBP) program
August 19, 2020 / by Health Plan / Alerts
Date: August 19, 2020 To: Health Plan of San Joaquin (HPSJ) Contracted Physicians From: HPSJ Claims Department Subject: Proposition 56 Funded ‐ Value Based Payment (VBP) program – Updates for 8/2020 Business: Medi-Cal Health Plan of San Joaquin (HPSJ) is working diligently to implement the supplemental payments for the Department of Health Care Services (DHCS) […]
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