HEDIS: Annual Medical Records Review

Date: January 31, 2020 To: Health Plan of San Joaquin (HPSJ) Providers From: Medical Management Department – Health Plan of San Joaquin Subject: HEDIS: Annual Medical Records Review Business: Medi-Cal, MCAP (Medi-Cal Access Program, previously known as AIM) HPSJ Quality Management Department is preparing to launch the 2020 NCQA HEDIS Survey and Medical Record Review […]

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Vaping: The Flavor of Addiction – Zooming in on Threat to Kids

FOR IMMEDIATE RELEASE – From Health Plan of San Joaquin (French Camp) VAPING: THE FLAVOR OF ADDICTION ZOOMING IN ON THREAT TO KIDS A recent sudden lung illness outbreak from vaping has affected more than a thousand people; the youngest is 13. Centers for Disease Control and Prevention Teens are nearly 7x more likely to [...]

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African American Mental Health Providers Support Group

Date: January 28, 2020 To: Health Plan of San Joaquin (HPSJ) Behavioral Health Providers From: HPSJ Health Education Department Subject: African American Mental Health Providers Support Group Business: Medi-Cal Ayesha Paige Hunter, EdD, LMFT, is a provider who sits on the Perinatal Equity Initiative Community Advisory Board group (PEI CAB). Dr. Hunter has organized a […]

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Vaping: The Flavor of Addiction

A recent sudden lung illness outbreak from vaping has affected more than a thousand people; the youngest is 13. Centers for Disease Control and Prevention Teens are nearly 7x more likely to vape nicotine than adults. American College of Physicians 4 out of 5 kids who vape nicotine use flavors National Institutes of Health Kids [...]

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Notice of Recoupment- Capitation (CAP) Overpayment – Unallowed payments – CAP paid providers after HSPJ members’ death

Date: January 10, 2020 To: Health Plan of San Joaquin (HPSJ) Physicians, Providers, Pharmacies, and Capitated Service Providers From: Health Plan of San Joaquin Subject: Notice of Recoupment – Capitation (CAP) Overpayment – Unallowed payments – CAP paid providers after Health Plan of San Joaquin members’ death Business: Medi-Cal Dear Provider, We have been informed […]

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Improving the Quality of Care: Risks Associated with Use of Gabapentin

Learning Objectives: Review the U.S. Food and Drug Administration (FDA) approved indications for gabapentinoids (gabapentin and pregabalin). Describe potential risks associated with combining gabapentin with opioids. Summarize best practices for responsible prescribing of gabapentin. Key Points: Recent restrictions on opioid prescribing have led clinicians to utilize alternative or complementary approaches to pain management, especially for […]

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​Effective 2/24/2020, the Pharmacy and Therapeutics Committee has approved the following changes.

Date: December 13, 2019 To: Health Plan of San Joaquin (HPSJ) Providers From: HPSJ Medical Management Department Subject: REMINDER – Beacon Health Options is available during the holidays Business: Medi-Cal Effective 02/24/2020, the Pharmacy and Therapeutics Committee has approved the following changes: to: Help connect your patients to mental health services Get psychiatric consultation services […]

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San Joaquin PHYSICIAN, Winter 2019: HPSJ Stories (San Joaquin Medical Society)

Revamped for providers – PlanScan, HPSJ’s quarterly newsletter (p.26) Winner of a 2019 HPSJ Health Careers Scholarship & National ACAP Scholarship Award – HPSJ Celebrates Joanna Valenzuela (p.27) HPSJ has a new mailing address for initial & corrected paper claims submissions (28) Of Special Note: A Look at the Opioid Crisis in San Joaquin County (p.56-58) – HPSJ is proud to be […]

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