December 12, 2019 / by Health Plan / Alerts, Pharmacy Announcements
Date: December 12, 2019 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 February 24, 2020 Business: Medi-Cal Effective 02/24/2020, the Pharmacy and Therapeutics Committee has approved the following changes: Additions to the Formulary: Tranexamic Acid (Lysteda) 650 mg […]
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December 2019 – Claims corner newsletter
December 18, 2019 / by Health Plan / Claims Corner
In this issue: Medi/Medi Claim Submissions Newborn Claims/Eligibility Prop 56 Supplemental Payments PDR vs CORR Mailing Address PAPER CLAIMS Effective October 1, 2019 all paper claim submissions should be mailed to the following address: PO BOX 211395 Eagan, MN 55121-2195 Provider Portal—DRE The Provider Portal will allow providers and their administrative staff to have online […]
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REMINDER – Beacon Health Options is available during the holidays 2019
December 16, 2019 / by Health Plan / Alerts
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 While the holidays are a time of joy for many, for some, it can be a time of increased stress, loneliness, and anxiety. Health Plan […]
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Formulary Update Effective February 24, 2020
December 12, 2019 / by Health Plan / Alerts, Pharmacy Announcements
Date: December 12, 2019 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 February 24, 2020 Business: Medi-Cal Effective 02/24/2020, the Pharmacy and Therapeutics Committee has approved the following changes: Additions to the Formulary: Tranexamic Acid (Lysteda) 650 mg […]
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New Year, New Tobacco-Free You You already know you should quit. More help for 2020!
December 10, 2019 / by Health Plan / Health Articles
It’s not just about quitting smoking. It’s the chewing, dipping, and vaping. But there is room for hope. HPSJ Chief Medical Officer Lakshmi Dhanvanthari, MD, said: “Millions of people have quit tobacco over the years. The CDC (Centers for Disease Control and Prevention) tells us slightly more than 34 percent of American adults used tobacco [...]Read more
Prop 56 – Childhood Development Screening Update & Provider Training
December 9, 2019 / by Health Plan / Alerts
Date: December 9, 2019 To: Health Plan of San Joaquin (HPSJ) Practitioners and Providers From: HPSJ Claims Department Subject: Prop 56 – Childhood Development Screening Update & Provider Training Additional $$$ Reimbursements DHCS webinar, Wednesday, December 11 (1:00 p.m. – 2:00 p.m.) Business: Medi-Cal The Department of Health Care Services (DHCS) has added additional reimbursement […]
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Prop 56 – Screening for Adverse Childhood Experiences Update & Webinar
December 9, 2019 / by Health Plan / Alerts
Date: December 9, 2019 To: Health Plan of San Joaquin (HPSJ) Practitioners and Providers From: HPSJ Claims Department Subject: Prop 56 – Screening for Adverse Childhood Experiences Update & Webinar Additional $$$ Reimbursements DHCS webinar, Wednesday, December 11 (1:00 p.m. – 2:00 p.m.) Upcoming: Required DHCS training Business: Medi-Cal Managed Care The Department of Health […]
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Health Plan of San Joaquin creates easy member access during disasters (by Joe Goldeen, Stockton Record, Nov 20, 2019)
December 9, 2019 / by Health Plan / News
FRENCH CAMP — Health Plan of San Joaquin has set up streamlined access to benefits and prescription medications for members who may be impacted by power outages or evacuations during California’s fire season. Read Article
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Health Plan of San Joaquin Expedites Access to Benefits & Prescriptions for Any HPSJ Medi-Cal Member Who May be Affected by ongoing California Wildfires & Smoke, or Related Power Outages
November 19, 2019 / by Health Plan / Press Releases
Link to HPSJ Resource Center: https://www.hpsj.com/safe/ (French Camp, CA) – Health Plan of San Joaquin (HPSJ) has set up streamlined access to benefits and prescriptions for any of its members who may be impacted during this fire season. HPSJ is reaching out to members with the information found in the HPSJ Resource Center, at https://www.hpsj.com/safe/. [...]Read more
Proposition 56: Supplemental Payment Update 2019
November 15, 2019 / by Health Plan / Alerts
Date: November 15, 2019 To: Health Plan of San Joaquin (HPSJ) PCPs and Specialists From: HPSJ Claims Department Subject: Proposition 56: Supplemental Payment Update 2019 Business: Medi-Cal Managed Care The Department of Health Care Services (DHCS) has extended the Supplemental Payment Program through Proposition 56 as listed below. All supplemental payments will be going through […]
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Burned out on diabetes? Get answers—and get help
November 15, 2019 / by Health Plan / Health Articles
Burned out on diabetes? Diabetes is a needy disease—living with it isn't always easy. You may have a lot on your plate each day and a lot on your mind sometimes. “Of course, all people with diabetes have a bad day now and then. But burnout is a lot. If you have it, it may [...]Read more