October 26, 2019 / by Health Plan / Alerts
Date: October 25, 2019 To: Health Plan of San Joaquin (HPSJ) Practitioners, Providers, and Facilities From: HPSJ Claims Department Subject: Provider Alert Additional Payments Business: Medi-Cal Managed Care During a recent audit, Health Plan of San Joaquin (HPSJ) identified the following: Not paying specialty rates on certain services Not paying penalty when interest was paid […]
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Alert: New Global Guidelines for the Treatment of Asthma
November 13, 2019 / by Health Plan / Pharmacy Announcements
The World Health Organization (WHO) and the National Heart, Lung, and Blood Institute (NHLBI) established the Global Initiative for Asthma (GINA) in 1993 in order to increase awareness about asthma among health professionals, public health authorities, and the community, and to improve asthma prevention and management through a coordinated worldwide effort. The GINA Scientific Committee […]
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Health Plan of San Joaquin Celebrates Joanna Valenzuela, Latino Times, November 2019
November 11, 2019 / by Health Plan / News
HPSJ has announced that for the second year in a row, one of its local Health Careers Scholarship Program awardees has also won the prestigious ACAP scholarship award from the nationwide Association for Community Health Plans. View PDF
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Providers & Community Partners Advisory – California Wildfires & Smoke, and PG&E Power Shut-Offs
October 30, 2019 / by Health Plan / Alerts
Date: October 30, 2019 To: HPSJ Providers, HPSJ Pharmacies, and Community-Based Organizations – San Joaquin Co. & Stanislaus Co. From: Health Plan of San Joaquin Medical Management Subject: HPSJ Expedites Access to Benefits & Prescriptions for Any HPSJ Medi-Cal Member Affected During California Fire Season Refrigerated Prescribed Medications Electrical Medical Equipment Health Plan of […]
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Provider Alert Additional Payments
October 26, 2019 / by Health Plan / Alerts
Date: October 25, 2019 To: Health Plan of San Joaquin (HPSJ) Practitioners, Providers, and Facilities From: HPSJ Claims Department Subject: Provider Alert Additional Payments Business: Medi-Cal Managed Care During a recent audit, Health Plan of San Joaquin (HPSJ) identified the following: Not paying specialty rates on certain services Not paying penalty when interest was paid […]
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HPSJ HEALTHY SMILES Program Established 2015, San Joaquin & Stanislaus Counties
October 21, 2019 / by Health Plan / Health Articles
HPSJ HEALTHY SMILES Program Established 2015, San Joaquin & Stanislaus Counties “A healthy smile starts at birth. That’s why HPSJ launched the Healthy Smiles program four years ago, to help children have healthy teeth. HPSJ offers fluoride varnish, tablets, and drops to our network doctors for their young HPSJ patients – and we continue to [...]Read more
DMHC/DHCS Timely Access Standards + Wait Times Set/Monitored by HPSJ
October 21, 2019 / by Health Plan / Alerts
Date: October 18, 2019 To: Health Plan of San Joaquin (HPSJ) Practitioners, Providers & Facilities From: HPSJ Quality Management Department Subject: DMHC/DHCS Timely Access Standards + Wait Times Set/Monitored by HPSJ Business: Medi-Cal Managed Care Health Plan of San Joaquin (HPSJ) is charged with maintaining the quality of care for our members. As such we […]
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Prevent drug addiction and overdose deaths with the DEA national TakeBack Day
October 15, 2019 / by Health Plan / Member News
Keep them safe. Clean them out. Take them back. The DEA’s Take Back Day events provide an opportunity for Americans to prevent drug addiction and overdose deaths. According to the 2018 National Survey on Drug Use and Health, 9.9 million Americans misused controlled prescription drugs. The study shows that a majority of abused prescription drugs [...]Read more
HPSJ asks members to please stay safe this fire season & during any PG&E power outages.
October 10, 2019 / by Health Plan / Uncategorized
HPSJ asks members to please stay safe this fire season & during any PG&E power outages. If you are effected, please: Keep with you your prescribed meds and charged or battery reliant health care tools Keep your HPSJ ID card with you You can get any of this local help without prior HPSJ say so [...]Read more
Measures – Non-FQHC and Non-Clinic providers. Effective July 1, 2019
October 7, 2019 / by Health Plan / Alerts
Date: October 2, 2019 To: All Health Plan of San Joaquin (HPSJ) Contracted Practitioners From: HPSJ Quality Management Department Subject: DHCS Value Based Payment (VBP) Performance Measures – Non-FQHC and Non-Clinic providers. Effective July 1, 2019 Business: Medi-Cal DHCS Value Based Payment (VBP) Performance Measures – Non-FQHC and Non-Clinic providers. Effective July 1, 2019 […]
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September 2019 – Claims corner newsletter
September 30, 2019 / by Health Plan / Claims Corner
NEW Mailing Address (Provider Alert 9.5.2019) Health Plan of San Joaquin (HPSJ) has a new mailing address for initial and corrected paper claim(s) submissions. Effective October 1, 2019 all paper claim submissions should be mailed to: Health Plan of San Joaquin (HPSJ) Paper Processing Facility P.O. Box 211395 Eagan, MN 55121 All claims should be […]
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