April 30, 2019 / by Health Plan / Pharmacy Announcements
Opioids are a class of prescription medicines that are used to manage pain when other treatments and medicines cannot be taken or are not able to provide enough pain relief. Opioids have serious risks, including abuse, addiction, overdose, and death. Examples of common opioids include codeine, fentanyl, hydrocodone, hydromorphone, morphine, oxycodone, and oxymorphone. On April […]
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With Measles Cases Rising, Advice from Health Plan of San Joaquin
May 3, 2019 / by Health Plan / Health Articles
Health Plan of San Joaquin’s Chief Medical Officer, Lakshmi Dhanvanthari, MD, is a board-certified pediatrician. Dr. Lakshmi has an important message for all parents, whether or not they are members of HPSJ, the largest local, non-profit public health plan – “Measles is making a comeback because people are traveling to and returning from countries that […]
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HEDIS Training Lunch and Learn – Practical Tips for Your Success This Year
May 2, 2019 / by Health Plan / Alerts
Date: May 2, 2019 To: Health Plan of San Joaquin (HPSJ) Primary Care Providers (PCP) From: HPSJ Provider Services Department Subject: HEDIS Training Lunch and Learn – Practical Tips for Your Success This Year Business: Medi-Cal Our HPSJ providers are essential partners in delivering care to our members. Because of your valued contributions, we are […]
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“Me and My Baby” Perinatal Program – Now available for HPSJ pregnant members
May 1, 2019 / by Health Plan / News
Health Plan of San Joaquin (HPSJ) continues to identify ways to help patients meet their health care needs by improving the health plan’s programs. Each year in the United States, about 700 women die because of pregnancyrelated complications. But, looking at the leading causes of pregnancy-related deaths, 59% are preventable! View PDf
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April 2019 – Claims corner newsletter
May 1, 2019 / by Health Plan / Claims Corner
Offset/Recoupments (Provider Alert 5.16.18) Offsetting Against Future Claims If the provider has not reimbursed HPSJ for the overpayment within sixty (60) days from the date it receives the written notice of HPSJ’s identified overpayment, or denial of written dispute, then HPSJ will provide written notice of the intent to offset. * HPSJ has also extended […]
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Drug Safety Communication: Risks with Sudden Discontinuation of Opioids
April 30, 2019 / by Health Plan / Pharmacy Announcements
Opioids are a class of prescription medicines that are used to manage pain when other treatments and medicines cannot be taken or are not able to provide enough pain relief. Opioids have serious risks, including abuse, addiction, overdose, and death. Examples of common opioids include codeine, fentanyl, hydrocodone, hydromorphone, morphine, oxycodone, and oxymorphone. On April […]
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Partnership Underway – Modesto Nuts + HPSJ for Community & Health
April 25, 2019 / by Health Plan / Press Releases
(French Camp, CA) – Health Plan of San Joaquin (HPSJ) has announced its community partnership with the Modesto Nuts will kick off this Saturday, April 27, 2019, for the spring/summer MiLB 2019 baseball season to celebrate the Central Valley’s strong Latino roots with a season-long event series “Copa de la Diversión,” or “Fun Cup.” All [...]Read more
Paper Claims Submission – Address Change – REMINDER
April 22, 2019 / by Health Plan / Alerts
Date: May 01, 2019 To: Health Plan of San Joaquin (HPSJ) Practitioners and Providers From: HPSJ Claims Departmen Subject: Paper Claims Submission – Address Change – REMINDER Business: Medi-Cal Health Plan of San Joaquin (HPSJ) will have a TEMPORARY new mailing address for initial and corrected paper claim(s) submissions. Effective May 15, 2019 all paper […]
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Opioid 90 MME/Day Limit – Effective 7/22/2019
April 18, 2019 / by Health Plan / Alerts
Date: April 18, 2019 To: HPSJ Primary Care Providers, Specialists, Clinics, Pharmacies, and Hospitals From: Health Plan of San Joaquin Pharmacy Department Subject: Opioid 90 MME/Day Limit – Effective 7/22/2019 Business: Medi-Cal To reduce the potential for chronic opioid use or misuse, Health Plan of San Joaquin is implementing a safety limit on opioid prescriptions […]
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Additional Changes to Prior Authorization Requirements: Podiatry and Durable Medical Equipment (DME)
April 18, 2019 / by Health Plan / Alerts
Date: April 19, 2019 To: Health Plan of San Joaquin (HPSJ) Providers From: HPSJ Medical Management Department Subject: Effective Immediately – Additional Changes to Prior Authorization Requirements: Podiatry and Durable Medical Equipment (DME) Business: Medi-Cal Our HPSJ network providers are important partners in delivering care to our members. As we continue to seek ways to […]
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Notification of Mail Theft and Potential Fraud
April 10, 2019 / by Health Plan / Alerts
Date: April 10, 2019 To: Health Plan of San Joaquin (HPSJ) Providers From: HPSJ Compliance Department Subject: Notification of Mail Theft and Potential Fraud Business: Medi-Cal In keeping with our Fraud, Waste and Abuse policies, HPSJ wants to keep you informed of a potential mail theft or fraud that may impact you or your practice. […]
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