February 25, 2019 / by Health Plan / Alerts
Date: February 25, 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 for 4/29/2019 Business: Medi-Cal Effective 4/29/19, the Pharmacy and Therapeutics Committee has approved the following changes: Additions to the Formulary: Fidaxomicin (Dificid) 200mg Tablet: PA required. […]
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Health Plan of San Joaquin (HPSJ) asks: Do you know the warning signs of breast cancer?
March 1, 2019 / by Health Plan / Health Articles, Press Releases
Ask a woman to name a sign or symptom of breast cancer, and chances are she’d say a lump in the breast,” said HPSJ Health Promotions and Cultural & Linguistics Manager Jenny Dominguez, MPH. Dominguez goes on: “She’d be right, of course. A new lump or mass is the most common symptom of breast cancer. […]
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Alert: New Naloxone Regulations Effective on January 1, 2019
February 25, 2019 / by Health Plan / Pharmacy Announcements
Assembly Bill 2760 (Wood, Chapter 324) was signed into law in 2018 and became effective on January 1, 2019. California prescribers are now required to offer a prescription to a patient for either naloxone or another drug approved by the U.S. Food and Drug Administration (FDA) for the complete or partial reversal of opioid-induced respiratory […]
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Formulary Update for 4/29/2019
February 25, 2019 / by Health Plan / Alerts
Date: February 25, 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 for 4/29/2019 Business: Medi-Cal Effective 4/29/19, the Pharmacy and Therapeutics Committee has approved the following changes: Additions to the Formulary: Fidaxomicin (Dificid) 200mg Tablet: PA required. […]
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Requirements for Early and Periodic Screening, Diagnostic and Treatment Services (EPSDT)
February 22, 2019 / by Health Plan / Alerts
Date: February 21, 2019 To: Health Plan of San Joaquin (HPSJ) Providers From: HPSJ Medical Management Department Subject: Requirements for Early and Periodic Screening, Diagnostic and Treatment Services (EPSDT) Business: Medi-Cal Health Plan of San Joaquin contracted Primary Care Providers are required to screen children under the age of 21. All members under 21 years […]
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REMINDER – Changes to PM 160 Encounter Forms
February 21, 2019 / by Health Plan / Alerts
Date: February 21, 2019 To: Health Plan of San Joaquin (HPSJ) Primary Care Providers (PCPs) From: Provider Services Department Subject: REMINDER – Changes to PM 160 Encounter Forms Business: Medi-Cal The Department of Health Care Services (DHCS) informed HPSJ that PM 160 CHDP encounter forms were eliminated from the state Medi-Cal program effective July 1, […]
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New Authorization Requirement – Chronic Care Benefits
February 21, 2019 / by Health Plan / Alerts
Date: February 21, 2019 To: Health Plan of San Joaquin (HPSJ) Providers From: HPSJ Medical Management Department Subject: New Authorization Requirement – Chronic Care Benefits Business: Medi-Cal Effective April 17, 2019, HPSJ’s benefit coverage for Chronic Care Management will require a prior authorization. This applies to CPT codes 99490 and 99491. Chronic care management services […]
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HPSJ MCL Provider Alert-Formulary Update December 2018
February 19, 2019 / by Health Plan / Pharmacy Announcements
Date: December 17, 2018 To: Health Plan of San Joaquin (HPSJ) Physicians, Providers, and Pharmacies From: Health Plan of San Joaquin Pharmacy and Therapeutics Committee Subject: Formulary Update Business: Medi-Cal Effective 2/25/2019, the Pharmacy and Therapeutics Committee has approved the following changes: Additions to the Formulary: Baloxavir (Xofluza) 20 mg, 40mg tablets: PA required. […]
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Beacon Health Options Web-based training on Anxiety Disorders
February 15, 2019 / by Health Plan / Alerts
Date: February 14, 2019 To: Health Plan of San Joaquin (HPSJ) PCPs From: HPSJ Medical Management Department Subject: Beacon Health Options Web-based training on Anxiety Disorders Business: Medi-Cal Please join Beacon Health Options for a Behavioral Health Web-based training session on Anxiety Disorders Learn how to spot warning signs and get members the help they […]
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Health Plan of San Joaquin offering Two Trainings in One Day (March 9, 2019) for Opioids Treatment – FREE Credits Available: CMEs and CEs
February 15, 2019 / by Health Plan / Press Releases
(French Camp, CA) – Non-profit Health Plan of San Joaquin has extended to February 22, the deadline to register for this set of presentations on March 9, 2019. The presentations are open to San Joaquin and Stanislaus county health care providers including: physicians, physician assistants (PAs), psychiatrists, pharmacists, nurse practitioners, registered nurses, licensed marriage and […]
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Alcohol Misuse: Screening and Behavioral Counseling Interventions
February 1, 2019 / by Health Plan / Alerts
Date: February 1, 2018 To: Health Plan of San Joaquin (HPSJ) PCPs From: HPSJ Medical Management Department Subject: Alcohol Misuse: Screening and Behavioral Counseling Interventions Business: Medi-Cal Consistent with United States Preventive Services Task Force (USPSTF) recommendations and the Medi-Cal Provider Manual, providers MUST annually screen adults aged 18 years or older for alcohol misuse […]
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