September 10, 2018 / by Health Plan / Alerts
Date: September 05, 2018 To: Health Plan of San Joaquin (HPSJ) Practitioners, Providers and Facilities From: HPSJ Claims Department Subject: Provider Alert Claim Overpayments Business: Medi-Cal For Your Information In accordance with the California Department of Health Care Services (DHCS) All Plan Letter, APL 17-003, HPSJ has implemented new auditing algorithms to identify potential overpayments […]
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Provider Alert – Formulary update effective 12/10/2018
September 27, 2018 / by Health Plan / Alerts
Date: September 27, 2018 To: Health Plan of San Joaquin (HPSJ) Physicians, Providers, and Pharmacies From: Health Plan of San Joaquin Pharmacy and Therapeutics Committee Subject: Provider Alert – Formulary update effective 12/10/2018 Business: Medi-Cal Effective 12/10/2018, the Pharmacy and Therapeutics Committee has approved the following changes: Additions to the Formulary: Abaloparatide (Tymlos) 3120mcg/1.56mL pen-injector: […]
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NEW – Opioid 7-Day Supply Limit for Initial Fill
September 20, 2018 / by Health Plan / Alerts, Pharmacy Announcements
Date: September 20, 2018 To: Primary Care Providers, Specialists, Clinics, Pharmacies and Hospitals From: Health Plan of San Joaquin Pharmacy Department Subject: NEW – Opioid 7-Day Supply Limit for Initial Fill Business: Medi-Cal To reduce the potential for chronic opioid use or misuse, Health Plan of San Joaquin is implementing a safety limit on initial […]
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Spotlight on Influenza – Flu Season is starting, don’t forget to get vaccinated!
September 17, 2018 / by Health Plan / Health Articles
“The flu virus is spread from one person to another before a person has symptoms and after you have symptoms. Infants and older adults can have severe complications and bad outcomes from flu. So to stay healthy and to prevent others from getting the flu it is important to get the flu vaccine. It also […]
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Provider Alert – 2018-2019 Flu Season
September 14, 2018 / by Health Plan / Alerts
Date: September 13, 2018 To: Health Plan of San Joaquin (HPSJ) Practitioners and Providers From: HPSJ Medical Management Department Subject: Provider Alert – 2018-2019 Flu Season Business: Medi-Cal Spreading the Word, Not the Flu It’s official: Flu season has begun. We want to help your patients get the preventive care they need. Sometimes it can […]
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Reported Sexually Transmitted Diseases Reach a New High in California
September 11, 2018 / by Health Plan / Alerts
Date: August 9, 2018 To: HPSJ Primary Care Providers, Specialists, and Pharmacies From: California Department of Public Health (CDPH) Subject: Reported Sexually Transmitted Diseases Reach a New High in California Business: Medi-Cal SACRAMENTO – A record number of Californians were diagnosed with a sexually transmitted disease (STD) in 2017, according to a new report released […]
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Provider Alert Claim Overpayments
September 10, 2018 / by Health Plan / Alerts
Date: September 05, 2018 To: Health Plan of San Joaquin (HPSJ) Practitioners, Providers and Facilities From: HPSJ Claims Department Subject: Provider Alert Claim Overpayments Business: Medi-Cal For Your Information In accordance with the California Department of Health Care Services (DHCS) All Plan Letter, APL 17-003, HPSJ has implemented new auditing algorithms to identify potential overpayments […]
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September 2018 – Claims corner newsletter
September 9, 2018 / by Health Plan / Alerts, Claims Corner
HPSJ Member ID# All claims billed for HPSJ members must be billed with their HPSJ member ID#. The ID# starts with 200. Claims submitted with the MCL CIN# will be rejected as “member unknown.” HPSJ member eligibility can be verified through the provider portal New born claims Physician services for the care of the newborn […]
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Provider Appointment Availability Survey (PAAS)
September 6, 2018 / by Health Plan / Alerts
Date: September 05, 2018 To: Health Plan of San Joaquin (HPSJ) Providers and Practitioners From: Health Plan of San Joaquin: Provider Services Subject: Provider Appointment Availability Survey (PAAS) Business: Medi-Cal Starting Today HPSJ is required to perform an annual Provider Appointment Availability Survey (PAAS), as mandated by the California Department of Managed HealthCare (DMHC). The […]
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Health Plan of San Joaquin (HPSJ) reminds families – Well Child Visits are a part of their child’s HPSJ benefits, And making sure vaccines are current is essential
September 6, 2018 / by Health Plan / Press Releases
(French Camp, CA) – Health Plan of San Joaquin is putting out this message to make sure families know that if their children are health plan members Well Child Visits are an important part of their child’s HPSJ benefits. The Well Child Visits are for members from the age of 12 months to 19 years […]
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Montelukast Recall
August 31, 2018 / by Health Plan / Alerts, Pharmacy Announcements
Date: August 31, 2018 To: Health Plan of San Joaquin (HPSJ) Pharmacies and PCPs From: HPSJ Pharmacy Department Subject: Montelukast Recall Business: Medi-Cal Montelukast Recall We are sending this alert because your patients may have filled a prescription for Montelukast Sodium 10mg Tablets. The product is labeled as Montelukast Sodium Tablets USP 10mg, but may […]
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