May 16, 2018 / by Health Plan / Alerts
Date: May 16, 2018 To: Health Plan of San Joaquin (HPSJ) Practitioners and Providers From: HPSJ Claims Department Subject: Claim Overpayments Business: Medi-Cal Managed Care Coming Soon: Electronic PCP Selection Change Form California’s Department of Health Care Services (DHCS) has issued an All Plan Letter, APL 17-003. Here is what you, as a provider, need […]
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3 Key Things to Know About Asthma (Latino Times, June 2018; Source: Health Plan of San Joaquin)
June 12, 2018 / by Health Plan / News
“Breathing is a breeze for most people. But asthma can undermine this simple act.” … Read the full article, including comments from Dr. Silvia Diego, MD, a pediatrician who partners with HPSJ through its Provider Network Read ArticleView PDF
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June is Men’s Health Month
June 10, 2018 / by Health Plan / Health Articles
Health Plan of San Joaquin celebrates National Men’s Health Month in June! The aim of Men’s Health Month is for men to know that they need to get their health exams and screenings, and to stay healthy while living longer. The month also coincides with Men’s Health Week (June 12–18), a special awareness period created […]
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3 Key Things to Know About Asthma
June 6, 2018 / by Health Plan / Health Articles
By Health Plan of San Joaquin Breathing is a breeze for most people. But asthma can undermine this simple act. If you’ve recently been diagnosed with asthma, learning about the disease and its treatments can help you stay in control. Start here with these three key facts: Asthma doesn’t go away. Asthma is a chronic […]
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Capitated June Checks – Impacting June Check-Write Only
June 1, 2018 / by Health Plan / Alerts
Date: June 1, 2018 To: Health Plan of San Joaquin (HPSJ) Primary Care Providers (PCPs) From: HPSJ Finance Department Subject: Capitated June Checks – Impacting June Check-Write Only Hard Copy Paper ONLY for the Check and for the Remittance Advice Business: Medi-Cal Managed Care Effective: For the June 2018 Capitation payment only This is to inform […]
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San Joaquin Health Plan CEO Built the Plane as She Was Flying It (California Health Care Foundation, CHCF BLOG, May 31, 2018)
June 1, 2018 / by Health Plan / News
Veteran nonprofit health care manager Amy Shin was looking for a leadership position in 2013, and Health Plan of San Joaquin (HPSJ) seemed to offer the right fit. After years of working in senior roles at respected Bay Area managed care organizations, here was a CEO job not too far from her Oakland home. I […]
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Fee-For-Service Checks – Impacting This Check-Write Only Hard Copy Paper ONLY for the Check and for the Remittance Advice
May 31, 2018 / by Health Plan / Alerts
Date: May 31, 2018 To: Health Plan of San Joaquin (HPSJ) Practitioners, Providers and Facilities From: HPSJ Finance Department Subject: Fee-For-Service Checks – Impacting This Check-Write Only Hard Copy Paper ONLY for the Check and for the Remittance Advice Business: Medi-Cal Managed Care Effective: For this check-write period only This is to inform our practitioners, […]
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REMINDER: HPSJ members cannot be charged for medications
May 29, 2018 / by Health Plan / Alerts, Pharmacy Announcements
Date: May 29, 2018 To: HPSJ Network Pharmacies From: HPSJ Pharmacy Department Subject: REMINDER: HPSJ members cannot be charged for medications Business: Medi-Cal This is a reminder that both the Knox Keene Health Care Service Plan Act of 1975 (H&S §1379, §1385) and California Code of Regulations (28 CCR §1300.67.8) mandate that all providers who […]
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Claims Corner May 2018
May 24, 2018 / by Health Plan / Alerts
A monthly newsletter brought to you by Health Plan of San Joaquin Subscribe to MCSS Today! Providers are encouraged to routinely check the Medi-Cal Update provider bulletins and complete the MCSS Subscriber Form to receive email notifications for newly published Medi-Cal Update bulletins, Newsflash articles and/or System Status Alerts. Submitting a Corrected Claim—Reminder Correcting electronic […]
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Formulary Update Effective July 23, 2018
May 17, 2018 / by Health Plan / Alerts
Date: May 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 Effective July 23, 2018 Business: Medi-Cal Effective 07/23/2018, the Pharmacy and Therapeutics Committee has approved the following changes: Additions to the Formulary: Alirocumab (Praluent): PA required. Reserved […]
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Claim Overpayments
May 16, 2018 / by Health Plan / Alerts
Date: May 16, 2018 To: Health Plan of San Joaquin (HPSJ) Practitioners and Providers From: HPSJ Claims Department Subject: Claim Overpayments Business: Medi-Cal Managed Care Coming Soon: Electronic PCP Selection Change Form California’s Department of Health Care Services (DHCS) has issued an All Plan Letter, APL 17-003. Here is what you, as a provider, need […]
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