July 12, 2022 / by Health Plan / Alerts
Date: July 11, 2022 To: HPSJ Practitioners, Providers and Facilities From: Health Plan of San Joaquin (HPSJ) Subject: Virtual Look and Learn Business: Medi-Cal Managed Care Please join us July 20, 2022, from 12:00 pm to 1:00 pm, for a Virtual Provider Look and Learn Session. We will be covering the following items: WIC Services [...]
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Medical Benefit Updates
August 1, 2022 / by Health Plan / Alerts
Date: July 29, 2022 To: Health Plan of San Joaquin (HPSJ) Physicians and Providers From: Health Plan of San Joaquin Pharmacy and Therapeutics Committee Subject: Medical Benefit Updates Business: Medi-Cal Managed Care Effective October 4, 2022, the Pharmacy and Therapeutics Committee has approved the following changes to the medical benefit. All of the below criteria [...]Read more
Infant Formula Shortage, Providing Help is a Local Priority
July 25, 2022 / by Health Plan / Press Releases
By Julie Vaishampayan, MD, MPH and Priti Golechha, MD, FAAP The infant formula shortage has been difficult to navigate for many parents across Stanislaus County. Though the shortage is affecting families nationwide there are things we can do locally to keep kids fed and healthy. There are a lot of questions, and we want parents [...]Read more
Virtual Look and Learn August 3, 2022
July 18, 2022 / by Health Plan / Alerts
Date: July 18, 2022 To: HPSJ Primary Care Physicians (PCP), Hospitals, and Facilities From: Health Plan of San Joaquin (HPSJ) Subject: Virtual Look and Learn August 3, 2022 Business: Medi-Cal Managed Care Please join us August 3, 2022 from 12:00 pm to 1:00 pm, for a Virtual Provider Look and Learn Session. We will be [...]Read more
HEDIS Measure Colorectal Cancer Screening-(COL)
July 18, 2022 / by Health Plan / Alerts
Date: July 15, 2022 To: CONTRACTED PCPs & Facilities From: Health Plan of San Joaquin (HPSJ) Subject: HEDIS Measure Colorectal Cancer Screening-(COL) Business: Medi-Cal HEDIS: New Reporting for 2022 Description: Members 50-75 years of age as of December 31 of the measurement year who had appropriate screening for cancer. ADDED: New Data Elements Table for [...]Read more
Childhood Lead Screening (LSC)- 2022 HEDIS Measure
July 18, 2022 / by Health Plan / Alerts
Date: July 15, 2022 To: HPSJ Contracted PCPs & Pediatrics From: Health Plan of San Joaquin (HPSJ) Subject: Childhood Lead Screening (LSC)- 2022 HEDIS Measure Business: Medi-Cal HEDIS Measure-(LSC) Just Check the Box! Description: Children covered by Medi-Cal are required by the Federal Centers for Medicare and Medicaid Services (CMS) to receive lead screening tests [...]Read more
Follow-up After Emergency Department Visit for Substance Use (FUA)
July 14, 2022 / by Health Plan / Alerts
Date: July 14, 2022 To: CONTRACTED PCPs and Behavioral Health Care Providers From: Health Plan of San Joaquin (HPSJ) Subject: Follow-up After Emergency Department Visit for Substance Use (FUA) Business: Medi-Cal HEDIS Measure Change 2022 Follow- up After Emergency Department Visit for Substance Use: Revised measure name from Follow-up After Emergency Department for Alcohol and [...]Read more
Follow-up After Emergency Department Visit for Substance Use (FUA)
July 14, 2022 / by Health Plan / Alerts
Date: July 14, 2022 To: CONTRACTED PCPs and Behavioral Health Care Providers From: Health Plan of San Joaquin (HPSJ) Subject: Follow-up After Emergency Department Visit for Substance Use (FUA) Business: Medi-Cal HEDIS Measure Change 2022 Follow- up After Emergency Department Visit for Substance Use: Revised measure name from Follow-up After Emergency Department for Alcohol and [...]Read more
Modifier 22 Documentation Requirements
July 14, 2022 / by Health Plan / Alerts
Date: July 12, 2022 To: HPSJ Providers & Facilities From: Health Plan of San Joaquin (HPSJ) Subject: Modifier 22 Documentation Requirements Business: Medi-Cal Managed Care The Department of Health Care Services (DHCS) guidelines state that when billing modifier 22, which indicates that a procedure was complicated, complex, difficult, or took significantly more time than usually [...]Read more
Health Plan of San Joaquin Wants Everyone to Stay Summer Safe – And Help Parents Get Kids Ready for School! (Latino Times, July 2022)
July 13, 2022 / by Health Plan / News
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Virtual Look and Learn
July 12, 2022 / by Health Plan / Alerts
Date: July 11, 2022 To: HPSJ Practitioners, Providers and Facilities From: Health Plan of San Joaquin (HPSJ) Subject: Virtual Look and Learn Business: Medi-Cal Managed Care Please join us July 20, 2022, from 12:00 pm to 1:00 pm, for a Virtual Provider Look and Learn Session. We will be covering the following items: WIC Services [...]Read more