February 27, 2017 / by Health Plan / Alerts
Date: February 21, 2017 To: Third Party Administrator (TPA) Contracted Providers From: San Joaquin Health Administrators (SJHA) Subject: Courtesy Message – Additional Information Business: TPA Effective March 1, 2017 As a courtesy, we want to make you aware that effective March 1, 2017, SJHA (San Joaquin Health Administrators) will no longer provide TPA (Third Party […]
Read more
COMING SOON! HEDIS 2017 Member Incentives
March 1, 2017 / by Health Plan / Alerts
Date: March 1, 2017 To: Health Plan of San Joaquin (HPSJ) Providers From: HPSJ Medical Management Department Subject: COMING SOON! HEDIS 2017 Member Incentives Business: Medi-Cal, MCAP (Medi-Cal Access Program, previously known as AIM) Please work with your patients to perform these important services by the end of the year (12/31/17). At HPSJ, we are your […]
Read more
Courtesy Message – Additional Information
February 27, 2017 / by Health Plan / Alerts
Date: February 21, 2017 To: Third Party Administrator (TPA) Contracted Providers From: San Joaquin Health Administrators (SJHA) Subject: Courtesy Message – Additional Information Business: TPA Effective March 1, 2017 As a courtesy, we want to make you aware that effective March 1, 2017, SJHA (San Joaquin Health Administrators) will no longer provide TPA (Third Party […]
Read more
Courtesy Message – SJHA ends TPA Services with San Joaquin County Employee Health Plan
February 21, 2017 / by Health Plan / Alerts
Date: February 21, 2017 To: Third Party Administrator (TPA) Contracted Providers From: San Joaquin Health Administrators (SJHA) Subject: Courtesy Message – SJHA ends TPA Services with San Joaquin County Employee Health Plan Business: TPA Effective March 1, 2017 As a courtesy, we want to make you aware that effective March 1, 2017, SJHA (San Joaquin […]
Read more
How to Stop Tooth Decay in Your Baby
February 19, 2017 / by Health Plan / Health Articles
February – National Children’s Dental Health Month Baby teeth are vital. If baby teeth are lost too early [due to tooth decay], the teeth that are left may move and not leave any room for adult teeth to come in. “Baby teeth help babies to chew, speak and smile. They also help the adult teeth […]
Read more
Health Plan of San Joaquin announces new controller
February 10, 2017 / by Health Plan / Press Releases
(French Camp, CA) – Health Plan of San Joaquin (HPSJ) has announced that Eleanor Falcon has been appointed controller for HPSJ. As controller, she supervises the financial operations of the not-for-profit managed care plan which annually distributes nearly $1 billion in state and federal revenue. Before her current appointment, Falcon was HPSJ’s assistant controller. Eleanor […]
Read more
Health Plan of San Joaquin announces new director of Financial Planning & Analysis
February 10, 2017 / by Health Plan / Press Releases
(French Camp, CA) – Health Plan of San Joaquin (HPSJ) has announced that Kay Andora has joined HPSJ as the director of financial planning and analysis. She comes to HPSJ as a leader who has designed and implemented administrative cost savings and process improvements that make it possible for health care organizations to focus resources […]
Read more
Coming – Spring 2017 Enhanced DRE Service for HPSJ Provider Network
February 8, 2017 / by Health Plan / Alerts
Date: February 8, 2017 To: Health Plan of San Joaquin (HPSJ) Providers and Practitiones From: HPSJ Medical Management & IT Departments Subject: Coming – Spring 2017 Enhanced DRE Service for HPSJ Provider Network Business: Medi-Cal, MCAP (Medi-Cal Access Program, previously known as AIM) Coming – Spring 2017 Enhanced DRE Service for HPSJ Provider Network As […]
Read more
HEDIS Time: Annual Medical Records Review
February 1, 2017 / by Health Plan / Alerts
Date: February 1, 2017 To: Health Plan of San Joaquin (HPSJ) Providers and Practitioners From: Medical Management Department – Health Plan of San Joaquin Subject: HEDIS Time: Annual Medical Records Review Business: Medi-Cal, MCAP (Medi-Cal Access Program, previously known as AIM) Traditionally scheduled for February through May of each year, the 2017 Medical Review Process […]
Read more
HPSJ customer service director joins board of YMCA San Joaquin County
January 26, 2017 / by Health Plan / Press Releases
(French Camp, CA) – Health Plan of San Joaquin (HPSJ) has announced that customer service director Mike McCarns has joined the board of directors for YMCA San Joaquin County. “I am a strong believer in maintaining a balanced work/life equation,” said McCarns, a father of four who had been looking for a good match with […]
Read more
Effective 2/21/2017, the Pharmacy and Therapeutics Committee has approved the following changes:
December 21, 2016 / by Health Plan / Alerts
Date: December 21, 2016 To: Health Plan of San Joaquin (HPSJ) Providers and Practitioners From: HPSJ Medical Management Department Subject: Comprehensive Tobacco Cessation Services Business: Medi-Cal, MCAP (Medi-Cal Access Program, previously known as AIM) Additions to the Formulary: Potassium Citrate ER 15 mEq (Urocit-K): No PA required. Alemtuzumab (Lemtrada): PA required. Restricted to neurologists. Documented diagnosis […]
Read more