REMINDER: Coordination of care Between Emergency Departments and Primary Care Physicians (PCPs)

Date: December 19, 2016 To: Health Plan of San Joaquin (HPSJ) Emergency Department Providers From: HPSJ Medical Management Department Subject: REMINDER: Coordination of care Between Emergency Departments and Primary Care Physicians (PCPs) Business: Medi-Cal Emergency Department Partners: This is a reminder to our contracted acute care hospital Emergency Departments of the importance of the coordination of […]

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REMINDER: Coordination of Care Between Hospitals and Primary Care Physicians (PCPs)

Date: December 19, 2016 To: Health Plan of San Joaquin (HPSJ) Hospital Providers From: HPSJ Medical Management Department Subject: REMINDER: Coordination of Care Between Hospitals and Primary Care Physicians (PCPs) Business: Medi-Cal Hospital Partners: This is a reminder to our contracted acute care hospitals of the importance of the coordination of care between hospitals and the […]

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United Ways & Health Plan of San Joaquin (HPSJ) employees conclude 2016 fundraising – reaching $395,000 raised over 18 years

(French Camp, CA) – Health Plan of San Joaquin (HPSJ) employees, in partnership with United Ways (UW) in San Joaquin and Stanislaus counties, contributed a combined $37,392 for the just-ended 2016 UW campaign. For HPSJ, a not-for-profit managed care health plan which this year celebrates its 20th anniversary serving local families, this is the latest […]

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Medical Necessity Reviews Change & Prior Authorization Requests Reminder

Date: December 19, 2016 To: Health Plan of San Joaquin (HPSJ) Providers From: Medical Management Departmentt Subject: Medical Necessity Reviews Change & Prior Authorization Requests Reminder Business: Medi-Cal, MCAP (Medi-Cal Access Program, previously known as AIM) Health Plan of San Joaquin (HPSJ) strives to maintain, update and educate on the guidelines set forth by Medi-Cal (MCAL), […]

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Affirmative Statement about Utilization Management Incentives – REMINDER

Date: December 19, 2016 To: Health Plan of San Joaquin (HPSJ) Providers From: Medical Management Department Subject: Affirmative Statement about Utilization Management Incentives – REMINDER Business: Medi-Cal, MCAP (Medi-Cal Access Program, previously known as AIM) The mission of Health Plan of San Joaquin is to continuously improve the health of our community. HPSJ supports its […]

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REMINDER: Coordination of Care Between Skilled Nursing Facilities (SNF) and Primary Care Physicians (PCPs)

Date: December 19, 2016 To: Health Plan of San Joaquin (HPSJ) Providers and Practitioners From: HPSJ Medical Management Department Subject: REMINDER: Coordination of Care Between Skilled Nursing Facilities (SNF) and Primary Care Physicians (PCPs) Business: Medi-Cal Skilled Nursing Facility Partners: This is a reminder to our contracted Skilled Nursing Facilities of the importance of the coordination […]

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California Children Services (CCS) Eligible Services

Date: December 15, 2016 To: Health Plan of San Joaquin (HPSJ) Providers From: Claims Department Subject: California Children Services (CCS) Eligible Services Business: Medi-Cal, MCAP (Medi-Cal Access Program, previously known as AIM) Health Plan of San Joaquin (HPSJ) strives to maintain, update and educate on the guidelines set forth by Medi-Cal (MCAL) while continually seeking ways […]

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Pregnancy: Early Care & Diagnostic Services

Date: December 15, 2016 To: Health Plan of San Joaquin (HPSJ) Providers From: HPSJ Medical Management Department Subject: Pregnancy: Early Care & Diagnostic Services Business: Medi-Cal, MCAP (Medi-Cal Access Program, previously known as AIM) Health Plan of San Joaquin (HPSJ) strives to maintain, update and educate on the guidelines set forth by Medi-Cal (MCAL), while […]

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Provider Network Demographics & Data Validation Project (EDI 274)

Date: December 14, 2016 To: Health Plan of San Joaquin (HPSJ) Providers From: Provider Services Department Subject: Provider Network Demographics & Data Validation Project (EDI 274) Business: Medi-Cal, MCAP (Medi-Cal Access Program, previously known as AIM) To meet the Department of Health Care Services (DHCS) Deadlines, we must have your information before Dec. 30. Why? […]

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Geeta Chawla has joined Health Plan of San Joaquin (HPSJ) as director of innovation & strategy

(French Camp, CA) – Health Plan of San Joaquin (HPSJ) has announced that Geeta Chawla, MBA/MPH, has joined the organization as its first director of innovation and strategy. Ms. Chawla has over 15 years of senior leadership experience in strategy and management of innovation for the health care sector. Her recent experiences include innovation management […]

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