Update – Refining Continues for System Identification for fraud, waste and abuse capture, as well as claims editing

To: Health Plan of San Joaquin (HPSJ) Providers From: Provider Services Department Subject: Update – Refining Continues for System Identification for fraud, waste and abuse capture, as well as claims editing Business: Medi-Cal, AIM (now known as Medi-Cal Access Program) As part of ongoing oversight efforts, state and federal regulators mandate that health plans, including […]

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Provider Satisfaction Survey Arriving This Month

To: Health Plan of San Joaquin (HPSJ) Providers From: Provider Services Department Subject: Provider Satisfaction Survey Arriving This Month Business: Medi-Cal, AIM (now known as Medi-Cal Access Program) HPSJ values our providers and appreciates your participation in our network. In mid-January you will receive our Provider Satisfaction Survey. We ask that you take a few […]

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Changes to Prior Authorization Requirement for Dispensing of Ear Molds

To: Health Plan of San Joaquin (HPSJ) Audiologists, Speech Pathologists and Hearing Aid Dispensing Providers From: Provider Services Department Subject: Changes to Prior Authorization Requirement for Dispensing of Ear Molds Business: Medi-Cal Effective: Retroactively to January 1, 2014 Code V5264 used for ear molds, which are needed in conjunction with hearing aids, no longer require […]

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Provider Alert Regarding HPSJ preventive Health guidelines

“It takes time and careful consideration to plan preventive care for each patient. As a Health Plan of San Joaquin provider we want to support you in your efforts to provide preventive care to all members in a timely fashion. With our new age specific Preventive Health Care Guidelines you can quickly reference and determine […]

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HPSJ promotes senior staffer to new position: Director of Pharmacy and Clinical Analytics (Health Plan Alliance, December 7, 2015)

Health Plan of San Joaquin (HPSJ) has announced that Johnathan Yeh, Pharm.D. has expanded responsibility in a newly established senior position within HPSJ. Yeh has been HPSJ’s director of clinical programs with oversight responsibility for the clinical analytics team. He has now transitioned to the new, combined role of director of pharmacy and clinical analytics, […]

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Limitations to the Sutter Gould Specialty Network

To: Health Plan of San Joaquin (HPSJ) Providers From: Provider Services Department Subject: Limitations to the Sutter Gould Specialty Network Business: Medi-Cal, AIM (now known as Medi-Cal Access Program) This message is being sent to you as part of HPSJ’s ongoing efforts to keep our providers informed of changes that may impact their practice. Sutter […]

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County Pulse: Medi-Cal plan launches oral health effort in Stanislaus, San Joaquin (Modesto Bee, December 11, 2015)

According to health experts, many low-income children in the Central Valley are not getting those early visits to the dentist and there’s growing concern the results are devastating. … Health Plan of San Joaquin, a managed-care plan for Medi-Cal recipients in Stanislaus and San Joaquin counties, has launched an initiative call “Oral Health for Children […]

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San Joaquin Board of Supervisors appoints two new commissioners for Health Plan of San Joaquin (HPSJ) Governing Board

(French Camp, CA) – San Joaquin County Director of Health Care Services Greg Diederich – chair of the Health Commission – has announced that the San Joaquin County Board of Supervisors has formally appointed two new members of the Health Commission, the governing board of the Health Plan of San Joaquin (HPSJ). These new members […]

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Health Plan of San Joaquin (HPSJ) promotes senior staffer to new position: Director of Pharmacy and Clinical Analytics

(French Camp, CA) – Health Plan of San Joaquin (HPSJ) has announced that Johnathan Yeh, Pharm.D. has expanded responsibility in a newly established senior position within HPSJ. Yeh has been HPSJ’s director of clinical programs with oversight responsibility for the clinical analytics team. He has now transitioned to the new, combined role of director of […]

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