Reminder: Annual Dilated Retinal Eye Exams Now Available for Diabetic Members

Date: November 12, 2015 To: Health Plan of San Joaquin (HPSJ) Providers From: Provider Services Department Subject: Reminder: Annual Dilated Retinal Eye Exams Now Available for Diabetic Members Business: Medi-Cal, AIM HPSJ is pleased to announce that, as of September 1, 2015, all HPSJ members with diabetes can obtain a dilated retinal eye examination annually through VSP […]

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Health Plan of San Joaquin Appoints New Human Resources Vice President (Port O Call, Stockton Chamber of Commerce, November 2015)

(French Camp, CA) – Health Plan of San Joaquin (HPSJ) has announced that effective September 8, 2015, Marc Radner has joined the organization as vice president for human resources. Radner has extensive senior leadership and human resources experience with established skills in workforce optimization, performance and talent management, training, change management, leadership development, labor and […]

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​Lunch and Learn for Stanislaus County PCPs with patients between ages of 0 and 18

When: Wednesday, November 18, 2015 (11:00am – 1:00pm) Where: Provider Services Subject: HPSJ Community Room, 1025 J Street, Modesto Who: Providers with HPSJ patients (0 through 18 years old) LUNCH & LEARN Health Plan of San Joaquin presents its new initiative – ORAL HEALTH FOR CHILDREN STARTS AT BIRTH 11:00am Welcome & Introductions Lakshmi Dhanvanthari, […]

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HPSJ’s Policy and Procedures for Dental Intravenous Sedations & General Anesthesia for dental procedures

To: Health Plan of San Joaquin (HPSJ) Primary Care & Specialty Physicians and Surgery Centers From: Provider Services Subject: HPSJ’s Policy and Procedures for Dental Intravenous Sedations & General Anesthesia for dental procedures Business: Medi-Cal Effective December 15, 2015 Health Plan of San Joaquin’s policies and procedures have been revised in compliance with the California […]

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Document Requirements for Oxygen/Respiratory Equipment

To: Health Plan of San Joaquin Providers From: Provider Services Department Subject: Document Requirements for Oxygen/Respiratory Equipment Business: Medi-Cal, AIM (now known as Medi-Cal Access Program) Effective December 15, 2015 We at HPSJ, in collaboration with our network providers, want to ensure that your patients who require home oxygen – either as a new request […]

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Provider Alert – Fluoride Varnish Treatment

To: Health Plan of San Joaquin (HPSJ) Primary Care and Specialty Physicians From: Provider Services Department Subject: Increased Reimbursement on Fluoride Varnish Treatment and Expanded Pharmacy Benefit for Fluoride Drops and Tablets Products: Medi-Cal Effective: November 1, 2015  ONLY HPSJ’s Medi-Cal members are affected by the following changes.  Fluoride Varnish Treatment Both Primary […]

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Provider Alert Formulary Update

To: Health Plan of San Joaquin Pharmacy and Therapeutics Committee From: Provider Services Department – Health Plan of San Joaquin Subject: Provider Alert Formulary Update Products: Medi-Cal, AIM Effective 9/23/2015, the Pharmacy and Therapeutics Committee has approved the following changes: Additions to the Formulary: Fluticasone Furoate (Arnuity Ellipta) – No PA required. Reserved for patients […]

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Health Plan of San Joaquin (HPSJ) appoints new director of Quality and Accreditation

(French Camp, CA) – Health Plan of San Joaquin (HPSJ) has announced that Catherine Flanagan, RN, has joined the organization as director of quality and accreditation.  Flanagan has extensive senior leadership and Medicaid managed care experience, including developing clinical management and quality improvement programs for complex health care organizations. Flanagan is expert in management of […]

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HEDIS Member Outreach

To: Health Plan of San Joaquin (HPSJ) Providers From: Provider Services Department – Health Plan of San Joaquin Subject: HEDIS Member Outreach Products: Medi-Cal Managed Care Please help your patients who are HPSJ members when they contact you for an appointment to be seen before December 31. It’s HEDIS time for our HPSJ provider network […]

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