May 1, 2026 / by Health Plan / Alerts, Medi-Cal Provider Alerts
Date: April 29, 2026 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan Practitioners, Facilities, and Hospitals Type: Informational/Educational Subject: Reminder: Changes to Medi-Cal Pharmacy (Rx) as of January 2026 Business: Medi-Cal Managed Care Effective January 1, 2026, the following policy updates and changes were implemented by Medi-Cal Rx. This [...]
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DHCS Webinar: Expanding Access to Care for Justice-Involved Youth
May 6, 2026 / by Health Plan / Alerts, Medi-Cal Provider Alerts
Date: May 06, 2026 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan All Practitioners and Behavioral Health Providers Type: Informational/Educational Subject: DHCS Webinar: Expanding Access to Care for Justice-Involved Youth Business: Medi-Cal Managed Care The Department of Health Care Services (DHCS) is hosting a webinar focusing on how the [...]Read more
Health Plan Marks 30 Years of Service with Continued Focus on Community Impact and Access to Care
May 6, 2026 / by Health Plan / Press Releases
Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) marks its 30th anniversary this year, recognizing three decades of service to local communities and a continued commitment to improving access to care for residents across the region. Since its founding in 1996, Health Plan has grown alongside the communities it serves and the evolution [...]Read more
Treatment of ADHD in Children and Adolescents
May 6, 2026 / by Health Plan / Pharmacy Announcements
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Medi-Cal Pharmacy (Rx) – Coordination of Benefits (COB) Billing Updates for Skilled Nursing Facilities
May 1, 2026 / by Health Plan / Alerts, D-SNP Provider Alerts, Medi-Cal Provider Alerts
Date: April 29, 2026 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan Skilled Nursing Facilities Type: Informational/Educational Subject: Medi-Cal Pharmacy (Rx) - Coordination of Benefits (COB) Billing Updates for Skilled Nursing Facilities Business: Medi-Cal Managed Care/Medicare Dual Special Needs Program (D-SNP) Effective May 8, 2026, diabetic testing supplies, such [...]Read more
Reminder: Changes to Medi-Cal Pharmacy (Rx) as of January 2026
May 1, 2026 / by Health Plan / Alerts, Medi-Cal Provider Alerts
Date: April 29, 2026 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan Practitioners, Facilities, and Hospitals Type: Informational/Educational Subject: Reminder: Changes to Medi-Cal Pharmacy (Rx) as of January 2026 Business: Medi-Cal Managed Care Effective January 1, 2026, the following policy updates and changes were implemented by Medi-Cal Rx. This [...]Read more
Free Zoom Two-Part Training: Utilizing Cultural Humility to Enhance Safety, Trust, and Engagement with Clients
May 1, 2026 / by Health Plan / Alerts, D-SNP Provider Alerts, Medi-Cal Provider Alerts
Date: April 29, 2026 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan All Primary Care and Behavioral Health Providers Type: Informational/Educational Subject: Free Zoom Two-Part Training: Utilizing Cultural Humility to Enhance Safety, Trust, and Engagement with Clients Business: Medi-Cal Managed Care/Medicare Dual Special Needs Program (D-SNP) The Los Angeles [...]Read more
Obstetrics Authorization Process Update
May 1, 2026 / by Health Plan / Alerts, Medi-Cal Provider Alerts
Date: April 29, 2026 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan Acute Care Hospitals Type: Procedural Update Subject: Obstetrics Authorization Process Update Business: Medi-Cal Managed Care We are reaching out to inform you of an important update to our authorization requirements for obstetrics (OB) services under the Medi-Cal [...]Read more
Physician-Administered Drug (PAD) Billing and Payment Requirements
May 1, 2026 / by Health Plan / Alerts, Medi-Cal Provider Alerts
Date: April 29, 2026 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan Physicians, Clinics, and Hospitals Type: Informational/Educational Subject: Physician-Administered Drug (PAD) Billing and Payment Requirements Business: Medi-Cal Managed Care The purpose of this alert is to reminder providers about physician-administered drugs (PADs) and provide resources to help ensure [...]Read more
Medi-Cal Enrollment Requirements for Applied Behavioral Analysis (ABA) Groups
May 1, 2026 / by Health Plan / Alerts, Medi-Cal Provider Alerts
Date: April 29, 2026 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan ABA Groups Type: Regulatory Subject: Medi-Cal Enrollment Requirements for Applied Behavioral Analysis (ABA) Groups Business: Medi-Cal Managed Care Medi-Cal Enrollment Requirements for Applied Behavioral Analysis (ABA) Groups As a follow-up to the Provider Alert, in accordance with [...]Read more
Human Milk from a Licensed Tissue Bank is a Covered Benefit
April 24, 2026 / by Health Plan / Alerts, Medi-Cal Provider Alerts
Date: April 22, 2026 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan OBGYNs, Pediatricians, Hospital NICUs, and Doulas Type: Regulatory Subject: Human Milk from a Licensed Tissue Bank is a Covered Benefit Business: Medi-Cal Managed Care The Department of Managed Health Care (DMHC), Office of Planning Licensing (OPL) issued [...]Read more