July 25, 2025 / by Health Plan / Alerts
Date: July 21, 2025 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan Select Providers and Practitioners Type: Regulatory Subject: Timely Payment of Claims Business: Medi-Cal Managed Care Beginning January 1, 2026, in accordance with the Department of Managed Health Care (DMHC) APL 25-007 – Assembly Bill 3275, upon receipt [...]
Read more
DHCS APL 25-010 Adult and Youth Screening and Transition of Care Tools for Medi-Cal Mental Health Services
July 25, 2025 / by Health Plan / Alerts
Date: July 21, 2025 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan All Providers Type: Regulatory Subject: DHCS APL 25-010 Adult and Youth Screening and Transition of Care Tools for Medi-Cal Mental Health Services Business: Medi-Cal Managed Care The Department of Health Care Services (DHCS) issued an All Plan [...]Read more
Department of Health Care Services and Medi-Cal’s Outreach and Education Department: Medi-Cal Provider In-Person Training Event
July 25, 2025 / by Health Plan / Alerts
Date: July 21, 2025 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan All Providers Type: Informational/Educational Subject: Department of Health Care Services and Medi-Cal’s Outreach and Education Department: Medi-Cal Provider In-Person Training Event Business: Medi-Cal Managed Care The Medi-Cal Outreach and Education team and the Department of Health Care [...]Read more
Timely Payment of Claims
July 25, 2025 / by Health Plan / Alerts
Date: July 21, 2025 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan Select Providers and Practitioners Type: Regulatory Subject: Timely Payment of Claims Business: Medi-Cal Managed Care Beginning January 1, 2026, in accordance with the Department of Managed Health Care (DMHC) APL 25-007 – Assembly Bill 3275, upon receipt [...]Read more
California Electronic Visit Verification (CalEVV) Requirements
July 18, 2025 / by Health Plan / Alerts
Date: July 18, 2025 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan Select Providers of Home & Community-Based Personal Care Services Type: Regulatory Subject: California Electronic Visit Verification (CalEVV) Requirements Business: Medi-Cal Managed Care As required by the federal CURES Act, all providers (including enrolled, contracted, non-contracted, and subcontracted [...]Read more
UPDATE – FDA Drug Recall Alert – Cefazolin for Injection, USP, 1 gm vial
July 17, 2025 / by Health Plan / Pharmacy Announcements
Read more
FDA Drug Recall Alert – UPDATE – Cefazolin for Injection, USP, 1 gm vial
July 17, 2025 / by Health Plan / Alerts
Date: July 17, 2025 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan Practitioners, Facilities, and Hospitals Type: Informational/Educational Subject: FDA Drug Recall Alert - UPDATE - Cefazolin for Injection, USP, 1 gm vial Business: Medi-Cal Managed Care On July 15, 2025, the Food and Drug Administration (FDA) released a [...]Read more
Update: Claims Processing System Upgrade – QNXT 2.0 Go-Live Moved to 8/15/2025
July 15, 2025 / by Health Plan / Alerts
Date: July 15, 2025 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan Providers, Facilities and Hospitals Type: Informational Subject: Update: Claims Processing System Upgrade - QNXT 2.0 Go-Live Moved to 8/15/2025 Business: Medi-Cal Managed Care Health Plan recently announced that our current claims processing system will be upgraded to [...]Read more
Webinar: 2026 Medi-Medi Plan Expansion to Rural Counties
July 15, 2025 / by Health Plan / Alerts
Date: July 15, 2025 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan Alpine and El Dorado Providers Type: Event Subject: Webinar: 2026 Medi-Medi Plan Expansion to Rural Counties Business: Medi-Cal Managed Care The Department of Health Care Services (DHCS) is hosting a virtual webinar on the 2026 Medi-Medi Plan [...]Read more
Health Plan Raises Concerns Over Federal Changes Affecting the Medi-Cal Program
July 15, 2025 / by Health Plan / Press Releases
(French Camp, CA) - Health Plan of San Joaquin/Mountain Valley Health Plan (Health Plan), the not-for-profit, local Medi-Cal managed care plan serving over 400,000 members in San Joaquin, Stanislaus, El Dorado, and Alpine Counties, is raising serious concerns about recently enacted federal legislation, H.R. 1 – the 2025 budget reconciliation bill – signed into law [...]Read more
FDA Drug Recall Alert – Cefazolin for Injection, USP, 1 gm vial
July 10, 2025 / by Health Plan / Alerts
Date: July 10, 2025 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan Practitioners, Facilities, and Hospitals Type: Informational/Educational Subject: FDA Drug Recall Alert - Cefazolin for Injection, USP, 1 gm vial Business: Medi-Cal Managed Care On June 27, 2025, the Food and Drug Administration (FDA) released a recall announcement [...]Read more