August 12, 2024 / by Health Plan / Alerts
Date: August 07, 2024 From: Health Plan To: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) Providers Type: Regulatory Subject: Newborn Gateway Launched in July 2024 Business: Medi-Cal Managed Care In accordance with the Department of Health Care Service (DHCS) publication, effective July 1, 2024, Assembly Bill 118, Chapter 42, Statutes of 2023, [...]
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Calendar Year (CY) 2024 Medi-Cal Targeted Rate Increases (TRI) and Impact to Proposition 56 Directed Payments
August 28, 2024 / by Health Plan / Alerts
Date: August 28, 2024 From: Health Plan To: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) Fee-for-Service (FFS) Providers Type: Regulatory Subject: Calendar Year (CY) 2024 Medi-Cal Targeted Rate Increases (TRI) and Impact to Proposition 56 Directed Payments Business: Medi-Cal Managed Care Pursuant to the 2023 Budget Act and Assembly Bill (AB) 118 [...]Read more
RETRACT – Update to Behavioral Health and Social Services Referrals
August 26, 2024 / by Health Plan / Alerts
Date: August 26, 2024 From: Health Plan To: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) Providers and Practitioners Type: Procedural Update Subject: RETRACT - Update to Behavioral Health and Social Services Referrals Business: Medi-Cal Managed Care The Provider Alert sent on Friday, 8/23/2024, titled “Update to Behavioral Health and Social Services Referrals” [...]Read more
Advance Notice of Possible Site Reviews – 2024 DHCS Audit
August 23, 2024 / by Health Plan / Alerts
Date: August 23, 2024 From: Health Plan To: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) Providers Type: Regulatory Subject: Advance Notice of Possible Site Reviews – 2024 DHCS Audit Business: Medi-Cal Managed Care The California Department of Health Care Services (DHCS) has scheduled a routine annual medical audit of Health Plan. The [...]Read more
Community Reinvestment Grant Webinar
August 19, 2024 / by Health Plan / Alerts
Date: August 16, 2024 From: Health Plan To: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) Providers and Practitioners Type: Informational/Educational Subject: Community Reinvestment Grant Webinar Business: Medi-Cal Managed Care Health Plan is excited to announce the Community Reinvestment Grant Webinar. This webinar is a part of our ongoing commitment to community reinvestment [...]Read more
DHCS Release of Request for Applications for Behavioral Health Infrastructure Grants
August 15, 2024 / by Health Plan / Alerts
Date: August 14, 2024 From: Health Plan To: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) Providers Type: Informational Subject: DHCS Release of Request for Applications for Behavioral Health Infrastructure Grants Business: Medi-Cal Managed Care The Department of Health Care Services (DHCS) has released the Bond Behavioral Health Continuum Infrastructure Program (BHCIP) Round [...]Read more
False NEMT/NMT All Plan Letter (APL) Notice
August 15, 2024 / by Health Plan / Alerts
Date: August 14, 2024 From: Health Plan To: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) Providers Type: Informational Subject: False NEMT/NMT All Plan Letter (APL) Notice Business: Medi-Cal Managed Care Health Plan has been made aware of a false All Plan Letter (APL) circulating with subject line “Carving Out of Non-Core Benefits [...]Read more
Announcement for Behavioral Healthcare Services
August 12, 2024 / by Health Plan / Alerts
Date: August 07, 2024 From: Health Plan To: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) Providers and Practitioners Type: Informational/Educational Subject: Announcement for Behavioral Healthcare Services Business: Medi-Cal Managed Care This alert is to inform all Health Plan providers that as of October 1, 2024, all behavioral healthcare services will be managed [...]Read more
Newborn Gateway Launched in July 2024
August 12, 2024 / by Health Plan / Alerts
Date: August 07, 2024 From: Health Plan To: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) Providers Type: Regulatory Subject: Newborn Gateway Launched in July 2024 Business: Medi-Cal Managed Care In accordance with the Department of Health Care Service (DHCS) publication, effective July 1, 2024, Assembly Bill 118, Chapter 42, Statutes of 2023, [...]Read more
CHDP is Rebranded as Children’s Presumptive Eligibility
August 12, 2024 / by Health Plan / Alerts
Date: August 07, 2024 From: Health Plan To: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) Providers Type: Regulatory Subject: CHDP is Rebranded as Children’s Presumptive Eligibility Business: Medi-Cal Managed Care In accordance with the Department of Health Care Service (DHCS) publication, effective July 2024, the Child Health and Disability Prevention (CHDP) Gateway has [...]Read more
Reminder: Enhanced Provider Dispute Resolution (PDR) Process
July 24, 2024 / by Health Plan / Alerts
Date: July 24, 2024 From: Health Plan To: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) Providers and Facilities Type: Educational/ Informational Subject: Reminder: Enhanced Provider Dispute Resolution (PDR) Process Business: Medi-Cal Managed Care On April 15, 2021, Health Plan implemented several new enhancements to the PDR process. This alert serves as a [...]Read more