May 4, 2023 / by Health Plan / Alerts
Date: May 4, 2023 To: Health Plan of San Joaquin (HPSJ) Long-Term-Care Facilities From: HPSJ Type: Regulatory/Informational Subject: Supplemental Payment Business: Medi-Cal Managed Care For 2023, Health Plan of San Joaquin (HPSJ) will continue paying a supplemental payment for the first 45 days of admission. Starting July 5, 2023, to receive this supplemental payment, facilities [...]
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San Joaquin County Health Commission appoints Lizeth Granados as Chief Executive Officer of Health Plan of San Joaquin
June 5, 2023 / by Health Plan / Press Releases
San Joaquin County Health Commission appoints Lizeth Granados as Chief Executive Officer of Health Plan of San Joaquin (French Camp, CA) Health Plan of San Joaquin (HPSJ) has announced that Lizeth Granados has been appointed as its new chief executive officer (CEO). Granados brings over 15 years […]
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Health Plan of San Joaquin (HPSJ) appoints Victoria Worthy as new Chief Information Officer
June 1, 2023 / by Health Plan / Press Releases
Health Plan of San Joaquin (HPSJ) appoints Victoria Worthy as new Chief Information Officer (French Camp, CA)–Health Plan of San Joaquin (HPSJ) announced that Victoria Worthy joined the organization as chief information officer (CIO). CIO Worthy has extensive senior leadership experience working in California’s local health landscape. She combines technical and business expertise to manage […]
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Health Plan of San Joaquin Announces an additional local investment of $12.5 Million to Address Homelessness
June 1, 2023 / by Health Plan / Press Releases
Health Plan of San Joaquin Announces an additional local investment of $12.5 Million to Address Homelessness (French […]
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Dual Members: Overpayments
May 30, 2023 / by Health Plan / Alerts
Date: May 30, 2023 To: Health Plan of San Joaquin (HPSJ) Long Term Care Providers From: HPSJ Type: Announcement Subject: Dual Members: Overpayments Business: Medi-Cal Managed Care Medicare/Medi-Cal (Dual) HPSJ Members & Long-Term Care Claims for Medicare/Medi-Cal recipients must first be billed to the appropriate Medicare carrier or intermediary for processing of Medicare benefits. Medi-Cal [...]Read more
Long Term Care – Share of Cost (SOC) Value Codes
May 22, 2023 / by Health Plan / Alerts
Date: May 22, 2023 To: Health Plan of San Joaquin (HPSJ) Providers and Facilities From: HPSJ Type: Regulatory/Informational Subject: Long Term Care – Share of Cost (SOC) Value Codes Business: Medi-Cal Managed Care In accordance with guidelines from the Department of Health Care Services (DHCS), providers may collect Share of Cost (SOC) payments from a [...]Read more
Vendor Update
May 22, 2023 / by Health Plan / Alerts
Date: May 22, 2023 To: Health Plan of San Joaquin (HPSJ) Practitioners From: HPSJ Type: Informational Subject: Vendor Update Business: Medi-Cal Managed Care Effective May 1, 2023, HPSJ is no longer offering Diabetes Prevention Program through Melon Health. We apologize to our members who may be impacted by this change. HPSJ is working to find [...]Read more
Supplemental Payment
May 4, 2023 / by Health Plan / Alerts
Date: May 4, 2023 To: Health Plan of San Joaquin (HPSJ) Long-Term-Care Facilities From: HPSJ Type: Regulatory/Informational Subject: Supplemental Payment Business: Medi-Cal Managed Care For 2023, Health Plan of San Joaquin (HPSJ) will continue paying a supplemental payment for the first 45 days of admission. Starting July 5, 2023, to receive this supplemental payment, facilities [...]Read more
Skilled Nursing Facility/Long Term Care Payment Issue
May 4, 2023 / by Health Plan / Alerts
Date: May 4, 2023 To: Health Plan of San Joaquin (HPSJ) Contracted Skilled Nursing Facility/Long Term Care From: HPSJ Type: Regulatory/Informational Subject: Skilled Nursing Facility/Long Term Care Payment Issue Business: Medi-Cal Managed Care We regret to inform you that due to a technical issue that occurred on March 31, 2023, some long-term care claims may [...]Read more
UPDATE- Monthly Capitation (CAP) Payment Scheduled for May 2023
May 4, 2023 / by Health Plan / Alerts
Date: May 4, 2023 To: Health Plan of San Joaquin (HPSJ) Primary Care Providers (PCP) From: HPSJ Type: Informational/Educational Subject: UPDATE- Monthly Capitation (CAP) Payment Scheduled for May 2023 Business: Medi-Cal Managed Care This notice is to inform you that your May 2023 capitation payment will be delayed. We want you to be aware of [...]Read more
Timely Access Survey – Start January 1, 2022
January 5, 2022 / by Health Plan / Alerts
Date: January 5, 2022 To: HPSJ Contracted Provider Network Provider Alert Type: Regulatory/Informational From: Health Plan of San Joaquin Subject: Timely Access Survey - Start January 1, 2022 Business: Medi-Cal The Department of Health Care Services (DHCS) conducts an annual Timely Access Study to monitor member timely access to care. DHCS will start the annual [...]Read more