Proposition 36 Implementation, Request for Information (RFI) Released – Due 2/27/2026

Date: February 27, 2026 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan All Providers Type: Informational/Educational Subject: Proposition 36 Implementation, Request for Information (RFI) Released - Due 2/27/2026 Business: Medi-Cal Managed Care On January 6, 2026, the Department of Health Care Services (DHCS) launched Proposition 36: Community-Based Substance Use [...]

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Behavioral Health Treatment Authorization Requests – New Template

Date: February 25, 2026 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan Behavioral Health Treatment/Applied Behavioral Health Providers Type: Procedural Subject: Behavioral Health Treatment Authorization Requests - New Template Business: Medi-Cal Managed Care Health Plan requires that Behavioral Health Treatment (BHT) services must be provided, observed, and directed under [...]

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Medicare Advantage D-SNP Plan Name Clarification

Date: February 25, 2026 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan Providers Type: Informational/Educational Subject: Medicare Advantage D-SNP Plan Name Clarification Business: Medicare Dual Special Needs Plan (D-SNP) As a reminder, Health Plan launched a Medicare Advantage Dual Special Needs Plan(D-SNP) starting 01/01/2026. Our plan marketing name is [...]

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Mandatory Annual Trainings – Complete by 06/30/2026

Date: February 18, 2026 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan Providers Type: Regulatory Subject: Mandatory Annual Trainings – Complete by 06/30/2026 Business: Medi-Cal Managed Care/Medicare D-SNP ACTION REQUIRED Please complete ALL SEVEN trainings by 06/30/2026 In accordance with California Department of Health Care Services (DHCS) and Centers [...]

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Free Tax Filing Services Return to San Joaquin County, Building on Nearly $3.9 Million in Community Impact

(French Camp, CA) — Health Plan of San Joaquin (HPSJ) and its VITA coalition partners are pleased to announce the return of free tax filing services through the Volunteer Income Tax Assistance (VITA) program, continuing a collaborative effort to support the financial stability of San Joaquin County residents. Following a successful first year, the local [...]

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Available Webinars February 2026

Date: February 11, 2026 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan Providers Type: Informational/Educational Subject: Available Webinars February 2026 Business: Medi-Cal Managed Care The Medi-Cal Outreach and Education team (O&E) and the Department of Health Care Services (DHCS) are offering category-specific webinar sessions throughout the year. The following [...]

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Children’s Presumptive Eligibility Pre-Enrollment Worksheet Update

Date: February 11, 2026 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan Providers Type: Procedural Update Subject: Children’s Presumptive Eligibility Pre-Enrollment Worksheet Update Business: Medi-Cal Managed Care The Children’s Presumptive Eligibility Pre-Enrollment Worksheet (DHCS 4073) is a tool used by qualified providers to collect applicant information and reference when [...]

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DRE Member Roster Enhancement Update

Date: February 4, 2026 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan Primary Care Providers Type: Informational/Educational Subject: DRE Member Roster Enhancement Update Business: Medi-Cal Managed Care/Medicare D-SNP Effective January 22, 2026, the Member Roster available in the provider portal, Doctors Referral Express (DRE), now includes the date of [...]

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Health Plan of San Joaquin/Mountain Valley Health Plan Launches Advantage D-SNP Product for Dually Covered County Residents Who Qualify

As of January 1, 2026, residents who qualify in San Joaquin, Stanislaus, El Dorado and Alpine Counties have access to Health Plan’s new Advantage D-SNP (HMO) Dual Eligible Special Needs Plan- an integrated benefit package designed to better serve individuals who qualify for both Medicare and Medi-Cal. The new plan offering provides a single, coordinated [...]

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USPSTF Recommendation – Skin Cancer Behavioral Counseling

Date: January 21, 2026 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan All contracted PCPs Type: Informational/Educational Subject: USPSTF Recommendation – Skin Cancer Behavioral Counseling Business: Medi-Cal Managed Care Facility Site Review (FSR) Update Calendar Year 2026 Skin Cancer Prevention Behavioral Counseling The U.S. Preventative Services Task Force (USPSTF) [...]

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