Medical Benefit Update- Effective 06/01/2026

Date: March 11, 2026 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) Pharmacy and Providers To: Health Plan Pharmacy and Therapeutics Committee Type: Formulary Subject: Medical Benefit Update- Effective 06/01/2026 Business: Medi-Cal Managed Care/Medicare D-SNP Effective 06/01/2026, the Pharmacy and Therapeutics Committee has approved the following changes to the medical benefit. Code [...]

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CalMHSA Certified Medi-Cal Peer Support Specialist Certification Fee Waiver Program

Date: March 18, 2026 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan All Providers Type: Informational/Educational Subject: CalMHSA Certified Medi-Cal Peer Support Specialist Certification Fee Waiver Program Business: Medi-Cal Managed Care California Mental Health Services Authority (CalMHSA) is offering a limited Fee Waiver Program to support individuals pursuing Certified [...]

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Medi-Cal Pharmacy (Rx) – Updates and Changes

Date: March 18, 2026 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan Practitioners, Facilities, and Hospitals Type: Informational/Educational Subject: Medi-Cal Pharmacy (Rx) – Updates and Changes Business: Medi-Cal Managed Care Effective June 26, 2026, pursuant to Code of Federal Regulations (CFR), Title 42, Section 455.410(b), in order to prescribe [...]

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Medi-Cal Pharmacy (Rx) Reminder: Prior Authorization Policy Updates

Date: March 18, 2026 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan Practitioners, Facilities, and Hospitals Type: Informational/Educational Subject: Medi-Cal Pharmacy (Rx) Reminder: Prior Authorization Policy Updates Business: Medi-Cal Managed Care Effective January 1, 2026, pursuant to the enacted 2025-2026 State Budget, Department of Healthcare Services (DHCS) will implement [...]

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DHCS Authorization to Share Confidential Member Information (ASCMI) Form 2.0 Release

Date: March 11, 2026 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan All Providers Type: Informational/Educational Subject: DHCS Authorization to Share Confidential Member Information (ASCMI) Form 2.0 Release Business: Medi-Cal Managed Care The Department of Health Care Services (DHCS) has released the Authorization to Share Confidential Member Information (ASCMI) [...]

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DHCS MCAS MY 2026 Required Measures and Reporting Requirements

Date: March 11, 2026 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan PCPs, Pediatricians, and FQHCs Type: Informational/Educational Subject: DHCS MCAS MY 2026 Required Measures and Reporting Requirements Business: Medi-Cal Managed Care The Department of Health Care Services (DHCS) Managed Care Accountability Set (MCAS) measures access to care, preventive [...]

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UPDATE: Mandatory Annual Trainings – Complete by 06/30/2026

Date: March 11, 2026 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan All Providers Type: Regulatory Subject: UPDATE: Mandatory Annual Trainings – Complete by 06/30/2026 Business: Medi-Cal Managed Care/Medicare D-SNP This is an update to the Provider Alert issued on February 18, 2026. Effective January 1, 2026, the Cultural [...]

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FDA Medical Device Recall Alert – Trividia Health Issues Correction for TRUE METRIX Blood Glucose Monitoring Systems

Date: March 04, 2026 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan Practitioners, Facilities, and Hospitals Type: Informational/Educational Subject: FDA Medical Device Recall Alert – Trividia Health Issues Correction for TRUE METRIX Blood Glucose Monitoring Systems Business: Medi-Cal Managed Care On February 17, 2026, the Food and Drug Administration [...]

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Free Zoom Webinar: Kratom – What Our Community Needs to Know – Presented by COPE

Date: March 04, 2026 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan All Primary Care Providers and BH Providers Type: Informational/Educational Subject: Free Zoom Webinar: Kratom – What Our Community Needs to Know - Presented by COPE Business: Medi-Cal Managed Care The El Dorado Coalition for Overdose Prevention and [...]

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