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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Free Webinar: Understanding Experiences with Stigma (Addiction and Recovery) presented by El Dorado Coalition for Overdose Prevention and Education (COPE)

Date: January 21, 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 Webinar: Understanding Experiences with Stigma (Addiction and Recovery) presented by El Dorado Coalition for Overdose Prevention and Education (COPE) Business: Medi-Cal Managed Care/Medicare D-SNP COPE is [...]

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Advancing Substance Use Disorder (SUD) Counselor Education and Development (ASCEND) Training

Date: January 14, 2026 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan Type: Informational/Educational Subject: Medi-Cal Enrollment Requirement for Eligible Enhanced Care Management (ECM), Community Supports (CS), and Applied Behavioral Analysis (ABA) Providers Business: Medi-Cal Managed Care New Online Training Launches January 12, 2026, to Support SUD Counselors: On [...]

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Medi-Cal Enrollment Requirement for Eligible Enhanced Care Management (ECM), Community Supports (CS), and Applied Behavioral Analysis (ABA) Providers

Date: January 14, 2026 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan Type: Informational/Educational Subject: Medi-Cal Enrollment Requirement for Eligible Enhanced Care Management (ECM), Community Supports (CS), and Applied Behavioral Analysis (ABA) Providers Business: Medi-Cal Managed Care In accordance with Department of Health Care Services (DHCS) All Plan Letter [...]

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DHCS Community Support Services Policy Guide – Volume 2 Updates

Date: January 7, 2026 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan All Enhanced Care Management and Community Support Services Providers Type: Procedural Update Subject: DHCS Community Support Services Policy Guide - Volume 2 Updates Business: Medi-Cal Managed Care On April 30, 2025, Department of Health Care Services (DHCS) [...]

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HEDIS Preseason Reminder for Measurement Year 2025 – Reporting Year 2026

Date: January 7, 2025 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan Providers & Facilities Type: Informational/Educational Subject: HEDIS Preseason Reminder for Measurement Year 2025 – Reporting Year 2026 Business: Medi-Cal Managed Care SECOND REMINDER – Please plan accordingly Healthcare Effectiveness Data and Information Set (HEDIS) Medical Record Review [...]

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Medicare Advantage D-SNP Provider Manual

Date: December 31, 2025 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan (HMO) Network Providers Type: Informational/Educational Subject: Medicare Advantage D-SNP Provider Manual Business: Medicare Dual Special Needs Plan (D-SNP) Health Plan is pleased to have you as part of our provider network. We recognize that the strength of our [...]

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Free In-Person Training: Workup and Treatment of Latent TB Infection and Active TB Disease

Date: December 23, 2025 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan Providers Type: Event Subject: Free In-Person Training: Workup and Treatment of Latent TB Infection and Active TB Disease Business: Medi-Cal Managed Care Stanislaus County Health Services Agency’s Public Health and the Curry International Tuberculosis Center are hosting [...]

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