September 5, 2025 / by Health Plan / Alerts
Date: September 3, 2025 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan Providers Type: Informational/Educational Subject: Reminder: Telehealth Services Business: Medi-Cal Managed Care Due to recent federal immigration changes, it may potentially cause members to be fearful of visiting your clinic, which may lead to missed or canceled appointments. [...]
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Health Plan of San Joaquin provider Alerts
Changes to Prior Authorization Search Tool in Provider Portal
September 11, 2025 / by Health Plan / Alerts
Date: September 11, 2025 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan Providers, Facilities and Hospitals Type: Informational Subject: Changes to Prior Authorization Search Tool in Provider Portal Business: Medi-Cal Managed Care Health Plan’s current claims processing system upgrade to QNXT 2.0 scheduled for September 12, 2025, includes an [...]Read more
REMINDER IMPORTANT! PLEASE READ: Claims Processing System Upgrade – QNXT 2.0 Go-Live Moved to 9/12/2025
September 10, 2025 / by Health Plan / Alerts
Date: September 10, 2025 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan Providers, Facilities and Hospitals Type: Informational Subject: REMINDER IMPORTANT! PLEASE READ: Claims Processing System Upgrade – QNXT 2.0 Go-Live Moved to 9/12/2025 Business: Medi-Cal Managed Care Health Plan recently announced that our current claims processing system will [...]Read more
Peer-to-Peer Update
September 5, 2025 / by Health Plan / Alerts
Date: September 3, 2025 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan All Providers and facilities Type: Procedural Update Subject: Peer-to-Peer Update Business: Medi-Cal Managed Care A treating provider can request a peer-to-peer discussion with Health Plan’s medical director within 5 business days of receiving notification of a denied [...]Read more
DHCS Release of Request for Applications for Behavioral Health Continuum Infrastructure Program – Round 2: Unmet Needs
September 5, 2025 / by Health Plan / Alerts
Date: September 3, 2025 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan Providers Type: Informational Subject: DHCS Release of Request for Applications for Behavioral Health Continuum Infrastructure Program - Round 2: Unmet Needs Business: Medi-Cal Managed Care The Department of Health Care Services (DHCS) has released the Bond Behavioral [...]Read more
Reminder: Telehealth Services
September 5, 2025 / by Health Plan / Alerts
Date: September 3, 2025 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan Providers Type: Informational/Educational Subject: Reminder: Telehealth Services Business: Medi-Cal Managed Care Due to recent federal immigration changes, it may potentially cause members to be fearful of visiting your clinic, which may lead to missed or canceled appointments. [...]Read more
Community Health Worker (CHW) Technical Assistance Webinar: Standing Recommendation in Action
August 28, 2025 / by Health Plan / Alerts
Date: August 28, 2025 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan All Providers Type: Event Subject: Community Health Worker (CHW) Technical Assistance Webinar: Standing Recommendation in Action Business: Medi-Cal Managed Care The Department of Health Care Services (DHCS) is partnering with the California Health Care Foundation (CHCF) and [...]Read more
FDA Drug Recall Alert – Lactated Ringer’s Injection USP 1000 mL/0.9% Sodium Chloride Injection USP 1000 mL
August 26, 2025 / by Health Plan / Alerts
Date: August 26, 2025 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan Practitioners, Facilities, and Hospitals Type: Informational/Educational Subject: FDA Drug Recall Alert - Lactated Ringer’s Injection USP 1000 mL/0.9% Sodium Chloride Injection USP 1000 mL Business: Medi-Cal Managed Care On August 19, 2025, the Food and Drug Administration [...]Read more
Cal-MAP Equips Providers to Address Youth Mental Health
August 21, 2025 / by Health Plan / Alerts
Date: August 20, 2025 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan All Providers Type: Event Subject: Cal-MAP Equips Providers to Address Youth Mental Health Business: Medi-Cal Managed Care The Department of Health Care Services’ Adverse Childhood Experiences (ACEs) Aware initiative will hold a webinar about the California Child [...]Read more
Upcoming August 2025 Webinar
August 21, 2025 / by Health Plan / Alerts
Date: August 20, 2025 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan Providers Type: Event Subject: Upcoming August 2025 Webinar Business: Medi-Cal Managed Care Please see the free, upcoming webinar offered in August 2025 below: Webinar: Affirming Maternal Vaccination Against Seasonal Respiratory Illness Description: American College of Obstetricians and [...]Read more
California Department of Public Health (CDPH) Monthly Immunization Webinars
August 21, 2025 / by Health Plan / Alerts
Date: August 19, 2025 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan OB Providers, PCP's, Hospitals Type: Informational/Educational Subject: California Department of Public Health (CDPH) Monthly Immunization Webinars Business: Medi-Cal Managed Care Health Plan of San Joaquin (HPSJ)/Mountain Valley Health Plan (MVHP) encourages providers to participate in monthly webinars hosted by [...]Read more