October 1, 2025 / by Health Plan / Alerts
Date: October 1, 2025 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan Physicians, Providers & Facilities Type: Formulary Subject: Medical Benefit Update - Effective December 15, 2025 Business: Medi-Cal Managed Care Effective December 15, 2025, the Pharmacy and Therapeutics Committee has approved the following changes to the medical benefit. [...]
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Health Plan of San Joaquin provider Alerts
Preventive Care Coverage Updates Under AB 144
October 10, 2025 / by Health Plan / Alerts
Date: October 10, 2025 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan Primary Care Providers Type: Informational Subject: Preventive Care Coverage Updates Under AB 144 Business: Medi-Cal Managed Care On September 17, 2025, Governor Gavin Newsom signed Assembly Bill 144, which mandates that all full-service health plans in California [...]Read more
ACTION REQUIRED: Model Of Care (MOC) Training – Complete by 11/30/2025
October 8, 2025 / by Health Plan / Alerts
Date: October 8, 2025 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) Advantage D-SNP To: Health Plan Advantage D-SNP (HMO) Network Providers Type: Regulatory Subject: ACTION REQUIRED: Model Of Care (MOC) Training – Complete by 11/30/2025 Business: Medicare Dual Special Needs Plan (D-SNP) As we prepare to go-live with Advantage D-SNP as [...]Read more
Comprehensive Health Interventions for Lifelong Development (C.H.I.L.D, formerly CHDP) Certification Trainings
October 8, 2025 / by Health Plan / Alerts
Date: October 8, 2025 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan CONTRACTED PCP'S - Pediatricians & Family Type: Regulatory Subject: Comprehensive Health Interventions for Lifelong Development (C.H.I.L.D, formerly CHDP) Certification Trainings Business: Medi-Cal Managed Care Facility Site Review (FSR) Update Calendar Year 2025 CHILD Training Materials for Child [...]Read more
DHCS’s ACEs Aware Learning Center Webinar on 10/23/2025
October 8, 2025 / by Health Plan / Alerts
Date: October 8, 2025 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan All Network Type: Event Subject: DHCS's ACEs Aware Learning Center Webinar on 10/23/2025 Business: Medi-Cal Managed Care Adverse Childhood Experiences (ACEs) Aware initiative will hold a webinar California Providers: Support Youth Behavioral Health with These Free Digital [...]Read more
Strengthening Connections with Children and Youth Best Practices: Webinar
October 8, 2025 / by Health Plan / Alerts
Date: October 8, 2025 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan All Providers Type: Event Subject: Strengthening Connections with Children and Youth Best Practices: Webinar Business: Medi-Cal Managed Care The Department of Health Care Services (DHCS) will host a public webinar, Strengthening Connections with Children and Youth Providers, [...]Read more
Relocation of Select Policy in Evaluation and Management
October 1, 2025 / by Health Plan / Alerts
Date: October 1, 2025 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan All Providers, Behavioral Health Providers & Facilities Type: Informational/Educational Subject: Relocation of Select Policy in Evaluation and Management Business: Medi-Cal Managed Care The Department of Health Care Services (DHCS) is providing an update on the DHCS Medi-Cal [...]Read more
Medical Benefit Update – Effective December 15, 2025
October 1, 2025 / by Health Plan / Alerts
Date: October 1, 2025 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan Physicians, Providers & Facilities Type: Formulary Subject: Medical Benefit Update - Effective December 15, 2025 Business: Medi-Cal Managed Care Effective December 15, 2025, the Pharmacy and Therapeutics Committee has approved the following changes to the medical benefit. [...]Read more
Referral to Non-Specialty Mental Health Services and Behavioral Health Treatment/Applied Behavioral Analysis
October 1, 2025 / by Health Plan / Alerts
Date: October 1, 2025 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan All Primary Care Providers Type: Procedural Update Subject: Referral to Non-Specialty Mental Health Services and Behavioral Health Treatment/Applied Behavioral Analysis Business: Medi-Cal Managed Care Health Plan manages Medi-Cal Behavioral Health Services/Non-Specialty Mental Health Services (NSMHS) and Behavioral [...]Read more
2025-2026 Flu Prevention Campaign Launch
October 1, 2025 / by Health Plan / Alerts
Date: October 1, 2025 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan Providers Type: Informational/Educational Subject: 2025-2026 Flu Prevention Campaign Launch Business: Medi-Cal Managed Care In partnership with our local public health agencies, Health Plan launched a flu prevention campaign to protect families and communities during the 2025–2026 flu [...]Read more
ECM Payments Process Update
October 1, 2025 / by Health Plan / Alerts
Date: October 1, 2025 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan Enhanced Care Management (ECM) Providers Type: Informational Subject: ECM Payments Process Update Business: Medi-Cal Managed Care As part of ongoing efforts for efficiency and accuracy, Health Plan has implemented internal process improvements for payments of Enhanced Care [...]Read more