Health Plan of San Joaquin provider Alerts

Formulary Update Effective 4/20/2020

Date: February 13, 2020 To: Health Plan of San Joaquin (HPSJ) Physicians, Providers, and Pharmacies From: Health Plan of San Joaquin Pharmacy and Therapeutics Committee Subject: Formulary Update Business: Medi-Cal Effective 04/20/2020, the Pharmacy and Therapeutics Committee has approved the following changes: Additions to the Formulary: Phentermine (Adipex-P) 15mg, 30mg, 37.5mg capsule: No restrictions. Nateglinide […]

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HEDIS: Annual Medical Records Review

Date: January 31, 2020 To: Health Plan of San Joaquin (HPSJ) Providers From: Medical Management Department – Health Plan of San Joaquin Subject: HEDIS: Annual Medical Records Review Business: Medi-Cal, MCAP (Medi-Cal Access Program, previously known as AIM) HPSJ Quality Management Department is preparing to launch the 2020 NCQA HEDIS Survey and Medical Record Review […]

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Provider Alert – Value Based Payment (VBP) program – Coming Soon

Date: January 31, 2020 To: Health Plan of San Joaquin (HPSJ) Contracted Physicians From: Health Plan of San Joaquin Subject: Provider Alert – Value Based Payment (VBP) program – Coming Soon Business: Medi-Cal Dear Health Plan of San Joaquin Contracted Provider, Health Plan of San Joaquin (HPSJ) is pleased to announce that it is preparing […]

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African American Mental Health Providers Support Group

Date: January 28, 2020 To: Health Plan of San Joaquin (HPSJ) Behavioral Health Providers From: HPSJ Health Education Department Subject: African American Mental Health Providers Support Group Business: Medi-Cal Ayesha Paige Hunter, EdD, LMFT, is a provider who sits on the Perinatal Equity Initiative Community Advisory Board group (PEI CAB). Dr. Hunter has organized a […]

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Notice of Recoupment- Capitation (CAP) Overpayment – Unallowed payments – CAP paid providers after HSPJ members’ death

Date: January 10, 2020 To: Health Plan of San Joaquin (HPSJ) Physicians, Providers, Pharmacies, and Capitated Service Providers From: Health Plan of San Joaquin Subject: Notice of Recoupment – Capitation (CAP) Overpayment – Unallowed payments – CAP paid providers after Health Plan of San Joaquin members’ death Business: Medi-Cal Dear Provider, We have been informed […]

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​Effective 2/24/2020, the Pharmacy and Therapeutics Committee has approved the following changes.

Date: December 13, 2019 To: Health Plan of San Joaquin (HPSJ) Providers From: HPSJ Medical Management Department Subject: REMINDER – Beacon Health Options is available during the holidays Business: Medi-Cal Effective 02/24/2020, the Pharmacy and Therapeutics Committee has approved the following changes: to: Help connect your patients to mental health services Get psychiatric consultation services […]

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REMINDER – Beacon Health Options is available during the holidays 2019

Date: December 13, 2019 To: Health Plan of San Joaquin (HPSJ) Providers From: HPSJ Medical Management Department Subject: REMINDER – Beacon Health Options is available during the holidays Business: Medi-Cal While the holidays are a time of joy for many, for some, it can be a time of increased stress, loneliness, and anxiety. Health Plan […]

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Formulary Update Effective February 24, 2020

Date: December 12, 2019 To: Health Plan of San Joaquin (HPSJ) Physicians, Providers, and Pharmacies From: Health Plan of San Joaquin Pharmacy and Therapeutics Committee Subject: Formulary Update Effective February 24, 2020 Business: Medi-Cal Effective 02/24/2020, the Pharmacy and Therapeutics Committee has approved the following changes: Additions to the Formulary: Tranexamic Acid (Lysteda) 650 mg […]

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Prop 56 – Childhood Development Screening Update & Provider Training

Date: December 9, 2019 To: Health Plan of San Joaquin (HPSJ) Practitioners and Providers From: HPSJ Claims Department Subject: Prop 56 – Childhood Development Screening Update & Provider Training Additional $$$ Reimbursements DHCS webinar, Wednesday, December 11 (1:00 p.m. – 2:00 p.m.) Business: Medi-Cal The Department of Health Care Services (DHCS) has added additional reimbursement […]

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Prop 56 – Screening for Adverse Childhood Experiences Update & Webinar

Date: December 9, 2019 To: Health Plan of San Joaquin (HPSJ) Practitioners and Providers From: HPSJ Claims Department Subject: Prop 56 – Screening for Adverse Childhood Experiences Update & Webinar Additional $$$ Reimbursements DHCS webinar, Wednesday, December 11 (1:00 p.m. – 2:00 p.m.) Upcoming: Required DHCS training Business: Medi-Cal Managed Care The Department of Health […]

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