Health Plan of San Joaquin provider Alerts

Clinical Guideline: Reproductive Health in Rheumatic and Musculoskeletal Diseases

The American College of Rheumatology recently published the organization’s first guideline on how to manage reproductive health issues in patients with rheumatic and musculoskeletal diseases (RMDs). Patients with RMDs face unique challenges as pregnancy may be associated with serious maternal or adverse fetal outcomes; furthermore, it is difficult to avoid use of medications in patients […]

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NP Thyroid recall provider alert

Date: May 28, 2020 To: Health Plan of San Joaquin (HPSJ) Pharmacies and Providers From: HPSJ Pharmacy Department Subject: NP Thyroid Recall Business: Medi-Cal We are sending this alert because your patients may have filled a prescription for NP Thyroid 30mg, 60mg or 90mg within the last six months (180 days). With FDA knowledge, Acella […]

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Formulary Update Effective 8/3/2020

Date: May 22, 2020 To: Health Plan of San Joaquin (HPSJ) Physicians, Providers, and Pharmacies From: HPSJ Pharmacy and Therapeutics Committee Subject: Formulary Update Business: Medi-Cal Effective August 3, 2020, the Pharmacy and Therapeutics Committee has approved the following changes. Additions to the Formulary: 1. Dulaglutide (Trulicity) 0.75 mg/0.5 mL, 1.5mg/0.5ml pen: PA required. Reserved [...]

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Value Based Payment (VBP) program – Training Coming Soon – Register Today!

Date: May 12, 2020 To: Health Plan of San Joaquin (HPSJ) Contracted Physicians From: Health Plan of San Joaquin Subject: Value Based Payment (VBP) program – Training Coming Soon – Register Today! Dear Health Plan of San Joaquin Contracted Provider, Health Plan of San Joaquin (HPSJ) is pleased to announce that the Department of Health […]

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Non-Emergency Medical Transportation Billing Requirements

Date: May 7, 2020 To: Health Plan of San Joaquin (HPSJ) NEMT Providers From: HPSJ Claims Department Subject: Non-Emergency Medical Transportation Billing Requirements Business: Medi-Cal Managed Care In accordance with Medi-Cal and California Department of Health Care Services (DHCS) guidelines, the following information outlines the billing requirements for all Non-Emergency Medical Transportation (NEMT) providers. Name […]

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Drug Safety Communication: Withdrawal of All Ranitidine Products

Drug Safety Communication: Withdrawal of All Ranitidine Products Ranitidine is a histamine-2 blocker commonly used as an over-the-counter (OTC) medication to relieve and prevent heartburn. Prescription-strength ranitidine is also used to treat and prevent more serious ulcers in the stomach and intestines. On April 1, 2020, the U.S. Food and Drug Administration (FDA) requested a […]

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Improving Quality of Care: Update of Risks Associated with Use of Fluoroquinolones

Learning Objectives: Describe the recent U.S. Food and Drug Administration (FDA) drug safety communications for fluoroquinolones. Identify potential adverse effects associated with use of fluoroquinolones. Summarize best practices for responsible prescribing of fluoroquinolones. Key Points: Fluoroquinolones are broad-spectrum antibiotics that are FDA-approved to treat various bacterial infections, including infections caused by gram-negative bacilli. Over the […]

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Claims Corner – A newsletter brought to you by Health Plan of San Joaquin – April 23

In this issue: FAQs for this COVID Moment More Helpful Information Reminders Questions about Coronavirus COVID-19? STAY INFORMED FREQUENTLY ASKED QUESTIONS When conducted over the phone, should providers bill their Evaluation and Management (E/M) Office Visits as previously instructed? YES. See #1 & #2 in MORE HELPFUL INFORMATION below. How should providers bill follow-ups, lab [...]

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​Communication Matters – Exchange of Information between Hospitals and PCPs Post-discharge

Date: April 17, 2020 To: HPSJ Contracted Hospitals From: HPSJ Utilization Management Department Subject: C​ommunication Matters – Exchange of Information between Hospitals and PCPs Post-discharge Business: Medi-Cal Joint Commission standards require that the following information be shared with the PCPs at the time of the discharge: Reason(s) for hospitalization Significant findings/events during the inpatient stay […]

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Communication Matters – Exchange of Information between SNF and PCPs Post-discharge!

Date: April 17, 2020 To: HPSJ Providers: Skilled Nursing Facilities (SNFs) From: HPSJ Utilization Management Department Subject: Communication Matters – Exchange of Information between SNF and PCPs Post-discharge! Business: Medi-Cal Skilled nursing facilities (SNFs) are a very important component in the continuum of care. Sharing information about the patient’s care helps the primary care practitioners […]

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