June 6, 2025 / by Health Plan / Alerts
Date: June 04, 2025 From: Health Plan of San Joaquin/Mountain Valley Health Plan (Health Plan) To: Health Plan All Providers Type: Informational/Educational Subject: Corrected Claim Submissions Business: Medi-Cal Managed Care Corrected Claim Submission Reminder When submitting a correction for a previously submitted claim the following are required: Enter the CLAIM FREQUENCY TYPE as 7, for [...]
Read more
Health Plan of San Joaquin provider Alerts
Ground Emergency and Non-Emergency Medical Transportation Documentation Requirements
June 9, 2025 / by Health Plan / Alerts
Date: June 06, 2025 From: Health Plan of San Joaquin/Mountain Valley Health Plan (Health Plan) To: Health Plan Ground Emergency and Non-Emergency Medical Transportation Providers Type: Regulatory Subject: Ground Emergency and Non-Emergency Medical Transportation Documentation Requirements Business: Medi-Cal Managed Care Ground Emergency Medical Transportation and Non-Emergency Medical Transportation Mileage and Address Documentation Requirements Health Plan [...]Read more
Corrected Claim Submissions
June 6, 2025 / by Health Plan / Alerts
Date: June 04, 2025 From: Health Plan of San Joaquin/Mountain Valley Health Plan (Health Plan) To: Health Plan All Providers Type: Informational/Educational Subject: Corrected Claim Submissions Business: Medi-Cal Managed Care Corrected Claim Submission Reminder When submitting a correction for a previously submitted claim the following are required: Enter the CLAIM FREQUENCY TYPE as 7, for [...]Read more
HPSJ BHT Referral Process
June 6, 2025 / by Health Plan / Alerts
Date: June 04, 2025 From: Health Plan of San Joaquin/Mountain Valley Health Plan (Health Plan) To: Health Plan All BHT/ABA Providers Type: Procedural Update Subject: HPSJ BHT Referral Process Business: Medi-Cal Managed Care Hello ABA Providers, The Behavioral Health Treatment (BHT) team has been working diligently to make the transition from Carelon to Health Plan [...]Read more
Reminder: Mandatory Annual Trainings – Complete by 06/30/2025
June 6, 2025 / by Health Plan / Alerts
Date: June 04, 2025 From: Health Plan of San Joaquin/Mountain Valley Health Plan (Health Plan) To: Health Plan Practitioners, Hospitals, Facilities, and Staff Type: Regulatory Subject: Reminder: Mandatory Annual Trainings – Complete by 06/30/2025 Business: Medi-Cal Managed Care This is a reminder that the due date is approaching for Health Plan’s mandatory trainings for network [...]Read more
Free Virtual Webinar: 06/11/25 Integrating Harm Reduction into Health Care Facilities Serving Medicaid Members
May 30, 2025 / by Health Plan / Alerts
Date: May 28, 2025 From: Health Plan of San Joaquin/Mountain Valley Health Plan (Health Plan) To: Health Plan Practitioners and Providers Type: Informational / Educational Subject: Free Virtual Webinar: 06/11/25 Integrating Harm Reduction into Health Care Facilities Serving Medicaid Members Business: Medi-Cal Managed Care Webinar: Integrating Harm Reduction into Health Care Facilities Serving Medicaid Members [...]Read more
Reminder: Adverse Childhood Experiences (ACEs) Training and Self-Attestation
May 16, 2025 / by Health Plan / Alerts
Date: May 15, 2025 From: Health Plan of San Joaquin/Mountain Valley Health Plan (Health Plan) To: Health Plan Providers Type: Regulatory Subject: Reminder: Adverse Childhood Experiences (ACEs) Training and Self-Attestation Business: Medi-Cal Managed Care This is a reminder that Health Plan reimburses eligible providers for Adverse Childhood Experiences (ACEs) screenings for both children and adults [...]Read more
Presumptive Eligibility: Best Practices
May 14, 2025 / by Health Plan / Alerts
Date: May 14, 2025 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan Providers Type: Regulatory Subject: Presumptive Eligibility: Best Practices Business: Medi-Cal Managed Care Presumptive Eligibility (PE) determinations rely solely on the applicant’s self-attestation of facts with no other form of proof required. While Qualified Providers (QPs) may not [...]Read more
Department of Health Care Services and Medi-Cal’s Outreach and Education Department: Medi-Cal Provider In-Person Training Event
May 14, 2025 / by Health Plan / Alerts
Date: May 14, 2025 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan Providers Type: Informational/Educational Subject: Department of Health Care Services and Medi-Cal’s Outreach and Education Department: Medi-Cal Provider In-Person Training Event Business: Medi-Cal Managed Care The Medi-Cal Outreach and Education team and the Department of Health Care Services [...]Read more
Conexiones Primary Care Access Project
May 12, 2025 / by Health Plan / Alerts
Date: May 12, 2025 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan Primary Care Clinics Type: Informational/Educational Subject: Conexiones Primary Care Access Project Business: Medi-Cal Managed Care Join the Conexiones Primary Care Access Project! Health Plan is seeking a primary care clinic in San Joaquin or Stanislaus to join [...]Read more
California Behavioral Health Association 2025 Behavioral Health Policy Forum: Meeting the Moment and Preparing for the Future
May 9, 2025 / by Health Plan / Alerts
Date: May 7, 2025 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan Partners and Providers Type: Event Subject: California Behavioral Health Association 2025 Behavioral Health Policy Forum: Meeting the Moment and Preparing for the Future Business: Medi-Cal Managed Care The California Behavioral Health Association is hosting a spring behavioral [...]Read more