Health Plan of San Joaquin provider Alerts

Change Healthcare Payments Notification – Update 1

Date: March 01, 2024 From: Health Plan To: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) Providers Type: Informational Subject: Emergency Department Practices Business: Medi-Cal Managed Care Health Plan recently notified you that our provider payer and claims clearing house, Change Healthcare, disconnected their systems because of a cyber security issue. We also [...]

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Emergency Department Practices

Date: February 28, 2024 From: Health Plan To: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) Emergency Room Departments Type: Informational/Educational Subject: Emergency Department Practices Business: Medi-Cal Managed Care In accordance with the Department of Health Care Services (DHCS) regulations, Health Plan is implementing an update to enhance the care coordination for our [...]

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Mandatory Annual Trainings – Complete by 06/30/2024

Date: February 28, 2024 From: Health Plan To: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) Provider Network Type: Regulatory Subject: Mandatory Annual Trainings – Complete by 06/30/2024 Business: Medi-Cal Managed Care ACTION REQUIRED Please complete ALL FOUR trainings by 06/30/2024 In accordance with California Department of Health Care Services (DHCS), Health Plan’s [...]

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Behavioral Health Look and Learn- March 13, 2024 at 10 AM

Date: February 28, 2024 From: Health Plan To: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) Practitioners and Facilities Type: Event Subject: Behavioral Health Look and Learn- March 13, 2024 at 10 AM Business: Medi-Cal Managed Care Please join us March 13, 2024, from 10:00 am to 11:00 am, for a Virtual Provider [...]

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Change Healthcare Payments Notification

Date: February 22, 2024 From: Health Plan To: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) Providers Type: Informational Subject: Change Healthcare Payments Notification Business: Medi-Cal Managed Care Health Plan’s provider payer, Change Healthcare, notified us that they disconnected their systems as a result of a cyber security issue. As soon as they [...]

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HPSJ 2022-2023 Encounter Data Validation Study

Date: February 21, 2024 From: Health Plan To: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) Provider Network Type: Informational Subject: HPSJ 2022-2023 Encounter Data Validation Study Business: Medi-Cal Managed Care The Department of Health Care Services (DHCS) contracts with Health Services Advisory Group (HSAG) annually to conduct an Encounter Data Validation (EDV) [...]

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New Place of Service (POS) Code 27 for Street Medicine

Date: February 21, 2024 From: Health Plan To: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) Provider Network Type: Regulatory Subject: New Place of Service (POS) Code 27 for Street Medicine Business: Medi-Cal Managed Care The Department of Health Care Services (DHCS) recently announced that effective for dates of services on or after [...]

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Update – Dual Branded Member ID Card

Date: February 16, 2024 From: Health Plan To: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) Provider Network Type: Informational Subject: Update - Dual Branded Member ID Card Business: Medi-Cal Managed Care Health Plan expanded its operations effective January 1, 2024. As a result, member identification (ID) cards have been updated to include [...]

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CalAIM Population Health Management – Transition Care Services

Date: February 14, 2024 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan Primary Care Providers (PCPs), Specialists, Hospitals and Facilities Type: Regulatory Subject: CalAIM Population Health Management – Transition Care Services Business: Medi-Cal Managed Care Health Plan would like to remind providers that Enhanced Care Management Services includes coordination [...]

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New Claims Processes

Date: February 12, 2024 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) Claims Department To: Health Plan Providers Type: Informational Subject: New Claims Processes Business: Medi-Cal Managed Care Health Plan is implementing two new claims management processes on April 1, 2024, to support automated application of correct coding principles. Claims Pre-payment Processing [...]

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