April 21, 2022 / by Viktoriya Sosa / Alerts
Date: April 20, 2022 To: Health Plan of San Joaquin (HPSJ) Practitioners, Providers & Facilities From: Health Plan of San Joaquin Subject: Virtual Look and Learn Business: Medi-Cal Managed Care Please join us June 8, 2022, for a Virtual Provider Look and Learn Session. We will be covering the following items: HPSJ PCP Provider Incentive [...]
Read more
Health Plan of San Joaquin provider Alerts
Non-Emergency Medical Transportation
May 11, 2022 / by Viktoriya Sosa / Alerts
Date: May 11, 2022 To: Health Plan of San Joaquin (HPSJ) Practitioners, Providers and Facilities From: Health Plan of San Joaquin Subject: Non-Emergency Medical Transportation Business: Medi-Cal Managed Care Non-emergency medical transportation (NEMT) is available for a member with a medical and/or physical condition that makes transportation by ordinary public or private transportation medically contraindicated, [...]Read more
2022 Mandatory Annual Training – Reminder
May 6, 2022 / by Viktoriya Sosa / Alerts
Date: May 6, 2022 To: Health Plan of San Joaquin (HPSJ) Practitioners, Providers & Facilities From: Health Plan of San Joaquin Subject: 2022 Mandatory Annual Trainings - Reminder Business: Medi-Cal ACTION REQUIRED Please complete ALL THREE trainings by June 30, 2022 Annual training is mandated by California’s Department of Health Care Services (DHCS) and the [...]Read more
UPDATE – Value Based Payment (VBP) Program
May 2, 2022 / by Viktoriya Sosa / Alerts
Date: May 2, 2022 To: Health Plan of San Joaquin (HPSJ) Contracted Providers From: Health Plan of San Joaquin Subject: UPDATE – Value Based Payment (VBP) Program Business: Medi-Cal The following is to inform HPSJ Contracted Providers that there will be a delay for the April 2022 Value Based Payment (VBP) program payments. Our HPSJ [...]Read more
Virtual Look and Learn
April 21, 2022 / by Viktoriya Sosa / Alerts
Date: April 20, 2022 To: Health Plan of San Joaquin (HPSJ) Practitioners, Providers & Facilities From: Health Plan of San Joaquin Subject: Virtual Look and Learn Business: Medi-Cal Managed Care Please join us June 8, 2022, for a Virtual Provider Look and Learn Session. We will be covering the following items: HPSJ PCP Provider Incentive [...]Read more
Changes to Prior Authorization Requirements for Physical Therapy Visits
April 19, 2022 / by Allison Sessa / Alerts
Date: April 18, 2022 To: Health Plan of San Joaquin (HPSJ) Practitioners, Providers and Facilities Provider Alert Type: Informational/Regulatory From: Health Plan of San Joaquin Subject: Changes to Prior Authorization Requirements for Physical Therapy Visits Business: Medi-Cal Managed Care HPSJ continues to seek opportunities to improve member access to services and decrease prior authorization requirements [...]Read more
2022 Mandatory Annual Training – Reminder
April 6, 2022 / by Viktoriya Sosa / Alerts
Date: April 5, 2022 To: Health Plan of San Joaquin (HPSJ) Practitioners, Providers & Facilities From: Health Plan of San Joaquin Subject: 2022 MANDATORY ANNUAL TRAININGS - REMINDER Business: Medi-Cal ACTION REQUIRED Please complete ALL THREE trainings by June 30, 2022 Annual training is mandated by California’s Department of Health Care Services (DHCS) and the [...]Read more
Quest Diagnostics Appointment Scheduling
March 31, 2022 / by Viktoriya Sosa / Alerts
Read more
2022 Mandatory Annual Trainings
March 9, 2022 / by Viktoriya Sosa / Alerts
Date: March 9, 2022 To: Health Plan of San Joaquin (HPSJ) Practitioners, Providers & Facilities From: Health Plan of San Joaquin Subject: 2022 MANDATORY ANNUAL TRAININGS Business: Medi-Cal ACTION REQUIRED Please complete ALL THREE trainings by June 30, 2022 Annual training is mandated by California’s Department of Health Care Services (DHCS) and the federal Centers [...]Read more
Postpartum Care Extension
March 9, 2022 / by Allison Sessa / Alerts
Date: March 9, 2022 To: Health Plan of San Joaquin (HPSJ) Providers and Facilities From: Health Plan of San Joaquin Subject: Postpartum Care Extension Business: Medi-Cal Managed Care As part of the American Rescue Act Plan (ARPA), effective April 1, 2022, an individual eligible for pregnancy and postpartum care services under Medi-Cal or the Medi-Cal [...]Read more
MCAS Measure DEV-Developmental Screening in the First Three Years of Life
March 7, 2022 / by Allison Sessa / Alerts
Date: March 4, 2022 To: Health Plan of San Joaquin (HPSJ) Practitioners, Providers & Facilities From: HPSJ Quality Management Department Subject: MCAS Measure DEV-Developmental Screening in the First Three Years of Life Business: Medi-Cal Managed Care Please review the Developmental Screening (DEV) Measure below: Measure Definition Patients screened for at risk developmental, behavioral, and social [...]Read more