Health Plan of San Joaquin provider Alerts

Prop 56 Childhood Development Screening & Provider Survey

Date: November 24, 2021 To: All HPSJ PCPs, Providers, and Family Pediatricians Provider Alert Type: Regulatory From: Health Plan of San Joaquin Subject: Prop 56 Childhood Development Screening & Provider Survey Business: Medi-Cal Reminder: In December of 2019, the Department of Health Care Services (DHCS) added additional reimbursement for developmental screening for dates of service [...]

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VIRTUAL Look and Learn – Enhanced Care Management (ECM), Community Supports, and Social Determinants of Health (SDOH)

Date: November 23, 2021 To: Health Plan of San Joaquin (HPSJ) All Practitioners and Facilities Provider Alert Type: Event From: Health Plan of San Joaquin Subject: VIRTUAL Look and Learn – Enhanced Care Management (ECM), Community Supports, and Social Determinants of Health (SDOH) Business: Medi-Cal Health Plan of San Joaquin invites you to join us!

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Reminder: MANDATORY – Health Insurance Portability and Accountability Act (HIPAA) Training 2021

Date: November 4, 2021 To: Health Plan of San Joaquin (HPSJ) Contracted Providers and Clinics Provider Alert Type: Regulatory From: Health Plan of San Joaquin Subject: MANDATORY – Health Insurance Portability and Accountability Act (HIPAA) Training 2021 Business: Medi-Cal ACTION REQUIRED- Please complete by Monday, December 20th, 2021 It’s time for annual mandatory HIPAA training [...]

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Prior Authorization Requests Related to Cancer Treatment

Date: November 22, 2021 To: HPSJ Facilities and Oncologists Provider Alert Type: Informational/Educational From: Health Plan of San Joaquin Subject: Prior Authorization Requests Related to Cancer Treatment Business: Medi-Cal For submissions of Prior Authorization Requests Related to Cancer Treatment, the following components must also be provided for review. If any required pieces of information are [...]

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Provider Vaccine Incentive Program FQHC

Date: November 11, 2021 To: Health Plan of San Joaquin (HPSJ) Federal Qualified Health Centers (FQHC) Provider Alert Type: Informational/Educational From: Health Plan of San Joaquin Subject: Provider Vaccine Incentive Program FQHC Business: Medi-Cal Health Plan of San Joaquin (HPSJ) serves the Medi-Cal population in both San Joaquin and Stanislaus counties. With a combined membership [...]

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Provider Vaccine Incentive Program

Date: November 11, 2021 To: Health Plan of San Joaquin (HPSJ) All Primary Care Providers (PCP)* *Please note that this alert excludes Federal Qualified Health Centers (FQHC), a separate Provider Alert will be distributed for FQHC. Provider Alert Type: Informational/Education From: Health Plan of San Joaquin Subject: Provider Vaccine Incentive Program Business: Medi-Cal Health Plan [...]

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Advance Notice of Possible Site Reviews – 2021 DHCS Audit

Date: November 5, 2021 To: Health Plan of San Joaquin (HPSJ) Primary Care Providers (PCP) and Specialist Provider Type: Informational/Educational From: Health Plan of San Joaquin (HPSJ) Subject: Advance Notice of Possible Site Reviews – 2021 DHCS Audit Business: Medi-Cal Managed Care California’s Department of Health Care Services (DHCS) has scheduled a routine annual medical [...]

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VIRTUAL Look and Learn – Behavioral Health

Date: November 05, 2021 To: Health Plan of San Joaquin (HPSJ) All Practitioners and Facilities Provider Alert Type: Informational/Education From: Health Plan of San Joaquin Subject: VIRTUAL Look and Learn – Behavioral Health Business: Medi-Cal Please join us November 10, 2021 from 12:00 pm to 1:00 pm for a VIRTUAL Look and Learn Session. Our [...]

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MANDATORY – Health Insurance Portability and Accountability Act (HIPAA) Training 2021

Date: November 4, 2021 To: Health Plan of San Joaquin (HPSJ) Contracted Providers and Clinics From: Health Plan of San Joaquin Subject: MANDATORY – Health Insurance Portability and Accountability Act (HIPAA) Training 2021 Business: Medi-Cal ACTION REQUIRED- Please complete by Monday, December 20th, 2021 It’s time for annual mandatory HIPAA training required by California’s Department [...]

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Well-Child Visit (W30): Visits in the first 30 Months of Life (Formerly-W15)

Date: October 27, 2021 To: Health Plan of San Joaquin (HPSJ) CONTRACTED PCPs and Pediatrics Offices From: Health Plan of San Joaquin Subject: NAME CHANGE and REVISED DESCRIPTION – Well-Child Visit (W30): Visits in the first 30 Months of Life (Formerly-W15) Business: Medi-Cal Managed Care The HEDIS measure (W15) Well-Child Visits in the First 15 [...]

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