October 14, 2026 / by Health Plan / Alerts, D-SNP Provider Alerts
Date: October 13, 2026 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) Therapeutics Committee To: Health Plan Practitioners, Facilities, and Hospitals Type: Informational Subject: Medical Benefit Updates Business: Medicare Advantage D-SNP Effective December 21, 2026, the Pharmacy and Therapeutics Committee has approved the following changes to the medical benefit. CODE J8502- INJECTION, [...]
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Health Plan of San Joaquin provider Alerts
Medical Benefit Updates – Advantage D-SNP
October 14, 2026 / by Health Plan / Alerts, D-SNP Provider Alerts
Date: October 13, 2026 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) Therapeutics Committee To: Health Plan Practitioners, Facilities, and Hospitals Type: Informational Subject: Medical Benefit Updates Business: Medicare Advantage D-SNP Effective December 21, 2026, the Pharmacy and Therapeutics Committee has approved the following changes to the medical benefit. CODE J8502- INJECTION, [...]Read more
Medical Benefit Updates – Medi-Cal
October 14, 2026 / by Health Plan / Alerts, D-SNP Provider Alerts
Date: October 13, 2026 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) Therapeutics Committee To: Health Plan Facilities and Hospitals Type: Informational Subject: Medical Benefit Updates Business: Medicare Advantage D-SNP Effective December 21, 2026, the Pharmacy and Therapeutics Committee has approved the following changes to the medical benefit. CODE J2405 - INJECTION, [...]Read more
Ground Emergency Medical Transportation (GEMT) Supplemental Payments
October 8, 2026 / by Health Plan / Alerts, Medi-Cal Provider Alerts
Date: October 07, 2026 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan Ground Emergency Medical Transportation (GEMT) Type: Informational Subject: Ground Emergency Medical Transportation (GEMT) Supplemental Payments Business: Medi-Cal Managed Care Effective October 1,2026, any claims submitted by a non-contracted ground emergency medical transportation (GEMT) providers that are eligible [...]Read more
FDA Drug Recall Alert – 0.9% Sodium Chloride Injection, USP
October 1, 2026 / by Health Plan / Alerts, D-SNP Provider Alerts, Medi-Cal Provider Alerts
Date: October 01, 2026 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan Practitioners, Facilities, and Hospitals Type: Informational/Educational Subject: FDA Drug Recall Alert – 0.9% Sodium Chloride Injection, USP Business: Medi-Cal Managed Care/Medicare Advantage D-SNP On September 21, 2026, the Food and Drug Administration (FDA) released a recall announcement [...]Read more
FDA Drug Recall Alert – Dexmedetomidine HCl in 0.9% Sodium Chloride Injection
October 1, 2026 / by Health Plan / Alerts, D-SNP Provider Alerts, Medi-Cal Provider Alerts
Date: September 30, 2026 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan All Providers Type: Informational Subject: State of Emergency Declared Developing 2026–2027 El Niño Event Business: Medi-Cal Managed Care/Medicare Advantage D-SNP On September 21, 2026, the Food and Drug Administration (FDA) released a recall announcement on Dexmedetomidine HCl [...]Read more
UIS Transition Update
October 1, 2026 / by Health Plan / Alerts, Medi-Cal Provider Alerts
Date: September 30, 2026 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan All Providers Type: Regulatory Subject: UIS Transition Update Business: Medi-Cal Managed Care Effective January 1, 2027, Medi-Cal Managed Care Plan (MCP) members with unsatisfactory immigration status (UIS) will transition to the Medi-Cal Fee-for-Service (FFS) delivery system. As [...]Read more
State of Emergency Declared Developing 2026–2027 El Niño Event
October 1, 2026 / by Health Plan / Alerts, D-SNP Provider Alerts, Medi-Cal Provider Alerts
Date: September 30, 2026 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan All Providers Type: Informational Subject: State of Emergency Declared Developing 2026–2027 El Niño Event Business: Medi-Cal Managed Care/Medicare Advantage D-SNP Governor Gavin Newsom has declared a State of Emergency for California in response to the developing 2026–2027 [...]Read more
2026 Provider Appointment Availability Survey is Here
September 30, 2026 / by Health Plan / Alerts, Medi-Cal Provider Alerts
Date: September 23, 2026 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan Primary Care Providers, Specialists, Behavioral Health Providers, and Ancillary Providers Type: Regulatory Subject: 2026 Provider Appointment Availability Survey is Here Business: Medi-Cal Managed Care We recently informed you that Health Plan would be performing an annual Provider [...]Read more
Provider Satisfaction Survey is Here
September 30, 2026 / by Health Plan / Alerts, Medi-Cal Provider Alerts
Date: September 23, 2026 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan All Providers Type: Regulatory Subject: Provider Satisfaction Survey is Here Business: Medi-Cal Managed Care Health Plan conducts an annual Provider Satisfaction Survey for its contracted providers to capture their rate of satisfaction with our plan. Information obtained [...]Read more
Measure Spotlight: Developmental Screening in the First Three Years of Life (DEV)
September 14, 2026 / by Health Plan / Alerts, Medi-Cal Provider Alerts
Date: September 11, 2026 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan All Providers Type: Informational/Educational Subject: Measure Spotlight: Developmental Screening in the First Three Years of Life (DEV) Business: Medi-Cal Managed Care Purpose This is a reminder to complete and correctly code standardized developmental screening for every eligible [...]Read more