FDA Drug Recall Alert – Cefazolin for Injection, USP, 1 gm vial

July 10, 2025 / by Health Plan / Alerts

Date: July 10, 2025 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 - Cefazolin for Injection, USP, 1 gm vial Business: Medi-Cal Managed Care On June 27, 2025, the Food and Drug Administration (FDA) released a recall announcement [...]

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Legionella Health Advisory

July 10, 2025 / by Health Plan / Alerts

Date: July 9, 2025 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan Providers Type: Informational Subject: Legionella Health Advisory Business: Medi-Cal Managed Care San Joaquin County Public Health Services (SJCPHS) has issued a Legionella Health Advisory to the healthcare community with a focus on providers in the City of [...]

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Conexiones Primary Care Access Project

July 3, 2025 / by Health Plan / Alerts

Date: July 3, 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 [...]

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Medical Benefit Update – Effective September 8, 2025

July 2, 2025 / by Health Plan / Alerts

Date: July 02, 2025 From: Health Plan of San Joaquin/Mountain Valley Health Plan (Health Plan) Pharmacy and Therapeutics Committee To: Health Plan Practitioners and Facilities Type: Formulary Subject: Medical Benefit Update – Effective September 8, 2025 Business: Medi-Cal Managed Care Effective September 8, 2025, the Pharmacy and Therapeutics Committee has approved the following changes to [...]

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2025 California Child & Family Services Conference

July 2, 2025 / by Health Plan / Alerts

Date: July 02, 2025 From: Health Plan of San Joaquin/Mountain Valley Health Plan (Health Plan) To: Health Plan All Providers Type: Event Subject: 2025 California Child & Family Services Conference Business: Medi-Cal Managed Care The California Alliance of Child and Family Services is hosting a 2025 California Child & Family Services Conference, taking place September [...]

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Adventist Health Contract Renewal Agreement

June 30, 2025 / by Health Plan / Alerts

Date: June 27, 2025 From: Health Plan of San Joaquin/Mountain Valley Health Plan (Health Plan) To: Health Plan Facilities and Hospitals Type: Informational Subject: Adventist Health Contract Renewal Agreement Business: Medi-Cal Managed Care Health Plan has good news to share. Adventist Health will not terminate their hospital and provider groups contracts on July 1, 2025, [...]

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Claims Processing System Upgrade – QNXT 2.0 Go-Live 7/25/2025

June 26, 2025 / by Health Plan / Alerts

Date: June 25, 2025 From: Health Plan of San Joaquin/Mountain Valley Health Plan (Health Plan) To: Health Plan Facilities and Hospitals Type: Informational Subject: Claims Processing System Upgrade - QNXT 2.0 Go-Live 7/25/2025 Business: Medi-Cal Managed Care Health Plan is proud to announce that our current claims processing system will be upgraded to QNXT 2.0, [...]

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Behavioral Health Provider Credentialing

June 26, 2025 / by Health Plan / Alerts

Date: June 25, 2025 From: Health Plan of San Joaquin/Mountain Valley Health Plan (Health Plan) To: Health Plan Applied Behavior Analysis (ABA) Providers Type: Procedural Update Subject: Behavioral Health Provider Credentialing Business: Medi-Cal Managed Care As of May 1st, 2025, Health Plan started credentialing Board Certified Behavioral Analyst (BCBA) providers, to be in compliance with [...]

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Jiva System Upgrade

June 26, 2025 / by Health Plan / Alerts

Date: June 25, 2025 From: Health Plan of San Joaquin/Mountain Valley Health Plan (Health Plan) To: Health Plan Providers Type: Informational Subject: Jiva System Upgrade Business: Medi-Cal Managed Care Health Plan's medical management system, Jiva, will be temporarily down for an upgrade. The upgrade is planned for this weekend and will support additional functionality. During [...]

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2025 Subacute Care Program Updates

June 20, 2025 / by Health Plan / Alerts

Date: June 18, 2025 From: Health Plan of San Joaquin/Mountain Valley Health Plan (Health Plan) To: Health Plan Skilled Nursing Facilities and Long-Term Care Type: Informational/Educational Subject: 2025 Subacute Care Program Updates Business: Medi-Cal Managed Care The Health Plan would like to share additional guidance related to the Subacute Care Program to support accurate billing [...]

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