December 8, 2025 / by Health Plan / Alerts, Medi-Cal
Date: December 8, 2025 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan Practitioners, Facilities, and Hospitals Type: Informational/Educational Subject: Changes to Medi-Cal Rx - 30-day Countdown Business: Medi-Cal Managed Care Medi-Cal Rx Pharmacy Benefit Changes for all Medi-Cal Members. Effective January 1, 2026, the following changes will be implemented [...]
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Health Plan of San Joaquin provider Alerts
Medicare Advantage D-SNP Provider Manual
January 5, 2026 / by Health Plan / Alerts, D-SNP
Date: December 31, 2025 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan (HMO) Network Providers Type: Informational/Educational Subject: Medicare Advantage D-SNP Provider Manual Business: Medicare Dual Special Needs Plan (D-SNP) Health Plan is pleased to have you as part of our provider network. We recognize that the strength of our [...]Read more
Free In-Person Training: Workup and Treatment of Latent TB Infection and Active TB Disease
December 26, 2025 / by Health Plan / Alerts, Medi-Cal
Date: December 23, 2025 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan Providers Type: Event Subject: Free In-Person Training: Workup and Treatment of Latent TB Infection and Active TB Disease Business: Medi-Cal Managed Care Stanislaus County Health Services Agency’s Public Health and the Curry International Tuberculosis Center are hosting [...]Read more
DHCS: New Online Training to Support SUD Counselors
December 26, 2025 / by Health Plan / Alerts, Medi-Cal
Date: December 23, 2025 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan All Providers Type: Informational/Educational Subject: DHCS: New Online Training to Support SUD Counselors Business: Medi-Cal Managed Care On Monday, January 12, 2026, The Department of Health Care Services (DHCS), in partnership with the University of California San [...]Read more
HEDIS Preseason Reminder for Measurement Year 2025 – Reporting Year 2026
December 19, 2025 / by Health Plan / Alerts, Medi-Cal
Date: December 16, 2025 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan Providers & Facilities Type: Formulary Subject: HEDIS Preseason Reminder for Measurement Year 2025 – Reporting Year 2026 Business: Medi-Cal Managed Care Healthcare Effectiveness Data and Information Set (HEDIS) Medical Record Review (MRR) season is approaching. Note: Not [...]Read more
Medical Benefit Update – Effective March 9, 2026
December 19, 2025 / by Health Plan / Alerts, Medi-Cal
Date: December 16, 2025 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan Physicians & Providers Type: Formulary Subject: Medical Benefit Update – Effective March 9, 2026 Business: Medi-Cal Managed Care Effective March 9, 2026, the Pharmacy and Therapeutics Committee has approved the following changes to the medical benefit. Code [...]Read more
2026 Provider Incentive Program
December 19, 2025 / by Health Plan / Alerts, Medi-Cal
Date: December 16, 2025 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan Providers Type: Informational Subject: 2026 Provider Incentive Program Business: Medi-Cal Managed Care Health Plan is pleased to announce the 2026 Provider Incentive Program. This program rewards eligible network Primary Care Providers (PCPs), Federally Qualified Health Centers (FQHCs), [...]Read more
Advance Notice of Possible Site Reviews – 2025 DHCS Audit
December 11, 2025 / by Health Plan / Alerts, Medi-Cal
Date: December 10, 2025 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan Providers Type: Regulatory Subject: Advance Notice of Possible Site Reviews – 2025 DHCS Audit Business: Medi-Cal Managed Care The California Department of Health Care Services (DHCS) has scheduled a routine annual medical audit of Health Plan. The [...]Read more
Free Zoom Two-Part Training: Foundational Skills for Suicide Assessment and Coping with Client Risk
December 11, 2025 / by Health Plan / Alerts, Medi-Cal
Date: December 10, 2025 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan All Primary Care Providers and BH Providers Type: Informational/Educational Subject: Free Zoom Two-Part Training: Foundational Skills for Suicide Assessment and Coping with Client Risk Business: Medi-Cal Managed Care The Los Angeles County Department of Mental Health (DMH) [...]Read more
Ordering, Referring and Prescribing (ORP) Web Page No Longer Available
December 11, 2025 / by Health Plan / Alerts, Medi-Cal
Date: December 10, 2025 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: Informational Subject: Ordering, Referring and Prescribing (ORP) Web Page No Longer Available Business: Medi-Cal Managed Care Effective September 27, 2025, Department of Health Care Services (DHCS) removed the [...]Read more
Changes to Medi-Cal Rx – 30-day Countdown
December 8, 2025 / by Health Plan / Alerts, Medi-Cal
Date: December 8, 2025 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan Practitioners, Facilities, and Hospitals Type: Informational/Educational Subject: Changes to Medi-Cal Rx - 30-day Countdown Business: Medi-Cal Managed Care Medi-Cal Rx Pharmacy Benefit Changes for all Medi-Cal Members. Effective January 1, 2026, the following changes will be implemented [...]Read more