March 20, 2026 / by Health Plan / Alerts, Medi-Cal Provider Alerts
Date: March 18, 2026 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan Practitioners, Facilities, and Hospitals Type: Informational/Educational Subject: Medi-Cal Pharmacy (Rx) – Updates and Changes Business: Medi-Cal Managed Care Effective June 26, 2026, pursuant to Code of Federal Regulations (CFR), Title 42, Section 455.410(b), in order to prescribe [...]
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Health Plan of San Joaquin provider Alerts
Reminder: Medi-Cal Pharmacy (Rx) – Updates and Changes
April 17, 2026 / by Health Plan / Alerts, Medi-Cal Provider Alerts
Date: April 15, 2026 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan Practitioners, Facilities, and Hospitals Type: Informational/Educational Subject: Reminder: Medi-Cal Pharmacy (Rx) – Updates and Changes Business: Medi-Cal Managed Care This is a reminder of the Provider Alert issued on March 20, 2026, regarding the upcoming Medi-Cal Rx [...]Read more
2026 Medicare Stars Pocket Guide
April 15, 2026 / by Health Plan / Alerts, D-SNP Provider Alerts
Date: April 15, 2026 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan D-SNP Provider Network Type: Informational/Educational Subject: 2026 Medicare Stars Pocket Guide Business: Medicare Advantage D-SNP Health Plan is pleased to announce that the 2026 Medicare Stars Pocket Guide is now available in an electronic format for immediate [...]Read more
Medicare D-SNP Enrollment with Other Medi-Cal Managed Care Plan
April 13, 2026 / by Health Plan / Alerts, D-SNP Provider Alerts
Date: April 08, 2026 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan Practitioners, Providers, and Facilities Type: Regulatory Subject: Medicare D-SNP Enrollment with Other Medi-Cal Managed Care Plan Business: Medicare Advantage D-SNP As a reminder, Health Plan launched a Medicare Advantage Dual Special Needs Plan (D-SNP) starting 01/01/2026, as [...]Read more
FDA Drug Recall Alert – Magnesium Sulfate in Water for Injection, USP 4g/100mL
April 2, 2026 / by Health Plan / Alerts, D-SNP Provider Alerts, Medi-Cal Provider Alerts
Date: April 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: Language Resources Business: Medi-Cal Managed Care/Medicare Dual Special Needs Program (D-SNP) On March 24, 2026, the Food and Drug Administration (FDA) released a recall announcement on Magnesium Sulfate in Water [...]Read more
Language Resources
April 2, 2026 / by Health Plan / Alerts, D-SNP Provider Alerts, Medi-Cal Provider Alerts
Date: April 01, 2026 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan All Providers Type: Informational/Educational Subject: Language Resources Business: Medi-Cal Managed Care/Medicare Dual Special Needs Program (D-SNP) The Cultural & Linguistic Services department of Health Plan of San Joaquin and Mountain Valley Health Plan reminds providers to ensure [...]Read more
FDA Medical Device Recall Alert – Insulet Initiates Voluntary Medical Device Correction for Certain Omnipod® 5 Pods in the U.S.
March 31, 2026 / by Health Plan / Alerts, D-SNP Provider Alerts, Medi-Cal Provider Alerts
Date: March 26, 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 Medical Device Recall Alert – Insulet Initiates Voluntary Medical Device Correction for Certain Omnipod® 5 Pods in the U.S. Business: Medi-Cal Managed Care/Medicare Dual Special Needs Program (D-SNP) On [...]Read more
Medical Benefit Update- Effective 06/01/2026
March 20, 2026 / by Health Plan / Alerts, D-SNP Provider Alerts, Medi-Cal Provider Alerts
Date: March 11, 2026 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) Pharmacy and Providers To: Health Plan Pharmacy and Therapeutics Committee Type: Formulary Subject: Medical Benefit Update- Effective 06/01/2026 Business: Medi-Cal Managed Care/Medicare D-SNP Effective 06/01/2026, the Pharmacy and Therapeutics Committee has approved the following changes to the medical benefit. Code [...]Read more
CalMHSA Certified Medi-Cal Peer Support Specialist Certification Fee Waiver Program
March 20, 2026 / by Health Plan / Alerts, Medi-Cal Provider Alerts
Date: March 18, 2026 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan All Providers Type: Informational/Educational Subject: CalMHSA Certified Medi-Cal Peer Support Specialist Certification Fee Waiver Program Business: Medi-Cal Managed Care California Mental Health Services Authority (CalMHSA) is offering a limited Fee Waiver Program to support individuals pursuing Certified [...]Read more
Medi-Cal Pharmacy (Rx) – Updates and Changes
March 20, 2026 / by Health Plan / Alerts, Medi-Cal Provider Alerts
Date: March 18, 2026 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan Practitioners, Facilities, and Hospitals Type: Informational/Educational Subject: Medi-Cal Pharmacy (Rx) – Updates and Changes Business: Medi-Cal Managed Care Effective June 26, 2026, pursuant to Code of Federal Regulations (CFR), Title 42, Section 455.410(b), in order to prescribe [...]Read more
Medi-Cal Pharmacy (Rx) Reminder: Prior Authorization Policy Updates
March 20, 2026 / by Health Plan / Alerts, Medi-Cal Provider Alerts
Date: March 18, 2026 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan Practitioners, Facilities, and Hospitals Type: Informational/Educational Subject: Medi-Cal Pharmacy (Rx) Reminder: Prior Authorization Policy Updates Business: Medi-Cal Managed Care Effective January 1, 2026, pursuant to the enacted 2025-2026 State Budget, Department of Healthcare Services (DHCS) will implement [...]Read more