Health Plan of San Joaquin provider Alerts

2022 Mandatory Annual Trainings

Date: March 9, 2022 To: Health Plan of San Joaquin (HPSJ) Practitioners, Providers & Facilities From: Health Plan of San Joaquin Subject: 2022 MANDATORY ANNUAL TRAININGS Business: Medi-Cal ACTION REQUIRED Please complete ALL THREE trainings by June 30, 2022 Annual training is mandated by California’s Department of Health Care Services (DHCS) and the federal Centers [...]

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Postpartum Care Extension

Date: March 9, 2022 To: Health Plan of San Joaquin (HPSJ) Providers and Facilities From: Health Plan of San Joaquin Subject: Postpartum Care Extension Business: Medi-Cal Managed Care As part of the American Rescue Act Plan (ARPA), effective April 1, 2022, an individual eligible for pregnancy and postpartum care services under Medi-Cal or the Medi-Cal [...]

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MCAS Measure DEV-Developmental Screening in the First Three Years of Life

Date: March 4, 2022 To: Health Plan of San Joaquin (HPSJ) Practitioners, Providers & Facilities From: HPSJ Quality Management Department Subject: MCAS Measure DEV-Developmental Screening in the First Three Years of Life Business: Medi-Cal Managed Care Please review the Developmental Screening (DEV) Measure below: Measure Definition Patients screened for at risk developmental, behavioral, and social [...]

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Transport Provider Notification – Sutter Termination

Dear Health Plan of San Joaquin Transportation Providers We want to inform you that effective March 9, 2022, HPSJ’s provider network will not include Sutter Valley Hospitals. This termination applies to the following facilities: Memorial Medical Center Modesto Memorial Hospital Los Banos Sutter Tracy Community Hospital Sutter Medical Center Sacramento Stanislaus Surgical Hospital Sutter Infusion […]

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Medi-Cal Pharmacy (Rx) Update

Date: February 23, 2022 To: Health Plan of San Joaquin (HPSJ) Practitioners and Facilities Provider Alert Type: Informational/Educational From: Health Plan of San Joaquin Subject: Medi-Cal Pharmacy (Rx) Update Business: Medi-Cal Outpatient pharmacy benefits were transitioned to Medi-Cal Rx on 1-1-2022. Due to the benefit transitioning, some medications are paid for by Medi-Cal Rx and [...]

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Follow-Up Sutter Contract Termination 2022

Dear Health Plan of San Joaquin Network Providers, The Health Plan of San Joaquin (HPSJ) is committed to ensuring that our members continue to access quality care as we terminate Sutter Valley Hospitals from our provider network. Thank you for partnering to effectively serve HPSJ members through the transition. Effective March 9, 2022, HPSJ’s provider […]

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2022 Primary Care Providers Incentives – UPDATED (This Supersedes alert sent on 12/29/2021)

Date: February 17, 2022 To: All HPSJ Primary Care Physicians (PCP) only Provider Alert Type: Informational/Educational and Procedural Update From: Health Plan of San Joaquin Subject: 2022 Primary Care Providers Incentives - UPDATED (This Supersedes alert sent on 12/29/2021) Business: Medi-Cal Health Plan of San Joaquin (HPSJ) is pleased to announce the 2022 Provider Incentive [...]

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2022 Quality Measures for FQHC & RHC- UPDATED (This Supersedes alert sent on 12/29/2021)

Date: February 17, 2022 To: All HPSJ Federal Qualified Health Center (FQHC); Rural Health Clinics (RHC) Provider Alert Type: Informational/Educational and Procedural Update From: Health Plan of San Joaquin Subject: 2022 Quality Measures for FQHC & RHC- UPDATED (This Supersedes alert sent on 12/29/2021) Business: Medi-Cal Health Plan of San Joaquin (HPSJ) is pleased to [...]

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UPDATE – Value Based Payment (VBP) Program

Date: February 16, 2022 To: Health Plan of San Joaquin (HPSJ) Providers Provider Alert Type: Informational/Educational and Regulatory From: Health Plan of San Joaquin Subject: UPDATE – Value Based Payment (VBP) Program Business: Medi-Cal The following is an update regarding the future of the Value Based Payment (VBP) program. The Department of Health Care Services [...]

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