August 23, 2021 / by Luis Rivera / Alerts
Date: August 20, 2021 To: Health Plan of San Joaquin (HPSJ) Providers From: Health Plan of San Joaquin Subject: MANDATORY – Fraud, Waste and Abuse (FWA) Training 2021 Business: Medi-Cal ACTION REQUIRED Annual Fraud, Waste and Abuse (FWA) training for ALL PROVIDERS Each year, all providers are required to complete FWA training and then attest [...]
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Health Plan of San Joaquin provider Alerts
REMINDER: MANDATORY Fraud, Waste and Abuse (FWA) Training 2021
September 7, 2021 / by Luis Rivera / Alerts
Date: September 7, 2021 To: Health Plan of San Joaquin (HPSJ) Providers From: Health Plan of San Joaquin Subject: REMINDER: MANDATORY Fraud, Waste and Abuse (FWA) Training 2021 Business: Medi-Cal Annual Training Requirement ACTION REQUIRED Annual Fraud, Waste and Abuse (FWA) training for ALL PROVIDERS Each year, all providers are required to complete FWA training [...]Read more
UPDATE: Monthly Capitation (CAP) Payments
September 1, 2021 / by Luis Rivera / Alerts
Date: September 1, 2021 To: Health Plan of San Joaquin (HPSJ) All Contracted From: Health Plan of San Joaquin Subject: UPDATE: Monthly Capitation (CAP) Payments Business: Medi-Cal Managed Care Due to the Labor Day holiday, there may be a delay in the normal delivery schedule for your monthly CAP payment. We want you to be [...]Read more
California Electronic Visit Verification Provider Survey
August 24, 2021 / by Luis Rivera / Alerts
Date: August 24, 2021 To: Network Providers Personal Care Services (PCS) and/or Home Health Care Services (HHCS) From: Health Plan of San Joaquin (HPSJ) Subject: California Electronic Visit Verification Provider Survey Business: Medi-Ca YOUR FEEDBACK IS IMPORTANT Dear Provider Agency, Please complete the Electronic Visit Verification (EVV) provider survey by September 1, 2021 https://www.surveymonkey.com/r/S328MLX We [...]Read more
MANDATORY – Fraud, Waste and Abuse (FWA) Training 2021
August 23, 2021 / by Luis Rivera / Alerts
Date: August 20, 2021 To: Health Plan of San Joaquin (HPSJ) Providers From: Health Plan of San Joaquin Subject: MANDATORY – Fraud, Waste and Abuse (FWA) Training 2021 Business: Medi-Cal ACTION REQUIRED Annual Fraud, Waste and Abuse (FWA) training for ALL PROVIDERS Each year, all providers are required to complete FWA training and then attest [...]Read more
Mandatory Training 2021 – Cultural Competency and Sensitivity
August 23, 2021 / by Luis Rivera / Alerts
Date: August 20, 2021 To: Health Plan of San Joaquin Contracted Provider Network and Delegated Entities From: Health Plan of San Joaquin Subject: Mandatory Training 2021 – Cultural Competency and Sensitivity Business: Medi-Cal Managed Care ACTION REQUIRED Annual training is mandated by California’s Department of Health Care Services (DHCS) and the federal Centers for Medicare [...]Read more
Provider Appointment Availability Survey – COMING SOON
August 20, 2021 / by Luis Rivera / Alerts
Date: August 20, 2021 To: Health Plan of San Joaquin Contracted Provider Network From: Health Plan of San Joaquin Subject: Provider Appointment Availability Survey – COMING SOON Business: Medi-Cal Managed Care HPSJ is required by the California Department of Managed Healthcare (DMHC) to perform an annual Provider Appointment Availability Survey (PAAS). The first wave of [...]Read more
Provider Portal Self-Serve– Doctor Referral Express (DRE)
August 20, 2021 / by Luis Rivera / Alerts
Date: August 20, 2021 To: Health Plan of San Joaquin (HPSJ) All Providers, Clinics& Facilities From: Health Plan of San Joaquin Subject: Provider Portal Self-Serve– DoctorReferral Express (DRE) Business: Medi-CalManagedCare Reminder To improve your Doctor Referral Express (DRE) experience, HPSJ has implemented a new self-serve automated system to allow users to submit requests for the [...]Read more
Childhood Lead Screening – A 2021 HEDIS Measure
August 13, 2021 / by Luis Rivera / Alerts
Date: August 13, 2021 To: Health Plan of San Joaquin (HPSJ) Contracted Providers From: Health Plan of San Joaquin Subject: Childhood Lead Screening – A 2021 HEDIS Measure Business: Medi-Cal In 2021, you will receive quarterly communications from Health Plan of San Joaquin when HPSJ members are out of compliance for blood lead screening. This [...]Read more
Value Based Payments: Opportunities for additional reimbursement
August 11, 2021 / by Luis Rivera / Alerts
Date: August 11, 2021 To: Health Plan of San Joaquin (HPSJ) Contracted Providers From: Health Plan of San Joaquin Subject: Value Based Payments: Opportunities for additional reimbursement Business: Medi-Cal Managed Care This Provider Alert features a checklist that highlights opportunities for additional reimbursement for specific wellness visits and services. The checklist is available in on [...]Read more
TIPS TO SUBMIT Non-Emergency Medical Transportation Billings, and ENSURE NO PAYMENT DELAYS
August 11, 2021 / by Luis Rivera / Alerts
Date: August 10, 2021 To: Health Plan of San Joaquin (HPSJ) NEMT Providers From: Health Plan of San Joaquin Subject: TIPS TO SUBMIT Non-Emergency Medical Transportation Billings, and ENSURE NO PAYMENT DELAYS Business: Medi-Cal Managed Care Health Plan of San Joaquin has developed a guide that solves for some frequent errors and helps non-emergency medical [...]Read more