September 18, 2024 / by Health Plan / Alerts
Date: September 17, 2024 From: Health Plan of San Joaquin/Mountain Valley Health Plan (Health Plan) To: Health Plan Providers, Facilities and Hospitals Type: Informational Subject: Dignity Health Termination Business: Medi-Cal Managed Care As we communicated previously, Dignity Health issued a notice of termination, which included St. Joseph’s Medical Center, Mercy Medical Center, and Dignity Health [...]
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Health Plan of San Joaquin provider Alerts
Update: Children’s Presumptive Eligibility
September 25, 2024 / by Health Plan / Alerts
Date: September 25, 2024 From: Health Plan of San Joaquin/Mountain Valley Health Plan (Health Plan) To: Health Plan Providers Type: Regulatory Subject: Update: Children’s Presumptive Eligibility Business: Medi-Cal Managed Care As recently communicated by Health Plan and in accordance with the Department of Health Care Services (DHCS), effective July 1, 2024, the Child Health and [...]Read more
Claims Editing System (CES)- Quarterly Update
September 25, 2024 / by Health Plan / Alerts
Date: September 20, 2024 From: Health Plan of San Joaquin/Mountain Valley Health Plan (Health Plan) To: Health Plan Providers and Practitioners Type: Regulatory Subject: Claims Editing System (CES)- Quarterly Update Business: Medi-Cal Managed Care We recently notified you that Health Plan implemented a Claims Editing System (CES) on April 1, 2024. As the system has [...]Read more
Department of Health Care Services (DHCS) Summits on Harm Reduction in Substance Use Disorder (SUD) Treatment
September 20, 2024 / by Health Plan / Alerts
Date: September 18, 2024 From: Health Plan of San Joaquin/Mountain Valley Health Plan (Health Plan) To: Health Plan Providers and Facilities Type: Informational/Educational Subject: Department of Health Care Services (DHCS) Summits on Harm Reduction in Substance Use Disorder (SUD) Treatment Business: Medi-Cal Managed Care The Department of Health Care Services (DHCS) is excited to announce [...]Read more
Reminder: Initial Health Appointments (IHA)
September 20, 2024 / by Health Plan / Alerts
Date: September 18, 2024 From: Health Plan of San Joaquin/Mountain Valley Health Plan (Health Plan) To: Health Plan Providers and Facilities Type: Informational/Educational Subject: Reminder: Initial Health Appointments (IHA) Business: Medi-Cal Managed Care The following alert is a reminder regarding Initial Health Appointments (IHA): Health Plan members must be seen for an Initial Health Appointment [...]Read more
Update: Justice-Involved Live Webinars
September 20, 2024 / by Health Plan / Alerts
Date: September 18, 2024 From: Health Plan of San Joaquin/Mountain Valley Health Plan (Health Plan) To: Health Plan Providers Type: Informational Subject: Update: Justice-Involved Live Webinars Business: Medi-Cal Managed Care As recently communicated by Health Plan, Medi-Cal’s Outreach and Education Department, along with the Department of Health Care Services (DHCS), are offering Justice-Involved Live Webinars. [...]Read more
Dignity Health Termination
September 18, 2024 / by Health Plan / Alerts
Date: September 17, 2024 From: Health Plan of San Joaquin/Mountain Valley Health Plan (Health Plan) To: Health Plan Providers, Facilities and Hospitals Type: Informational Subject: Dignity Health Termination Business: Medi-Cal Managed Care As we communicated previously, Dignity Health issued a notice of termination, which included St. Joseph’s Medical Center, Mercy Medical Center, and Dignity Health [...]Read more
Enhanced Care Management (ECM) Birth Equity Population of Focus (POF) – Live as of 01/01/2024
September 13, 2024 / by Health Plan / Alerts
Date: September 11, 2024 From: Health Plan To: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) Providers, OB-GYN's, and OB Departments at all Hospitals and Facilities Type: Informational/Educational Subject: Enhanced Care Management (ECM) Birth Equity Population of Focus (POF) – Live as of 01/01/2024 Business: Medi-Cal Managed Care The ECM Birth Equity POF [...]Read more
Department of Health Care Services (DHCS) Integrated Core Practice Model (ICPM) and Integrated Training Guide (ITG) Sessions
September 13, 2024 / by Health Plan / Alerts
Date: September 11, 2024 From: Health Plan To: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) Providers and Facilities Type: Informational/Educational Subject: Department of Health Care Services (DHCS) Integrated Core Practice Model (ICPM) and Integrated Training Guide (ITG) Sessions Business: Medi-Cal Managed Care The Department of Health Care Services (DHCS) is excited to [...]Read more
Justice-Involved Live Webinars
September 13, 2024 / by Health Plan / Alerts
Date: September 11, 2024 From: Health Plan To: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) Providers Type: Informational Subject: Justice-Involved Live Webinars Business: Medi-Cal Managed Care Health Plan is happy to announce an enhancement to our EDI 837 Inbound Processing System effective September 3, 2024, aimed at improving the efficiency and accuracy [...]Read more
EDI 837 Inbound Processing Enhancement – Effective 9/3/2024
August 28, 2024 / by Health Plan / Alerts
Date: August 28, 2024 From: Health Plan To: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) Providers Type: Informational Subject: EDI 837 Inbound Processing Enhancement – Effective 9/3/2024 Business: Medi-Cal Managed Care Health Plan is happy to announce an enhancement to our EDI 837 Inbound Processing System effective September 3, 2024, aimed at [...]Read more