December 30, 2021 / by HPSJ / Alerts, Pharmacy Announcements
Date: December 29, 2021 To: All Pharmacies Provider Alert Type: Informational From: Health Plan of San Joaquin Subject: Medi-Cal Rx PBM Information Business: Medi-Cal Beginning January 1, 2022, Health Plan of San Joaquin pharmacy benefits will be transitioned to and administered by the new California State agency, Medi-Cal Rx. Medi Cal Rx is responsible for [...]
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Health Plan of San Joaquin provider Alerts
Medi-Cal Rx PBM Information
December 30, 2021 / by HPSJ / Alerts, Pharmacy Announcements
Date: December 29, 2021 To: All Pharmacies Provider Alert Type: Informational From: Health Plan of San Joaquin Subject: Medi-Cal Rx PBM Information Business: Medi-Cal Beginning January 1, 2022, Health Plan of San Joaquin pharmacy benefits will be transitioned to and administered by the new California State agency, Medi-Cal Rx. Medi Cal Rx is responsible for [...]Read more
2022 Primary Care Providers Incentives
December 29, 2021 / by HPSJ / Alerts
Date: December 29, 2021 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 Business: Medi-Cal Health Plan of San Joaquin (HPSJ) is pleased to announce the 2022 Provider Incentive Program promoting Quality Care to our members. The [...]Read more
Pharmacy Carve Out – Medi-Cal Rx Transition
December 23, 2021 / by HPSJ / Alerts
Date: December 23, 2021 To: HPSJ Practitioners and Contracted Facilities From: Health Plan of San Joaquin Provider Alert Type: Informational/Educational Subject: Pharmacy Carve Out – Medi-Cal Rx Transition Business: Medi-Cal Beginning January 1, 2022, Health Plan of San Joaquin pharmacy benefits will be transitioned to and administered by the new California State agency, Medi-Cal Rx. [...]Read more
Reminder: MANDATORY – Health Insurance Portability and Accountability Act (HIPAA) Training 2021
December 17, 2021 / by HPSJ / Alerts
Date: December 16, 2021 To: Health Plan of San Joaquin (HPSJ) Contracted Providers and Clinics Provider Alert Type: REGULATORY From: Health Plan of San Joaquin Subject: Reminder: MANDATORY – Health Insurance Portability and Accountability Act (HIPAA) Training 2021 Business: Medi-Cal Training Requirement ACTION REQUIRED- Please complete by Monday, December 20th, 2021 It’s time for annual [...]Read more
Diabetes Prevention Program – Provider Alert
December 10, 2021 / by HPSJ / Alerts
Date: December 8, 2021 To: HPSJ Practitioners and Contracted Facilities Provider Alert Type: Informational/Educational From: Health Plan of San Joaquin Subject: Diabetes Prevention Program Business: Medi-Cal Health Plan of San Joaquin (HPSJ) is proud to present to you The Diabetes Prevention Program. This program is designed to help members that are prediabetic gain control and [...]Read more
Women’s Health (Cervical and Breast Cancer Screening)
December 9, 2021 / by HPSJ / Alerts
Date: December 08, 2021 To: Health Plan of San Joaquin (HPSJ) Contracted Providers and OB/GYN Offices Provider Alert Type: Informational/Educational From: Health Plan of San Joaquin Subject: Women’s Health (Cervical and Breast Cancer Screening) Business: Medi-Cal Managed Care The State of California Department of Health Care Services (DHCS) requires HPSJ to conduct an annual review [...]Read more
NAME CHANGE and REVISED DESCRIPTION – Child and Adolescent Well-Care Visits -(WCV)
December 8, 2021 / by HPSJ / Alerts
Date: December 08, 2021 To: Health Plan of San Joaquin (HPSJ) Contracted Providers, Pediatrics and OB/GYN Offices Provider Alert Type: Informational/Educational From: Health Plan of San Joaquin Subject: NAME CHANGE and REVISED DESCRIPTION - Child and Adolescent Well-Care Visits -(WCV) Business: Medi-Cal MANAGED CARE REMINDER: The HEDIS measures (W34) Well Child Visits in the 3rd,4th,5th, [...]Read more
Prop 56 Childhood Development Screening & Provider Survey
November 24, 2021 / by HPSJ / Alerts
Date: November 24, 2021 To: All HPSJ PCPs, Providers, and Family Pediatricians Provider Alert Type: Regulatory From: Health Plan of San Joaquin Subject: Prop 56 Childhood Development Screening & Provider Survey Business: Medi-Cal Reminder: In December of 2019, the Department of Health Care Services (DHCS) added additional reimbursement for developmental screening for dates of service [...]Read more
VIRTUAL Look and Learn – Enhanced Care Management (ECM), Community Supports, and Social Determinants of Health (SDOH)
November 23, 2021 / by HPSJ / Alerts
Date: November 23, 2021 To: Health Plan of San Joaquin (HPSJ) All Practitioners and Facilities Provider Alert Type: Event From: Health Plan of San Joaquin Subject: VIRTUAL Look and Learn – Enhanced Care Management (ECM), Community Supports, and Social Determinants of Health (SDOH) Business: Medi-Cal Health Plan of San Joaquin invites you to join us!Read more
Reminder: MANDATORY – Health Insurance Portability and Accountability Act (HIPAA) Training 2021
November 23, 2021 / by HPSJ / Alerts
Date: November 4, 2021 To: Health Plan of San Joaquin (HPSJ) Contracted Providers and Clinics Provider Alert Type: Regulatory From: Health Plan of San Joaquin Subject: MANDATORY – Health Insurance Portability and Accountability Act (HIPAA) Training 2021 Business: Medi-Cal ACTION REQUIRED- Please complete by Monday, December 20th, 2021 It’s time for annual mandatory HIPAA training [...]Read more