October 15, 2021 / by HPSJ / Alerts
Date: October 15, 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- Please complete by Monday, November 1, 2021 Annual Fraud, Waste and Abuse (FWA) training for ALL PROVIDERS Each year, [...]
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Health Plan of San Joaquin provider Alerts
Prior Authorization Requests Related to Cancer Treatment
November 22, 2021 / by HPSJ / Alerts
Date: November 22, 2021 To: HPSJ Facilities and Oncologists Provider Alert Type: Informational/Educational From: Health Plan of San Joaquin Subject: Prior Authorization Requests Related to Cancer Treatment Business: Medi-Cal For submissions of Prior Authorization Requests Related to Cancer Treatment, the following components must also be provided for review. If any required pieces of information are [...]Read more
Provider Vaccine Incentive Program FQHC
November 12, 2021 / by HPSJ / Alerts
Date: November 11, 2021 To: Health Plan of San Joaquin (HPSJ) Federal Qualified Health Centers (FQHC) Provider Alert Type: Informational/Educational From: Health Plan of San Joaquin Subject: Provider Vaccine Incentive Program FQHC Business: Medi-Cal Health Plan of San Joaquin (HPSJ) serves the Medi-Cal population in both San Joaquin and Stanislaus counties. With a combined membership [...]Read more
Provider Vaccine Incentive Program
November 12, 2021 / by HPSJ / Alerts
Date: November 11, 2021 To: Health Plan of San Joaquin (HPSJ) All Primary Care Providers (PCP)* *Please note that this alert excludes Federal Qualified Health Centers (FQHC), a separate Provider Alert will be distributed for FQHC. Provider Alert Type: Informational/Education From: Health Plan of San Joaquin Subject: Provider Vaccine Incentive Program Business: Medi-Cal Health Plan [...]Read more
Advance Notice of Possible Site Reviews – 2021 DHCS Audit
November 5, 2021 / by HPSJ / Alerts
Date: November 5, 2021 To: Health Plan of San Joaquin (HPSJ) Primary Care Providers (PCP) and Specialist Provider Type: Informational/Educational From: Health Plan of San Joaquin (HPSJ) Subject: Advance Notice of Possible Site Reviews – 2021 DHCS Audit Business: Medi-Cal Managed Care California’s Department of Health Care Services (DHCS) has scheduled a routine annual medical [...]Read more
VIRTUAL Look and Learn – Behavioral Health
November 5, 2021 / by HPSJ / Alerts
Date: November 05, 2021 To: Health Plan of San Joaquin (HPSJ) All Practitioners and Facilities Provider Alert Type: Informational/Education From: Health Plan of San Joaquin Subject: VIRTUAL Look and Learn – Behavioral Health Business: Medi-Cal Please join us November 10, 2021 from 12:00 pm to 1:00 pm for a VIRTUAL Look and Learn Session. Our [...]Read more
MANDATORY – Health Insurance Portability and Accountability Act (HIPAA) Training 2021
November 4, 2021 / by HPSJ / Alerts
Date: November 4, 2021 To: Health Plan of San Joaquin (HPSJ) Contracted Providers and Clinics 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 required by California’s Department [...]Read more
Well-Child Visit (W30): Visits in the first 30 Months of Life (Formerly-W15)
October 28, 2021 / by HPSJ / Alerts
Date: October 27, 2021 To: Health Plan of San Joaquin (HPSJ) CONTRACTED PCPs and Pediatrics Offices From: Health Plan of San Joaquin Subject: NAME CHANGE and REVISED DESCRIPTION – Well-Child Visit (W30): Visits in the first 30 Months of Life (Formerly-W15) Business: Medi-Cal Managed Care The HEDIS measure (W15) Well-Child Visits in the First 15 [...]Read more
Irbesartan & Irbesartan/Hctz Recall – IMMEDIATE ACTION NEEDED
October 21, 2021 / by HPSJ / Alerts, Pharmacy Announcements
Date: October 21, 2021 To: Health Plan of San Joaquin (HPSJ) Pharmacies and Providers & Practices From: HPSJ Pharmacy Department Subject: Irbesartan & Irbesartan/Hctz Recall - IMMEDIATE ACTION NEEDED Business: Medi-Cal Managed Care We are sending this alert because you may have one or more patients who filled a prescription for Irbesartan Tablets or Irbesartan/Hydrochlorothiazide [...]Read more
2021 Immunization Updates: COVID-19, Influenza, and Meningococcal Disease
October 20, 2021 / by HPSJ / Alerts, Pharmacy Announcements
Each year, the California Medi-Cal Drug Use Review (DUR) program issues an annual summary of updates on immunization guidelines, products, and/or research in collaboration with the California Department of Public Health (CDPH) Immunization Branch. For reference, the recommended immunization schedules for 2021 in the United States can be accessed on the Centers for Disease Control […]
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REMINDER: MANDATORY – Fraud, Waste and Abuse (FWA) Training 2021
October 15, 2021 / by HPSJ / Alerts
Date: October 15, 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- Please complete by Monday, November 1, 2021 Annual Fraud, Waste and Abuse (FWA) training for ALL PROVIDERS Each year, [...]Read more