May 13, 2021 / by HPSJ / Alerts, Pharmacy Announcements
Date: May 13, 2021 To: Health Plan of San Joaquin (HPSJ) Physicians, Providers, and Pharmacies From: Health Plan of San Joaquin Pharmacy and Therapeutics Committee Subject: Formulary Update - Effective 07/19/2021 Business: Medi-Cal Effective 07/19/2021, the Pharmacy and Therapeutics Committee has approved the following changes. Additions to the Formulary Teprotumumab (Tepezza) 500mg vial: Reserved for [...]
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Health Plan of San Joaquin provider Alerts
Claims Look-Up Tool – For Non-Contracted Providers
May 18, 2021 / by HPSJ / Alerts
Date: May 18, 2021 To: Health Plan of San Joaquin (HPSJ) Contracted and Non-Contracted Providers From: Health Plan of San Joaquin Subject: Claims Look-Up Tool – For Non-Contracted Providers Business: Medi-Cal Managed Care Health Plan of San Joaquin (HPSJ) has a helpful tool, outside of the provider portal, for contracted and non-contracted providers to track [...]Read more
Drug Safety Communication: Potential Increased Arrhythmia Risk from Lamotrigine
May 13, 2021 / by HPSJ / Alerts, Pharmacy Announcements
Lamotrigine is a sodium channel blocker that is used alone or in combination with other medicines to treat seizures. Lamotrigine may also be used as a maintenance treatment for bipolar disorder to help delay the occurrence of mood episodes such as depression, mania, or hypomania. On March 31, 2021, the U.S. Food and Drug Administration [...]Read more
Formulary Update – Effective 07/19/2021
May 13, 2021 / by HPSJ / Alerts, Pharmacy Announcements
Date: May 13, 2021 To: Health Plan of San Joaquin (HPSJ) Physicians, Providers, and Pharmacies From: Health Plan of San Joaquin Pharmacy and Therapeutics Committee Subject: Formulary Update - Effective 07/19/2021 Business: Medi-Cal Effective 07/19/2021, the Pharmacy and Therapeutics Committee has approved the following changes. Additions to the Formulary Teprotumumab (Tepezza) 500mg vial: Reserved for [...]Read more
UPDATE– DHCS Guidance – COVID-19 Vaccines & Vaccination Administration
May 6, 2021 / by HPSJ / Alerts
Date: May 5, 2021 To: Health Plan of San Joaquin (HPSJ) Providers and Pharmacists From: Health Plan of San Joaquin Subject: UPDATE– DHCS Guidance – COVID-19 Vaccines & Vaccination Administration Business: Medi-Cal Managed Care The California Department of Health Care Services (DHCS) has now issued updated guidance for all Medi-Cal managed care health care plans [...]Read more
REMINDER and SUPPORT FROM HPSJ – National Drug Codes (NDC) and Other Health Coverage (OHC)
May 4, 2021 / by HPSJ / Alerts
Date: May 3, 2021 To: Health Plan of San Joaquin From: Health Plan of San Joaquin (HPSJ) Providers and Facilities Subject: REMINDER and SUPPORT FROM HPSJ – National Drug Codes (NDC) and Other Health Coverage (OHC) Business: Medi-Cal Managed Care To support you in becoming familiar with regulatory requirements and help your billing team with [...]Read more
REMINDER and SUPPORT FROM HPSJ – Prior Authorization (PA) | National Drug Codes (NDC) | Other Health Coverage (OHC)
April 20, 2021 / by HPSJ / Alerts
Date: April 20, 2021 To: Health Plan of San Joaquin (HPSJ) Oncology Providers From: Health Plan of San Joaquin Subject: REMINDER and SUPPORT FROM HPSJ - Prior Authorization (PA) | National Drug Codes (NDC) | Other Health Coverage (OHC) Business: Medi-Cal Managed Care To support you in becoming familiar with regulatory requirements and help your [...]Read more
Formulary Update – FORA V30 Meters are replaced with FORA Premium V10 Meters
April 20, 2021 / by HPSJ / Alerts, Pharmacy Announcements
Date: April 19, 2021 To: Health Plan of San Joaquin (HPSJ) Physicians, Providers, and Pharmacies From: Health Plan of San Joaquin Subject: Formulary Update – FORA V30 Meters are replaced with FORA Premium V10 Meters Business: Medi-Cal The FORA V30a Blood Glucose Monitors are being discontinued by the manufacturer. Therefore, they will be replaced with [...]Read more
ENHANCED – Provider Portal Self-Serve Comes to Doctor Referral Express (DRE)
April 15, 2021 / by HPSJ / Alerts
Date: April 15, 2021 To: Health Plan of San Joaquin (HPSJ) All Providers, Clinics & Facilities From: Health Plan of San Joaquin Subject: ENHANCED – Provider Portal Self-Serve Comes to Doctor Referral Express (DRE) Business: Medi-Cal Managed Care To improve your Doctor Referral Express (DRE) experience, HPSJ has implemented a new self-serve automated system to [...]Read more
Enhanced Provider Dispute Resolution (PDR) Process
April 14, 2021 / by HPSJ / Alerts
Date: April 14, 2021 To: Health Plan of San Joaquin (HPSJ) All Providers & Facilities From: Health Plan of San Joaquin Subject: Enhanced Provider Dispute Resolution (PDR) Process Business: Medi-Cal Managed Care As part of Health Plan of San Joaquin’s (HPSJ) continued efforts to ensure each Provider Dispute Resolution (PDR) is appropriately routed for review, [...]Read more
Clinical Review: Recommendations for the Tapering of Benzodiazepines
April 2, 2021 / by HPSJ / Alerts, Pharmacy Announcements
Learning Objectives: Explain why long-term use of benzodiazepines should be limited Describe clinical circumstances when tapering of benzodiazepines should be considered Identify clinical and patient-specific factors to consider when designing a benzodiazepine taper Recognize signs of withdrawal and when to slow down a benzodiazepine taper Key Points: Overprescribing benzodiazepines and co-prescribing benzodiazepines with opioids may […]
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