Health Plan of San Joaquin provider Alerts

NEW UPDATE – Fee-For-Service (FFS)

Date: January 31, 2022 To: Health Plan of San Joaquin (HPSJ) Contracted Providers Provider Alert Type: Regulatory From: Health Plan of San Joaquin Subject: UPDATE - Fee-For-Service (FFS) Business: Medi-Cal This notice supersedes the Provider Alert sent on 1/28/2022 We encountered technical difficulties during a recent fee-for-service check run and we want you to be [...]

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UPDATE – Fee-For-Service (FFS)

Date: January 28, 2022 To: Health Plan of San Joaquin (HPSJ) Contracted Providers Provider Alert Type: Regulatory From: Health Plan of San Joaquin Subject: UPDATE - Fee-For-Service (FFS) Business: Medi-Cal We encountered technical difficulties during a recent fee-for-service check run and we want you to be aware of how you may be impacted. The FFS [...]

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Medical Benefit Updates

Date: January 27, 2022 To: HPSJ Practitioners and Facilities Provider Alert Type: Formulary From: Health Plan of San Joaquin (HPSJ) Pharmacy and Therapeutic Committee Subject: Medical Benefit Updates Business: Medi-Cal Managed Care Effective April 4, 2022, the Pharmacy and Therapeutics Committee has approved the following changes to the medical benefit Code Description PA Coverage Criteria [...]

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HEDIS Preseason Reminder for 2022

Date: January 26, 2022 To: Health Plan of San Joaquin Providers Provider Alert Type: Informational/Educational From: HPSJ HEDIS Department Subject: HEDIS Preseason Reminder for 2022 Business: Medi-Cal 3rd and Final Notice!!!!! HEALTHCARE EFFECTIVENESS DATA AND INFORMATION SET (HEDIS) MEDICAL RECORD REVIEW SEASON IS COMING HEDIS MEDICAL RECORD REVIEW SEASON IS COMING UP! The first notification [...]

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Community Health Education Class – American Heart Association

Date: January 26, 2022 To: Health Plan of San Joaquin (HPSJ) Practitioners Provider Alert Type: Informational/Educational From: Health Plan of San Joaquin (HPSJ)  Subject: Community Health Education Class – American Heart Association Business: Medi-Cal February is American Heart Month! HPSJ is proud to sponsor Check. Change. Control., a community health education virtual class brought to [...]

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MCAS Measure ADD – Follow Up Care for Children Prescribed ADHD Medication

Date: January 26, 2022 To: Health Plan of San Joaquin (HPSJ) Primary Care Providers (PCP) and Behavioral Health Care Providers Provider Alert Type: Informational/Educational From: Health Plan of San Joaquin (HPSJ) Quality Management Department Subject: MCAS Measure ADD– Follow Up Care for Children Prescribed ADHD Medication Business: Medi-Cal Please review the MCAS Measure ADD – [...]

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MCAS Measure AMM – Antidepressant Medication Management

Date: January 26, 2022 To: Health Plan of San Joaquin (HPSJ) Primary Care Providers (PCP) and Behavioral Health Care Providers Provider Alert Type: Informational/Educational From: Health Plan of San Joaquin (HPSJ) Quality Management Department Subject: MCAS Measure AMM – Antidepressant Medication Management Business: Medi-Cal Please review the Antidepressant Medication Management (AMM) Measure below: Measure Definition [...]

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Reminder: Major Organ Transplant Carve-In

Date: January 25, 2022 To: HPSJ Primary Care Providers, Specialists, Hospitals and Facilities Provider Alert Type: Regulatory From: Health Plan of San Joaquin (HPSJ) Subject: Reminder: Major Organ Transplant Carve-In Business: Medi-Cal As we begin 2022, we are providing a reminder of the new benefit changes in this year. Effective January 1, 2022, Health Plan [...]

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Sutter Contract Termination 2022

The Health Plan of San Joaquin (HPSJ) is dedicated to partnering with our network of providers to ensure access to quality health care for our members. We appreciate your continuing collaboration to serve HPSJ members as we terminate Sutter Valley Hospitals and Sutter Gould Medical Group from our network. Effective March 9, 2022, Sutter Valley […]

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HEDIS Preseason Reminder for 2022

Date: January 20, 2022 To: Health Plan of San Joaquin Providers Provider Alert Type: Informational/Educational From: HPSJ HEDIS Department Subject: HEDIS Preseason Reminder for 2022 Business: Medi-Cal 2nd Notice! HEALTHCARE EFFECTIVENESS DATA AND INFORMATION SET (HEDIS) MEDICAL RECORD REVIEW SEASON IS COMING Medical Record Collection for HEDIS Hybrid measures will begin February 1, 2022. RECORDS [...]

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