September 25, 2025 / by Health Plan / Alerts
Date: September 25, 2025 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan Primary Care Providers, Specialists, Behavioral Health Providers, and Ancillary Providers Type: Informational Subject: California Health Coalition Event Business: Medi-Cal Managed Care California Department Public Health (CDPH) State Public Health Officer Dr. Erica Pan, in collaboration with the [...]
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Health Plan of San Joaquin provider Alerts
Medical Benefit Update – Effective December 15, 2025
October 1, 2025 / by Health Plan / Alerts
Date: October 1, 2025 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan Physicians, Providers & Facilities Type: Formulary Subject: Medical Benefit Update - Effective December 15, 2025 Business: Medi-Cal Managed Care Effective December 15, 2025, the Pharmacy and Therapeutics Committee has approved the following changes to the medical benefit. [...]Read more
Referral to Non-Specialty Mental Health Services and Behavioral Health Treatment/Applied Behavioral Analysis
October 1, 2025 / by Health Plan / Alerts
Date: October 1, 2025 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan All Primary Care Providers Type: Procedural Update Subject: Referral to Non-Specialty Mental Health Services and Behavioral Health Treatment/Applied Behavioral Analysis Business: Medi-Cal Managed Care Health Plan manages Medi-Cal Behavioral Health Services/Non-Specialty Mental Health Services (NSMHS) and Behavioral [...]Read more
2025-2026 Flu Prevention Campaign Launch
October 1, 2025 / by Health Plan / Alerts
Date: October 1, 2025 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan Providers Type: Informational/Educational Subject: 2025-2026 Flu Prevention Campaign Launch Business: Medi-Cal Managed Care In partnership with our local public health agencies, Health Plan launched a flu prevention campaign to protect families and communities during the 2025–2026 flu [...]Read more
ECM Payments Process Update
October 1, 2025 / by Health Plan / Alerts
Date: October 1, 2025 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan Enhanced Care Management (ECM) Providers Type: Informational Subject: ECM Payments Process Update Business: Medi-Cal Managed Care As part of ongoing efforts for efficiency and accuracy, Health Plan has implemented internal process improvements for payments of Enhanced Care [...]Read more
California Health Coalition Event
September 25, 2025 / by Health Plan / Alerts
Date: September 25, 2025 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan Primary Care Providers, Specialists, Behavioral Health Providers, and Ancillary Providers Type: Informational Subject: California Health Coalition Event Business: Medi-Cal Managed Care California Department Public Health (CDPH) State Public Health Officer Dr. Erica Pan, in collaboration with the [...]Read more
Do not submit a Provider Dispute for Remittance Advices with Blank or Missing Claim Line Information
September 24, 2025 / by Health Plan / Alerts
Date: September 24, 2025 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan Providers, Facilities, Hospitals, Clinics Type: Process Update Subject: Do not submit a Provider Dispute for Remittance Advices with Blank or Missing Claim Line Information Business: Medi-Cal Managed Care We are aware of a system issue related to [...]Read more
Breast Cancer Screening (BCS-E) & Cervical Cancer Screening (CCSE)
September 24, 2025 / by Health Plan / Alerts
Date: September 24, 2025 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan CONTRACTED PCPs & OBGYN Type: Informational/Educational Subject: Breast Cancer Screening (BCS-E) & Cervical Cancer Screening (CCSE) Business: Medi-Cal Managed Care Healthcare Effectiveness Data Information Set (HEDIS) Update Measurement Year 2025 Cancer Screening for Women Measures Update-BCS-E-Breast Cancer [...]Read more
Free Zoom Training: Perinatal Substance Use Disorder 101 Presented by Postpartum Support International
September 24, 2025 / by Health Plan / Alerts
Date: September 23, 2025 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan All Primary Care Providers and BH Providers Type: Informational/Educational Subject: Free Zoom Training: Perinatal Substance Use Disorder 101 Presented by Postpartum Support International Business: Medi-Cal Managed Care The Policy Center, Postpartum Support International and Colorado Department of [...]Read more
Free Zoom Webinar – Addiction 101: Understanding Lived Experience and the Science to Prevent Overdose Sponsored by California Overdose Prevention Network (COPN)
September 22, 2025 / by Health Plan / Alerts
Date: September 22, 2025 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan Primary Care Providers and BH Providers Type: Informational/Educational Subject: Free Zoom Webinar - Addiction 101: Understanding Lived Experience and the Science to Prevent Overdose Sponsored by California Overdose Prevention Network (COPN) Business: Medi-Cal Managed Care The California [...]Read more
2025 Provider Appointment Availability Survey (PAAS)
September 19, 2025 / by Health Plan / Alerts
Date: September 19, 2025 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan Primary Care Providers, Specialists, Behavioral Health Type: Regulatory Subject: 2025 Provider Appointment Availability Survey (PAAS) Business: Medi-Cal Managed Care The Provider Appointment Availability Survey (PAAS) has begun. Health Plan is required by the Department of Health Care [...]Read more