May 1, 2026 / by Health Plan / Alerts, Medi-Cal Provider Alerts
Date: April 29, 2026 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan Practitioners, Facilities, and Hospitals Type: Informational/Educational Subject: Reminder: Changes to Medi-Cal Pharmacy (Rx) as of January 2026 Business: Medi-Cal Managed Care Effective January 1, 2026, the following policy updates and changes were implemented by Medi-Cal Rx. This [...]
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Health Plan of San Joaquin provider Alerts
DHCS Webinar: Expanding Access to Care for Justice-Involved Youth
May 6, 2026 / by Health Plan / Alerts, Medi-Cal Provider Alerts
Date: May 06, 2026 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan All Practitioners and Behavioral Health Providers Type: Informational/Educational Subject: DHCS Webinar: Expanding Access to Care for Justice-Involved Youth Business: Medi-Cal Managed Care The Department of Health Care Services (DHCS) is hosting a webinar focusing on how the [...]Read more
Reminder: Changes to Medi-Cal Pharmacy (Rx) as of January 2026
May 1, 2026 / by Health Plan / Alerts, Medi-Cal Provider Alerts
Date: April 29, 2026 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan Practitioners, Facilities, and Hospitals Type: Informational/Educational Subject: Reminder: Changes to Medi-Cal Pharmacy (Rx) as of January 2026 Business: Medi-Cal Managed Care Effective January 1, 2026, the following policy updates and changes were implemented by Medi-Cal Rx. This [...]Read more
Free Zoom Two-Part Training: Utilizing Cultural Humility to Enhance Safety, Trust, and Engagement with Clients
May 1, 2026 / by Health Plan / Alerts, D-SNP Provider Alerts, Medi-Cal Provider Alerts
Date: April 29, 2026 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan All Primary Care and Behavioral Health Providers Type: Informational/Educational Subject: Free Zoom Two-Part Training: Utilizing Cultural Humility to Enhance Safety, Trust, and Engagement with Clients Business: Medi-Cal Managed Care/Medicare Dual Special Needs Program (D-SNP) The Los Angeles [...]Read more
Obstetrics Authorization Process Update
May 1, 2026 / by Health Plan / Alerts, Medi-Cal Provider Alerts
Date: April 29, 2026 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan Acute Care Hospitals Type: Procedural Update Subject: Obstetrics Authorization Process Update Business: Medi-Cal Managed Care We are reaching out to inform you of an important update to our authorization requirements for obstetrics (OB) services under the Medi-Cal [...]Read more
Physician-Administered Drug (PAD) Billing and Payment Requirements
May 1, 2026 / by Health Plan / Alerts, Medi-Cal Provider Alerts
Date: April 29, 2026 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan Physicians, Clinics, and Hospitals Type: Informational/Educational Subject: Physician-Administered Drug (PAD) Billing and Payment Requirements Business: Medi-Cal Managed Care The purpose of this alert is to remind providers about physician-administered drugs (PADs) and provide resources to help ensure [...]Read more
Medi-Cal Enrollment Requirements for Applied Behavioral Analysis (ABA) Groups
May 1, 2026 / by Health Plan / Alerts, Medi-Cal Provider Alerts
Date: April 29, 2026 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan ABA Groups Type: Regulatory Subject: Medi-Cal Enrollment Requirements for Applied Behavioral Analysis (ABA) Groups Business: Medi-Cal Managed Care Medi-Cal Enrollment Requirements for Applied Behavioral Analysis (ABA) Groups As a follow-up to the Provider Alert, in accordance with [...]Read more
Human Milk from a Licensed Tissue Bank is a Covered Benefit
April 24, 2026 / by Health Plan / Alerts, Medi-Cal Provider Alerts
Date: April 22, 2026 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan OBGYNs, Pediatricians, Hospital NICUs, and Doulas Type: Regulatory Subject: Human Milk from a Licensed Tissue Bank is a Covered Benefit Business: Medi-Cal Managed Care The Department of Managed Health Care (DMHC), Office of Planning Licensing (OPL) issued [...]Read more
Release of the Updated Medicare Outpatient Observation Notice (MOON)
April 23, 2026 / by Health Plan / Alerts, D-SNP Provider Alerts
Date: April 20, 2026 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan Hospitals Type: Regulatory Subject: Release of the Updated Medicare Outpatient Observation Notice (MOON) Business: Medicare Advantage D-SNP The Centers for Medicare & Medicaid Services (CMS) announced that the Office of Management and Budget (OMB) has approved the updated [...]Read more
USPSTF Recommendation – Intimate Partner Violence Screening for Women of Reproductive Age
April 17, 2026 / by Health Plan / Alerts, D-SNP Provider Alerts, Medi-Cal Provider Alerts
Date: April 15, 2026 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan Primary Care Providers Type: Informational/Educational Subject: USPSTF Recommendation – Intimate Partner Violence Screening for Women of Reproductive Age Business: Medi-Cal Managed Care/Medicare Dual Special Needs Program (D-SNP) Facility Site Review (FSR) Update Calendar Year 2026 Intimate Partner [...]Read more
DHCS APL 26-002: Medi-Cal Managed Care Plan Responsibilities for Non-Specialty Mental Health Services
April 17, 2026 / by Health Plan / Alerts, Medi-Cal Provider Alerts
Date: April 15, 2026 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan Practitioners and Providers Type: Regulatory Subject: DHCS APL 26-002: Medi-Cal Managed Care Plan Responsibilities for Non-Specialty Mental Health Services Business: Medi-Cal Managed Care The Department of Health Care Services (DHCS) issued All Plan Letter (APL) 26- 002 [...]Read more