July 16, 2021 / by Luis Rivera / Alerts
Date: July 15, 2021 To: Health Plan of San Joaquin (HPSJ) Physicians, Providers, and Pharmacies From: Health Plan of San Joaquin Subject: Action Required regarding change in payments system Business: MEDI-CAL REMINDER: YOUR ACTION IS REQUIRED TO ENSURE NO DELAYS IN YOUR PAYMENTS If you have already taken this action, then please disregard (Secure emails [...]
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Health Plan of San Joaquin provider Alerts
Update on Opioid Prescriptions and Pain Management
August 11, 2021 / by Luis Rivera / Alerts
Date: August 3, 2021 To: Health Plan of San Joaquin (HPSJ) All Primary Care Providers From: Health Plan of San Joaquin Subject: Update on Opioid Prescriptions and Pain Management Business: Medi-Cal Managed Care Some HPSJ members previously receiving care with LAGS will be seeking new prescribers when they need refills for their pain medication. Emerging [...]Read more
Look & Learn, Managed Care Accountability Set (MCAS) Series: Summer/Fall 2021
August 9, 2021 / by Luis Rivera / Alerts
Date: August 9, 2021 To: Health Plan of San Joaquin (HPSJ) Contracted PCPs From: Health Plan of San Joaquin Subject: Look & Learn Managed Care Accountability Set (MCAS) Series: Summer/Fall 2021 Business: Medi-Cal Managed Care Please join us for this VIRTUAL session! August 19, 2021, 12:30PM–2:00PM Register here: https://www.hpsj.com/look-and-learn/ Please RSVP for this event by [...]Read more
Newly Enrolled HPSJ Members – Requirement Initial Health Assessment (IHA) & Staying Health Assessment (SHA)
August 2, 2021 / by Luis Rivera / Alerts
Date: July 30, 2021 To: Health Plan of San Joaquin (HPSJ) CONTRACTED PCPs From: Health Plan of San Joaquin Subject: Newly Enrolled HPSJ Members – Requirement Initial Health Assessment (IHA) & Staying Health Assessment (SHA) Business: Medi-Cal The Staying Healthy Assessment (SHA) is the Department of Health Care Services (DHCS) Individual Health Education Behavior Assessment [...]Read more
Chantix Products Recall – IMMEDIATE ACTION NEEDED
July 28, 2021 / by Allison Sessa / Alerts, Pharmacy Announcements
Date: July 28, 2021 To: Health Plan of San Joaquin (HPSJ) Pharmacies and Providers From: HPSJ Pharmacy Department Subject: Chantix Products Recall – IMMEDIATE ACTION NEEDED Business: Medi-Cal Managed Care We are sending this alert because one or more of your patient(s) may have filled a prescription for Chantix Tablets within the last six months [...]Read more
Provider Education: Only Licensed Personnel May Triage Medi-Cal Patients
July 23, 2021 / by Allison Sessa / Alerts
Date: July 23, 2021 To: Medi-Cal Providers From: Health Plan of San Joaquin Subject: Provider Education: Only Licensed Personnel May Triage Medi-Cal Patients Business: Medi-Cal Managed Care HPSJ monitors accessibility within our network to ensure providers are available for appointments within the standards for timely access formed by the Department of Managed Health Care and [...]Read more
$55,000 Practice Support from California Dept of Public Health (CDPH) For COVID-19 Vaccinations – CalVaxGrant Available
July 22, 2021 / by Allison Sessa / Alerts
Date: July 22, 2021 To: Health Plan of San Joaquin (HPSJ) Primary Care Providers (PCP) From: Health Plan of San Joaquin Subject: $55,000 Practice Support from California Dept of Public Health (CDPH) For COVID-19 Vaccinations – CalVaxGrant Available Business: Medi-Cal Managed Care Provider organizations can apply to receive $10,000 for up to five COVID-19 vaccination [...]Read more
Action Required regarding change in payments system
July 16, 2021 / by Luis Rivera / Alerts
Date: July 15, 2021 To: Health Plan of San Joaquin (HPSJ) Physicians, Providers, and Pharmacies From: Health Plan of San Joaquin Subject: Action Required regarding change in payments system Business: MEDI-CAL REMINDER: YOUR ACTION IS REQUIRED TO ENSURE NO DELAYS IN YOUR PAYMENTS If you have already taken this action, then please disregard (Secure emails [...]Read more
DMHC/DHCS Timely Access Standards for Wait Times, Urgent Care and After-Hours
July 13, 2021 / by Luis Rivera / Alerts
Date: July 13,2021 To: Health Plan of San Joaquin (HPSJ) –All Contracted and Non-Contracted Providers From: Health Plan of San Joaquin Subject: DMHC/DHCS Timely Access Standards for Wait Times, Urgent Care and After-Hours – In-OfficeWait Times Set/Monitored by HPSJ Business: Medi-Cal Health Plan of San Joaquin(HPSJ)is charged with maintaining the quality of care for our [...]Read more
UPDATE: Monthly Capitation (CAP) and Fee For Service (FFS) Payments
July 12, 2021 / by Luis Rivera / Alerts
Date: July 12, 2021 To: Health Plan of San Joaquin (HPSJ) All Contracted and Non-Contracted Providers From: Health Plan of San Joaquin Subject: UPDATE: Monthly Capitation (CAP) and Fee For Service (FFS) Payments Business: Medi-Cal Managed Care We are very sorry there have been processing delays for the payments addressed below. This is to bring [...]Read more
For Outpatient Patient Care – Current Medications for Outpatient Treatment of COVID-19
July 12, 2021 / by Luis Rivera / Alerts, Pharmacy Announcements
Date: July 12, 2021 To: Health Plan of San Joaquin (HPSJ) All Contracted and Non-Contracted Providers From: Health Plan of San Joaquin Subject: For Outpatient Patient Care – Current Medications for Outpatient Treatment of COVID-19 Business: Medi-Cal Managed Care Management of COVID-19 is rapidly evolving. There are only a few medications that have obtained Emergency [...]Read more