May 29, 2024 / by Health Plan / Alerts
Date: May 29, 2024 From: Health Plan To: Health Plan of San Joaquin/Mountain Valley Health Plan (Health Plan) Providers, Practitioners, Facilities, and Hospitals Type: Informational Subject: Hospital Contract Terminations Business: Medi-Cal Managed Care Health Plan is dedicated to partnering with our network providers to ensure appropriate access to covered health care services for our members. [...]
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Health Plan of San Joaquin provider Alerts
Retrospective Review Process- Update
June 7, 2024 / by Health Plan / Alerts
Date: June 05, 2024 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan Practitioners and Facilities Type: Informational/Educational Subject: Retrospective Review Process- Update Business: Medi-Cal Managed Care Effective January 1, 2024, DHCS requires all Managed Care Plans to have a retrospective review process that allows providers to submit requests for [...]Read more
Reminder: CalAIM All-Network Training
June 7, 2024 / by Health Plan / Alerts
Date: June 05, 2024 From: Health Plan To: El Dorado and Alpine County Providers Type: Informational/Educational Subject: Reminder: CalAIM All-Network Training Business: Medi-Cal Managed Care This alert is a reminder. Please join us for a CalAIM All-Network Training on the date listed below. Health Plan will be co-facilitating a presentation with partnering Managed Care Plans [...]Read more
Reminder: Mandatory Annual Trainings – Complete by 06/30/2024
June 7, 2024 / by Health Plan / Alerts
Date: June 05, 2024 From: Health Plan To: All Health Plan of San Joaquin/Mountain Valley Health Plan (Health Plan) Providers and Practitioners Type: Regulatory Subject: Reminder: Mandatory Annual Trainings – Complete by 06/30/2024 Business: Medi-Cal Managed Care ACTION REQUIRED This is a reminder that the due date is approaching for Health Plan’s mandatory trainings for [...]Read more
Incontinence Medical Supply Billing Requirements
June 5, 2024 / by Health Plan / Alerts
Date: June 05, 2024 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Durable Medical Equipment (DME) and Medical Supply Providers Type: Regulatory Subject: Incontinence Medical Supply Billing Requirements Business: Medi-Cal Managed Care Through the new Claims Editing System (CES), Health Plan has identified when billing Incontinence Medical Supplies the secondary diagnosis is [...]Read more
Breast Pump Benefit
May 29, 2024 / by Health Plan / Alerts
Date: May 29, 2024 From: Health Plan To: Health Plan of San Joaquin/Mountain Valley Health Plan ("Health Plan") Practitioners, OBGYNs, and OB Departments at all Hospitals and Facilities Type: Informational/Educational Subject: Breast Pump Benefit Business: Medi-Cal Managed Care Health Plan would like to inform you that members are eligible for a breast pump through our [...]Read more
Hospital Contract Terminations
May 29, 2024 / by Health Plan / Alerts
Date: May 29, 2024 From: Health Plan To: Health Plan of San Joaquin/Mountain Valley Health Plan (Health Plan) Providers, Practitioners, Facilities, and Hospitals Type: Informational Subject: Hospital Contract Terminations Business: Medi-Cal Managed Care Health Plan is dedicated to partnering with our network providers to ensure appropriate access to covered health care services for our members. [...]Read more
Reminder: CalAIM All-Network Training
May 29, 2024 / by Health Plan / Alerts
Date: May 29, 2024 From: Health Plan To: Health Plan of San Joaquin/Mountain Valley Health Plan (Health Plan) Providers Type: Informational Subject: Reminder: CalAIM All-Network Training Business: Medi-Cal Managed Care This alert is a reminder. Please join us for a CalAIM All-Network Training on the dates listed below. Health Plan will be co-facilitating a presentation [...]Read more
CalAIM All-Network Training
May 27, 2024 / by Health Plan / Alerts
Date: May 22, 2024 From: Health Plan To: Health Plan of San Joaquin/Mountain Valley Health Plan (Health Plan) Providers Type: Informational Subject: CalAIM All-Network Training Business: Medi-Cal Managed Care Please join us for a CalAIM All-Network Training on the dates listed below. Health Plan will be co-facilitating a presentation with partnering Managed Care Plans (MCPs), [...]Read more
W-9 Mailing Address Updates
May 27, 2024 / by Health Plan / Alerts
Date: May 22, 2024 From: Health Plan To: Health Plan of San Joaquin/Mountain Valley Health Plan (Health Plan) Providers Type: Informational Subject: W-9 Mailing Address Updates Business: Medi-Cal Managed Care Health Plan is focused on ensuring timely payment processing and delivery. We want to remind you to submit an updated W-9 if your “Pay To” [...]Read more
Final Reminder: Department of Healthcare Services Skilled Nursing Facilities Workforce and Quality Improvement Program
May 27, 2024 / by Health Plan / Alerts
Date: May 22, 2024 From: Health Plan To: Health Plan of San Joaquin/Mountain Valley Health Plan (Health Plan) Skilled Nursing Facilities Type: Regulatory Subject: Final Reminder: Department of Healthcare Services Skilled Nursing Facilities Workforce and Quality Improvement Program Business: Medi-Cal Managed Care This is the final reminder that the Department of Healthcare Services (DHCS) Skilled [...]Read more