July 27, 2023 / by Health Plan / Alerts
Date: July 26, 2023 To: Health Plan of San Joaquin (HPSJ) Contracted Providers & Facilities From: HPSJ Type: Informational Subject: Missing Claims Files Business: Medi-Cal Managed Care Health Plan of San Joaquin (HPSJ) has identified an issue with 837 claim files submitted between June 1, 2023, and July 21, 2023. Please be assured that our [...]
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Health Plan of San Joaquin provider Alerts
Place of Service Billing for Services in FQHCs and RHCs
September 27, 2023 / by Health Plan / Alerts
Date: September 27, 2023 To: Health Plan of San Joaquin (HPSJ) Federally Qualified Health Centers (FQHC) and Rural Health Centers (RHC) From: Health Plan of San Joaquin (HPSJ) Type: Regulatory Subject: Place of Service Billing for Services in FQHCs and RHCs Business: Medi-Cal Managed Care Effective December 1, 2023, claims for payment of services that [...]Read more
Look and Learn – New HEDIS Portal – Inovalon – Training
September 22, 2023 / by Health Plan / Alerts
Date: September 22, 2023 To: Health Plan of San Joaquin (HPSJ) Primary Care Providers (PCPs), Federally Qualified Health Centers (FQHCs) and Rural Health Centers (RHCs) From: Health Plan of San Joaquin (HPSJ) Type: Event/Informational Subject: Look and Learn – New HEDIS Portal – Inovalon – Training Business: Medi-Cal Managed Care Health Plan of San Joaquin [...]Read more
DHCS Equity and Practice Transformation Payments Program
September 11, 2023 / by Health Plan / Alerts
Date: September 11, 2023 To: Health Plan of San Joaquin (HPSJ) Primary Care Provider Organizations From: Health Plan of San Joaquin (HPSJ) Type: Informational Subject: DHCS Equity and Practice Transformation Payments Program Business: Medi-Cal Managed Care On August 30, the California Department of Health Care Services (DHCS) launched the Equity and Practice Transformation (EPT) Provider [...]Read more
Skilled Nursing Facilities (SNF) – Ancillary Billing Guidance
August 23, 2023 / by Health Plan / Alerts
Date: August 23, 2023 To: Health Plan of San Joaquin (HPSJ) Contracted Providers & Facilities From: Health Plan of San Joaquin (HPSJ) Type: Informational Subject: Skilled Nursing Facilities (SNF) - Ancillary Billing Guidance Business: Medi-Cal Managed Care Health Plan of San Joaquin (HPSJ) would like to remind Skilled Nursing Facilities (SNF)/Long Term Care (LTC) providers [...]Read more
Cultural and Linguistic Service Updates
August 23, 2023 / by Health Plan / Alerts
Date: August 23, 2023 To: Health Plan of San Joaquin (HPSJ) Primary Care Providers, Specialists, Hospitals and Facilities From: Health Plan of San Joaquin (HPSJ) Type: Regulatory/Informational Subject: Cultural and Linguistic Service Updates Business: Medi-Cal Managed Care The Cultural and Linguistics Department of Health Plan of San Joaquin (HPSJ) would like to inform you of [...]Read more
Virtual Look and Learn- August 16, 2023 at 12 PM
August 11, 2023 / by Health Plan / Alerts
Date: August 11, 2023 To: Health Plan of San Joaquin (HPSJ) Practitioners and Facilities From: Health Plan of San Joaquin (HPSJ) Type: Event Subject: Virtual Look and Learn- August 16, 2023 at 12 PM Business: Medi-Cal Managed Care Please join us August 16, 2023, from 12:00 pm to 1:30 pm, for a Virtual Provider Look [...]Read more
Reminder for Follow-up After Emergency Department Visit for Mental Illness (FUM) and Follow-up After Emergency (FUA) Department Visit for Substance Use
August 2, 2023 / by Health Plan / Alerts
Date: August 2, 2023 To: Health Plan of San Joaquin (HPSJ) Practitioners and Facilities From: HPSJ Type: Informational/Educational Subject: Reminder for Follow-up After Emergency Department Visit for Mental Illness (FUM) and Follow-up After Emergency (FUA) Department Visit for Substance Use Business: Medi-Cal Managed Care Healthcare Effectiveness Data and information Set (HEDIS) For Measurement Year 2023 [...]Read more
DHCS Equity and Practice Transformation Payments Program
August 2, 2023 / by Health Plan / Alerts
Date: August 2, 2023 To: Health Plan of San Joaquin (HPSJ) Primary Care Provider Organizations From: HPSJ Type: Informational Subject: DHCS Equity and Practice Transformation Payments Program Business: Medi-Cal Managed Care On July 19, 2023 HPSJ hosted a virtual Look and Learn focused on the Department of Health Care Services (DHCS) Equity and Practice Transformation [...]Read more
Missing Claims Files
July 27, 2023 / by Health Plan / Alerts
Date: July 26, 2023 To: Health Plan of San Joaquin (HPSJ) Contracted Providers & Facilities From: HPSJ Type: Informational Subject: Missing Claims Files Business: Medi-Cal Managed Care Health Plan of San Joaquin (HPSJ) has identified an issue with 837 claim files submitted between June 1, 2023, and July 21, 2023. Please be assured that our [...]Read more
Long Term Care Web Page on HPSJ Public Site
July 26, 2023 / by Health Plan / Alerts
Date: July 26, 2023 To: Health Plan of San Joaquin (HPSJ) Contracted Providers and Facilities From: HPSJ Type: Informational Subject: Long Term Care Web Page on HPSJ Public Site Business: Medi-Cal Managed Care This Provider Alert serves as a notification that Health Plan of San Joaquin (HPSJ) has created a dedicated Long-Term Care (LTC) web [...]Read more