November 6, 2023 / by Health Plan / Alerts
Date: November 6, 2023 To: Health Plan of San Joaquin (HPSJ) Primary Care Providers (PCP)s and Behavioral Health Providers Type: Regulatory Subject: After Hours Survey is Here Business: Medi-Cal Managed Care HPSJ monitors after-hours access for our members on an ongoing basis, as required by the Department of Health Care Services (DHCS) and the Department [...]
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Health Plan of San Joaquin provider Alerts
Mountain Valley Health Plan (MVHP) / Expansion Effective 1/1/2024
November 17, 2023 / by Health Plan / Alerts
Date: November 17, 2023 To: Health Plan of San Joaquin (HPSJ) Primary Care Providers (PCP), Specialists, Hospitals and Facilities Type: Regulatory Subject: Mountain Valley Health Plan (MVHP) / Expansion Effective 1/1/2024 Business: Medi-Cal Managed Care The San Joaquin County Health Commission (SJCHC), currently operating as Health Plan of San Joaquin (HPSJ), is proud to announce [...]Read more
Provider Manual Update 45 Day Notice
November 17, 2023 / by Health Plan / Alerts
Date: November 16, 2023 To: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) Contracted Providers and Facilities Type: Informational Subject: Provider Manual Update 45 Day Notice Business: Medi-Cal Managed Care The following information serves as an official 45-business day notice regarding updates to the Provider Manual. Please note an important change: On January [...]Read more
Planned Parenthood Mar Monte Temporary Closure – Eastland Plaza
November 15, 2023 / by Health Plan / Alerts
Date: November 15, 2023 To: Health Plan of San Joaquin (HPSJ) Provider Network Type: Informational Subject: Planned Parenthood Mar Monte Temporary Closure – Eastland Plaza Business: Medi-Cal Managed Care Parenthood Mar Monte’s Eastland Plaza site at 678 N Wilson Way G, Stockton, CA 95205 experienced a fire and is temporarily closed until further notice. Fire [...]Read more
Provider Satisfaction Survey is Here
November 15, 2023 / by Health Plan / Alerts
Date: November 15, 2023 To: Health Plan of San Joaquin (HPSJ) Contracted Provider Network Type: Regulatory Subject: Provider Satisfaction Survey is Here Business: Medi-Cal Managed Care Health Plan of San Joaquin (HPSJ) conducts an annual Provider Satisfaction Survey of its contracted providers to capture their rate of satisfaction with HPSJ. Information obtained from this survey [...]Read more
Medi-Cal Subacute Care Contracting Application Information for Facilities
November 14, 2023 / by Health Plan / Alerts
Date: November 14, 2023 To: Health Plan of San Joaquin (HPSJ) Contracted Providers, Skilled Nurse Facilities (SNF), and Long-Term Care Facilities (LTC) Type: Regulatory Subject: Medi-Cal Subacute Care Contracting Application Information for Facilities Business: Medi-Cal Managed Care Effective January 1, 2024, Medi-Cal Managed Care Plans in all counties must ensure that members in need of [...]Read more
Long Term Care (LTC) Carve-In Intermediate Care Facility (ICF) and Subacute Implementation Go-Live on January 1, 2024
November 14, 2023 / by Health Plan / Alerts
Date: November 14, 2023 To: Health Plan of San Joaquin (HPSJ) Contracted Providers and Facilities Type: Regulatory/Informational Subject: Long Term Care (LTC) Carve-In Intermediate Care Facility (ICF) and Subacute Implementation Go-Live on January 1, 2024 Business: Medi-Cal Managed Care By January 1, 2024, per the Department of Health Care Services (DHCS), all residents of ICF/DD, [...]Read more
After Hours Survey is Here
November 6, 2023 / by Health Plan / Alerts
Date: November 6, 2023 To: Health Plan of San Joaquin (HPSJ) Primary Care Providers (PCP)s and Behavioral Health Providers Type: Regulatory Subject: After Hours Survey is Here Business: Medi-Cal Managed Care HPSJ monitors after-hours access for our members on an ongoing basis, as required by the Department of Health Care Services (DHCS) and the Department [...]Read more
Reminder: Enhanced Provider Dispute Resolution (PDR) Process
November 1, 2023 / by Health Plan / Alerts
Date: November 1, 2023 To: All Health Plan of San Joaquin (HPSJ) Providers and Facilities Type: Educational/Informational Subject: Reminder: Enhanced Provider Dispute Resolution (PDR) Process Business: Medi-Cal Managed Care On April 15 of 2021, HPSJ implemented several new enhancements to the PDR process. This alert serves as a reminder to ensure each Provider Dispute Resolution [...]Read more
Follow-Up After Hospitalization for Mental Illness (FUH) & Follow Up After High-Intensity Care for Substance Use Disorder (FUI)
November 1, 2023 / by Health Plan / Alerts
Date: November 1, 2023 To: Health Plan of San Joaquin (HPSJ) Contracted Hospitals, Emergency Rooms, and Other Network Providers Type: Educational/Informational Subject: Follow-Up After Hospitalization for Mental Illness (FUH) & Follow Up After High-Intensity Care for Substance Use Disorder (FUI) Business: Medi-Cal Managed Care Healthcare Effectiveness Data and informational Set (HEDIS) for Measurement Year 2023 [...]Read more
Reminder: HPSJ Website Information Available to Providers
November 1, 2023 / by Health Plan / Alerts
Date: November 1, 2023 To: All Health Plan of San Joaquin (HPSJ) Providers and Facilities Type: Educational/Informational Subject: Reminder: HPSJ Website Information Available to Providers Business: Medi-Cal Managed Care REMINDER The Health Plan of San Joaquin (HPSJ) website provides information about programs and services. You can view or download information about the following topics on [...]Read more