Health Plan of San Joaquin provider Alerts

**Reminder**DHCS Encounter Requirement – NDC Required

Date: September 4, 2020 To: Health Plan of San Joaquin (HPSJ) All Providers & Facilities From: Health Plan of San Joaquin Subject: **Reminder**DHCS Encounter Requirement – NDC Required Business: Medi-Cal Managed Care Health Plan of San Joaquin (HPSJ) sent out a provider alert on August 5, 2019 informing providers of the new DHCS requirement for [...]

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MANDATORY – Fraud, Waste, and Abuse (FWA) Training for HPSJ Providers

Date: September 4, 2020 To: Health Plan of San Joaquin From: Health Plan of San Joaquin (HPSJ) Providers Subject: MANDATORY – Fraud, Waste, and Abuse (FWA) Training for HPSJ Providers Business: Medi-Cal Health Plan of San Joaquin (HPSJ), is a licensed health care services plan regulated by the Department of Managed Health Care (DMHC) and [...]

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ANNUAL CULTURAL COMPETENCY TRAINING 2020- Mandated

Date: September 3, 2020 To: Health Plan of San Joaquin (HPSJ) Providers From: HPSJ Provider Services Department Subject: ANNUAL CULTURAL COMPETENCY TRAINING 2020- Mandated Business: Medi-Cal Health Plan of San Joaquin is launching our annual required Cultural Competency Training and Attestation collection from 09/01/2020-11/02/2020. Training Based on Title 22, California Code of Regulations (CCR) Sections, [...]

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Clinical Review: 2020 Standards of Care for Treatment of Type 2 Diabetes

Learning Objectives: Review recommendations provided in the American Diabetes Association (ADA) Standards of Medical Care – 2020 addressing the pharmacologic approach to glycemic control for patients with type 2 diabetes Describe patient factors to consider when prescribing antihyperglycemic agents Understand the boxed warnings for antihyperglycemic agents Download the full documente here: Key Points: Diabetes is […]

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Requirements – Office Closure/Re-Opening Notifications

Date: September 1, 2020 To: HPSJ Providers, Practices (PCPs & Specialists), Hospitals & Ancillary Facilities From: Health Plan of San Joaquin Subject: Requirements – Office Closure/Re-Opening Notifications Business: Medi-Cal We are intensely aware of the difficult position medical offices are enduring, as each takes steps to keep their teams and patients safe. Each day HPSJ [...]

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COVID-19: Overpayments on Testing Codes

Date: August 31, 2020 To: Health Plan of San Joaquin (HPSJ) All Providers & Facilities From: Health Plan of San Joaquin Subject: COVID-19: Overpayments on Testing Codes Business: Medi-Cal In response to the Novel Coronavirus (COVID-19), the Centers for Medicare & Medicaid Services (CMS) established the following HCPCS codes for COVID-19 diagnostic testing services: U0003: [...]

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Pharmacy Update: Oncology Medicine

Date: August 31, 2020 To: Health Plan of San Joaquin (HPSJ) Physicians, Providers, and Pharmacies From: Health Plan of San Joaquin Subject: Pharmacy Update: Oncology Medicine Business: Medi-Cal Effective 11/2/2020, all oncology medications will require prior authorizations. Please note that the following list of the medications is not all inclusive. Download the Oncology Medicine PDF [...]

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MCAS Measure AMM – Antidepressant Medication Management

Date: August 27, 202 0 To: HPSJ Primary Care Providers {PCP} and Behavioral Health Care Providers From: HPSJ Quality Management Department Subject: MCAS Measure AMM – Antidepressant Medication Management Business: Medi-Cal The HPSJ Quality Team looks at adults ages 18+ who have a diagnosis of major depression and have been subsequently prescribed antidepressants. When documenting [...]

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DMHC/DHCS Timely Access Standards + Wait Times Set/Monitored by HPSJ

Date: August 26, 2020 To: HPSJ Quality Management Department From: HPSJ Quality Management Department Subject: DMHC/DHCS Timely Access Standards + Wait Times Set/Monitored by HPSJ Business: Medi-Cal Health Plan of San Joaquin (HPSJ) is charged with maintaining the quality of care for our members. As such we must monitor access and availability within the network, [...]

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A virtual training session for HEDIS/NCQA Quality Measures 2020-2021

Join us for your 2020 Vision of HPSJ’s LOOK and LEARN! (A virtual training session for HEDIS/NCQA Quality Measures 2020-2021). Let HPSJ help you and your staff increase quality standards! If your practice is focused on delivering quality services and interested in increasing your earning potential, we encourage you to register for one of the [...]

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