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
Mandatory Signatories to the California Health and Human Services Agency Data Exchange Framework
December 14, 2023 / by Health Plan / Alerts
Date: December 14, 2023 To: Health Plan of San Joaquin (HPSJ) All Network Providers Type: Regulatory Subject: Mandatory Signatories to the California Health and Human Services Agency Data Exchange Framework Business: Medi-Cal Managed Care The Department of Health Care Services (DHCS) issued All Plan Letter (APL) 23-013 regarding Mandatory Signatories to the California Health and [...]Read more
Long Term Care (LTC) Carve-In Intermediate Care Facility (ICF) and Subacute Care Facilities
December 6, 2023 / by Health Plan / Alerts
Date: December 06, 2023 To: Health Plan of San Joaquin (HPSJ) Primary Care Providers (PCP), Specialists, Hospitals and Facilities Type: Informational Subject: Long Term Care (LTC) Carve-In Intermediate Care Facility (ICF) and Subacute Care Facilities Business: Medi-Cal Managed Care In accordance with All Plan Letter (APL) 23-023 and 23-027, effective January 1, 2024, all Medi-Cal [...]Read more
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