Health Plan of San Joaquin provider Alerts

SURVEY – Communication Matters – Exchange of Information between Hospitals and PCPs Post-discharge

Date: July 15, 2020 To: HPSJ Providers, Practices (PCPs & Specialists), Hospitals and Ancillary Facilities From: HPSJ Utilization Management Dept Subject: PLEASE COMPLETE SHORT SURVEY – Communication Matters – Exchange of Information between Hospitals and PCPs Post-discharge Business: Medi-Cal On Friday, April 17, 2020, Health Plan of San Joaquin (HPSJ) sent a communication about the […]

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SURVEY – Communication Matters – Exchange of Information between ER and PCPs Post-discharge

Date: July 15, 2020 To: HPSJ Providers, Practices (PCPs & Specialists), Hospitals and Ancillary Facilities From: HPSJ Utilization Management Dept Subject: PLEASE COMPLETE SHORT SURVEY – Communication Matters – Exchange of Information between ER and PCPs Post-discharge Business: Medi-Cal On Friday, April 17, 2020, Health Plan of San Joaquin (HPSJ) sent a communication about the […]

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California Immunization Registry – Revised Sharing Policy, CAIR2

Date: July 13, 2020 To: HPSJ Providers and Practices (PCPs, Specialists, Hospitals, and Pharmacies) From: HPSJ Quality Management Department Subject: California Immunization Registry – Revised Sharing Policy, CAIR2 Business: Medi-Cal Per the California Immunization Registry, known as CAIR, and regulated by the State of California under Health and Safety Code, Section 120440, all patients/parents have […]

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Immediate Action Required – Epinephrine Auto Injector Devices

Date: June 17, 2020 To: Health Plan of San Joaquin (HPSJ) Pharmacies and Providers & Practices From: HPSJ Pharmacy Department Subject: Immediate Action Required – Epinephrine Auto Injector Devices Business: Medi-Cal We are sending this alert because your patient(s) may have filled a prescription for Epinephrine Auto-Injector Device since December 20, 2018. FDA is alerting […]

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Join HPSJ for a web conference on June 25, 2020 at 7:30 am!

HOW MUCH DO YOU KNOW ABOUT DEPARTMENT OF HEALTH CARE SERVICES VALUE BASED PAYMENT (VBP) PROGRAM? Let HPSJ help you and your staff identify key steps to participate! Thursday, June 25, 2020 at 7:30 am  Register Now If your practice is focused on delivering quality services and interested in increasing your earning potential, we encourage [...]

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Clinical Guideline: Reproductive Health in Rheumatic and Musculoskeletal Diseases

The American College of Rheumatology recently published the organization’s first guideline on how to manage reproductive health issues in patients with rheumatic and musculoskeletal diseases (RMDs). Patients with RMDs face unique challenges as pregnancy may be associated with serious maternal or adverse fetal outcomes; furthermore, it is difficult to avoid use of medications in patients […]

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NP Thyroid recall provider alert

Date: May 28, 2020 To: Health Plan of San Joaquin (HPSJ) Pharmacies and Providers From: HPSJ Pharmacy Department Subject: NP Thyroid Recall Business: Medi-Cal We are sending this alert because your patients may have filled a prescription for NP Thyroid 30mg, 60mg or 90mg within the last six months (180 days). With FDA knowledge, Acella […]

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Formulary Update Effective 8/3/2020

Date: May 22, 2020 To: Health Plan of San Joaquin (HPSJ) Physicians, Providers, and Pharmacies From: HPSJ Pharmacy and Therapeutics Committee Subject: Formulary Update Business: Medi-Cal Effective August 3, 2020, the Pharmacy and Therapeutics Committee has approved the following changes. Additions to the Formulary: 1. Dulaglutide (Trulicity) 0.75 mg/0.5 mL, 1.5mg/0.5ml pen: PA required. Reserved [...]

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Value Based Payment (VBP) program – Training Coming Soon – Register Today!

Date: May 12, 2020 To: Health Plan of San Joaquin (HPSJ) Contracted Physicians From: Health Plan of San Joaquin Subject: Value Based Payment (VBP) program – Training Coming Soon – Register Today! Dear Health Plan of San Joaquin Contracted Provider, Health Plan of San Joaquin (HPSJ) is pleased to announce that the Department of Health […]

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Non-Emergency Medical Transportation Billing Requirements

Date: May 7, 2020 To: Health Plan of San Joaquin (HPSJ) NEMT Providers From: HPSJ Claims Department Subject: Non-Emergency Medical Transportation Billing Requirements Business: Medi-Cal Managed Care In accordance with Medi-Cal and California Department of Health Care Services (DHCS) guidelines, the following information outlines the billing requirements for all Non-Emergency Medical Transportation (NEMT) providers. Name […]

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