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
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
Reminder – Controlling High Blood Pressure (CBP)
October 27, 2023 / by Health Plan / Alerts
Date: October 27, 2023 To: Health Plan of San Joaquin (HPSJ) CONTRACTED Primary Care Providers (PCPs) and Specialty Care Providers (SCPs) Type: Educational/informal Subject: Reminder - Controlling High Blood Pressure (CBP) Business: Medi-Cal Managed Care Healthcare Effectiveness Data Information Set (HEDIS) Measurement Year 2023 The following is a reminder of Controlling High Blood Pressure (CBP). [...]Read more
Reminder – Colorectal Cancer Screening (COL)
October 27, 2023 / by Health Plan / Alerts
Date: October 27, 2023 To: Health Plan of San Joaquin (HPSJ) CONTRACTED Primary Care Providers (PCPs) and Specialty Care Providers (SCPs) Type: Educational/informal Subject: Reminder - Colorectal Cancer Screening (COL) Business: Medi-Cal Managed Care Health Effectiveness Data and Information Set (HEDIS) Measurement Year 2023 The following is a reminder regarding Colorectal Cancer Screening. Description: Patients [...]Read more
Reminder – Asthma Medication Ratio (AMR)
October 27, 2023 / by Health Plan / Alerts
Date: October 26, 2023 To: Health Plan of San Joaquin (HPSJ) Contracted Primary Care Providers (PCPs), HPSJ Pediatrics Type: Educational/informal Subject: Reminder - Asthma Medication Ratio (AMR) Business: Medi-Cal Managed Care Healthcare Effectiveness Data Information Set (HEDIS) Measurement Year 2023 Asthma Medication Ratio (AMR) The following is a reminder regarding the Asthma Medication Ratio (AMR). [...]Read more
UPDATE – Prenatal and Postpartum Care (PPC), Prenatal Immunization Status (PRS)-E, Prenatal Depression Screening and Follow-up (PND)-E, Postpartum Depression Screening and Follow-up (PDS)-E
October 27, 2023 / by Health Plan / Alerts
Date: October 26, 2023 To: Health Plan of San Joaquin (HPSJ) Contracted Primary Care Providers (PCPs), OB/GYN, and Prenatal Care Providers Type: Educational/informal Subject: UPDATE - Prenatal and Postpartum Care (PPC), Prenatal Immunization Status (PRS)-E, Prenatal Depression Screening and Follow-up (PND)-E, Postpartum Depression Screening and Follow-up (PDS)-E Business: Medi-Cal Managed Care Healthcare Effectiveness Data Information [...]Read more