January 28, 2022 / by Health Plan / Alerts
Date: January 27, 2022 To: HPSJ Practitioners and Facilities Provider Alert Type: Formulary From: Health Plan of San Joaquin (HPSJ) Pharmacy and Therapeutic Committee Subject: Medical Benefit Updates Business: Medi-Cal Managed Care Effective April 4, 2022, the Pharmacy and Therapeutics Committee has approved the following changes to the medical benefit [supsystic-tables id=30] If you have [...]
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Health Plan of San Joaquin provider Alerts
Transport Provider Notification – Sutter Termination
March 3, 2022 / by Health Plan / Alerts
Dear Health Plan of San Joaquin Transportation Providers We want to inform you that effective March 9, 2022, HPSJ’s provider network will not include Sutter Valley Hospitals. This termination applies to the following facilities: Memorial Medical Center Modesto Memorial Hospital Los Banos Sutter Tracy Community Hospital Sutter Medical Center Sacramento Stanislaus Surgical Hospital Sutter Infusion […]
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Medi-Cal Pharmacy (Rx) Update
February 24, 2022 / by Health Plan / Alerts
Date: February 23, 2022 To: Health Plan of San Joaquin (HPSJ) Practitioners and Facilities Provider Alert Type: Informational/Educational From: Health Plan of San Joaquin Subject: Medi-Cal Pharmacy (Rx) Update Business: Medi-Cal Outpatient pharmacy benefits were transitioned to Medi-Cal Rx on 1-1-2022. Due to the benefit transitioning, some medications are paid for by Medi-Cal Rx and [...]Read more
Follow-Up Sutter Contract Termination 2022
February 23, 2022 / by Health Plan / Alerts
Dear Health Plan of San Joaquin Network Providers, The Health Plan of San Joaquin (HPSJ) is committed to ensuring that our members continue to access quality care as we terminate Sutter Valley Hospitals from our provider network. Thank you for partnering to effectively serve HPSJ members through the transition. Effective March 9, 2022, HPSJ’s provider […]
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2022 Primary Care Providers Incentives – UPDATED (This Supersedes alert sent on 12/29/2021)
February 17, 2022 / by Health Plan / Alerts
Date: February 17, 2022 To: All HPSJ Primary Care Physicians (PCP) only Provider Alert Type: Informational/Educational and Procedural Update From: Health Plan of San Joaquin Subject: 2022 Primary Care Providers Incentives - UPDATED (This Supersedes alert sent on 12/29/2021) Business: Medi-Cal Health Plan of San Joaquin (HPSJ) is pleased to announce the 2022 Provider Incentive [...]Read more
2022 Quality Measures for FQHC & RHC- UPDATED (This Supersedes alert sent on 12/29/2021)
February 17, 2022 / by Health Plan / Alerts
Date: February 17, 2022 To: All HPSJ Federal Qualified Health Center (FQHC); Rural Health Clinics (RHC) Provider Alert Type: Informational/Educational and Procedural Update From: Health Plan of San Joaquin Subject: 2022 Quality Measures for FQHC & RHC- UPDATED (This Supersedes alert sent on 12/29/2021) Business: Medi-Cal Health Plan of San Joaquin (HPSJ) is pleased to [...]Read more
UPDATE – Value Based Payment (VBP) Program
February 16, 2022 / by Health Plan / Alerts
Date: February 16, 2022 To: Health Plan of San Joaquin (HPSJ) Providers Provider Alert Type: Informational/Educational and Regulatory From: Health Plan of San Joaquin Subject: UPDATE – Value Based Payment (VBP) Program Business: Medi-Cal The following is an update regarding the future of the Value Based Payment (VBP) program. The Department of Health Care Services [...]Read more
NEW UPDATE – Fee-For-Service (FFS)
February 1, 2022 / by Health Plan / Alerts
Date: January 31, 2022 To: Health Plan of San Joaquin (HPSJ) Contracted Providers Provider Alert Type: Regulatory From: Health Plan of San Joaquin Subject: UPDATE - Fee-For-Service (FFS) Business: Medi-Cal This notice supersedes the Provider Alert sent on 1/28/2022 We encountered technical difficulties during a recent fee-for-service check run and we want you to be [...]Read more
UPDATE – Fee-For-Service (FFS)
January 28, 2022 / by Health Plan / Alerts
Date: January 28, 2022 To: Health Plan of San Joaquin (HPSJ) Contracted Providers Provider Alert Type: Regulatory From: Health Plan of San Joaquin Subject: UPDATE - Fee-For-Service (FFS) Business: Medi-Cal We encountered technical difficulties during a recent fee-for-service check run and we want you to be aware of how you may be impacted. The FFS [...]Read more
Medical Benefit Updates
January 28, 2022 / by Health Plan / Alerts
Date: January 27, 2022 To: HPSJ Practitioners and Facilities Provider Alert Type: Formulary From: Health Plan of San Joaquin (HPSJ) Pharmacy and Therapeutic Committee Subject: Medical Benefit Updates Business: Medi-Cal Managed Care Effective April 4, 2022, the Pharmacy and Therapeutics Committee has approved the following changes to the medical benefit [supsystic-tables id=30] If you have [...]Read more
HEDIS Preseason Reminder for 2022
January 27, 2022 / by Health Plan / Alerts
Date: January 26, 2022 To: Health Plan of San Joaquin Providers Provider Alert Type: Informational/Educational From: HPSJ HEDIS Department Subject: HEDIS Preseason Reminder for 2022 Business: Medi-Cal 3rd and Final Notice!!!!! HEALTHCARE EFFECTIVENESS DATA AND INFORMATION SET (HEDIS) MEDICAL RECORD REVIEW SEASON IS COMING HEDIS MEDICAL RECORD REVIEW SEASON IS COMING UP! The first notification [...]Read more