February 19, 2021 / by Health Plan / Alerts, Top Topics
Virtual Briefing COVID-19 Vaccinations Virtual Briefing COVID-19 Vaccinations February 17 (6-7PM) hosted by HPSJ for ALL Providers Maggie Park, MD, San Joaquin County Public Health Officer Julie Vaishampayan, MD, MPH, FIDSA, Stanislaus County Public Health Officer Introductions Lakshmi Dhanvanthari, MD HPSJ Chief Medical Officer How to Bill for Administering Vaccines Terry Cumpian HPSJ Claims Director [...]
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Health Plan of San Joaquin provider Alerts
COMING SOON: Enhanced Provider Dispute Resolution (PDR) Process
March 10, 2021 / by Health Plan / Alerts
Date: March 10, 2021 To: Health Plan of San Joaquin (HPSJ) All Providers & Facilities From: Health Plan of San Joaquin Subject: COMING SOON: Enhanced Provider Dispute Resolution (PDR) Process Business: Medi-Cal Managed Care As part of Health Plan of San Joaquin’s (HPSJ) continued efforts to ensure each Provider Dispute Resolution (PDR) is appropriately routed [...]Read more
Claims Corner Spotlights – March 2021
March 9, 2021 / by Health Plan / Alerts, Claims Corner
COVID-19 Resources for Providers – hpsj.com/covid-19-provider-information/ Virtual Briefing on Vaccinations (2/17/21) HPSJ Claims Director Terry Cumpian joined San Joaquin and Stanislaus County Health Officers, and host HPSJ Chief Medical Officer Dr. Lakshmi Dhanvanthari, for this event. SEE the recorded event video. DOWNLOAD the slides from county health officers Dr. Maggie Park and Dr. Julie Vaishampayan. [...]Read more
Proprietary Laboratory Analyses (PLA) Codes
March 1, 2021 / by Health Plan / Alerts
Date: February 26, 2021 To: Health Plan of San Joaquin (HPSJ) All Providers & Facilities From: HPSJ Claims Department Subject: Proprietary Laboratory Analyses (PLA) Codes Business: Medi-Cal Managed Care In an ongoing effort to keep our Providers informed of upcoming changes, HPSJ would like to take this opportunity to provide an update regarding PLA codes. [...]Read more
Information found on the HPSJ Website
February 25, 2021 / by Health Plan / Alerts
Date: February 25, 2021 To: Health Plan of San Joaquin (HPSJ) Primary Care Providers (PCP), OBGYN and All Specialist From: Health Plan of San Joaquin Subject: Information found on the Website Business: Medi-Cal Managed Care Health Plan of San Joaquin (HPSJ) would like to remind you about our website http://www.hpsj.com. We include information about many [...]Read more
Leading Screening – Children
February 24, 2021 / by Health Plan / Alerts
Date: February 25, 2021 To: Health Plan of San Joaquin (HPSJ Providers From: Health Plan of San Joaquin Subject: Leading Screening - Children Business: Medi-Cal Childhood Blood Screenings Noted: Gaps for your HPSJ patients Federal & Quality Measure Requirements In 2021, HPSJ will send quarterly communications to your office highlighting the list of members who [...]Read more
Formulary updates effective for April 19, 2021
February 22, 2021 / by Health Plan / Alerts, Pharmacy Announcements
Date: February 22, 2021 To: Health Plan of San Joaquin (HPSJ) Physicians, Providers, and Pharmacies From: Health Plan of San Joaquin Pharmacy and Therapeutics Committee Subject: Formulary Update Business: Medi-Cal Effective 04/19/2021, the Pharmacy and Therapeutics Committee has approved the following changes: Additions to the Formulary: Sodium Ferric Gluconate/Sucrose (Ferrlecit) 62.5mg/5ml vial: No restrictions. Ferumoxytol [...]Read more
TOP TOPICS Monthly Spotlights Just for HPSJ Providers, February 19, 2021
February 19, 2021 / by Health Plan / Alerts, Top Topics
Virtual Briefing COVID-19 Vaccinations Virtual Briefing COVID-19 Vaccinations February 17 (6-7PM) hosted by HPSJ for ALL Providers Maggie Park, MD, San Joaquin County Public Health Officer Julie Vaishampayan, MD, MPH, FIDSA, Stanislaus County Public Health Officer Introductions Lakshmi Dhanvanthari, MD HPSJ Chief Medical Officer How to Bill for Administering Vaccines Terry Cumpian HPSJ Claims Director [...]Read more
Updated Provider Manual to Reflect Current Standards and Guidelines
February 12, 2021 / by Health Plan / Alerts
Date: Health Plan of San Joaquin (HPSJ) Providers To: February 11, 2021 From: Health Plan of San Joaquin Subject: Updated Provider Manual to Reflect Current Standards and Guidelines Business: Medi-Cal Attn: Office Administrator Dear Provider, This letter is to serve as an official 45-day notice that in order to meet California Department of Managed Health [...]Read more
Clinical Review: Recommendations for the Management of Acute Dental Pain
February 10, 2021 / by Health Plan / Alerts, Pharmacy Announcements
Learning Objectives: Review recommendations of the American Dental Association (ADA) and the American Academy of Pediatric Dentistry (AAPD) regarding routine management for acute dental pain, including the recommendations for non-opioid analgesics as first line agents Describe factors to consider when prescribing medications for the relief of acute dental pain Understand the risks associated with using […]
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COVID-19 Vaccinations – Virtual Briefing & Answers for Providers
February 10, 2021 / by Health Plan / Alerts
COVID-19 Vaccinations – Virtual Briefing & Answers for Providers Meet with Stanislaus & San Joaquin County Public Health Leaders As the roll-out of COVID-19 vaccinations continues, we know you have questions and would appreciate more information. Health Plan of San Joaquin is hosting this session so you can hear directly from San Joaquin County and [...]Read more