April 21, 2022 / by Health Plan / Alerts
Date: April 20, 2022 To: Health Plan of San Joaquin (HPSJ) Practitioners, Providers & Facilities From: Health Plan of San Joaquin Subject: Virtual Look and Learn Business: Medi-Cal Managed Care Please join us June 8, 2022, for a Virtual Provider Look and Learn Session. We will be covering the following items: HPSJ PCP Provider Incentive [...]
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Health Plan of San Joaquin provider Alerts
Virtual Look and Learn
April 21, 2022 / by Health Plan / Alerts
Date: April 20, 2022 To: Health Plan of San Joaquin (HPSJ) Practitioners, Providers & Facilities From: Health Plan of San Joaquin Subject: Virtual Look and Learn Business: Medi-Cal Managed Care Please join us June 8, 2022, for a Virtual Provider Look and Learn Session. We will be covering the following items: HPSJ PCP Provider Incentive [...]Read more
Changes to Prior Authorization Requirements for Physical Therapy Visits
April 19, 2022 / by Health Plan / Alerts
Date: April 18, 2022 To: Health Plan of San Joaquin (HPSJ) Practitioners, Providers and Facilities Provider Alert Type: Informational/Regulatory From: Health Plan of San Joaquin Subject: Changes to Prior Authorization Requirements for Physical Therapy Visits Business: Medi-Cal Managed Care HPSJ continues to seek opportunities to improve member access to services and decrease prior authorization requirements [...]Read more
2022 Mandatory Annual Training – Reminder
April 6, 2022 / by Health Plan / Alerts
Date: April 5, 2022 To: Health Plan of San Joaquin (HPSJ) Practitioners, Providers & Facilities From: Health Plan of San Joaquin Subject: 2022 MANDATORY ANNUAL TRAININGS - REMINDER Business: Medi-Cal ACTION REQUIRED Please complete ALL THREE trainings by June 30, 2022 Annual training is mandated by California’s Department of Health Care Services (DHCS) and the [...]Read more
Quest Diagnostics Appointment Scheduling
March 31, 2022 / by Health Plan / Alerts
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2022 Mandatory Annual Trainings
March 9, 2022 / by Health Plan / Alerts
Date: March 9, 2022 To: Health Plan of San Joaquin (HPSJ) Practitioners, Providers & Facilities From: Health Plan of San Joaquin Subject: 2022 MANDATORY ANNUAL TRAININGS Business: Medi-Cal ACTION REQUIRED Please complete ALL THREE trainings by June 30, 2022 Annual training is mandated by California’s Department of Health Care Services (DHCS) and the federal Centers [...]Read more
Postpartum Care Extension
March 9, 2022 / by Health Plan / Alerts
Date: March 9, 2022 To: Health Plan of San Joaquin (HPSJ) Providers and Facilities From: Health Plan of San Joaquin Subject: Postpartum Care Extension Business: Medi-Cal Managed Care As part of the American Rescue Act Plan (ARPA), effective April 1, 2022, an individual eligible for pregnancy and postpartum care services under Medi-Cal or the Medi-Cal [...]Read more
MCAS Measure DEV-Developmental Screening in the First Three Years of Life
March 7, 2022 / by Health Plan / Alerts
Date: March 4, 2022 To: Health Plan of San Joaquin (HPSJ) Practitioners, Providers & Facilities From: HPSJ Quality Management Department Subject: MCAS Measure DEV-Developmental Screening in the First Three Years of Life Business: Medi-Cal Managed Care Please review the Developmental Screening (DEV) Measure below: Measure Definition Patients screened for at risk developmental, behavioral, and social [...]Read more
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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