December 30, 2021 / by Health Plan / Alerts, Pharmacy Announcements
Date: December 29, 2021 To: All Pharmacies Provider Alert Type: Informational From: Health Plan of San Joaquin Subject: Medi-Cal Rx PBM Information Business: Medi-Cal Beginning January 1, 2022, Health Plan of San Joaquin pharmacy benefits will be transitioned to and administered by the new California State agency, Medi-Cal Rx. Medi Cal Rx is responsible for [...]
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Health Plan of San Joaquin provider Alerts
Sutter Contract Termination 2022
January 21, 2022 / by Health Plan / Alerts
The Health Plan of San Joaquin (HPSJ) is dedicated to partnering with our network of providers to ensure access to quality health care for our members. We appreciate your continuing collaboration to serve HPSJ members as we terminate Sutter Valley Hospitals and Sutter Gould Medical Group from our network. Effective March 9, 2022, Sutter Valley […]
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HEDIS Preseason Reminder for 2022
January 21, 2022 / by Health Plan / Alerts
Date: January 20, 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 2nd Notice! HEALTHCARE EFFECTIVENESS DATA AND INFORMATION SET (HEDIS) MEDICAL RECORD REVIEW SEASON IS COMING Medical Record Collection for HEDIS Hybrid measures will begin February 1, 2022. RECORDS [...]Read more
Enhanced Care Management and Community Supports
January 7, 2022 / by Health Plan / Alerts
Date: January 6, 2022 To: HPSJ Contracted Hospitals and Facilities Provider Alert Type: Informational From: Health Plan of San Joaquin Subject: Enhanced Care Management and Community Supports Business: Medi-Cal Starting in 2022, new benefits and services called Enhanced Care Management (ECM) and Community Supports will be available to Medi-Cal members. ECM and Community Supports will [...]Read more
Timely Access Survey – Start January 1, 2022
January 6, 2022 / by Health Plan / Alerts
Date: January 5, 2022 To: HPSJ Contracted Provider Network Provider Alert Type: Regulatory/Informational From: Health Plan of San Joaquin Subject: Timely Access Survey - Start January 1, 2022 Business: Medi-Cal The Department of Health Care Services (DHCS) conducts an annual Timely Access Study to monitor member timely access to care. DHCS will start the annual [...]Read more
Timely Access Survey – Start January 1, 2022
January 5, 2022 / by Health Plan / Alerts
Date: January 5, 2022 To: HPSJ Contracted Provider Network Provider Alert Type: Regulatory/Informational From: Health Plan of San Joaquin Subject: Timely Access Survey - Start January 1, 2022 Business: Medi-Cal The Department of Health Care Services (DHCS) conducts an annual Timely Access Study to monitor member timely access to care. DHCS will start the annual [...]Read more
Provider Panel Capacity (Open/Closed Status)
January 4, 2022 / by Health Plan / Alerts
Date: December 29, 2021 To: All HPSJ PCPs, Providers, and Family Pediatricians Provider Alert Type: Informational/Educational and Procedural Update From: Health Plan of San Joaquin Subject: Provider Panel Capacity (Open/Closed Status) Business: Medi-Cal Appointment Access and Availability for Health Plan of San Joaquin (HPSJ) members is crucial to their health care. All HPSJ providers are [...]Read more
Mandatory Electronic Prescribing (e-prescribing)
January 3, 2022 / by Health Plan / Alerts
Date: January 3, 2022 To: HPSJ Practitioners and Contracted Facilities Provider Alert Type: Informational/Educational From: Health Plan of San Joaquin Subject: Mandatory Electronic Prescribing (e-prescribing) Business: Medi-Cal Mandatory electronic prescribing (e-prescribing) is coming to California, and state officials are reminding licensed healthcare practitioners with prescribing authority that they are subject to the e-prescribing requirements established [...]Read more
2022 FQHC & RHC Incentives
December 30, 2021 / by Health Plan / Alerts
Date: December 29, 2021 To: All HPSJ Federal Qualified Health Center (FQHC) and Rural Health Clinics (RHC) Provider Alert Type: Informational/Educational and Procedural Update From: Health Plan of San Joaquin Subject: 2022 FQHC & RHC Incentives Business: Medi-Cal Health Plan of San Joaquin (HPSJ) is pleased to announce the 2022 Provider Incentive Program promoting Quality [...]Read more
Medi-Cal Rx PBM Information
December 30, 2021 / by Health Plan / Alerts, Pharmacy Announcements
Date: December 29, 2021 To: All Pharmacies Provider Alert Type: Informational From: Health Plan of San Joaquin Subject: Medi-Cal Rx PBM Information Business: Medi-Cal Beginning January 1, 2022, Health Plan of San Joaquin pharmacy benefits will be transitioned to and administered by the new California State agency, Medi-Cal Rx. Medi Cal Rx is responsible for [...]Read more
2022 Primary Care Providers Incentives
December 29, 2021 / by Health Plan / Alerts
Date: December 29, 2021 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 Business: Medi-Cal Health Plan of San Joaquin (HPSJ) is pleased to announce the 2022 Provider Incentive Program promoting Quality Care to our members. The [...]Read more