Health Plan of San Joaquin provider Alerts

Provider Satisfaction Survey Arriving This Month

To: Health Plan of San Joaquin (HPSJ) Providers From: Provider Services Department Subject: Provider Satisfaction Survey Arriving This Month Business: Medi-Cal, AIM (now known as Medi-Cal Access Program) HPSJ values our providers and appreciates your participation in our network. In mid-January you will receive our Provider Satisfaction Survey. We ask that you take a few […]

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Changes to Prior Authorization Requirement for Dispensing of Ear Molds

To: Health Plan of San Joaquin (HPSJ) Audiologists, Speech Pathologists and Hearing Aid Dispensing Providers From: Provider Services Department Subject: Changes to Prior Authorization Requirement for Dispensing of Ear Molds Business: Medi-Cal Effective: Retroactively to January 1, 2014 Code V5264 used for ear molds, which are needed in conjunction with hearing aids, no longer require […]

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Provider Alert Regarding HPSJ preventive Health guidelines

“It takes time and careful consideration to plan preventive care for each patient. As a Health Plan of San Joaquin provider we want to support you in your efforts to provide preventive care to all members in a timely fashion. With our new age specific Preventive Health Care Guidelines you can quickly reference and determine […]

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Limitations to the Sutter Gould Specialty Network

To: Health Plan of San Joaquin (HPSJ) Providers From: Provider Services Department Subject: Limitations to the Sutter Gould Specialty Network Business: Medi-Cal, AIM (now known as Medi-Cal Access Program) This message is being sent to you as part of HPSJ’s ongoing efforts to keep our providers informed of changes that may impact their practice. Sutter […]

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Reminder: Annual Dilated Retinal Eye Exams Now Available for Diabetic Members

Date: November 12, 2015 To: Health Plan of San Joaquin (HPSJ) Providers From: Provider Services Department Subject: Reminder: Annual Dilated Retinal Eye Exams Now Available for Diabetic Members Business: Medi-Cal, AIM HPSJ is pleased to announce that, as of September 1, 2015, all HPSJ members with diabetes can obtain a dilated retinal eye examination annually through VSP […]

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​Lunch and Learn for Stanislaus County PCPs with patients between ages of 0 and 18

When: Wednesday, November 18, 2015 (11:00am – 1:00pm) Where: Provider Services Subject: HPSJ Community Room, 1025 J Street, Modesto Who: Providers with HPSJ patients (0 through 18 years old) LUNCH & LEARN Health Plan of San Joaquin presents its new initiative – ORAL HEALTH FOR CHILDREN STARTS AT BIRTH 11:00am Welcome & Introductions Lakshmi Dhanvanthari, […]

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HPSJ’s Policy and Procedures for Dental Intravenous Sedations & General Anesthesia for dental procedures

To: Health Plan of San Joaquin (HPSJ) Primary Care & Specialty Physicians and Surgery Centers From: Provider Services Subject: HPSJ’s Policy and Procedures for Dental Intravenous Sedations & General Anesthesia for dental procedures Business: Medi-Cal Effective December 15, 2015 Health Plan of San Joaquin’s policies and procedures have been revised in compliance with the California […]

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Document Requirements for Oxygen/Respiratory Equipment

To: Health Plan of San Joaquin Providers From: Provider Services Department Subject: Document Requirements for Oxygen/Respiratory Equipment Business: Medi-Cal, AIM (now known as Medi-Cal Access Program) Effective December 15, 2015 We at HPSJ, in collaboration with our network providers, want to ensure that your patients who require home oxygen – either as a new request […]

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Provider Alert – Fluoride Varnish Treatment

To: Health Plan of San Joaquin (HPSJ) Primary Care and Specialty Physicians From: Provider Services Department Subject: Increased Reimbursement on Fluoride Varnish Treatment and Expanded Pharmacy Benefit for Fluoride Drops and Tablets Products: Medi-Cal Effective: November 1, 2015  ONLY HPSJ’s Medi-Cal members are affected by the following changes.  Fluoride Varnish Treatment Both Primary […]

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Provider Alert Formulary Update

To: Health Plan of San Joaquin Pharmacy and Therapeutics Committee From: Provider Services Department – Health Plan of San Joaquin Subject: Provider Alert Formulary Update Products: Medi-Cal, AIM Effective 9/23/2015, the Pharmacy and Therapeutics Committee has approved the following changes: Additions to the Formulary: Fluticasone Furoate (Arnuity Ellipta) – No PA required. Reserved for patients […]

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