October 29, 2025 / by Health Plan / Alerts, Medi-Cal
Date: October 28, 2025 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan PCP's, FQHC's, Pediatricians, Laboratories Type: Informational/Educational Subject: Lead Screening in Children (LSC) HEDIS Measure Business: Medi-Cal Managed Care Healthcare Effectiveness Data and Information Set (HEDIS) Lead Screening in Children (LSC) The Department of Health Services APL 20-016: [...]
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Health Plan of San Joaquin provider Alerts
REMINDER: Initial Health Appointments
October 29, 2025 / by Health Plan / Alerts, Medi-Cal
Date: October 29, 2025 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan Contracted Providers and Facilities Type: Regulatory Subject: REMINDER: Initial Health Appointments Business: Medi-Cal Managed Care REMINDER: Initial Health Appointments (IHA) Health Plan members must be seen for an Initial Health Appointment (IHA) with their Primary Care Physician [...]Read more
Lead Screening in Children (LSC) HEDIS Measure
October 29, 2025 / by Health Plan / Alerts, Medi-Cal
Date: October 28, 2025 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan PCP's, FQHC's, Pediatricians, Laboratories Type: Informational/Educational Subject: Lead Screening in Children (LSC) HEDIS Measure Business: Medi-Cal Managed Care Healthcare Effectiveness Data and Information Set (HEDIS) Lead Screening in Children (LSC) The Department of Health Services APL 20-016: [...]Read more
Reminder: Valid Authorization Required on Claims
October 29, 2025 / by Health Plan / Alerts, Medi-Cal
Date: October 28, 2025 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan Providers, Facilities and Hospitals Type: Informational Subject: Reminder: Valid Authorization Required on Claims Business: Medi-Cal Managed Care Health Plan would like to remind providers about including the authorization number on the claim when prior authorization is required [...]Read more
DRE Remittance Advice Tool Offline
October 28, 2025 / by Health Plan / Alerts, Medi-Cal
Date: October 28, 2025 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan Providers Type: Informational Subject: DRE Remittance Advice Tool Offline Business: Medi-Cal Managed Care Due to recent system updates, Health Plan is conducting backend maintenance on the Remittance Advice (RA) Tool in the provider portal, Doctors Referral Express [...]Read more
Justice-Involved (JI) Reentry Initiative: Billing Clarification for CHW Services
October 23, 2025 / by Health Plan / Alerts, Medi-Cal
Date: October 22, 2025 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan All Providers Type: Informational/Educational Subject: Justice-Involved (JI) Reentry Initiative: Billing Clarification for CHW Services Business: Medi-Cal Managed Care This is an informational item provided by the Department of Health Care Services General Medicine Bulletin, issued September 2025. [...]Read more
Revised: Claims Remittance Advices with Blank or Missing Claim Information
October 23, 2025 / by Health Plan / Alerts, Medi-Cal
Date: October 22, 2025 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan Providers & Practitioners Type: Informational Subject: Revised: Claims Remittance Advices with Blank or Missing Claim Information Business: Medi-Cal Managed Care On September 24, 2025 Health Plan of San Joaquin/Mountain Valley Health Plan (Health Plan) identified some claim [...]Read more
The Department of Health Care Services (DHCS) Sterilization Consent Form Update
October 23, 2025 / by Health Plan / Alerts, Medi-Cal
Date: October 22, 2025 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan All Providers Type: Informational Subject: The Department of Health Care Services (DHCS) Sterilization Consent Form Update Business: Medi-Cal Managed Care The Department of Health Care Services (DHCS) Consent for Sterilization form DHCS 8649 is the only form [...]Read more
Free Zoom Training: Perinatal Mental Health 101 Presented by Postpartum Support International
October 17, 2025 / by Health Plan / Alerts, Medi-Cal
Date: October 15, 2025 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan All Primary Care Providers and BH Providers Type: Informational/Educational Subject: Free Zoom Training: Perinatal Mental Health 101 Presented by Postpartum Support International Business: Medi-Cal Managed Care The Policy Center, Postpartum Support International and Colorado Department of Public [...]Read more
Preventive Care Coverage Updates Under AB 144
October 10, 2025 / by Health Plan / Alerts, Medi-Cal
Date: October 10, 2025 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan Primary Care Providers Type: Informational Subject: Preventive Care Coverage Updates Under AB 144 Business: Medi-Cal Managed Care On September 17, 2025, Governor Gavin Newsom signed Assembly Bill 144, which mandates that all full-service health plans in California [...]Read more
ACTION REQUIRED: Model Of Care (MOC) Training – Complete by 11/30/2025
October 8, 2025 / by Health Plan / Alerts, D-SNP
Date: October 8, 2025 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) Advantage D-SNP To: Health Plan Advantage D-SNP (HMO) Network Providers Type: Regulatory Subject: ACTION REQUIRED: Model Of Care (MOC) Training – Complete by 11/30/2025 Business: Medicare Dual Special Needs Plan (D-SNP) As we prepare to go-live with Advantage D-SNP as [...]Read more