June 18, 2026 / by Health Plan / Alerts, D-SNP Provider Alerts, Medi-Cal Provider Alerts
Date: June 10, 2026 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan Practitioners, Facilities, and Hospitals Type: Informational/Educational Subject: FDA Medical Device Recall Alert – Certain Omnipod Pods Business: Medi-Cal Managed Care/Medicare Dual Special Needs Program (D-SNP) On May 26, 2026, the Food and Drug Administration (FDA) released a [...]
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Health Plan of San Joaquin provider Alerts
FDA Medical Device Recall Alert – Certain Omnipod Pods
June 18, 2026 / by Health Plan / Alerts, D-SNP Provider Alerts, Medi-Cal Provider Alerts
Date: June 10, 2026 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan Practitioners, Facilities, and Hospitals Type: Informational/Educational Subject: FDA Medical Device Recall Alert – Certain Omnipod Pods Business: Medi-Cal Managed Care/Medicare Dual Special Needs Program (D-SNP) On May 26, 2026, the Food and Drug Administration (FDA) released a [...]Read more
Cell and Gene Therapy Access Model and Coverage
June 18, 2026 / by Health Plan / Alerts, Medi-Cal Provider Alerts
Date: June 17, 2026 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan Qualified Treatment Centers (QTC's) and Authorized Treatment Centers (ATC's) Type: Regulatory Subject: Cell and Gene Therapy Access Model and Coverage Business: Medi-Cal Managed Care Background on Cell and Gene Therapy Coverage In March of 2025, the Department [...]Read more
Upcoming Payment Fulfillment Transition
June 15, 2026 / by Health Plan / Alerts, D-SNP Provider Alerts, Medi-Cal Provider Alerts
Date: June 10, 2026 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan Providers Type: Informational Subject: Upcoming Payment Fulfillment Transition Business: Medi-Cal Managed Care/Medicare Dual Special Needs Program (D-SNP) Health Plan will be transitioning its payment fulfillment services to Optum Financial (Optum). This is anticipated to occur in Q4 [...]Read more
FDA Medical Device Recall Alert – Certain Omnipod Pods
June 15, 2026 / by Health Plan / Alerts, D-SNP Provider Alerts, Medi-Cal Provider Alerts
Date: June 10, 2026 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan Practitioners, Facilities, and Hospitals Type: Informational/Educational Subject: FDA Medical Device Recall Alert – Certain Omnipod Pods Business: Medi-Cal Managed Care/Medicare Dual Special Needs Program (D-SNP) On May 26, 2026, the Food and Drug Administration (FDA) released a [...]Read more
Primary Care Provider (PCP) Assignment Logic
June 11, 2026 / by Health Plan / Alerts, Medi-Cal Provider Alerts
Date: June 10, 2026 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan All Capitated Providers Type: Informational/Educational Subject: Primary Care Provider (PCP) Assignment Logic Business: Medi-Cal Managed Care HPSJ/MVHP completed our review of the changes impacting PCP capitation and have made all necessary adjustments to the monthly payments. The [...]Read more
Department of Health Care Services (DHCS), All Plan Letter (APL) 23- 029- Memorandum of Understanding Requirements for Medi-Cal Managed Care Plans and Third-Party Entities
June 11, 2026 / by Health Plan / Alerts, Medi-Cal Provider Alerts
Date: June 10, 2026 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan Providers and Practitioners Type: Regulatory Subject: Department of Health Care Services (DHCS), All Plan Letter (APL) 23- 029- Memorandum of Understanding Requirements for Medi-Cal Managed Care Plans and Third-Party Entities Business: Medi-Cal Managed Care On August 11, [...]Read more
Skilled Nursing Facility Workforce & Quality Incentive Program (SNF WQIP) Sunset
June 8, 2026 / by Health Plan / Alerts, Medi-Cal Provider Alerts
Date: June 03, 2026 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan Skilled Nursing Facilities Type: Regulatory Subject: Skilled Nursing Facility Workforce & Quality Incentive Program (SNF WQIP) Sunset Business: Medi-Cal Managed Care Health Plan is providing an update on the Department of Healthcare Services (DHCS) Skilled Nursing Facilities [...]Read more
FDA Drug Recall Alert – DOXOrubicin Hydrochloride Liposome Injection 50mg/25 mL
May 29, 2026 / by Health Plan / Alerts, D-SNP Provider Alerts, Medi-Cal Provider Alerts
Date: May 27, 2026 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan Practitioners, Facilities, and Hospitals Type: Informational/Educational Subject: FDA Drug Recall Alert – DOXOrubicin Hydrochloride Liposome Injection 50mg/25 mL Business: Medi-Cal Managed Care/Medicare Dual Special Needs Program (D-SNP) On May 13, 2026, the Food and Drug Administration (FDA) [...]Read more
Jiva System Upgrade – “Add” Button for Documents
May 29, 2026 / by Health Plan / Alerts, D-SNP Provider Alerts, Medi-Cal Provider Alerts
Date: May 27, 2026 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan All Providers Type: Procedural Update Subject: Jiva System Upgrade – “Add” Button for Documents Business: Medi-Cal Managed Care/Medicare Dual Special Needs Program (D-SNP) Effective 4/27/2026, there was an upgrade to Jiva, Health Plan’s medical management system. This [...]Read more
Commission for Behavioral Health (CBH) Meeting on 05/28/26
May 22, 2026 / by Health Plan / Alerts, Medi-Cal Provider Alerts
Date: May 20, 2026 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan All Practitioners and Behavioral Health Providers Type: Event Subject: Commission for Behavioral Health (CBH) Meeting on 05/28/26 Business: Medi-Cal Managed Care Effective May 29, 2026, Medi-Cal Rx will be implementing the following changes to the current Medicare [...]Read more