Health Plan of San Joaquin provider Alerts

Value Based Payments: Opportunities for additional reimbursement

Date: August 11, 2021 To: Health Plan of San Joaquin (HPSJ) Contracted Providers From: Health Plan of San Joaquin Subject: Value Based Payments: Opportunities for additional reimbursement Business: Medi-Cal Managed Care This Provider Alert features a checklist that highlights opportunities for additional reimbursement for specific wellness visits and services. The checklist is available in on [...]

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TIPS TO SUBMIT Non-Emergency Medical Transportation Billings, and ENSURE NO PAYMENT DELAYS

Date: August 10, 2021 To: Health Plan of San Joaquin (HPSJ) NEMT Providers From: Health Plan of San Joaquin Subject: TIPS TO SUBMIT Non-Emergency Medical Transportation Billings, and ENSURE NO PAYMENT DELAYS Business: Medi-Cal Managed Care Health Plan of San Joaquin has developed a guide that solves for some frequent errors and helps non-emergency medical [...]

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Update on Opioid Prescriptions and Pain Management

Date: August 3, 2021 To: Health Plan of San Joaquin (HPSJ) All Primary Care Providers From: Health Plan of San Joaquin Subject: Update on Opioid Prescriptions and Pain Management Business: Medi-Cal Managed Care Some HPSJ members previously receiving care with LAGS will be seeking new prescribers when they need refills for their pain medication. Emerging [...]

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Look & Learn, Managed Care Accountability Set (MCAS) Series: Summer/Fall 2021

Date: August 9, 2021 To: Health Plan of San Joaquin (HPSJ) Contracted PCPs From: Health Plan of San Joaquin Subject: Look & Learn Managed Care Accountability Set (MCAS) Series: Summer/Fall 2021 Business: Medi-Cal Managed Care Please join us for this VIRTUAL session! August 19, 2021, 12:30PM–2:00PM Register here: https://www.hpsj.com/look-and-learn/ Please RSVP for this event by [...]

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Newly Enrolled HPSJ Members – Requirement Initial Health Assessment (IHA) & Staying Health Assessment (SHA)

Date: July 30, 2021 To: Health Plan of San Joaquin (HPSJ) CONTRACTED PCPs From: Health Plan of San Joaquin Subject: Newly Enrolled HPSJ Members – Requirement Initial Health Assessment (IHA) & Staying Health Assessment (SHA) Business: Medi-Cal The Staying Healthy Assessment (SHA) is the Department of Health Care Services (DHCS) Individual Health Education Behavior Assessment [...]

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Chantix Products Recall – IMMEDIATE ACTION NEEDED

Date: July 28, 2021 To: Health Plan of San Joaquin (HPSJ) Pharmacies and Providers From: HPSJ Pharmacy Department Subject: Chantix Products Recall – IMMEDIATE ACTION NEEDED Business: Medi-Cal Managed Care We are sending this alert because one or more of your patient(s) may have filled a prescription for Chantix Tablets within the last six months [...]

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Provider Education: Only Licensed Personnel May Triage Medi-Cal Patients

Date: July 23, 2021 To: Medi-Cal Providers From: Health Plan of San Joaquin Subject: Provider Education: Only Licensed Personnel May Triage Medi-Cal Patients Business: Medi-Cal Managed Care HPSJ monitors accessibility within our network to ensure providers are available for appointments within the standards for timely access formed by the Department of Managed Health Care and [...]

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$55,000 Practice Support from California Dept of Public Health (CDPH) For COVID-19 Vaccinations – CalVaxGrant Available

Date: July 22, 2021 To: Health Plan of San Joaquin (HPSJ) Primary Care Providers (PCP) From: Health Plan of San Joaquin Subject: $55,000 Practice Support from California Dept of Public Health (CDPH) For COVID-19 Vaccinations – CalVaxGrant Available Business: Medi-Cal Managed Care Provider organizations can apply to receive $10,000 for up to five COVID-19 vaccination [...]

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Action Required regarding change in payments system

Date: July 15, 2021 To: Health Plan of San Joaquin (HPSJ) Physicians, Providers, and Pharmacies From: Health Plan of San Joaquin Subject: Action Required regarding change in payments system Business: MEDI-CAL REMINDER: YOUR ACTION IS REQUIRED TO ENSURE NO DELAYS IN YOUR PAYMENTS If you have already taken this action, then please disregard (Secure emails [...]

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DMHC/DHCS Timely Access Standards for Wait Times, Urgent Care and After-Hours

Date: July 13,2021 To: Health Plan of San Joaquin (HPSJ) –All Contracted and Non-Contracted Providers From: Health Plan of San Joaquin Subject: DMHC/DHCS Timely Access Standards for Wait Times, Urgent Care and After-Hours – In-OfficeWait Times Set/Monitored by HPSJ Business: Medi-Cal Health Plan of San Joaquin(HPSJ)is charged with maintaining the quality of care for our [...]

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