December 29, 2023 / by HPSJ / Alerts
Date: December 29, 2023 To: Health Plan Network and Non-Contracted Providers Type: Regulatory Subject: Continuity of Care (CoC) Business: Medi-Cal Managed Care In accordance with All Plan Letter (APL) 23-018 Medi-Cal Managed Care Plan Transition Policy Guide, HPSJ and Medi-Cal Managed Care Plans (MCP) will be required to engage in specific continuity of care and [...]
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Health Plan of San Joaquin provider Alerts
Continuity of Care (CoC)
December 29, 2023 / by HPSJ / Alerts
Date: December 29, 2023 To: Health Plan Network and Non-Contracted Providers Type: Regulatory Subject: Continuity of Care (CoC) Business: Medi-Cal Managed Care In accordance with All Plan Letter (APL) 23-018 Medi-Cal Managed Care Plan Transition Policy Guide, HPSJ and Medi-Cal Managed Care Plans (MCP) will be required to engage in specific continuity of care and [...]Read more
Update – Electronic Visit Verification (EVV)
December 28, 2023 / by HPSJ / Alerts
Date: December 28, 2023 To: Health Plan Personal Care Services (PCS) and Home Health Care Services (HHCS) Providers Type: Regulatory Subject: Update – Electronic Visit Verification (EVV) Business: Medi-Cal Managed Care This alert is to inform you of the following Electronic Visit Verification (EVV) changes effective January 1, 2024. What is EVV? EVV is a [...]Read more
Healthcare Effectiveness Data Information Set (HEDIS) Regarding Chlamydia Screening in Women (CHL) Reminder
December 15, 2023 / by HPSJ / Alerts
Date: December 15, 2023 To: Health Plan of San Joaquin (HPSJ) Contracted Primary Care Providers & OB/GYN Offices Type: Informational Subject: Healthcare Effectiveness Data Information Set (HEDIS) Regarding Chlamydia Screening in Women (CHL) Reminder Business: Medi-Cal Managed Care Healthcare Effectiveness Data Information Set (HEDIS) for Measurement Year 2023 The following is reminder regarding Chlamydia Screening [...]Read more
Mandatory Signatories to the California Health and Human Services Agency Data Exchange Framework
December 14, 2023 / by HPSJ / Alerts
Date: December 14, 2023 To: Health Plan of San Joaquin (HPSJ) All Network Providers Type: Regulatory Subject: Mandatory Signatories to the California Health and Human Services Agency Data Exchange Framework Business: Medi-Cal Managed Care The Department of Health Care Services (DHCS) issued All Plan Letter (APL) 23-013 regarding Mandatory Signatories to the California Health and [...]Read more
Long Term Care (LTC) Carve-In Intermediate Care Facility (ICF) and Subacute Care Facilities
December 6, 2023 / by HPSJ / Alerts
Date: December 06, 2023 To: Health Plan of San Joaquin (HPSJ) Primary Care Providers (PCP), Specialists, Hospitals and Facilities Type: Informational Subject: Long Term Care (LTC) Carve-In Intermediate Care Facility (ICF) and Subacute Care Facilities Business: Medi-Cal Managed Care In accordance with All Plan Letter (APL) 23-023 and 23-027, effective January 1, 2024, all Medi-Cal [...]Read more
Mountain Valley Health Plan (MVHP) / Expansion Effective 1/1/2024
November 17, 2023 / by HPSJ / Alerts
Date: November 17, 2023 To: Health Plan of San Joaquin (HPSJ) Primary Care Providers (PCP), Specialists, Hospitals and Facilities Type: Regulatory Subject: Mountain Valley Health Plan (MVHP) / Expansion Effective 1/1/2024 Business: Medi-Cal Managed Care The San Joaquin County Health Commission (SJCHC), currently operating as Health Plan of San Joaquin (HPSJ), is proud to announce [...]Read more
Provider Manual Update 45 Day Notice
November 17, 2023 / by HPSJ / Alerts
Date: November 16, 2023 To: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) Contracted Providers and Facilities Type: Informational Subject: Provider Manual Update 45 Day Notice Business: Medi-Cal Managed Care The following information serves as an official 45-business day notice regarding updates to the Provider Manual. Please note an important change: On January [...]Read more
Planned Parenthood Mar Monte Temporary Closure – Eastland Plaza
November 15, 2023 / by HPSJ / Alerts
Date: November 15, 2023 To: Health Plan of San Joaquin (HPSJ) Provider Network Type: Informational Subject: Planned Parenthood Mar Monte Temporary Closure – Eastland Plaza Business: Medi-Cal Managed Care Parenthood Mar Monte’s Eastland Plaza site at 678 N Wilson Way G, Stockton, CA 95205 experienced a fire and is temporarily closed until further notice. Fire [...]Read more
Provider Satisfaction Survey is Here
November 15, 2023 / by HPSJ / Alerts
Date: November 15, 2023 To: Health Plan of San Joaquin (HPSJ) Contracted Provider Network Type: Regulatory Subject: Provider Satisfaction Survey is Here Business: Medi-Cal Managed Care Health Plan of San Joaquin (HPSJ) conducts an annual Provider Satisfaction Survey of its contracted providers to capture their rate of satisfaction with HPSJ. Information obtained from this survey [...]Read more
Medi-Cal Subacute Care Contracting Application Information for Facilities
November 14, 2023 / by HPSJ / Alerts
Date: November 14, 2023 To: Health Plan of San Joaquin (HPSJ) Contracted Providers, Skilled Nurse Facilities (SNF), and Long-Term Care Facilities (LTC) Type: Regulatory Subject: Medi-Cal Subacute Care Contracting Application Information for Facilities Business: Medi-Cal Managed Care Effective January 1, 2024, Medi-Cal Managed Care Plans in all counties must ensure that members in need of [...]Read more