December 30, 2021 / by Health Plan / Alerts, Pharmacy Announcements
Date: December 29, 2021 To: All Pharmacies Provider Alert Type: Informational From: Health Plan of San Joaquin Subject: Medi-Cal Rx PBM Information Business: Medi-Cal Beginning January 1, 2022, Health Plan of San Joaquin pharmacy benefits will be transitioned to and administered by the new California State agency, Medi-Cal Rx. Medi Cal Rx is responsible for [...]
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Health Plan of San Joaquin provider Alerts
Timely Access Survey – Start January 1, 2022
January 6, 2022 / by Health Plan / Alerts
Date: January 5, 2022 To: HPSJ Contracted Provider Network Provider Alert Type: Regulatory/Informational From: Health Plan of San Joaquin Subject: Timely Access Survey - Start January 1, 2022 Business: Medi-Cal The Department of Health Care Services (DHCS) conducts an annual Timely Access Study to monitor member timely access to care. DHCS will start the annual [...]Read more
Timely Access Survey – Start January 1, 2022
January 5, 2022 / by Health Plan / Alerts
Date: January 5, 2022 To: HPSJ Contracted Provider Network Provider Alert Type: Regulatory/Informational From: Health Plan of San Joaquin Subject: Timely Access Survey - Start January 1, 2022 Business: Medi-Cal The Department of Health Care Services (DHCS) conducts an annual Timely Access Study to monitor member timely access to care. DHCS will start the annual [...]Read more
Provider Panel Capacity (Open/Closed Status)
January 4, 2022 / by Health Plan / Alerts
Date: December 29, 2021 To: All HPSJ PCPs, Providers, and Family Pediatricians Provider Alert Type: Informational/Educational and Procedural Update From: Health Plan of San Joaquin Subject: Provider Panel Capacity (Open/Closed Status) Business: Medi-Cal Appointment Access and Availability for Health Plan of San Joaquin (HPSJ) members is crucial to their health care. All HPSJ providers are [...]Read more
Mandatory Electronic Prescribing (e-prescribing)
January 3, 2022 / by Health Plan / Alerts
Date: January 3, 2022 To: HPSJ Practitioners and Contracted Facilities Provider Alert Type: Informational/Educational From: Health Plan of San Joaquin Subject: Mandatory Electronic Prescribing (e-prescribing) Business: Medi-Cal Mandatory electronic prescribing (e-prescribing) is coming to California, and state officials are reminding licensed healthcare practitioners with prescribing authority that they are subject to the e-prescribing requirements established [...]Read more
2022 FQHC & RHC Incentives
December 30, 2021 / by Health Plan / Alerts
Date: December 29, 2021 To: All HPSJ Federal Qualified Health Center (FQHC) and Rural Health Clinics (RHC) Provider Alert Type: Informational/Educational and Procedural Update From: Health Plan of San Joaquin Subject: 2022 FQHC & RHC Incentives Business: Medi-Cal Health Plan of San Joaquin (HPSJ) is pleased to announce the 2022 Provider Incentive Program promoting Quality [...]Read more
Medi-Cal Rx PBM Information
December 30, 2021 / by Health Plan / Alerts, Pharmacy Announcements
Date: December 29, 2021 To: All Pharmacies Provider Alert Type: Informational From: Health Plan of San Joaquin Subject: Medi-Cal Rx PBM Information Business: Medi-Cal Beginning January 1, 2022, Health Plan of San Joaquin pharmacy benefits will be transitioned to and administered by the new California State agency, Medi-Cal Rx. Medi Cal Rx is responsible for [...]Read more
2022 Primary Care Providers Incentives
December 29, 2021 / by Health Plan / Alerts
Date: December 29, 2021 To: All HPSJ Primary Care Physicians (PCP) only Provider Alert Type: Informational/Educational and Procedural Update From: Health Plan of San Joaquin Subject: 2022 Primary Care Providers Incentives Business: Medi-Cal Health Plan of San Joaquin (HPSJ) is pleased to announce the 2022 Provider Incentive Program promoting Quality Care to our members. The [...]Read more
Pharmacy Carve Out – Medi-Cal Rx Transition
December 23, 2021 / by Health Plan / Alerts
Date: December 23, 2021 To: HPSJ Practitioners and Contracted Facilities From: Health Plan of San Joaquin Provider Alert Type: Informational/Educational Subject: Pharmacy Carve Out – Medi-Cal Rx Transition Business: Medi-Cal Beginning January 1, 2022, Health Plan of San Joaquin pharmacy benefits will be transitioned to and administered by the new California State agency, Medi-Cal Rx. [...]Read more
Reminder: MANDATORY – Health Insurance Portability and Accountability Act (HIPAA) Training 2021
December 17, 2021 / by Health Plan / Alerts
Date: December 16, 2021 To: Health Plan of San Joaquin (HPSJ) Contracted Providers and Clinics Provider Alert Type: REGULATORY From: Health Plan of San Joaquin Subject: Reminder: MANDATORY – Health Insurance Portability and Accountability Act (HIPAA) Training 2021 Business: Medi-Cal Training Requirement ACTION REQUIRED- Please complete by Monday, December 20th, 2021 It’s time for annual [...]Read more
Diabetes Prevention Program – Provider Alert
December 10, 2021 / by Health Plan / Alerts
Date: December 8, 2021 To: HPSJ Practitioners and Contracted Facilities Provider Alert Type: Informational/Educational From: Health Plan of San Joaquin Subject: Diabetes Prevention Program Business: Medi-Cal Health Plan of San Joaquin (HPSJ) is proud to present to you The Diabetes Prevention Program. This program is designed to help members that are prediabetic gain control and [...]Read more