January 26, 2022 / by Health Plan / Alerts
Date: January 25, 2022 To: HPSJ Primary Care Providers, Specialists, Hospitals and Facilities Provider Alert Type: Regulatory From: Health Plan of San Joaquin (HPSJ) Subject: Reminder: Major Organ Transplant Carve-In Business: Medi-Cal As we begin 2022, we are providing a reminder of the new benefit changes in this year. Effective January 1, 2022, Health Plan [...]
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Health Plan of San Joaquin provider Alerts
2022 Quality Measures for FQHC & RHC- UPDATED (This Supersedes alert sent on 12/29/2021)
February 17, 2022 / by Health Plan / Alerts
Date: February 17, 2022 To: All HPSJ Federal Qualified Health Center (FQHC); Rural Health Clinics (RHC) Provider Alert Type: Informational/Educational and Procedural Update From: Health Plan of San Joaquin Subject: 2022 Quality Measures for FQHC & RHC- UPDATED (This Supersedes alert sent on 12/29/2021) Business: Medi-Cal Health Plan of San Joaquin (HPSJ) is pleased to [...]Read more
UPDATE – Value Based Payment (VBP) Program
February 16, 2022 / by Health Plan / Alerts
Date: February 16, 2022 To: Health Plan of San Joaquin (HPSJ) Providers Provider Alert Type: Informational/Educational and Regulatory From: Health Plan of San Joaquin Subject: UPDATE – Value Based Payment (VBP) Program Business: Medi-Cal The following is an update regarding the future of the Value Based Payment (VBP) program. The Department of Health Care Services [...]Read more
NEW UPDATE – Fee-For-Service (FFS)
February 1, 2022 / by Health Plan / Alerts
Date: January 31, 2022 To: Health Plan of San Joaquin (HPSJ) Contracted Providers Provider Alert Type: Regulatory From: Health Plan of San Joaquin Subject: UPDATE - Fee-For-Service (FFS) Business: Medi-Cal This notice supersedes the Provider Alert sent on 1/28/2022 We encountered technical difficulties during a recent fee-for-service check run and we want you to be [...]Read more
UPDATE – Fee-For-Service (FFS)
January 28, 2022 / by Health Plan / Alerts
Date: January 28, 2022 To: Health Plan of San Joaquin (HPSJ) Contracted Providers Provider Alert Type: Regulatory From: Health Plan of San Joaquin Subject: UPDATE - Fee-For-Service (FFS) Business: Medi-Cal We encountered technical difficulties during a recent fee-for-service check run and we want you to be aware of how you may be impacted. The FFS [...]Read more
Medical Benefit Updates
January 28, 2022 / by Health Plan / Alerts
Date: January 27, 2022 To: HPSJ Practitioners and Facilities Provider Alert Type: Formulary From: Health Plan of San Joaquin (HPSJ) Pharmacy and Therapeutic Committee Subject: Medical Benefit Updates Business: Medi-Cal Managed Care Effective April 4, 2022, the Pharmacy and Therapeutics Committee has approved the following changes to the medical benefit [supsystic-tables id=30] If you have [...]Read more
HEDIS Preseason Reminder for 2022
January 27, 2022 / by Health Plan / Alerts
Date: January 26, 2022 To: Health Plan of San Joaquin Providers Provider Alert Type: Informational/Educational From: HPSJ HEDIS Department Subject: HEDIS Preseason Reminder for 2022 Business: Medi-Cal 3rd and Final Notice!!!!! HEALTHCARE EFFECTIVENESS DATA AND INFORMATION SET (HEDIS) MEDICAL RECORD REVIEW SEASON IS COMING HEDIS MEDICAL RECORD REVIEW SEASON IS COMING UP! The first notification [...]Read more
Community Health Education Class – American Heart Association
January 27, 2022 / by Health Plan / Alerts
Date: January 26, 2022 To: Health Plan of San Joaquin (HPSJ) Practitioners Provider Alert Type: Informational/Educational From: Health Plan of San Joaquin (HPSJ) Subject: Community Health Education Class – American Heart Association Business: Medi-Cal February is American Heart Month! HPSJ is proud to sponsor Check. Change. Control., a community health education virtual class brought to [...]Read more
MCAS Measure ADD – Follow Up Care for Children Prescribed ADHD Medication
January 27, 2022 / by Health Plan / Alerts
Date: January 26, 2022 To: Health Plan of San Joaquin (HPSJ) Primary Care Providers (PCP) and Behavioral Health Care Providers Provider Alert Type: Informational/Educational From: Health Plan of San Joaquin (HPSJ) Quality Management Department Subject: MCAS Measure ADD– Follow Up Care for Children Prescribed ADHD Medication Business: Medi-Cal Please review the MCAS Measure ADD – [...]Read more
MCAS Measure AMM – Antidepressant Medication Management
January 27, 2022 / by Health Plan / Alerts
Date: January 26, 2022 To: Health Plan of San Joaquin (HPSJ) Primary Care Providers (PCP) and Behavioral Health Care Providers Provider Alert Type: Informational/Educational From: Health Plan of San Joaquin (HPSJ) Quality Management Department Subject: MCAS Measure AMM – Antidepressant Medication Management Business: Medi-Cal Please review the Antidepressant Medication Management (AMM) Measure below: Measure Definition [...]Read more
Reminder: Major Organ Transplant Carve-In
January 26, 2022 / by Health Plan / Alerts
Date: January 25, 2022 To: HPSJ Primary Care Providers, Specialists, Hospitals and Facilities Provider Alert Type: Regulatory From: Health Plan of San Joaquin (HPSJ) Subject: Reminder: Major Organ Transplant Carve-In Business: Medi-Cal As we begin 2022, we are providing a reminder of the new benefit changes in this year. Effective January 1, 2022, Health Plan [...]Read more