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
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
Sutter Contract Termination 2022
January 21, 2022 / by Health Plan / Alerts
The Health Plan of San Joaquin (HPSJ) is dedicated to partnering with our network of providers to ensure access to quality health care for our members. We appreciate your continuing collaboration to serve HPSJ members as we terminate Sutter Valley Hospitals and Sutter Gould Medical Group from our network. Effective March 9, 2022, Sutter Valley […]
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HEDIS Preseason Reminder for 2022
January 21, 2022 / by Health Plan / Alerts
Date: January 20, 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 2nd Notice! HEALTHCARE EFFECTIVENESS DATA AND INFORMATION SET (HEDIS) MEDICAL RECORD REVIEW SEASON IS COMING Medical Record Collection for HEDIS Hybrid measures will begin February 1, 2022. RECORDS [...]Read more
Enhanced Care Management and Community Supports
January 7, 2022 / by Health Plan / Alerts
Date: January 6, 2022 To: HPSJ Contracted Hospitals and Facilities Provider Alert Type: Informational From: Health Plan of San Joaquin Subject: Enhanced Care Management and Community Supports Business: Medi-Cal Starting in 2022, new benefits and services called Enhanced Care Management (ECM) and Community Supports will be available to Medi-Cal members. ECM and Community Supports will [...]Read more
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