September 18, 2019 / by HPSJ / Alerts, Pharmacy Announcements
Date: September 18, 2019 To: Health Plan of San Joaquin (HPSJ) Physicians, Providers, and Pharmacies From: Health Plan of San Joaquin Pharmacy and Therapeutics Committee Subject: Formulary Update – September 18, 2019 Business: Medi-Cal Managed Care Effective 12/02/2019, the Pharmacy and Therapeutics Committee has approved the following changes: Additions to the Formulary: Heparin sodium porcine/PF […]
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Health Plan of San Joaquin provider Alerts
2019-2020 Flu Season Flu Shots are an HPSJ Covered Benefit
September 23, 2019 / by HPSJ / Alerts
Date: September 23, 2019 To: Health Plan of San Joaquin (HPSJ) Practitioners and Providers From: HPSJ Medical Management Department Subject: 2019-2020 Flu Season – Flu Shots are an HPSJ Covered Benefit Business: Medi-Cal Spreading the Word, Not the Flu It’s official: Flu season has begun. We want to help your patients get the preventive care […]
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MCAS Measure AMM – Antidepressant Medication Management
September 18, 2019 / by HPSJ / Alerts
Date: September 18, 2019 To: HPSJ Primary Care Providers {PCP} and Behavioral Health Care Providers From: HPSJ Quality Management Department Subject: MCAS Measure AMM – Antidepressant Medication Management Business: Medi-Cal Patients who are new starts to antidepressant medications are at high risk for non-adherence. The HPSJ Quality Team looks at adults ages 18+ who have […]
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Formulary Update – September 18, 2019
September 18, 2019 / by HPSJ / Alerts, Pharmacy Announcements
Date: September 18, 2019 To: Health Plan of San Joaquin (HPSJ) Physicians, Providers, and Pharmacies From: Health Plan of San Joaquin Pharmacy and Therapeutics Committee Subject: Formulary Update – September 18, 2019 Business: Medi-Cal Managed Care Effective 12/02/2019, the Pharmacy and Therapeutics Committee has approved the following changes: Additions to the Formulary: Heparin sodium porcine/PF […]
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Update for HPSJ Member Incentives
September 18, 2019 / by HPSJ / Alerts
Date: September 18, 2019 To: Health Plan of San Joaquin (HPSJ) Practitioners, Providers, and Facilities From: HPSJ Quality Management Department Subject: Update for HPSJ Member Incentives Business: Medi-Cal Managed Care Effective date for this Incentive Texting/Online Pilot is October 2019, pending DHCS approval. HPSJ has made several key changes to the member incentives program. The […]
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Clinical Review Update: Concomitant Anticholinergic and Antipsychotic Use
September 12, 2019 / by HPSJ / Alerts, Pharmacy Announcements
Learning Objectives: Understand the role of anticholinergic medications in the prevention and treatment of antipsychotic-induced extrapyramidal symptoms (EPS). Describe factors that should be considered when deciding to initiate and/or continue the concomitant use of anticholinergic with antipsychotic medication therapy. Key Points: Anticholinergic medications, including benztropine and trihexyphenidyl, are often prescribed to prevent or treat antipsychotic-induced […]
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Paper Claims Submission – Address Change
September 6, 2019 / by HPSJ / Alerts
Date: September 5, 2019 To: Health Plan of San Joaquin (HPSJ) All Providers & Facilities From: HPSJ Claims Department Subject: Paper Claims Submission – Address Change Business: Medi-Cal Managed Care Health Plan of San Joaquin (HPSJ) will have a new mailing address for initial and corrected paper claim(s) submissions. Effective October 1, 2019 all paper […]
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**Reminder** Provider Dispute Resolution (PDR) Submission
September 5, 2019 / by HPSJ / Alerts
Date: September 4, 2019 To: Health Plan of San Joaquin (HPSJ) All Providers & Facilities From: HPSJ Claims Department Subject: **Reminder** Provider Dispute Resolution (PDR) Submission Business: Medi-Cal Managed Care Health Plan of San Joaquin (HPSJ) would like to remind providers and facilities of proper protocol for submitting Provider Dispute Resolutions (PDRs). Contracted Providers must […]
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HEDIS Training Breakfast & Learn
August 5, 2019 / by HPSJ / Alerts
Date: August 5, 2019 To: Health Plan of San Joaquin (HPSJ) Network: PCP, OB/GYN, Behavioral Health From: HPSJ Provider Services Department Subject: HEDIS Training BREAKFAST & LEARN – Practical Tips for Your Success This Year Our HPSJ providers are essential partners in delivering care to our members. Because of your valued contributions, we are glad […]
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DHCS Encounter Requirement – NDC Required
August 5, 2019 / by HPSJ / Alerts
Date: August 5, 2019 To: Health Plan of San Joaquin (HPSJ) All Providers & Facilities From: HPSJ Claims Department Subject: DHCS Encounter Requirement – NDC Required Business: Medi-Cal Managed Care Health Plan of San Joaquin (HPSJ) was recently informed the California Department of Health Care Services (DHCS) is requiring the National Drug Code (NDC) […]
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CMS-Required Fraud, Waste, and Abuse (FWA) Training for HPSJ Providers
July 24, 2019 / by HPSJ / Alerts
Date: July 24, 2019 To: Health Plan of San Joaquin (HPSJ) Providers From: HPSJ Provider Networks Department Subject: CMS-Required Fraud, Waste, and Abuse (FWA) Training for HPSJ Providers Business: Medi-Cal Health Plan of San Joaquin, as a licensed health care services plan regulated by the Department of Managed Health Care (DMHC) and contracted with the […]
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