Health Plan of San Joaquin provider Alerts

AMENDED ALERT – CHDP PM 160 Changes to Current Billing Process

To: Primary Care Providers (PCP) From: Health Plan of San Joaquin (HPSJ) Subject: AMENDED ALERT – CHDP PM 160 Changes to Current Billing Process Product: Medi-Cal Managed Care As a valued HPSJ provider, we want to make you aware of several billing changes. These changes are required by Department of Health Care Services and have […]

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Important information, tools and materials are available at hpsj4.wpengine.com

To: Health Plan of San Joaquin (HPSJ) Physicians, Providers, and Pharmacies From: Provider Services Department As a valued Health Plan of San Joaquin (HPSJ) provider, we would like to remind you about all of the important information, tools and materials that you can access from our website. We include information about many topics of interest […]

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Measles in California and San Joaquin County

Health Advisory To: Health Care Providers From: Alvaro Garza, MD, MPH, Health Officer Situation: We continue with a growing epidemic of measles in California with origins in the Disneyland park. As of 2 February 2015, 92 cases have been reported in state residents. Among these, 59 have a confirmed epidemiologic link to the Disney exposure. […]

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CHDP PM 160 Changes to Current Billing Process

February 9, 2015 Provider Alert To: Primary Care Providers (PCP) From: Health Plan of San Joaquin Subject: CHDP PM 160 Changes to Current Billing Process Products: Medi-Cal Managed Care As a valued HPSJ provider, we want to make you aware of several billing changes. These changes are required by Department of Health Care Services and […]

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Behavioral Health Treatment

As of September 15, 2014, Medi-Cal plans are responsible for providing Behavioral Health Therapy (BHT) services to individuals under the age of 21 who have an Autism Spectrum Disorder (ASD) diagnosis and for individuals without a diagnosis of autism where medically indicated. The Health Plan of San Joaquin’s Behavioral Health Benefits Manager, Beacon Health Strategies […]

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Introducing EFT Payment!

Health Plan of San Joaquin has selected Emdeon as its electronic payment and remittance reporting provider. There is no cost to you to use Emdeon ePayment and enrollment is free! Emdeon ePayment Replaces paper-based claims payments with electronic (EFT) payments that are directly deposited into your bank account Benefits of Emdeon ePayment Helps You Get […]

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HPSJ 2014 Holiday Service Hours

December 24, 2014 Provider Alert To: Health Plan of San Joaquin (HPSJ) Physicians, Providers, and Pharmacies From: Provider Relations Department Subject: Holiday Service Hours Products: All Health Plan of San Joaquin and San Joaquin Health Administrators will be closed as follows: Wednesday, December 24, 2014  Closed 3:00pm – 5:00pm Thursday, December 25, 2014  Closed Thursday, January […]

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Introducing the new Health Plan of San Joaquin Website

To:                   All Providers From:             Health Plan of San Joaquin Subject:         New HPSJ Website Products:      Medi-Cal Managed Care Introducing the new Health Plan of San Joaquin Website Health Plan of San Joaquin is excited to announce the launch of our newly designed website, hpsj4.wpengine.com, set to go live on Monday, December 22, 2014. Our goal was […]

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New Prior Authorization Form

December 1, 2014 PROVIDER ALERT To: Health Plan of San Joaquin (HPSJ) Physicians, Providers, and Pharmacies From: Health Plan of San Joaquin Pharmacy Department Subject: New Prior Authorization Form Required effective 1/1/2015 Products: All Senate Bill (SB) 866 will become effective for DMHC regulated Health Plans (including HPSJ) on January 1st, 2015. This law requires […]

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Recommendations For Synagis 2014-2015

RECOMMENDATIONS FOR SYNAGIS 2014-2015 CPT Code 96372 The American Academy of Pediatrics (AAP) recommends the use of palivizumab (Synagis), an RSV monoclonal antibody vaccine, to prevent serious RSV illness in qualifying high-risk infants. The 2014 AAP recommendations (Red Book 29th edition) as well as the 2014 CCS Synagis Guidelines (NL: 13-0914) are incorporated into the […]

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