June 7, 2021 / by Health Plan / Alerts
Date: June 4, 2021 To: Health Plan of San Joaquin Contracted Practitioners, Providers & Facilities From: Health Plan of San Joaquin Subject: Update – Grievance Process Business: Medi-Cal Managed Care The Department of Health Care Services (DHCS) and the Department of Managed Health Care (DMHC) require Health Plan of San Joaquin (HPSJ) to monitor and [...]
Read more
Health Plan of San Joaquin provider Alerts
Action Required regarding change in payments system
July 16, 2021 / by Health Plan / Alerts
Date: July 15, 2021 To: Health Plan of San Joaquin (HPSJ) Physicians, Providers, and Pharmacies From: Health Plan of San Joaquin Subject: Action Required regarding change in payments system Business: MEDI-CAL REMINDER: YOUR ACTION IS REQUIRED TO ENSURE NO DELAYS IN YOUR PAYMENTS If you have already taken this action, then please disregard (Secure emails [...]Read more
DMHC/DHCS Timely Access Standards for Wait Times, Urgent Care and After-Hours
July 13, 2021 / by Health Plan / Alerts
Date: July 13,2021 To: Health Plan of San Joaquin (HPSJ) –All Contracted and Non-Contracted Providers From: Health Plan of San Joaquin Subject: DMHC/DHCS Timely Access Standards for Wait Times, Urgent Care and After-Hours – In-OfficeWait Times Set/Monitored by HPSJ Business: Medi-Cal Health Plan of San Joaquin(HPSJ)is charged with maintaining the quality of care for our [...]Read more
UPDATE: Monthly Capitation (CAP) and Fee For Service (FFS) Payments
July 12, 2021 / by Health Plan / Alerts
Date: July 12, 2021 To: Health Plan of San Joaquin (HPSJ) All Contracted and Non-Contracted Providers From: Health Plan of San Joaquin Subject: UPDATE: Monthly Capitation (CAP) and Fee For Service (FFS) Payments Business: Medi-Cal Managed Care We are very sorry there have been processing delays for the payments addressed below. This is to bring [...]Read more
For Outpatient Patient Care – Current Medications for Outpatient Treatment of COVID-19
July 12, 2021 / by Health Plan / Alerts, Pharmacy Announcements
Date: July 12, 2021 To: Health Plan of San Joaquin (HPSJ) All Contracted and Non-Contracted Providers From: Health Plan of San Joaquin Subject: For Outpatient Patient Care – Current Medications for Outpatient Treatment of COVID-19 Business: Medi-Cal Managed Care Management of COVID-19 is rapidly evolving. There are only a few medications that have obtained Emergency [...]Read more
EASIER TO USE & NEW NAME for Gap in Care Reports – HEDIS Integrated Reports
July 9, 2021 / by Health Plan / Alerts
Date: July 9, 2021 To: Health Plan of San Joaquin (HPSJ) Contracted Providers From: Health Plan of San Joaquin Subject: EASIER TO USE & NEW NAME for Gap in Care Reports – HEDIS Integrated Reports Business: Medi-Cal Managed Care The HEDIS Integrated Reports (formerly called Gap in Care Reporting) are available! Thanks to feedback from [...]Read more
NEW – 2021 Clinical Practice Guidelines, Now Online
June 24, 2021 / by Health Plan / Alerts
Date: June 24, 2021 To: Health Plan of San Joaquin (HPSJ) All Providers & Facilities From: Health Plan of San Joaquin Subject: NEW - 2021 Clinical Practice Guidelines, Now Online Business: Medi-Cal Managed Care The 2021 Clinical Practice Guidelines are nationally recognized and based on latest clinical evidence. They were reviewed by HPSJ’s Medical Director [...]Read more
NEW – Provider Billing and Resource Guide
June 17, 2021 / by Health Plan / Alerts
Date: June 16, 2021 To: Health Plan of San Joaquin (HPSJ) All Contracted Providers & Facilities From: Health Plan of San Joaquin Subject: NEW - Provider Billing and Resource Guide Business: Medi-Cal Managed Care HPSJ is excited to announce our new Provider Billing and Resource Guide! The Provider Billing and Resource Guide provides information to [...]Read more
Action Required regarding change in payments system
June 7, 2021 / by Health Plan / Alerts
Date: June 7, 2021 To: Health Plan of San Joaquin (HPSJ) Physicians, Providers, and Pharmacies From: Health Plan of San Joaquin Subject: Action Required regarding change in payments system Business: MEDI-CAL HPSJ will soon be transitioning to a new payment solution. This change brings many advantages, but we need your help to ensure a smooth [...]Read more
Update – Grievance Process
June 7, 2021 / by Health Plan / Alerts
Date: June 4, 2021 To: Health Plan of San Joaquin Contracted Practitioners, Providers & Facilities From: Health Plan of San Joaquin Subject: Update – Grievance Process Business: Medi-Cal Managed Care The Department of Health Care Services (DHCS) and the Department of Managed Health Care (DMHC) require Health Plan of San Joaquin (HPSJ) to monitor and [...]Read more
HEDIS season 2021 Audit Completed
May 25, 2021 / by Health Plan / Alerts
Date: May 25, 2021 To: Health Plan of San Joaquin (HPSJ) CONTRACTED PROVIDERS From: Health Plan of San Joaquin Subject: HEDIS season 2021 Audit Completed Business: Medi-Cal The HEDIS team in the Quality Department of Health Plan of San Joaquin (HPSJ) would like to thank you for your efforts and delivery of medical records during [...]Read more