April 18, 2019 / by HPSJ / Alerts
Date: April 18, 2019 To: HPSJ Primary Care Providers, Specialists, Clinics, Pharmacies, and Hospitals From: Health Plan of San Joaquin Pharmacy Department Subject: Opioid 90 MME/Day Limit – Effective 7/22/2019 Business: Medi-Cal To reduce the potential for chronic opioid use or misuse, Health Plan of San Joaquin is implementing a safety limit on opioid prescriptions […]
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Health Plan of San Joaquin provider Alerts
Update in Grievance Process – Grievances and Grievance Replies
May 16, 2019 / by HPSJ / Alerts
Date: May 16, 2019 To: Health Plan of San Joaquin (HPSJ) Primary Care Providers (PCP) From: HPSJ Quality Management Department Subject: Update in Grievance Process – Grievances and Grievance Replies Business: Medi-Cal Health Plan of San Joaquin (HPSJ) is charged with maintaining quality of care for our members and as such must investigate, or follow […]
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Member Billing for Missed Appointments
May 15, 2019 / by HPSJ / Alerts
Date: May 15, 2019 To: Health Plan of San Joaquin (HPSJ) Providers; HPSJ Customer Service From: HPSJ Provider Services Department Subject: Member Billing for Missed Appointments Business: Medi-Cal In recent months, we have had inquiries from both providers and members regarding billing members for missed appointments. Please be aware that the Department of Health Care […]
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Recovery Payments – Non-Invasive Vascular Diagnostic Studies
May 14, 2019 / by HPSJ / Alerts
Date: May 13, 2019 To: Health Plan of San Joaquin (HPSJ) Practitioners and Providers and Dialysis Clinics From: HPSJ Claims Department Subject: Recovery Payments – Non-Invasive Vascular Diagnostic Studies Business: Medi-Cal HPSJ recently identified a system issue which may have caused erroneous payments on specific codes for Non-Invasive Vascular Diagnostic Studies (NVDS). We will be […]
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CDC has created a Measles Tool Kit
May 9, 2019 / by HPSJ / Alerts
Date: May 8, 2019 To: Health Plan of San Joaquin (HPSJ) Primary Care Providers (PCP) From: HPSJ Provider Services Department Subject: CDC has created a Measles Tool Kit Business: Medi-Cal For Providers: CDC has created a Measles Tool Kit CDC developed a one-stop-shop digital toolkit with products for you and your patients about vaccines and […]
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HEDIS Training Lunch and Learn – Practical Tips for Your Success This Year
May 2, 2019 / by HPSJ / Alerts
Date: May 2, 2019 To: Health Plan of San Joaquin (HPSJ) Primary Care Providers (PCP) From: HPSJ Provider Services Department Subject: HEDIS Training Lunch and Learn – Practical Tips for Your Success This Year Business: Medi-Cal Our HPSJ providers are essential partners in delivering care to our members. Because of your valued contributions, we are […]
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Paper Claims Submission – Address Change – REMINDER
April 22, 2019 / by HPSJ / Alerts
Date: May 01, 2019 To: Health Plan of San Joaquin (HPSJ) Practitioners and Providers From: HPSJ Claims Departmen Subject: Paper Claims Submission – Address Change – REMINDER Business: Medi-Cal Health Plan of San Joaquin (HPSJ) will have a TEMPORARY new mailing address for initial and corrected paper claim(s) submissions. Effective May 15, 2019 all paper […]
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Opioid 90 MME/Day Limit – Effective 7/22/2019
April 18, 2019 / by HPSJ / Alerts
Date: April 18, 2019 To: HPSJ Primary Care Providers, Specialists, Clinics, Pharmacies, and Hospitals From: Health Plan of San Joaquin Pharmacy Department Subject: Opioid 90 MME/Day Limit – Effective 7/22/2019 Business: Medi-Cal To reduce the potential for chronic opioid use or misuse, Health Plan of San Joaquin is implementing a safety limit on opioid prescriptions […]
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Additional Changes to Prior Authorization Requirements: Podiatry and Durable Medical Equipment (DME)
April 18, 2019 / by HPSJ / Alerts
Date: April 19, 2019 To: Health Plan of San Joaquin (HPSJ) Providers From: HPSJ Medical Management Department Subject: Effective Immediately – Additional Changes to Prior Authorization Requirements: Podiatry and Durable Medical Equipment (DME) Business: Medi-Cal Our HPSJ network providers are important partners in delivering care to our members. As we continue to seek ways to […]
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Notification of Mail Theft and Potential Fraud
April 10, 2019 / by HPSJ / Alerts
Date: April 10, 2019 To: Health Plan of San Joaquin (HPSJ) Providers From: HPSJ Compliance Department Subject: Notification of Mail Theft and Potential Fraud Business: Medi-Cal In keeping with our Fraud, Waste and Abuse policies, HPSJ wants to keep you informed of a potential mail theft or fraud that may impact you or your practice. […]
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Beacon HPSJ Anxiety Webinar 2019 Video
March 27, 2019 / by HPSJ / Alerts
Provider Training on Anxiety Disorders Target audience: PCPs, Specialists, County and Community Based Organizations Presented by Beacon Health options, please view this behavioral health web-based training on anxiety and anxiety disorders. Learn about: The types of anxiety disorders and how to identify them Prevalence Symptoms Causes/Triggers Treatment approaches How to refer members to mental health […]
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