February 25, 2019 / by HPSJ / Alerts
Date: February 25, 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 for 4/29/2019 Business: Medi-Cal Effective 4/29/19, the Pharmacy and Therapeutics Committee has approved the following changes: Additions to the Formulary: Fidaxomicin (Dificid) 200mg Tablet: PA required. […]
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Health Plan of San Joaquin provider Alerts
New Naloxone Regulations Effective January 1, 2019
March 27, 2019 / by HPSJ / Alerts
Date: March 27, 2019 To: HPSJ Primary Care Providers, Specialists, and Pharmacies From: Health Plan of San Joaquin Pharmacy Department Subject: New Naloxone Regulations Effective January 1, 2019 Business: Medi-Cal The Department of Health Care Services (DHCS) wants all providers to be aware of the Assembly Bill 2760 requirement to offer a prescription to a […]
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Paper Claims Submission –Address Change
March 14, 2019 / by HPSJ / Alerts
Date: March 14, 2019 To: Health Plan of San Joaquin (HPSJ) Practitioners and Providers From: HPSJ Claims Department Subject: Paper Claims Submission – Address Change Business: Medi-Cal Health Plan of San Joaquin (HPSJ) will have a new mailing address for initial and corrected paper claim(s) submissions. Effective May 15, 2019 all paper claim submissions should […]
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Presented by Beacon Health Options – Web-based training on Depression
March 11, 2019 / by HPSJ / Alerts
Date: March 11, 2019 To: Health Plan of San Joaquin (HPSJ) Providers (PCPs and Specialists) From: HPSJ Medical Management Department Subject: Presented by Beacon Health Options – Web-based training on Depression Business: Medi-Cal Please join Beacon Health Options for a behavioral health web-based training session on depression. Learn how to spot warning signs and get […]
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Formulary Update for 4/29/2019
February 25, 2019 / by HPSJ / Alerts
Date: February 25, 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 for 4/29/2019 Business: Medi-Cal Effective 4/29/19, the Pharmacy and Therapeutics Committee has approved the following changes: Additions to the Formulary: Fidaxomicin (Dificid) 200mg Tablet: PA required. […]
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Requirements for Early and Periodic Screening, Diagnostic and Treatment Services (EPSDT)
February 22, 2019 / by HPSJ / Alerts
Date: February 21, 2019 To: Health Plan of San Joaquin (HPSJ) Providers From: HPSJ Medical Management Department Subject: Requirements for Early and Periodic Screening, Diagnostic and Treatment Services (EPSDT) Business: Medi-Cal Health Plan of San Joaquin contracted Primary Care Providers are required to screen children under the age of 21. All members under 21 years […]
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REMINDER – Changes to PM 160 Encounter Forms
February 21, 2019 / by HPSJ / Alerts
Date: February 21, 2019 To: Health Plan of San Joaquin (HPSJ) Primary Care Providers (PCPs) From: Provider Services Department Subject: REMINDER – Changes to PM 160 Encounter Forms Business: Medi-Cal The Department of Health Care Services (DHCS) informed HPSJ that PM 160 CHDP encounter forms were eliminated from the state Medi-Cal program effective July 1, […]
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New Authorization Requirement – Chronic Care Benefits
February 21, 2019 / by HPSJ / Alerts
Date: February 21, 2019 To: Health Plan of San Joaquin (HPSJ) Providers From: HPSJ Medical Management Department Subject: New Authorization Requirement – Chronic Care Benefits Business: Medi-Cal Effective April 17, 2019, HPSJ’s benefit coverage for Chronic Care Management will require a prior authorization. This applies to CPT codes 99490 and 99491. Chronic care management services […]
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Beacon Health Options Web-based training on Anxiety Disorders
February 15, 2019 / by HPSJ / Alerts
Date: February 14, 2019 To: Health Plan of San Joaquin (HPSJ) PCPs From: HPSJ Medical Management Department Subject: Beacon Health Options Web-based training on Anxiety Disorders Business: Medi-Cal Please join Beacon Health Options for a Behavioral Health Web-based training session on Anxiety Disorders Learn how to spot warning signs and get members the help they […]
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Alcohol Misuse: Screening and Behavioral Counseling Interventions
February 1, 2019 / by HPSJ / Alerts
Date: February 1, 2018 To: Health Plan of San Joaquin (HPSJ) PCPs From: HPSJ Medical Management Department Subject: Alcohol Misuse: Screening and Behavioral Counseling Interventions Business: Medi-Cal Consistent with United States Preventive Services Task Force (USPSTF) recommendations and the Medi-Cal Provider Manual, providers MUST annually screen adults aged 18 years or older for alcohol misuse […]
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New Authorization Requirements – Chronic Care Management Services
January 2, 2019 / by HPSJ / Alerts
Date: January 2, 2019 To: Health Plan of San Joaquin (HPSJ) PCPs From: HPSJ Medical Management Department From: HPSJ Medical Management Department Subject: New Authorization Requirements – Chronic Care Management Services Business: Medi-Cal Effective March 4, 2019 HPSJ’s benefit coverage for Chronic Care Management, CPT code 99490, will require a prior authorization. Chronic care management services […]
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