Health Plan of San Joaquin provider Alerts

A virtual training session for HEDIS/NCQA Quality Measures 2020-2021

Join us for your 2020 Vision of HPSJ’s LOOK and LEARN! (A virtual training session for HEDIS/NCQA Quality Measures 2020-2021). Let HPSJ help you and your staff increase quality standards! If your practice is focused on delivering quality services and interested in increasing your earning potential, we encourage you to register for one of the [...]

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Proposition 56 Funded ‐ Value Based Payment (VBP) program

Date: August 19, 2020 To: Health Plan of San Joaquin (HPSJ) Contracted Physicians From: HPSJ Claims Department Subject: Proposition 56 Funded ‐ Value Based Payment (VBP) program – Updates for 8/2020 Business: Medi-Cal Health Plan of San Joaquin (HPSJ) is working diligently to implement the supplemental payments for the Department of Health Care Services (DHCS) […]

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DHCS Encounter Requirements – Patient Reason DX

Date: July 16, 2020 To: Health Plan of San Joaquin (HPSJ) All Providers & Facilities From: HPSJ Claims Department Subject: DHCS Encounter Requirements – Patient Reason DX Business: Medi-Cal As part of Health Plan of San Joaquin’s (HPSJ) continued efforts to ensure each claim submission will reconcile with each encounter submission to the California’s Department […]

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DHCS Encounter Requirements – Claim submissions

Date: July 16, 2020 To: Health Plan of San Joaquin (HPSJ) All Providers & Facilities From: HPSJ Claims Department Subject: DHCS Encounter Requirements – Claim submissions Business: Medi-Cal As part of Health Plan of San Joaquin’s (HPSJ) continued efforts to ensure each claim submission will reconcile with each encounter submission to the California’s Department of […]

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SURVEY – Communication Matters – Exchange of Information between SNF and PCPs Post-discharge

Date: July 15, 2020 To: HPSJ Providers, Practices (PCPs & Specialists), Hospitals and Ancillary Facilities From: HPSJ Utilization Management Dept Subject: PLEASE COMPLETE SHORT SURVEY – Communication Matters – Exchange of Information between SNF and PCPs Post-discharge Business: Medi-Cal On Friday, April 17, 2020, Health Plan of San Joaquin (HPSJ) sent a communication about the […]

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SURVEY – Communication Matters – Exchange of Information between Hospitals and PCPs Post-discharge

Date: July 15, 2020 To: HPSJ Providers, Practices (PCPs & Specialists), Hospitals and Ancillary Facilities From: HPSJ Utilization Management Dept Subject: PLEASE COMPLETE SHORT SURVEY – Communication Matters – Exchange of Information between Hospitals and PCPs Post-discharge Business: Medi-Cal On Friday, April 17, 2020, Health Plan of San Joaquin (HPSJ) sent a communication about the […]

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SURVEY – Communication Matters – Exchange of Information between ER and PCPs Post-discharge

Date: July 15, 2020 To: HPSJ Providers, Practices (PCPs & Specialists), Hospitals and Ancillary Facilities From: HPSJ Utilization Management Dept Subject: PLEASE COMPLETE SHORT SURVEY – Communication Matters – Exchange of Information between ER and PCPs Post-discharge Business: Medi-Cal On Friday, April 17, 2020, Health Plan of San Joaquin (HPSJ) sent a communication about the […]

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California Immunization Registry – Revised Sharing Policy, CAIR2

Date: July 13, 2020 To: HPSJ Providers and Practices (PCPs, Specialists, Hospitals, and Pharmacies) From: HPSJ Quality Management Department Subject: California Immunization Registry – Revised Sharing Policy, CAIR2 Business: Medi-Cal Per the California Immunization Registry, known as CAIR, and regulated by the State of California under Health and Safety Code, Section 120440, all patients/parents have […]

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Immediate Action Required – Epinephrine Auto Injector Devices

Date: June 17, 2020 To: Health Plan of San Joaquin (HPSJ) Pharmacies and Providers & Practices From: HPSJ Pharmacy Department Subject: Immediate Action Required – Epinephrine Auto Injector Devices Business: Medi-Cal We are sending this alert because your patient(s) may have filled a prescription for Epinephrine Auto-Injector Device since December 20, 2018. FDA is alerting […]

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Join HPSJ for a web conference on June 25, 2020 at 7:30 am!

HOW MUCH DO YOU KNOW ABOUT DEPARTMENT OF HEALTH CARE SERVICES VALUE BASED PAYMENT (VBP) PROGRAM? Let HPSJ help you and your staff identify key steps to participate! Thursday, June 25, 2020 at 7:30 am  Register Now If your practice is focused on delivering quality services and interested in increasing your earning potential, we encourage [...]

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