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 [...]
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Health Plan of San Joaquin provider Alerts
Provider Education: Only Licensed Personnel May Triage Medi-Cal Patients
July 23, 2021 / by Health Plan / Alerts
Date: July 23, 2021 To: Medi-Cal Providers From: Health Plan of San Joaquin Subject: Provider Education: Only Licensed Personnel May Triage Medi-Cal Patients Business: Medi-Cal Managed Care HPSJ monitors accessibility within our network to ensure providers are available for appointments within the standards for timely access formed by the Department of Managed Health Care and [...]Read more
$55,000 Practice Support from California Dept of Public Health (CDPH) For COVID-19 Vaccinations – CalVaxGrant Available
July 22, 2021 / by Health Plan / Alerts
Date: July 22, 2021 To: Health Plan of San Joaquin (HPSJ) Primary Care Providers (PCP) From: Health Plan of San Joaquin Subject: $55,000 Practice Support from California Dept of Public Health (CDPH) For COVID-19 Vaccinations – CalVaxGrant Available Business: Medi-Cal Managed Care Provider organizations can apply to receive $10,000 for up to five COVID-19 vaccination [...]Read more
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