October 15, 2021 / by Health Plan / Alerts
Date: October 15, 2021 To: Health Plan of San Joaquin (HPSJ) Providers From: Health Plan of San Joaquin Subject: REMINDER: MANDATORY – Fraud, Waste and Abuse (FWA) Training 2021 Business: Medi-Cal Annual Training Requirement ACTION REQUIRED- Please complete by Monday, November 1, 2021 Annual Fraud, Waste and Abuse (FWA) training for ALL PROVIDERS Each year, [...]
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Health Plan of San Joaquin provider Alerts
VIRTUAL Look and Learn – Behavioral Health
November 5, 2021 / by Health Plan / Alerts
Date: November 05, 2021 To: Health Plan of San Joaquin (HPSJ) All Practitioners and Facilities Provider Alert Type: Informational/Education From: Health Plan of San Joaquin Subject: VIRTUAL Look and Learn – Behavioral Health Business: Medi-Cal Please join us November 10, 2021 from 12:00 pm to 1:00 pm for a VIRTUAL Look and Learn Session. Our [...]Read more
MANDATORY – Health Insurance Portability and Accountability Act (HIPAA) Training 2021
November 4, 2021 / by Health Plan / Alerts
Date: November 4, 2021 To: Health Plan of San Joaquin (HPSJ) Contracted Providers and Clinics From: Health Plan of San Joaquin Subject: MANDATORY – Health Insurance Portability and Accountability Act (HIPAA) Training 2021 Business: Medi-Cal ACTION REQUIRED- Please complete by Monday, December 20th, 2021 It’s time for annual mandatory HIPAA training required by California’s Department [...]Read more
Well-Child Visit (W30): Visits in the first 30 Months of Life (Formerly-W15)
October 28, 2021 / by Health Plan / Alerts
Date: October 27, 2021 To: Health Plan of San Joaquin (HPSJ) CONTRACTED PCPs and Pediatrics Offices From: Health Plan of San Joaquin Subject: NAME CHANGE and REVISED DESCRIPTION – Well-Child Visit (W30): Visits in the first 30 Months of Life (Formerly-W15) Business: Medi-Cal Managed Care The HEDIS measure (W15) Well-Child Visits in the First 15 [...]Read more
Irbesartan & Irbesartan/Hctz Recall – IMMEDIATE ACTION NEEDED
October 21, 2021 / by Health Plan / Alerts, Pharmacy Announcements
Date: October 21, 2021 To: Health Plan of San Joaquin (HPSJ) Pharmacies and Providers & Practices From: HPSJ Pharmacy Department Subject: Irbesartan & Irbesartan/Hctz Recall - IMMEDIATE ACTION NEEDED Business: Medi-Cal Managed Care We are sending this alert because you may have one or more patients who filled a prescription for Irbesartan Tablets or Irbesartan/Hydrochlorothiazide [...]Read more
2021 Immunization Updates: COVID-19, Influenza, and Meningococcal Disease
October 20, 2021 / by Health Plan / Alerts, Pharmacy Announcements
Each year, the California Medi-Cal Drug Use Review (DUR) program issues an annual summary of updates on immunization guidelines, products, and/or research in collaboration with the California Department of Public Health (CDPH) Immunization Branch. For reference, the recommended immunization schedules for 2021 in the United States can be accessed on the Centers for Disease Control […]
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REMINDER: MANDATORY – Fraud, Waste and Abuse (FWA) Training 2021
October 15, 2021 / by Health Plan / Alerts
Date: October 15, 2021 To: Health Plan of San Joaquin (HPSJ) Providers From: Health Plan of San Joaquin Subject: REMINDER: MANDATORY – Fraud, Waste and Abuse (FWA) Training 2021 Business: Medi-Cal Annual Training Requirement ACTION REQUIRED- Please complete by Monday, November 1, 2021 Annual Fraud, Waste and Abuse (FWA) training for ALL PROVIDERS Each year, [...]Read more
REMINDER: MANDATORY – Cultural Competency Training 2021
October 15, 2021 / by Health Plan / Alerts
Date: October 15, 2021 To: Health Plan of San Joaquin (HPSJ) Providers From: Health Plan of San Joaquin Subject: REMINDER: MANDATORY–Cultural Competency Training 2021 Business: Medi-Cal Annual Training Requirement ACTION REQUIRED- Please complete by Monday, November 1, 2021 Annual training is mandated by California’s Department of Health Care Services (DHCS) and the federal Centers for [...]Read more
Collecting Social Determinants of Health (SDOH) Data
October 12, 2021 / by Health Plan / Alerts
Date: October 12, 2021 To: Health Plan of San Joaquin (HPSJ) All Practitioners and Facilities From: Health Plan of San Joaquin Subject: Collecting Social Determinants of Health (SDOH) Data Business: Medi-Cal Managed Care The Department of Health Care Services (DHCS) has issued APL 21-009 for the purpose of collecting social determinants of health (SDOH) data. [...]Read more
Provider Appointment Availability Survey – IT IS HERE!
October 11, 2021 / by Health Plan / Alerts
Date: October 11, 2021 To: Health Plan of San Joaquin Contracted Provider Network From: Health Plan of San Joaquin Subject: Provider Appointment Availability Survey – IT IS HERE! Business: Medi-Cal Managed Care HPSJ is required by the California Department of ManagedHealthCare (DMHC) to perform an annual Provider Appointment Availability Survey (PAAS). The first wave of [...]Read more
UPDATE: Fee-For-Service (FFS) Payments
October 4, 2021 / by Health Plan / Alerts
Date: October 4, 2021 To: Health Plan of San Joaquin (HPSJ) All Contracted Providers From: Health Plan of San Joaquin Subject: UPDATE: Fee-For-Service (FFS) Payments Business: Medi-Cal Managed Care Due to the timing of receipt of the monthly eligibility file from the Department of Health Care Services (DHCS), there may be a delay in the [...]Read more