August 20, 2021 / by Health Plan / Alerts
Date: August 20, 2021 To: Health Plan of San Joaquin (HPSJ) All Providers, Clinics& Facilities From: Health Plan of San Joaquin Subject: Provider Portal Self-Serve– DoctorReferral Express (DRE) Business: Medi-CalManagedCare Reminder To improve your Doctor Referral Express (DRE) experience, HPSJ has implemented a new self-serve automated system to allow users to submit requests for the [...]
Read more
Health Plan of San Joaquin provider Alerts
Mandatory Training 2021 – Cultural Competency and Sensitivity
August 23, 2021 / by Health Plan / Alerts
Date: August 20, 2021 To: Health Plan of San Joaquin Contracted Provider Network and Delegated Entities From: Health Plan of San Joaquin Subject: Mandatory Training 2021 – Cultural Competency and Sensitivity Business: Medi-Cal Managed Care ACTION REQUIRED Annual training is mandated by California’s Department of Health Care Services (DHCS) and the federal Centers for Medicare [...]Read more
Provider Appointment Availability Survey – COMING SOON
August 20, 2021 / by Health Plan / Alerts
Date: August 20, 2021 To: Health Plan of San Joaquin Contracted Provider Network From: Health Plan of San Joaquin Subject: Provider Appointment Availability Survey – COMING SOON Business: Medi-Cal Managed Care HPSJ is required by the California Department of Managed Healthcare (DMHC) to perform an annual Provider Appointment Availability Survey (PAAS). The first wave of [...]Read more
Provider Portal Self-Serve– Doctor Referral Express (DRE)
August 20, 2021 / by Health Plan / Alerts
Date: August 20, 2021 To: Health Plan of San Joaquin (HPSJ) All Providers, Clinics& Facilities From: Health Plan of San Joaquin Subject: Provider Portal Self-Serve– DoctorReferral Express (DRE) Business: Medi-CalManagedCare Reminder To improve your Doctor Referral Express (DRE) experience, HPSJ has implemented a new self-serve automated system to allow users to submit requests for the [...]Read more
Childhood Lead Screening – A 2021 HEDIS Measure
August 13, 2021 / by Health Plan / Alerts
Date: August 13, 2021 To: Health Plan of San Joaquin (HPSJ) Contracted Providers From: Health Plan of San Joaquin Subject: Childhood Lead Screening – A 2021 HEDIS Measure Business: Medi-Cal In 2021, you will receive quarterly communications from Health Plan of San Joaquin when HPSJ members are out of compliance for blood lead screening. This [...]Read more
Value Based Payments: Opportunities for additional reimbursement
August 11, 2021 / by Health Plan / Alerts
Date: August 11, 2021 To: Health Plan of San Joaquin (HPSJ) Contracted Providers From: Health Plan of San Joaquin Subject: Value Based Payments: Opportunities for additional reimbursement Business: Medi-Cal Managed Care This Provider Alert features a checklist that highlights opportunities for additional reimbursement for specific wellness visits and services. The checklist is available in on [...]Read more
TIPS TO SUBMIT Non-Emergency Medical Transportation Billings, and ENSURE NO PAYMENT DELAYS
August 11, 2021 / by Health Plan / Alerts
Date: August 10, 2021 To: Health Plan of San Joaquin (HPSJ) NEMT Providers From: Health Plan of San Joaquin Subject: TIPS TO SUBMIT Non-Emergency Medical Transportation Billings, and ENSURE NO PAYMENT DELAYS Business: Medi-Cal Managed Care Health Plan of San Joaquin has developed a guide that solves for some frequent errors and helps non-emergency medical [...]Read more
Update on Opioid Prescriptions and Pain Management
August 11, 2021 / by Health Plan / Alerts
Date: August 3, 2021 To: Health Plan of San Joaquin (HPSJ) All Primary Care Providers From: Health Plan of San Joaquin Subject: Update on Opioid Prescriptions and Pain Management Business: Medi-Cal Managed Care Some HPSJ members previously receiving care with LAGS will be seeking new prescribers when they need refills for their pain medication. Emerging [...]Read more
Look & Learn, Managed Care Accountability Set (MCAS) Series: Summer/Fall 2021
August 9, 2021 / by Health Plan / Alerts
Date: August 9, 2021 To: Health Plan of San Joaquin (HPSJ) Contracted PCPs From: Health Plan of San Joaquin Subject: Look & Learn Managed Care Accountability Set (MCAS) Series: Summer/Fall 2021 Business: Medi-Cal Managed Care Please join us for this VIRTUAL session! August 19, 2021, 12:30PM–2:00PM Register here: https://www.hpsj.com/look-and-learn/ Please RSVP for this event by [...]Read more
Chantix Products Recall – IMMEDIATE ACTION NEEDED
July 28, 2021 / by Health Plan / Alerts, Pharmacy Announcements
Date: July 28, 2021 To: Health Plan of San Joaquin (HPSJ) Pharmacies and Providers From: HPSJ Pharmacy Department Subject: Chantix Products Recall – IMMEDIATE ACTION NEEDED Business: Medi-Cal Managed Care We are sending this alert because one or more of your patient(s) may have filled a prescription for Chantix Tablets within the last six months [...]Read more
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