September 27, 2018 / by HPSJ / Alerts
Date: September 27, 2018 To: Health Plan of San Joaquin (HPSJ) Physicians, Providers, and Pharmacies From: Health Plan of San Joaquin Pharmacy and Therapeutics Committee Subject: Provider Alert – Formulary update effective 12/10/2018 Business: Medi-Cal Effective 12/10/2018, the Pharmacy and Therapeutics Committee has approved the following changes: Additions to the Formulary: Abaloparatide (Tymlos) 3120mcg/1.56mL pen-injector: […]
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Health Plan of San Joaquin provider Alerts
REMINDER – DHCS Requirements Related to Preventing Privacy Incidents
November 2, 2018 / by HPSJ / Alerts
Date: November 2, 2018 To: Health Plan of San Joaquin (HPSJ) Providers From: Provider Services Department Subject: REMINDER – DHCS Requirements Related to Preventing Privacy Incidents Business: Medi-Cal Reminder As part of our efforts to prevent privacy‐related incidents, Health Plan of San Joaquin (HPSJ) is mandated to send out an annual reminder to our providers […]
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Proposition 56: Supplemental Payment Update
October 31, 2018 / by HPSJ / Alerts
Date: October 30, 2018 To: Health Plan of San Joaquin (HPSJ) PCPs and Specialists From: HPSJ Claims Department Subject: Proposition 56: Supplemental Payment Update Business: Medi-Cal Great News: The Department of Health Care Services (DHCS) proposal for a one-year extension to the supplemental payment for certain physician services using Proposition 56 Tobacco Tax Funds has […]
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Reminder – Physician Certification Statement (PCS) Form – Update
October 31, 2018 / by HPSJ / Alerts, Pharmacy Announcements
Date: October 30, 2018 To: Health Plan of San Joaquin (HPSJ) Practitioners and Providers From: HPSJ [Medical Management Department] Subject: Reminder – Physician Certification Statement (PCS) Form Business: Medi-Cal Update As we continue to seek ways to streamline processes, Health Plan of San Joaquin has simplified prior authorization requirements for transportation for your busy office. […]
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New Forms Update: 2018-2019 Palivizumab (Synagis)
October 25, 2018 / by HPSJ / Alerts, Pharmacy Announcements
Date: October 25, 2018 To: Health Plan of San Joaquin (HPSJ) Providers and Practitioners From: HPSJ [Medical Management Department] Subject: New Forms Update: 2018-2019 Palivizumab (Synagis) Business: Medi-Cal The Center of Disease Control and Prevention (CDC) reports that Respiratory syncytial virus (RSV) is known as one of the most common illnesses among infants and children. […]
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HEDIS 2018 Member Incentives
October 24, 2018 / by HPSJ / Alerts
Please work with your patients to perform these important services by the end of the year (12/31/18). Date: October 24, 2018 To: Health Plan of San Joaquin (HPSJ) Primary Care Physicians (PCPs) From: HPSJ Medical Management Department Subject: HEDIS 2018 Member Incentives Business: Medi-Cal At HPSJ, we are your partner to improve the health and wellness […]
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Reminder – Physician Certification Statement (PCS) Form
October 22, 2018 / by HPSJ / Alerts
Date: October 22, 2018 To: ealth Plan of San Joaquin (HPSJ) Practitioners and Providers From: HPSJ Medical Management Department Subject: Reminder – Physician Certification Statement (PCS) Form Business: Medi-Cal Spreading the Word, Not the Flu As we continue to seek ways to streamline processes, Health Plan of San Joaquin has simplified prior authorization requirements for […]
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October 2018 – Claims corner newsletter
October 8, 2018 / by HPSJ / Alerts, Claims Corner
Opioid 7-Day Supply Limit for Initial Fill Effective 12/1/2018, all initial fills of opioid prescriptions will be limited to a seven (7) day supply. To reduce the potential for chronic opioid use or misuse, HPSJ is implementing this safety limit on initial opioid prescription fills for treatment of acute pain. This is based on the […]
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Provider Alert – Formulary update effective 12/10/2018
September 27, 2018 / by HPSJ / Alerts
Date: September 27, 2018 To: Health Plan of San Joaquin (HPSJ) Physicians, Providers, and Pharmacies From: Health Plan of San Joaquin Pharmacy and Therapeutics Committee Subject: Provider Alert – Formulary update effective 12/10/2018 Business: Medi-Cal Effective 12/10/2018, the Pharmacy and Therapeutics Committee has approved the following changes: Additions to the Formulary: Abaloparatide (Tymlos) 3120mcg/1.56mL pen-injector: […]
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NEW – Opioid 7-Day Supply Limit for Initial Fill
September 20, 2018 / by HPSJ / Alerts, Pharmacy Announcements
Date: September 20, 2018 To: Primary Care Providers, Specialists, Clinics, Pharmacies and Hospitals From: Health Plan of San Joaquin Pharmacy Department Subject: NEW – Opioid 7-Day Supply Limit for Initial Fill Business: Medi-Cal To reduce the potential for chronic opioid use or misuse, Health Plan of San Joaquin is implementing a safety limit on initial […]
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Provider Alert – 2018-2019 Flu Season
September 14, 2018 / by HPSJ / Alerts
Date: September 13, 2018 To: Health Plan of San Joaquin (HPSJ) Practitioners and Providers From: HPSJ Medical Management Department Subject: Provider Alert – 2018-2019 Flu Season Business: Medi-Cal Spreading the Word, Not the Flu It’s official: Flu season has begun. We want to help your patients get the preventive care they need. Sometimes it can […]
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