September 10, 2018 / by HPSJ / Alerts
Date: September 05, 2018 To: Health Plan of San Joaquin (HPSJ) Practitioners, Providers and Facilities From: HPSJ Claims Department Subject: Provider Alert Claim Overpayments Business: Medi-Cal For Your Information In accordance with the California Department of Health Care Services (DHCS) All Plan Letter, APL 17-003, HPSJ has implemented new auditing algorithms to identify potential overpayments […]
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Health Plan of San Joaquin provider Alerts
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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Reported Sexually Transmitted Diseases Reach a New High in California
September 11, 2018 / by HPSJ / Alerts
Date: August 9, 2018 To: HPSJ Primary Care Providers, Specialists, and Pharmacies From: California Department of Public Health (CDPH) Subject: Reported Sexually Transmitted Diseases Reach a New High in California Business: Medi-Cal SACRAMENTO – A record number of Californians were diagnosed with a sexually transmitted disease (STD) in 2017, according to a new report released […]
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Provider Alert Claim Overpayments
September 10, 2018 / by HPSJ / Alerts
Date: September 05, 2018 To: Health Plan of San Joaquin (HPSJ) Practitioners, Providers and Facilities From: HPSJ Claims Department Subject: Provider Alert Claim Overpayments Business: Medi-Cal For Your Information In accordance with the California Department of Health Care Services (DHCS) All Plan Letter, APL 17-003, HPSJ has implemented new auditing algorithms to identify potential overpayments […]
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September 2018 – Claims corner newsletter
September 9, 2018 / by HPSJ / Alerts, Claims Corner
HPSJ Member ID# All claims billed for HPSJ members must be billed with their HPSJ member ID#. The ID# starts with 200. Claims submitted with the MCL CIN# will be rejected as “member unknown.” HPSJ member eligibility can be verified through the provider portal New born claims Physician services for the care of the newborn […]
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Provider Appointment Availability Survey (PAAS)
September 6, 2018 / by HPSJ / Alerts
Date: September 05, 2018 To: Health Plan of San Joaquin (HPSJ) Providers and Practitioners From: Health Plan of San Joaquin: Provider Services Subject: Provider Appointment Availability Survey (PAAS) Business: Medi-Cal Starting Today HPSJ is required to perform an annual Provider Appointment Availability Survey (PAAS), as mandated by the California Department of Managed HealthCare (DMHC). The […]
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Montelukast Recall
August 31, 2018 / by HPSJ / Alerts, Pharmacy Announcements
Date: August 31, 2018 To: Health Plan of San Joaquin (HPSJ) Pharmacies and PCPs From: HPSJ Pharmacy Department Subject: Montelukast Recall Business: Medi-Cal Montelukast Recall We are sending this alert because your patients may have filled a prescription for Montelukast Sodium 10mg Tablets. The product is labeled as Montelukast Sodium Tablets USP 10mg, but may […]
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Hydrochlorothiazide Recall
August 30, 2018 / by HPSJ / Alerts, Pharmacy Announcements
Date: August 30, 2018 To: Health Plan of San Joaquin (HPSJ) Pharmacies and PCPs From: HPSJ Pharmacy Department Subject: Hydrochlorothiazide Recall Business: Medi-Cal Hydrochlorothiazide Recall We are sending this alert because your patients may have filled a prescription for Hydrochlorothiazide 12.5mg Tablet. The product is labeled as Hydrochlorothiazide Tablet USP 12.5mg, but may contain Spironolactone […]
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