March 19, 2020 / by Health Plan / Alerts
Date: March 19, 2020 To: Health Plan of San Joaquin (HPSJ) Providers, Practices, and Facilities From: HPSJ Provider Services Department Subject: Open for Business during COVID-19 (Coronavirus) Business: Medi-Cal Health Plan of San Joaquin (HPSJ) is closely following the advisories from the CDC, the California Department of Public Health, each of our local public health […]
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Health Plan of San Joaquin provider Alerts
FDA alerts patients and health care professionals of EpiPen auto-injector errors related to device malfunctions and user administration
March 24, 2020 / by Health Plan / Alerts, Pharmacy Announcements
FDA is alerting patients, caregivers and health care professionals that EpiPen 0.3mg and EpiPen Jr 0.15mg auto-injectors, and the authorized generic versions, may potentially have delayed injection or be prevented from properly injecting due to: Device failure from spontaneous activation caused by using sideways force to remove the blue safety release Device failure from inadvertent […]
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Telehealth Billing Provider Alert
March 20, 2020 / by Health Plan / Alerts, Non-Contracted Provider
Date: March 20, 2020 To: HPSJ Providers, Practices (PCPs & Specialists), Hospitals and Ancillary Facilities From: HPSJ Claims Department Subject: Telehealth Billing Business: Medi-Cal There is no difference in reimbursement rates for office and telehealth visits. For office billing operations – including billing services – please note the following. HPSJ has always had the ability […]
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Updates for during COVID-19 (Coronavirus) – (1) Members’ Care & (2) Business Practices
March 19, 2020 / by Health Plan / Alerts
Date: March 19, 2020 To: Health Plan of San Joaquin (HPSJ) Providers, Practices, and Facilities From: HPSJ Provider Services Department Subject: Updates for during COVID-19 (Coronavirus) – (1) Members’ Care & (2) Business Practices Business: Medi-Cal Clarification (March 10, 2020 Alert) – Billing U07.1 is for confirmed cases only and is not available to bill […]
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Open for Business during COVID-19 (Coronavirus)
March 19, 2020 / by Health Plan / Alerts
Date: March 19, 2020 To: Health Plan of San Joaquin (HPSJ) Providers, Practices, and Facilities From: HPSJ Provider Services Department Subject: Open for Business during COVID-19 (Coronavirus) Business: Medi-Cal Health Plan of San Joaquin (HPSJ) is closely following the advisories from the CDC, the California Department of Public Health, each of our local public health […]
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Reminders for COVID-19 (Coronavirus) HPSJ Member Care
March 10, 2020 / by Health Plan / Alerts
Date: March 10, 2020 To: Health Plan of San Joaquin (HPSJ) Providers, Practices, and Facilities From: HPSJ Provider Services Department Subject: Reminders for COVID-19 (Coronavirus) HPSJ Member Care Business: Medi-Cal Like you, Health Plan of San Joaquin (HPSJ) is closely following all the advisories from the CDC and the California Department of Public Health, as […]
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Provider Incentive Claims Timeline
March 9, 2020 / by Health Plan / Alerts
Date: February 21, 2018 To: Health Plan of San Joaquin (HPSJ) Primary Care Providers From: HPSJ Pharmacy Department Subject: Provider Incentive Claims Timeline Business: Medi-Cal Date for claims to be received by HPSJ HPSJ is reviewing the data for HEDIS 2017. We will soon send the final claims data for Calendar Year 2017 for processing. […]
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Phenytoin 125mg/5ml suspension Recall
March 6, 2020 / by Health Plan / Alerts, Pharmacy Announcements
Date: March 6, 2020 To: Health Plan of San Joaquin (HPSJ) Pharmacies From: HPSJ Pharmacy Department Subject: Phenytoin 125mg/5ml suspension Recall Business: Medi-Cal We are sending this alert because your patients may have filled a prescription for Phenytoin 125mg/5ml suspension within the last six months (180 days). The reason for the recall is that product […]
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Good News – Additional supports for your HPSJ patient – myRewards, Texting Pilot Program
March 3, 2020 / by Health Plan / Alerts
Date: March 3, 2020 To: Health Plan of San Joaquin (HPSJ) Practitioners, Providers and Facilities From: HPSJ Quality Management Department Subject: Good News – Additional supports for your HPSJ patients MyRewards, Revised for Member Incentives Texting Pilot Program, prompts for members to act for preventative health Business: Medi-Cal Managed Care Visit this section to learn [...]Read more
Update – Possible Fraud, Waste and/or Abuse (76811 vs 76805)
March 2, 2020 / by Health Plan / Alerts
Date: January 10, 2020 To: Health Plan of San Joaquin (HPSJ) OB/GYN Offices/Groups, Clinics, and FQHC’s From: HPSJ Claims Department Subject: Update – Possible Fraud, Waste and/or Abuse (76811 vs 76805) CPT Code 76811, Detailed Fetal Anatomic Ultrasound CPT Code 76805, Complete OB Ultrasound Business: Medi-Cal Managed Care In accordance with the California’s Department of […]
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Cost Avoidance and Post-Pay Recoveries – Coming DHCS Intervention
March 2, 2020 / by Health Plan / Alerts, Non-Contracted Provider
Date: March 2, 2020 To: Health Plan of San Joaquin (HPSJ) All Practitioners and Facilities From: HPSJ Claims Department Subject: Cost Avoidance and Post-Pay Recoveries – Coming DHCS Intervention Business: Medi-Cal Managed Care State Law requires Medi-Cal and Managed Care Plans (MCP’s) to be the payer of last resort for services in which there is […]
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