Health Plan of San Joaquin provider Alerts

Hydrochlorothiazide Recall

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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Advance Notice of Possible Site Reviews – 2018 DHCS Audit

Date: August 13, 2018 To: Health Plan of San Joaquin (HPSJ Primary Care Providers (PCP) and Specialists From: Compliance Department Subject: Advance Notice of Possible Site Reviews – 2018 DHCS Audit Business: Medi-Cal California’s Department of Health Care Services (DHCS) has scheduled a routine annual medical audit of Health Plan of San Joaquin (HPSJ). The […]

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Adverse Effects from Fluoroquinolone Antibiotics

Date: August 9, 2018 To: HPSJ Primary Care Providers, Specialists, and Pharmacies From: Health Plan of San Joaquin Pharmacy Department Subject: Adverse Effects from Fluoroquinolone Antibiotics Business: Medi-Cal The Department of Health Care Services (DHCS) wants all providers to be aware of the FDA announcement for potential risks of fluoroquinolone use. The following safety warnings […]

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NCQA Reaccreditation for Health Plan of San Joaquin

Date: August 6, 2018 To: HPSJ Providers From: Health Plan of San Joaquin Subject: NCQA Reaccreditation for Health Plan of San Joaquin Business: Medi-Cal The National Committee for Quality Assurance (NCQA) has awarded Health Plan of San Joaquin its three-year re-accreditation in the category of Medicaid HMO. NCQA is one of the most comprehensive evaluations […]

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FREE Webinar: Neonatal abstinence syndrome (NAS)

Date: July 18, 2018 To: Health Plan of San Joaquin (HPSJ) Providers and Practices From: HPSJ Medical Management Department Subject: FREE Webinar: Neonatal abstinence syndrome (NAS) Business: Medi-Cal As Health Plan of San Joaquin continues to work on the opioids crisis in collaboration with community partners throughout our San Joaquin and Stanislaus county service area, […]

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System Correction: Revenue Codes for Inpatient Claims

Date: July 11, 2018 To: Health Plan of San Joaquin (HPSJ) Facilities From: HPSJ Claims Department Subject: System Correction: Revenue Codes for Inpatient Claims Business: Medi-Cal HPSJ has identified a system issue in which non-covered Revenue Codes are incorrectly paying. In accordance with the Medi-Cal guidelines, claims received with an invalid Revenue Code will deny. […]

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THANK YOU! Provider Satisfaction Survey

Date: July 2, 2018 To: Health Plan of San Joaquin (HPSJ) Providers From: Provider Services Department Subject: THANK YOU! Provider Satisfaction Survey Business: Medi-Cal HPSJ has now completed our annual provider satisfaction survey. Thank you for your participation. Your candid feedback is appreciated. Your input and suggestions allow us to better serve you as well […]

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Important Information: Grievances and Grievance Replies

Date: July 6, 2018 To: All Health Plan of San Joaquin (HPSJ) Contracted Providers, Facilities, and Ancillary Services From: HPSJ Quality Management Department Subject: Important Information: Grievances and Grievance Replies Business: Medi-Cal Health Plan of San Joaquin (HPSJ) is charged with maintaining the quality of care for our members and as such must investigate or […]

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Provider Onsite visit by DHCS

Date: July 2, 2018 To: Health Plan of San Joaquin (HPSJ) PCPs From: HPSJ Medical Management /Quality Subject: Provider Onsite visit by DHCS Business: HPSJ Medi-Cal Provider Visits DHCS Nurse Evaluator may schedule an onsite visit Please be advised that HPSJ will be undergoing a Department of Health Care Services (DHCS) audit from August 13, […]

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Capitated June Checks – Impacting June Check-Write Only

Date: June 1, 2018 To: Health Plan of San Joaquin (HPSJ) Primary Care Providers (PCPs) From: HPSJ Finance Department Subject: Capitated June Checks – Impacting June Check-Write Only Hard Copy Paper ONLY for the Check and for the Remittance Advice Business: Medi-Cal Managed Care Effective: For the June 2018 Capitation payment only This is to inform […]

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