May 16, 2018 / by HPSJ / Alerts
Date: May 16, 2018 To: Health Plan of San Joaquin (HPSJ) Practitioners and Providers From: HPSJ Claims Department Subject: Claim Overpayments Business: Medi-Cal Managed Care Coming Soon: Electronic PCP Selection Change Form California’s Department of Health Care Services (DHCS) has issued an All Plan Letter, APL 17-003. Here is what you, as a provider, need […]
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Health Plan of San Joaquin provider Alerts
Capitated June Checks – Impacting June Check-Write Only
June 1, 2018 / by HPSJ / Alerts
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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Fee-For-Service Checks – Impacting This Check-Write Only Hard Copy Paper ONLY for the Check and for the Remittance Advice
May 31, 2018 / by HPSJ / Alerts
Date: May 31, 2018 To: Health Plan of San Joaquin (HPSJ) Practitioners, Providers and Facilities From: HPSJ Finance Department Subject: Fee-For-Service Checks – Impacting This Check-Write Only Hard Copy Paper ONLY for the Check and for the Remittance Advice Business: Medi-Cal Managed Care Effective: For this check-write period only This is to inform our practitioners, […]
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REMINDER: HPSJ members cannot be charged for medications
May 29, 2018 / by HPSJ / Alerts, Pharmacy Announcements
Date: May 29, 2018 To: HPSJ Network Pharmacies From: HPSJ Pharmacy Department Subject: REMINDER: HPSJ members cannot be charged for medications Business: Medi-Cal This is a reminder that both the Knox Keene Health Care Service Plan Act of 1975 (H&S §1379, §1385) and California Code of Regulations (28 CCR §1300.67.8) mandate that all providers who […]
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Claims Corner May 2018
May 24, 2018 / by HPSJ / Alerts
A monthly newsletter brought to you by Health Plan of San Joaquin Subscribe to MCSS Today! Providers are encouraged to routinely check the Medi-Cal Update provider bulletins and complete the MCSS Subscriber Form to receive email notifications for newly published Medi-Cal Update bulletins, Newsflash articles and/or System Status Alerts. Submitting a Corrected Claim—Reminder Correcting electronic […]
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Formulary Update Effective July 23, 2018
May 17, 2018 / by HPSJ / Alerts
Date: May 17, 2018 To: Health Plan of San Joaquin (HPSJ) Physicians, Providers, and Pharmacies From: Health Plan of San Joaquin Pharmacy and Therapeutics Committee Subject: Formulary Update Effective July 23, 2018 Business: Medi-Cal Effective 07/23/2018, the Pharmacy and Therapeutics Committee has approved the following changes: Additions to the Formulary: Alirocumab (Praluent): PA required. Reserved […]
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Claim Overpayments
May 16, 2018 / by HPSJ / Alerts
Date: May 16, 2018 To: Health Plan of San Joaquin (HPSJ) Practitioners and Providers From: HPSJ Claims Department Subject: Claim Overpayments Business: Medi-Cal Managed Care Coming Soon: Electronic PCP Selection Change Form California’s Department of Health Care Services (DHCS) has issued an All Plan Letter, APL 17-003. Here is what you, as a provider, need […]
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UPDATE: Proposition 56 Supplemental Payment for Physician Services
May 7, 2018 / by HPSJ / Alerts
Date: May 3, 2018 To: Health Plan of San Joaquin (HPSJ) PCPs and Specialists From: HPSJ Claims Department Subject: UPDATE: Proposition 56 Supplemental Payment for Physician Services Business: Medi-Cal Managed Care The Department of Health Care Services (DHCS) received the Centers for Medicare & Medicaid Services (CMS) approval of the State Plan Amendment (SPA) 17-030. […]
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Provider Alert – Pulse Oximetry – 94760
April 5, 2018 / by HPSJ / Alerts
Date: April 4, 2018 To: Health Plan of San Joaquin (HPSJ) Practitioners and Providers From: HPSJ Claims Department Subject: Pulse Oximetry – 94760 Business: Medi-Cal We have identified a system error which unfortunately has been inappropriately paying physicians for CPT 94760. The error has now been fixed. A recovery request will be sent out to […]
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PCP Selection Change Form Automation
April 4, 2018 / by HPSJ / Alerts
Date: April 4, 2018 To: Health Plan of San Joaquin (HPSJ) Primary Care Practitioners From: HPSJ Provider Services Department Subject: PCP Selection Change Form Automation Business: Medi-Cal Managed Care Coming Soon: Electronic PCP Selection Change Form Our HPSJ network providers are important partners in delivering care to our members. As we continue to see ways […]
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Canceled – 3/22 – LUNCH & LEARN EVENT – Palliative Care Implementation, effective January 1, 2018
March 20, 2018 / by HPSJ / Alerts
Date: March 20, 2018 To: ALL: Primary Care Physicians, Oncologists, Cardiologists, Gastroenterologists, Pulmonologists From: Medical Management Department – Case Management Subject: Canceled – 3/22 – LUNCH & LEARN EVENT – Palliative Care Implementation, effective January 1, 2018 Business: Medi-Cal LUNCH & LEARN EVENT HAS BEEN CANCELED Health Plan of San Joaquin Lunch & Learn […]
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