November 6, 2023 / by HPSJ / Alerts
Date: November 6, 2023 To: Health Plan of San Joaquin (HPSJ) Primary Care Providers (PCP)s and Behavioral Health Providers Type: Regulatory Subject: After Hours Survey is Here Business: Medi-Cal Managed Care HPSJ monitors after-hours access for our members on an ongoing basis, as required by the Department of Health Care Services (DHCS) and the Department [...]
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Health Plan of San Joaquin provider Alerts
Long Term Care (LTC) Carve-In Intermediate Care Facility (ICF) and Subacute Implementation Go-Live on January 1, 2024
November 14, 2023 / by HPSJ / Alerts
Date: November 14, 2023 To: Health Plan of San Joaquin (HPSJ) Contracted Providers and Facilities Type: Regulatory/Informational Subject: Long Term Care (LTC) Carve-In Intermediate Care Facility (ICF) and Subacute Implementation Go-Live on January 1, 2024 Business: Medi-Cal Managed Care By January 1, 2024, per the Department of Health Care Services (DHCS), all residents of ICF/DD, [...]Read more
After Hours Survey is Here
November 6, 2023 / by HPSJ / Alerts
Date: November 6, 2023 To: Health Plan of San Joaquin (HPSJ) Primary Care Providers (PCP)s and Behavioral Health Providers Type: Regulatory Subject: After Hours Survey is Here Business: Medi-Cal Managed Care HPSJ monitors after-hours access for our members on an ongoing basis, as required by the Department of Health Care Services (DHCS) and the Department [...]Read more
Reminder: Enhanced Provider Dispute Resolution (PDR) Process
November 1, 2023 / by HPSJ / Alerts
Date: November 1, 2023 To: All Health Plan of San Joaquin (HPSJ) Providers and Facilities Type: Educational/Informational Subject: Reminder: Enhanced Provider Dispute Resolution (PDR) Process Business: Medi-Cal Managed Care On April 15 of 2021, HPSJ implemented several new enhancements to the PDR process. This alert serves as a reminder to ensure each Provider Dispute Resolution [...]Read more
Follow-Up After Hospitalization for Mental Illness (FUH) & Follow Up After High-Intensity Care for Substance Use Disorder (FUI)
November 1, 2023 / by HPSJ / Alerts
Date: November 1, 2023 To: Health Plan of San Joaquin (HPSJ) Contracted Hospitals, Emergency Rooms, and Other Network Providers Type: Educational/Informational Subject: Follow-Up After Hospitalization for Mental Illness (FUH) & Follow Up After High-Intensity Care for Substance Use Disorder (FUI) Business: Medi-Cal Managed Care Healthcare Effectiveness Data and informational Set (HEDIS) for Measurement Year 2023 [...]Read more
Reminder: HPSJ Website Information Available to Providers
November 1, 2023 / by HPSJ / Alerts
Date: November 1, 2023 To: All Health Plan of San Joaquin (HPSJ) Providers and Facilities Type: Educational/Informational Subject: Reminder: HPSJ Website Information Available to Providers Business: Medi-Cal Managed Care REMINDER The Health Plan of San Joaquin (HPSJ) website provides information about programs and services. You can view or download information about the following topics on [...]Read more
Reminder – Controlling High Blood Pressure (CBP)
October 27, 2023 / by HPSJ / Alerts
Date: October 27, 2023 To: Health Plan of San Joaquin (HPSJ) CONTRACTED Primary Care Providers (PCPs) and Specialty Care Providers (SCPs) Type: Educational/informal Subject: Reminder - Controlling High Blood Pressure (CBP) Business: Medi-Cal Managed Care Healthcare Effectiveness Data Information Set (HEDIS) Measurement Year 2023 The following is a reminder of Controlling High Blood Pressure (CBP). [...]Read more
Reminder – Colorectal Cancer Screening (COL)
October 27, 2023 / by HPSJ / Alerts
Date: October 27, 2023 To: Health Plan of San Joaquin (HPSJ) CONTRACTED Primary Care Providers (PCPs) and Specialty Care Providers (SCPs) Type: Educational/informal Subject: Reminder - Colorectal Cancer Screening (COL) Business: Medi-Cal Managed Care Health Effectiveness Data and Information Set (HEDIS) Measurement Year 2023 The following is a reminder regarding Colorectal Cancer Screening. Description: Patients [...]Read more
Reminder – Asthma Medication Ratio (AMR)
October 27, 2023 / by HPSJ / Alerts
Date: October 26, 2023 To: Health Plan of San Joaquin (HPSJ) Contracted Primary Care Providers (PCPs), HPSJ Pediatrics Type: Educational/informal Subject: Reminder - Asthma Medication Ratio (AMR) Business: Medi-Cal Managed Care Healthcare Effectiveness Data Information Set (HEDIS) Measurement Year 2023 Asthma Medication Ratio (AMR) The following is a reminder regarding the Asthma Medication Ratio (AMR). [...]Read more
UPDATE – Prenatal and Postpartum Care (PPC), Prenatal Immunization Status (PRS)-E, Prenatal Depression Screening and Follow-up (PND)-E, Postpartum Depression Screening and Follow-up (PDS)-E
October 27, 2023 / by HPSJ / Alerts
Date: October 26, 2023 To: Health Plan of San Joaquin (HPSJ) Contracted Primary Care Providers (PCPs), OB/GYN, and Prenatal Care Providers Type: Educational/informal Subject: UPDATE - Prenatal and Postpartum Care (PPC), Prenatal Immunization Status (PRS)-E, Prenatal Depression Screening and Follow-up (PND)-E, Postpartum Depression Screening and Follow-up (PDS)-E Business: Medi-Cal Managed Care Healthcare Effectiveness Data Information [...]Read more
Mandatory Annual Trainings – Complete by 11/30/2023
October 24, 2023 / by HPSJ / Alerts
Date: October 24, 2023 To: Health Plan of San Joaquin (HPSJ) Provider Network Type: Regulatory Subject: Mandatory Annual Trainings – Complete by 11/30/2023 Business: Medi-Cal Managed Care ACTION REQUIRED Please complete ALL THREE trainings by November 30, 2023 Annual training is mandated by California’s Department of Health Care Services (DHCS) and the federal Centers for [...]Read more