September 18, 2019 / by Health Plan / Alerts, Pharmacy Announcements
Date: September 18, 2019 To: Health Plan of San Joaquin (HPSJ) Physicians, Providers, and Pharmacies From: Health Plan of San Joaquin Pharmacy and Therapeutics Committee Subject: Formulary Update – September 18, 2019 Business: Medi-Cal Managed Care Effective 12/02/2019, the Pharmacy and Therapeutics Committee has approved the following changes: Additions to the Formulary: Heparin sodium porcine/PF […]
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Health Plan of San Joaquin provider Alerts
Providers & Community Partners Advisory – California Wildfires & Smoke, and PG&E Power Shut-Offs
October 30, 2019 / by Health Plan / Alerts
Date: October 30, 2019 To: HPSJ Providers, HPSJ Pharmacies, and Community-Based Organizations – San Joaquin Co. & Stanislaus Co. From: Health Plan of San Joaquin Medical Management Subject: HPSJ Expedites Access to Benefits & Prescriptions for Any HPSJ Medi-Cal Member Affected During California Fire Season Refrigerated Prescribed Medications Electrical Medical Equipment Health Plan of […]
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Provider Alert Additional Payments
October 26, 2019 / by Health Plan / Alerts
Date: October 25, 2019 To: Health Plan of San Joaquin (HPSJ) Practitioners, Providers, and Facilities From: HPSJ Claims Department Subject: Provider Alert Additional Payments Business: Medi-Cal Managed Care During a recent audit, Health Plan of San Joaquin (HPSJ) identified the following: Not paying specialty rates on certain services Not paying penalty when interest was paid […]
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DMHC/DHCS Timely Access Standards + Wait Times Set/Monitored by HPSJ
October 21, 2019 / by Health Plan / Alerts
Date: October 18, 2019 To: Health Plan of San Joaquin (HPSJ) Practitioners, Providers & Facilities From: HPSJ Quality Management Department Subject: DMHC/DHCS Timely Access Standards + Wait Times Set/Monitored by HPSJ Business: Medi-Cal Managed Care Health Plan of San Joaquin (HPSJ) is charged with maintaining the quality of care for our members. As such we […]
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Measures – Non-FQHC and Non-Clinic providers. Effective July 1, 2019
October 7, 2019 / by Health Plan / Alerts
Date: October 2, 2019 To: All Health Plan of San Joaquin (HPSJ) Contracted Practitioners From: HPSJ Quality Management Department Subject: DHCS Value Based Payment (VBP) Performance Measures – Non-FQHC and Non-Clinic providers. Effective July 1, 2019 Business: Medi-Cal DHCS Value Based Payment (VBP) Performance Measures – Non-FQHC and Non-Clinic providers. Effective July 1, 2019 […]
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DHCS Naloxone Distribution Project
September 24, 2019 / by Health Plan / Alerts
Date: September 24, 2019 To: Health Plan of San Joaquin (HPSJ) Practitioners, Providers, and Facilities From: HPSJ Provider Services Department Subject: DHCS Naloxone Distribution Project Business: Medi-Cal Managed Care DHCS Message: STOP OVERDOSE An Important Message from the California Department of Health Care Services (DHCS) The Naloxone Distribution Project (NOP) is funded by the Substance […]
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2019-2020 Flu Season Flu Shots are an HPSJ Covered Benefit
September 23, 2019 / by Health Plan / Alerts
Date: September 23, 2019 To: Health Plan of San Joaquin (HPSJ) Practitioners and Providers From: HPSJ Medical Management Department Subject: 2019-2020 Flu Season – Flu Shots are an HPSJ Covered Benefit 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 […]
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MCAS Measure AMM – Antidepressant Medication Management
September 18, 2019 / by Health Plan / Alerts
Date: September 18, 2019 To: HPSJ Primary Care Providers {PCP} and Behavioral Health Care Providers From: HPSJ Quality Management Department Subject: MCAS Measure AMM – Antidepressant Medication Management Business: Medi-Cal Patients who are new starts to antidepressant medications are at high risk for non-adherence. The HPSJ Quality Team looks at adults ages 18+ who have […]
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Formulary Update – September 18, 2019
September 18, 2019 / by Health Plan / Alerts, Pharmacy Announcements
Date: September 18, 2019 To: Health Plan of San Joaquin (HPSJ) Physicians, Providers, and Pharmacies From: Health Plan of San Joaquin Pharmacy and Therapeutics Committee Subject: Formulary Update – September 18, 2019 Business: Medi-Cal Managed Care Effective 12/02/2019, the Pharmacy and Therapeutics Committee has approved the following changes: Additions to the Formulary: Heparin sodium porcine/PF […]
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Update for HPSJ Member Incentives
September 18, 2019 / by Health Plan / Alerts
Date: September 18, 2019 To: Health Plan of San Joaquin (HPSJ) Practitioners, Providers, and Facilities From: HPSJ Quality Management Department Subject: Update for HPSJ Member Incentives Business: Medi-Cal Managed Care Effective date for this Incentive Texting/Online Pilot is October 2019, pending DHCS approval. HPSJ has made several key changes to the member incentives program. The […]
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Clinical Review Update: Concomitant Anticholinergic and Antipsychotic Use
September 12, 2019 / by Health Plan / Alerts, Pharmacy Announcements
Learning Objectives: Understand the role of anticholinergic medications in the prevention and treatment of antipsychotic-induced extrapyramidal symptoms (EPS). Describe factors that should be considered when deciding to initiate and/or continue the concomitant use of anticholinergic with antipsychotic medication therapy. Key Points: Anticholinergic medications, including benztropine and trihexyphenidyl, are often prescribed to prevent or treat antipsychotic-induced […]
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