January 30, 2018 / by HPSJ / Alerts
Date: January 30, 2018 To: All Primary Care Physicians All Oncologists All Cardiologists All Gastroenterologists All Pulmonologists From: Medical Management Department Subject: AVAILABLE NOW: Outpatient Palliative Care for Medi-Cal Members Business: Medi-Cal Effective January 1, 2018, Medi-Cal plans are required to provide palliative care services to their members (All Plan Letter 17-015; Senate Bill 1004, […]
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Health Plan of San Joaquin provider Alerts
Formulary Update – The Pharmacy and Therapeutics Committee has approved the following changes
February 28, 2018 / by HPSJ / Alerts, Pharmacy Announcements
Date: February 27, 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 – The Pharmacy and Therapeutics Committee has approved the following changes Business: Medi-Cal Effective 05/02/2018, the Pharmacy and Therapeutics Committee has approved the following changes: Additions to […]
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Coordination of Benefits Agreement (COBA)
February 26, 2018 / by HPSJ / Alerts
Date: February 26, 2018 To: Health Plan of San Joaquin (HPSJ) Practitioners and Providers From: HPSJ Claims Department Subject: Coordination of Benefits Agreement (COBA) Business: Medi-Cal Great News!! In accordance with the transaction and code sets adopted by the Secretary of Health & Human Services through a final rule published in 45 CFR 162, Health […]
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Effective Immediately – Additional Changes to Prior Authorization Requirements
February 22, 2018 / by HPSJ / Alerts
Date: February 22, 2018 To: Health Plan of San Joaquin (HPSJ) Practitioners and Providers From: HPSJ Medical Management Department Subject: Effective Immediately – Additional Changes to Prior Authorization Requirements Business: Medi-Cal Effective immediately As we continue to seek ways to streamline processes, HPSJ has simplified prior authorization requirements for your busy office. A prior authorization […]
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Provider Incentive Claims Timeline
February 21, 2018 / by HPSJ / 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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FDA safety alert – New dosing for Ocaliva (obeticholic acid)
February 9, 2018 / by HPSJ / Alerts
Date: February 9, 2018 To: Gastroenterologists From: HPSJ Pharmacy Department Subject: FDA safety alert – New dosing for Ocaliva (obeticholic acid) Business: Medi-Cal The Food and Drug Administration (FDA) is warning that the liver disease medicine Ocaliva (obeticholic acid) has been incorrectly dosed. Previously, it was recommended daily in patients with moderate to severe Primary […]
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AVAILABLE NOW: Outpatient Palliative Care for Medi-Cal Members
January 30, 2018 / by HPSJ / Alerts
Date: January 30, 2018 To: All Primary Care Physicians All Oncologists All Cardiologists All Gastroenterologists All Pulmonologists From: Medical Management Department Subject: AVAILABLE NOW: Outpatient Palliative Care for Medi-Cal Members Business: Medi-Cal Effective January 1, 2018, Medi-Cal plans are required to provide palliative care services to their members (All Plan Letter 17-015; Senate Bill 1004, […]
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Provider Alert – Senna Recall
January 24, 2018 / by HPSJ / Alerts
Date: January 24, 2018 To: Health Plan of San Joaquin (HPSJ) Pharmacies and PCPs From: HPSJ Pharmacy Department Subject: Senna Recall Business: Medi-Cal We are sending this alert because of a recall on one lot of Basic Drugs Brand of Senna Laxative tablets, 8.6mg. This recall is due to a customer finding out that their […]
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Getting the most for your Provider Incentive – Claims Timeline is Fast Closing on the Deadline
January 17, 2018 / by HPSJ / Alerts
Date: January 17, 2018 To: Health Plan of San Joaquin (HPSJ) Primary Care Providers From: HPSJ Quality Management Department Subject: Getting the most for your Provider Incentive – Claims Timeline is Fast Closing on the Deadline Business: Medi-Cal This message to our HPSJ providers is to ensure ALL your billings are captured and paid out […]
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Proposition 56 Supplemental Payment for Physician Services
January 16, 2018 / by HPSJ / Alerts
Date: January 16, 2018 To: Health Plan of San Joaquin (HPSJ) Primary Care (PCP) & Specialist Providers From: Provider Services Department Subject: Proposition 56 Supplemental Payment for Physician Services Business: Medi-Cal Managed Care Period of Service Impacted: July 1, 2017 through June 30, 2018 The Department of Healthcare Services (DHCS) recently received approval from the […]
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Provider Alert – Clopidogrel Recall
January 12, 2018 / by HPSJ / Alerts, Pharmacy Announcements
Date: January 12, 2018 To: Health Plan of San Joaquin (HPSJ) Pharmacies and PCPs From: Health Plan of San Joaquin Pharmacy Department Subject: Clopidogrel Recall Business: Medi-Cal We are sending this alert because your patients may have filled a prescription for Clopidogrel tablets 75mg within the last six months (180 days). The product is labeled […]
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