Health Plan of San Joaquin provider Alerts

Advair removed from formulary, AirDuo Respiclick added to formulary

Date: January 11, 2018 To: Primary Care Providers, Specialists, Clinics, Pharmacies and Hospitals From: Health Plan of San Joaquin Pharmacy Department Subject: Advair removed from formulary, AirDuo Respiclick added to formulary Business: Medi-Cal We are pleased to let you know that the first new generic ICS/LABA inhaler combination is now available and has been added […]

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Enhanced Health Reach – 24-hour Nurse/Physician Advice Line

Date: January 10, 2018 To: Health Plan of San Joaquin (HPSJ) Practitioners and Providers From: Lakshmi Dhanvanthari, MD, HPSJ Chief Medical Officer Subject: Subject: Enhanced Health Reach – 24-hour Nurse/Physician Advice Line Business: Medi-Cal Dear Practitioners, Providers and Practice staff. As always – The Health Reach 24-Hour Nurse Advice Line is free to HPSJ members […]

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Enhanced “HEDIS gap in care” reporting systems for Providers

Date: January 3, 2018 To: Health Plan of San Joaquin (HPSJ) Primary Care Providers From: HPSJ Quality Management Department Subject: Enhanced “HEDIS gap in care” reporting systems for Providers Business: Medi-Cal The New Reporting system is now available! HPSJ is delivering reports on gaps in care that are easier to use and that illustrate gaps […]

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REMINDER: Coordination of Care Between Hospice Agencies and Primary Care Physicians (PCPs)

Date: December 14, 2017 To: Health Plan of San Joaquin (HPSJ) Hospital Providers From: HPSJ Medical Management Department Subject: REMINDER: Coordination of Care Between Hospice Agencies and Primary Care Physicians (PCPs) Business: Medi-Cal Hospice Partners: This is a reminder to our contracted Hospice Agencies of the importance of the coordination of care between hospitals and […]

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REMINDER: Coordination of Care Between Skilled Nursing Facilities (SNF) and Primary Care Physicians (PCPs)

Date: December 14, 2017 To: Health Plan of San Joaquin (HPSJ) Hospital Providers From: HPSJ Medical Management Department Subject: REMINDER: Coordination of Care Between Skilled Nursing Facilities (SNF) and Primary Care Physicians (PCPs) Business: Medi-Cal Skilled Nursing Facility Partners: This is a reminder to our contracted Skilled Nursing Facilities of the importance of the coordination […]

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REMINDER: Coordination of Care Between Hospitals and Primary Care Physicians (PCPs)

Date: December 14, 2017 To: Health Plan of San Joaquin (HPSJ) Hospital Providers From: HPSJ Medical Management Department Subject: REMINDER: Coordination of Care Between Hospitals and Primary Care Physicians (PCPs) Business: Medi-Cal Hospital Partners: This is a reminder to our contracted acute care hospitals of the importance of the coordination of care between hospitals and […]

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UPDATE – Online Authorization Approval dates

Date: December 14, 2018 To: Health Plan of San Joaquin (HPSJ) Providers and Practitioners From: HPSJ Medical Management & IT Departments Subject: UPDATE – Online Authorization Approval dates Business: Medi-Cal Step-by-step instructions have been posted: on the HPSJ provider website (www.hpsj.com/providers/) within the Provider Portal As with any upgrade, we continue to work on identified […]

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Formulary Update – Pharmacy and Therapeutics Committee Has approved the following changes

Date: December 14, 2017 To: Health Plan of San Joaquin (HPSJ) Physicians, Providers, and Pharmacies From: Health Plan of San Joaquin Pharmacy and Therapeutics Committee Subject: Formulary Update Business: Medi-Cal Effective 02/22/2018, the Pharmacy and Therapeutics Committee has approved the following changes: Sofosbuvir/Velpatasvir/Voxilaprevir (Vosevi): PA required. This medication is restricted to Diplomat Specialty Pharmacy. Please […]

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New DHCS California Regulation for All Providers

Date: November 13, 2017 To: Health Plan of San Joaquin (HPSJ) Primary Care Providers (PCP), Specialists and Ancillary Providers From: HPSJ Quality Management Department Subject: New DHCS California Regulation for All Providers Business: Medi-Cal FFS Enrollment ​​ Effective January 1, 2018 This can affect your HPSJ contract. Please review immediately. There is a new regulation […]

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