December 16, 2020 / by Health Plan / Alerts, Pharmacy Announcements
Date: December 14, 2020 To: Health Plan of San Joaquin (HPSJ) Physicians, Providers, and Pharmacies From: Health Plan of San Joaquin Subject: Formulary Update Business: Medi-Cal Effective 02/01/2021, the Pharmacy and Therapeutics Committee has approved the following changes: Formulary Status Changes For Hidradenitis Suppurativa - Adalimumab (Humira) 10mg/0.2mL, 20mg/0.2mL, 40mg/0.4mL, and 80mg/0.8mL syringe/pen: PA required. [...]
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Health Plan of San Joaquin provider Alerts
Formulary Update – Effective 02/01/2021
December 16, 2020 / by Health Plan / Alerts, Pharmacy Announcements
Date: December 14, 2020 To: Health Plan of San Joaquin (HPSJ) Physicians, Providers, and Pharmacies From: Health Plan of San Joaquin Subject: Formulary Update Business: Medi-Cal Effective 02/01/2021, the Pharmacy and Therapeutics Committee has approved the following changes: Formulary Status Changes For Hidradenitis Suppurativa - Adalimumab (Humira) 10mg/0.2mL, 20mg/0.2mL, 40mg/0.4mL, and 80mg/0.8mL syringe/pen: PA required. [...]Read more
Update – DHCS APL 20-010 Cost-Avoidance, Other Health Coverage, and Post Payment Recovery
December 14, 2020 / by Health Plan / Alerts
Date: December 11, 2020 To: Health Plan of San Joaquin (HPSJ) All Providers & Facilities From: Health Plan of San Joaquin Subject: Update - DHCS APL 20-010 Cost-Avoidance, Other Health Coverage, and PostPayment Recovery Business: Medi-Cal Managed Care State law requires Medi-Cal and Managed Care Plans (MCPs), such as HPSJ, to be the payer of [...]Read more
TOP TOPICS Monthly Spotlights Just for HPSJ Providers, November 2020
November 25, 2020 / by Health Plan / Alerts, Top Topics
November 25, 2020 – Volume Two HPSJ Expands Access to Flu Vaccine Due to concerns about possible concurrent contracting of Covid-19 and Flu, Health Plan of San Joaquin has expanded access for members to receive the protections of this year’s flu shot. As of Nov 9, 2020, any HPSJ Member can get their flu shot [...]Read more
Important Update for Pharmacy Benefits Change: April 1, 2021
November 20, 2020 / by Health Plan / Alerts, Non-Contracted Provider, Pharmacy Announcements
Date: November 20, 2020 To: Health Plan of San Joaquin (HPSJ) Provider Network From: Health Plan of San Joaquin Subject: Important Update for Pharmacy Benefits Change: • NEW – Effective Date moved to April 1, 2021 • State requests continued registration & preparation • Meanwhile: No change – HPSJ will continue to offer the pharmacy [...]Read more
NEW – HPSJ Stretches Members’ Flu Vaccine Access
November 18, 2020 / by Health Plan / Alerts, Non-Contracted Provider
Date: November 18, 2020 To: Health Plan of San Joaquin (HPSJ) All Providers & Facilities From: Health Plan of San Joaqui Subject: NEW - HPSJ Stretches Members’ Flu Vaccine Access Business: Medi-Cal Managed Care Due to concerns about possible concurrent contracting of Covid-19 and influenza, Health Plan of San Joaquin (HPSJ) has expanded access for [...]Read more
Provider DEA Renewals
November 13, 2020 / by Health Plan / Alerts
Date: November 13, 2020 To: HPSJ Providers From: Health Plan of San Joaquin Subject: Provider DEA Renewals Business: Medi-Cal Managed Care Health Plan of San Joaquin currently utilizes the Drug Enforcement Agency (DEA) Controlled Substance Ace (CSA) subscription service from NTIS to update/renew DEA certificates. As of November 17, 2020 NTIS will no longer accept [...]Read more
Virtual Look and Learn – 2020 Vision of Behavioral Health
November 9, 2020 / by Health Plan / Alerts
Date: November 9, 2020 To: Health Plan of San Joaquin (HPSJ) Providers From: Health Plan of San Joaquin Subject: VIRTUAL LOOK AND LEARN – 2020 Vision of Behavioral Health Business: Medi-Cal Holidays are fast approaching. COVID-19 is still with us. Multiple research studies are illustrating concerning trends in the mental health of many. In your [...]Read more
**Reminder**DHCS Encounter Requirement – NDC Required (Update)
November 5, 2020 / by Health Plan / Alerts, Non-Contracted Provider
Date: November 5, 2020 To: Health Plan of San Joaquin (HPSJ) All Provider & Facilities From: Health Plan of San Joaquin Subject: **Reminder**DHCS Encounter Requirement – NDC Required (Update) Business: Medi-Cal Managed Care Health Plan of San Joaquin (HPSJ) sent out a provider alert on August 5, 2019 & September 4, 2020 informing providers of [...]Read more
Annual-Fraud, Waste and Abuse (FWA) Training – Extended to November 13
November 5, 2020 / by Health Plan / Alerts
Date: November 3, 2020 To: Health Plan of San Joaquin (HPSJ) Providers From: Health Plan of San Joaquin Subject: Annual-Fraud, Waste and Abuse (FWA) Training Extended Business: Medi-Cal We have extended the due date for this mandatory training. PLEASE COMPLETE TODAY! Health Plan of San Joaquin (HPSJ), is a licensed health care services plan regulated [...]Read more
Annual Cultural Competency Training – Extended to November 13
November 5, 2020 / by Health Plan / Alerts
Date: November3,2020 To: HealthPlan ofSan Joaquin (HPSJ) Providers From: HPSJProviderServicesDepartment Subject: Annual Cultural Competency Training - Has been Extended to Friday November 13 Business: Medi-Cal We have extended the due date for this required training. PLEASE COMPLETE TODAY! Health Plan of San Joaquin is launching our annual required Cultural Competency Training and Attestation collection [...]Read more