September 21, 2017 / by HPSJ / Alerts
Date: September 21, 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 Products: Medi-Cal Effective 11/29/2017, the Pharmacy and Therapeutics Committee has approved the following changes: Additions to the Formulary: Rizatriptan 5mg ODT: Limited to 9 tablets per 30 […]
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Health Plan of San Joaquin provider Alerts
Formulary Update
September 21, 2017 / by HPSJ / Alerts
Date: September 21, 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 Products: Medi-Cal Effective 11/29/2017, the Pharmacy and Therapeutics Committee has approved the following changes: Additions to the Formulary: Rizatriptan 5mg ODT: Limited to 9 tablets per 30 […]
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Provider Appointment Availability Survey (PAAS)
September 18, 2017 / by HPSJ / Alerts
Date: September 18, 2017 To: Health Plan of San Joaquin (HPSJ) Providers and Practitioners From: Health Plan of San Joaquin Network Services Subject: Provider Appointment Availability Survey (PAAS) Business: Medi-Cal HPSJ is required to perform an annual Provider Appointment Availability Survey, as mandated by the California Department of Managed HealthCare (DMHC). The success of this […]
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Provider Appointment Availability Survey (PAAS) – Coming Soon!
September 6, 2017 / by HPSJ / Alerts
Date: September 6, 2017 To: Health Plan of San Joaquin (HPSJ) Providers and Practitioners From: Health Plan of San Joaquin Subject: Provider Appointment Availability Survey (PAAS) Coming soon! Business: Medical HPSJ is required to perform an annual Provider Appointment Availability Survey, as mandated by the California Department of Managed HealthCare (DMHC). The success of this […]
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Eligibility Resolved! Updated Member Eligibility
September 2, 2017 / by HPSJ / Alerts
Date: September 2, 2017 (5:00 a.m.) To: Health Plan of San Joaquin (HPSJ) Providers and Pharmacies From: Health Plan of San Joaquin Subject: Eligibility Resolved! Updated Member Eligibility Business: Medical Effective Now – Member eligibility has been updated. The correct September 2017 eligibility files are now reflected through all normalchannels (DRE provider portal, HPSJ IVR, […]
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Change – Prior Authorization Requirements for Physical Therapy and Occupational Therapy
August 9, 2017 / by HPSJ / Alerts
Date: August 9, 2017 To: Health Plan of San Joaquin (HPSJ) Practitioners and Providers From: HPSJ Medical Management Department Subject: Change – Prior Authorization Requirements for Physical Therapy and Occupational Therapy Business: Medi-Cal Effective October 11, 2017 Background Previously, in an effort to support our providers, HPSJ removed the prior authorization requirement for an initial […]
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Check Run & Remittance Advice (835) posting schedule update
August 4, 2017 / by HPSJ / Alerts
Date: August 4, 2017 To: Health Plan of San Joaquin (HPSJ) Providers and Billing Offices From: Provider Services Department Subject: Check Run & Remittance Advice (835) posting schedule update Business: Medi-Cal, MCAP (Medi-Cal Access Program, previously known as AIM) Effective Immediately, HPSJ has implemented a change in Check Run Dates and the ability to view […]
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DRE Refresher Training Lunch and Learn
August 4, 2017 / by HPSJ / Alerts
Date: August 4, 2017 To: Health Plan of San Joaquin (HPSJ) Primary Care Providers (PCP) From: Provider Services Department Subject: DRE Refresher Training Lunch and Learn Our HPSJ providers are important partners in delivering care to our members. Because of your valued contribution, we are glad to provide the following DRE (secure provider portal) refresher […]
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NEW – Six Month HPSJ Outpatient Palliative Care Pilot Project
July 31, 2017 / by HPSJ / Alerts
Date: July 31, 2017 To: Health Plan of San Joaquin (HPSJ) Hospitals with Inpatient Palliative Care Programs – Chief Medical Officer, Case Management Team, Admittance Department, Hospitalists and Inpatient Palliative Care Teams From: Medical Management Department – Case Management Subject: NEW – Six Month HPSJ Outpatient Palliative Care Pilot Project Business: Medi-Cal With the launch […]
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State Reverses Change to PM 160 Encounter Forms
July 18, 2017 / by HPSJ / Alerts
Date: July 18, 2017 To: Health Plan of San Joaquin (HPSJ) Primary Care Providers (PCPs) From: Provider Services Department Subject: State Reverses Change to PM 160 Encounter Forms Business: Medi-Cal, MCAP (Medi-Cal Access Program, previously known as AIM) The Department of Health Care Services (DHCS) has informed HPSJ that at this time: PM 160 Encounter […]
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NEW FORM Non-Emergency Medical Transportation – Physician Certification Statement Form
July 13, 2017 / by HPSJ / Alerts
Date: July 13, 2017 To: Health Plan of San Joaquin Providers, Practitioners and Facilities From: HPSJ Medical Management Department Subject: NEW FORM Non-Emergency Medical Transportation – Physician Certification Statement Form Business: Medi-Cal, MCAP (Medi-Cal Access Program, previously known as AIM) Effective July 1, 2017 For non-emergency medical transportation (NEMT) services, providers will be required to […]
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