April 18, 2019 / by Health Plan / Alerts
Date: April 18, 2019 To: HPSJ Primary Care Providers, Specialists, Clinics, Pharmacies, and Hospitals From: Health Plan of San Joaquin Pharmacy Department Subject: Opioid 90 MME/Day Limit – Effective 7/22/2019 Business: Medi-Cal To reduce the potential for chronic opioid use or misuse, Health Plan of San Joaquin is implementing a safety limit on opioid prescriptions […]
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Health Plan of San Joaquin provider Alerts
Opioid 90 MME/Day Limit – Effective 7/22/2019
April 18, 2019 / by Health Plan / Alerts
Date: April 18, 2019 To: HPSJ Primary Care Providers, Specialists, Clinics, Pharmacies, and Hospitals From: Health Plan of San Joaquin Pharmacy Department Subject: Opioid 90 MME/Day Limit – Effective 7/22/2019 Business: Medi-Cal To reduce the potential for chronic opioid use or misuse, Health Plan of San Joaquin is implementing a safety limit on opioid prescriptions […]
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Additional Changes to Prior Authorization Requirements: Podiatry and Durable Medical Equipment (DME)
April 18, 2019 / by Health Plan / Alerts
Date: April 19, 2019 To: Health Plan of San Joaquin (HPSJ) Providers From: HPSJ Medical Management Department Subject: Effective Immediately – Additional Changes to Prior Authorization Requirements: Podiatry and Durable Medical Equipment (DME) Business: Medi-Cal Our HPSJ network providers are important partners in delivering care to our members. As we continue to seek ways to […]
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Notification of Mail Theft and Potential Fraud
April 10, 2019 / by Health Plan / Alerts
Date: April 10, 2019 To: Health Plan of San Joaquin (HPSJ) Providers From: HPSJ Compliance Department Subject: Notification of Mail Theft and Potential Fraud Business: Medi-Cal In keeping with our Fraud, Waste and Abuse policies, HPSJ wants to keep you informed of a potential mail theft or fraud that may impact you or your practice. […]
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Beacon HPSJ Anxiety Webinar 2019 Video
March 27, 2019 / by Health Plan / Alerts
Provider Training on Anxiety Disorders Target audience: PCPs, Specialists, County and Community Based Organizations Presented by Beacon Health options, please view this behavioral health web-based training on anxiety and anxiety disorders. Learn about: The types of anxiety disorders and how to identify them Prevalence Symptoms Causes/Triggers Treatment approaches How to refer members to mental health […]
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New Naloxone Regulations Effective January 1, 2019
March 27, 2019 / by Health Plan / Alerts
Date: March 27, 2019 To: HPSJ Primary Care Providers, Specialists, and Pharmacies From: Health Plan of San Joaquin Pharmacy Department Subject: New Naloxone Regulations Effective January 1, 2019 Business: Medi-Cal The Department of Health Care Services (DHCS) wants all providers to be aware of the Assembly Bill 2760 requirement to offer a prescription to a […]
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Paper Claims Submission –Address Change
March 14, 2019 / by Health Plan / Alerts
Date: March 14, 2019 To: Health Plan of San Joaquin (HPSJ) Practitioners and Providers From: HPSJ Claims Department Subject: Paper Claims Submission – Address Change Business: Medi-Cal Health Plan of San Joaquin (HPSJ) will have a new mailing address for initial and corrected paper claim(s) submissions. Effective May 15, 2019 all paper claim submissions should […]
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Presented by Beacon Health Options – Web-based training on Depression
March 11, 2019 / by Health Plan / Alerts
Date: March 11, 2019 To: Health Plan of San Joaquin (HPSJ) Providers (PCPs and Specialists) From: HPSJ Medical Management Department Subject: Presented by Beacon Health Options – Web-based training on Depression Business: Medi-Cal Please join Beacon Health Options for a behavioral health web-based training session on depression. Learn how to spot warning signs and get […]
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Formulary Update for 4/29/2019
February 25, 2019 / by Health Plan / Alerts
Date: February 25, 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 for 4/29/2019 Business: Medi-Cal Effective 4/29/19, the Pharmacy and Therapeutics Committee has approved the following changes: Additions to the Formulary: Fidaxomicin (Dificid) 200mg Tablet: PA required. […]
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Requirements for Early and Periodic Screening, Diagnostic and Treatment Services (EPSDT)
February 22, 2019 / by Health Plan / Alerts
Date: February 21, 2019 To: Health Plan of San Joaquin (HPSJ) Providers From: HPSJ Medical Management Department Subject: Requirements for Early and Periodic Screening, Diagnostic and Treatment Services (EPSDT) Business: Medi-Cal Health Plan of San Joaquin contracted Primary Care Providers are required to screen children under the age of 21. All members under 21 years […]
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REMINDER – Changes to PM 160 Encounter Forms
February 21, 2019 / by Health Plan / Alerts
Date: February 21, 2019 To: Health Plan of San Joaquin (HPSJ) Primary Care Providers (PCPs) From: Provider Services Department Subject: REMINDER – Changes to PM 160 Encounter Forms Business: Medi-Cal The Department of Health Care Services (DHCS) informed HPSJ that PM 160 CHDP encounter forms were eliminated from the state Medi-Cal program effective July 1, […]
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