July 13, 2020 / by Health Plan / Alerts
Date: July 13, 2020 To: HPSJ Providers and Practices (PCPs, Specialists, Hospitals, and Pharmacies) From: HPSJ Quality Management Department Subject: California Immunization Registry – Revised Sharing Policy, CAIR2 Business: Medi-Cal Per the California Immunization Registry, known as CAIR, and regulated by the State of California under Health and Safety Code, Section 120440, all patients/parents have […]
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Health Plan of San Joaquin provider Alerts
MCAS Measure AMM – Antidepressant Medication Management
August 27, 2020 / by Health Plan / Alerts
Date: August 27, 202 0 To: HPSJ Primary Care Providers {PCP} and Behavioral Health Care Providers From: HPSJ Quality Management Department Subject: MCAS Measure AMM – Antidepressant Medication Management Business: Medi-Cal The HPSJ Quality Team looks at adults ages 18+ who have a diagnosis of major depression and have been subsequently prescribed antidepressants. When documenting [...]Read more
DMHC/DHCS Timely Access Standards + Wait Times Set/Monitored by HPSJ
August 26, 2020 / by Health Plan / Alerts
Date: August 26, 2020 To: HPSJ Quality Management Department From: HPSJ Quality Management Department Subject: DMHC/DHCS Timely Access Standards + Wait Times Set/Monitored by HPSJ Business: Medi-Cal Health Plan of San Joaquin (HPSJ) is charged with maintaining the quality of care for our members. As such we must monitor access and availability within the network, [...]Read more
A virtual training session for HEDIS/NCQA Quality Measures 2020-2021
August 21, 2020 / by Health Plan / Alerts
Join us for your 2020 Vision of HPSJ’s LOOK and LEARN! (A virtual training session for HEDIS/NCQA Quality Measures 2020-2021). Let HPSJ help you and your staff increase quality standards! If your practice is focused on delivering quality services and interested in increasing your earning potential, we encourage you to register for one of the [...]Read more
Proposition 56 Funded ‐ Value Based Payment (VBP) program
August 19, 2020 / by Health Plan / Alerts
Date: August 19, 2020 To: Health Plan of San Joaquin (HPSJ) Contracted Physicians From: HPSJ Claims Department Subject: Proposition 56 Funded ‐ Value Based Payment (VBP) program – Updates for 8/2020 Business: Medi-Cal Health Plan of San Joaquin (HPSJ) is working diligently to implement the supplemental payments for the Department of Health Care Services (DHCS) […]
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DHCS Encounter Requirements – Patient Reason DX
July 16, 2020 / by Health Plan / Alerts, Non-Contracted Provider
Date: July 16, 2020 To: Health Plan of San Joaquin (HPSJ) All Providers & Facilities From: HPSJ Claims Department Subject: DHCS Encounter Requirements – Patient Reason DX Business: Medi-Cal As part of Health Plan of San Joaquin’s (HPSJ) continued efforts to ensure each claim submission will reconcile with each encounter submission to the California’s Department […]
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DHCS Encounter Requirements – Claim submissions
July 16, 2020 / by Health Plan / Alerts, Non-Contracted Provider
Date: July 16, 2020 To: Health Plan of San Joaquin (HPSJ) All Providers & Facilities From: HPSJ Claims Department Subject: DHCS Encounter Requirements – Claim submissions Business: Medi-Cal As part of Health Plan of San Joaquin’s (HPSJ) continued efforts to ensure each claim submission will reconcile with each encounter submission to the California’s Department of […]
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SURVEY – Communication Matters – Exchange of Information between SNF and PCPs Post-discharge
July 16, 2020 / by Health Plan / Alerts
Date: July 15, 2020 To: HPSJ Providers, Practices (PCPs & Specialists), Hospitals and Ancillary Facilities From: HPSJ Utilization Management Dept Subject: PLEASE COMPLETE SHORT SURVEY – Communication Matters – Exchange of Information between SNF and PCPs Post-discharge Business: Medi-Cal On Friday, April 17, 2020, Health Plan of San Joaquin (HPSJ) sent a communication about the […]
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SURVEY – Communication Matters – Exchange of Information between Hospitals and PCPs Post-discharge
July 16, 2020 / by Health Plan / Alerts
Date: July 15, 2020 To: HPSJ Providers, Practices (PCPs & Specialists), Hospitals and Ancillary Facilities From: HPSJ Utilization Management Dept Subject: PLEASE COMPLETE SHORT SURVEY – Communication Matters – Exchange of Information between Hospitals and PCPs Post-discharge Business: Medi-Cal On Friday, April 17, 2020, Health Plan of San Joaquin (HPSJ) sent a communication about the […]
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SURVEY – Communication Matters – Exchange of Information between ER and PCPs Post-discharge
July 16, 2020 / by Health Plan / Alerts
Date: July 15, 2020 To: HPSJ Providers, Practices (PCPs & Specialists), Hospitals and Ancillary Facilities From: HPSJ Utilization Management Dept Subject: PLEASE COMPLETE SHORT SURVEY – Communication Matters – Exchange of Information between ER and PCPs Post-discharge Business: Medi-Cal On Friday, April 17, 2020, Health Plan of San Joaquin (HPSJ) sent a communication about the […]
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California Immunization Registry – Revised Sharing Policy, CAIR2
July 13, 2020 / by Health Plan / Alerts
Date: July 13, 2020 To: HPSJ Providers and Practices (PCPs, Specialists, Hospitals, and Pharmacies) From: HPSJ Quality Management Department Subject: California Immunization Registry – Revised Sharing Policy, CAIR2 Business: Medi-Cal Per the California Immunization Registry, known as CAIR, and regulated by the State of California under Health and Safety Code, Section 120440, all patients/parents have […]
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