October 8, 2020 / by Health Plan / Alerts, Pharmacy Announcements
Date: October 8, 2020 To: Health Plan of San Joaquin (HPSJ) Physicians, Providers, and Pharmacies From: Health Plan of San Joaquin Pharmacy and Therapeutics Committee Subject: Formulary Update - Effective December 16, 2020 Business: Medi-Cal Effective December 16, 2020, the Pharmacy and Therapeutics Committee has approved the following changes. Additions to the Formulary: Upadacitinib (Rinvoq) [...]
Read more
Health Plan of San Joaquin provider Alerts
Information found on the Website
October 13, 2020 / by Health Plan / Alerts, Non-Contracted Provider
Date: October 12, 2020 To: Health Plan of San Joaquin (HPSJ) Primary Care Providers {PCP}, OBGYN, and All Specialist From: Health Plan of San Joaquin Subject: Information found on the Website Business: Medi-Cal Health Plan of San Joaquin would like to remind you about our website (http://www.hpsj.com). We include information about many topics of interest [...]Read more
Formulary Update – Effective December 16, 2020
October 8, 2020 / by Health Plan / Alerts, Pharmacy Announcements
Date: October 8, 2020 To: Health Plan of San Joaquin (HPSJ) Physicians, Providers, and Pharmacies From: Health Plan of San Joaquin Pharmacy and Therapeutics Committee Subject: Formulary Update - Effective December 16, 2020 Business: Medi-Cal Effective December 16, 2020, the Pharmacy and Therapeutics Committee has approved the following changes. Additions to the Formulary: Upadacitinib (Rinvoq) [...]Read more
2020 Immunization Updates: Vaccination during COVID-19, Flu, HepA, and Tdap
September 30, 2020 / by Health Plan / Alerts, Pharmacy Announcements
Each year, the California Medi-Cal Drug Use Review (DUR) program issues an annual summary of updates on immunization guidelines, products, and/or research in collaboration with the California Department of Public Health (CDPH) Immunization Branch. For reference, the recommended immunization schedules for 2020 in the United States can be accessed on the Centers for Disease Control […]
Read more
MCAS Measure ADD – Follow up care for children prescribed ADHD Medication
September 29, 2020 / by Health Plan / Alerts
Date: September 29, 2020 To: Health Plan of San Joaquin (HPSJ) Primary Care Providers {PCP}, OBGYN, BH, All Specialists From: Health Plan of San Joaquin Subject: MCAS Measure ADD – Follow up care for children prescribed ADHD Medication Business: Medi-Cal If you have any questions about this measure or any of the other MCAS/HEDIS measures, [...]Read more
Diabetes Screening for People With Schizophrenia or Bipolar Disorder
September 22, 2020 / by Health Plan / Alerts
Date: September 22, 2020 To: Health Plan of San Joaquin (HPSJ) Primary Care Providers {PCP}, OBGYN, BH and All Specialist From: Health Plan of San Joaquin Subject: MCAS Measure: SSD – Diabetes Screening for People With Schizophrenia or Bipolar Disorder Who Are Using Antipsychotic Medications Business: Medi-Cal **NEW MEASURE for 2020 measurement year** SSD – [...]Read more
MCAS Measure: APM– Metabolic Monitoring for Children and Adolescents on Antipsychotics
September 22, 2020 / by Health Plan / Alerts
Date: September 22, 2020 To: Health Plan of San Joaquin (HPSJ) Primary Care Providers {PCP}, OBGYN, and Specialist From: Health Plan of San Joaquin Subject: MCAS Measure: APM– Metabolic Monitoring for Children and Adolescents on Antipsychotics Business: Medi-Cal Children taking antipsychotics have unique needs and challenges. Medication Management and monitoring of potential health risks are [...]Read more
Health Officer Order for Influenza Vaccination of All Health-Care Workers (HCW) during the flu season.
September 17, 2020 / by Health Plan / Alerts, Non-Contracted Provider
Date: September 15, 2020 To: Health-Care Facilities Administrators and Staff From: Maggie Park, M.D., San Joaquin County Public Health Officer Subject: Health Officer Order for Influenza Vaccination of All Health-Care Workers (HCW) during the flu season. It has always been very important that all health care workers receive an annual influenza vaccine to protect themselves [...]Read more
MCAS Measure: AMR – Asthma Medication Ratio
September 16, 2020 / by Health Plan / Alerts
Date: September 16, 2020 To: Health Plan of San Joaquin (HPSJ) Primary Care Providers {PCP} and OBGYN From: Health Plan of San Joaquin Subject: MCAS Measure: AMR – Asthma Medication Ratio Business: Medi-Cal AMR – Asthma Medication Ratio This measure looks at members who are 5–64 years of age who were identified as having persistent [...]Read more
Update: Cost Avoidance and Post Pay Recoveries – DHCS Intervention
September 4, 2020 / by Health Plan / Alerts, Non-Contracted Provider
Date: September 4, 2020 To: Health Plan of San Joaquin (HPSJ) All Practitioners and Facilities From: Health Plan of San Joaquin Subject: Update: Cost Avoidance and Post Pay Recoveries – DHCS Intervention Business: Medi-Cal Managed Care The California State Law requires Medi-Cal and Managed Care Plans (MCP’s) to be the payer of last resort for [...]Read more
**Reminder**DHCS Encounter Requirement – NDC Required
September 4, 2020 / by Health Plan / Alerts, Non-Contracted Provider
Date: September 4, 2020 To: Health Plan of San Joaquin (HPSJ) All Providers & Facilities From: Health Plan of San Joaquin Subject: **Reminder**DHCS Encounter Requirement – NDC Required Business: Medi-Cal Managed Care Health Plan of San Joaquin (HPSJ) sent out a provider alert on August 5, 2019 informing providers of the new DHCS requirement for [...]Read more