May 22, 2020 / by Health Plan / Alerts, Pharmacy Announcements
Date: May 22, 2020 To: Health Plan of San Joaquin (HPSJ) Physicians, Providers, and Pharmacies From: HPSJ Pharmacy and Therapeutics Committee Subject: Formulary Update Business: Medi-Cal Effective August 3, 2020, the Pharmacy and Therapeutics Committee has approved the following changes. Additions to the Formulary: 1. Dulaglutide (Trulicity) 0.75 mg/0.5 mL, 1.5mg/0.5ml pen: PA required. Reserved [...]
Read more
Health Plan of San Joaquin provider Alerts
Formulary Update Effective 8/3/2020
May 22, 2020 / by Health Plan / Alerts, Pharmacy Announcements
Date: May 22, 2020 To: Health Plan of San Joaquin (HPSJ) Physicians, Providers, and Pharmacies From: HPSJ Pharmacy and Therapeutics Committee Subject: Formulary Update Business: Medi-Cal Effective August 3, 2020, the Pharmacy and Therapeutics Committee has approved the following changes. Additions to the Formulary: 1. Dulaglutide (Trulicity) 0.75 mg/0.5 mL, 1.5mg/0.5ml pen: PA required. Reserved [...]Read more
Value Based Payment (VBP) program – Training Coming Soon – Register Today!
May 12, 2020 / by Health Plan / Alerts
Date: May 12, 2020 To: Health Plan of San Joaquin (HPSJ) Contracted Physicians From: Health Plan of San Joaquin Subject: Value Based Payment (VBP) program – Training Coming Soon – Register Today! Dear Health Plan of San Joaquin Contracted Provider, Health Plan of San Joaquin (HPSJ) is pleased to announce that the Department of Health […]
Read more
Non-Emergency Medical Transportation Billing Requirements
May 8, 2020 / by Health Plan / Alerts, Non-Contracted Provider
Date: May 7, 2020 To: Health Plan of San Joaquin (HPSJ) NEMT Providers From: HPSJ Claims Department Subject: Non-Emergency Medical Transportation Billing Requirements Business: Medi-Cal Managed Care In accordance with Medi-Cal and California Department of Health Care Services (DHCS) guidelines, the following information outlines the billing requirements for all Non-Emergency Medical Transportation (NEMT) providers. Name […]
Read more
Drug Safety Communication: Withdrawal of All Ranitidine Products
May 5, 2020 / by Health Plan / Alerts, Pharmacy Announcements
Drug Safety Communication: Withdrawal of All Ranitidine Products Ranitidine is a histamine-2 blocker commonly used as an over-the-counter (OTC) medication to relieve and prevent heartburn. Prescription-strength ranitidine is also used to treat and prevent more serious ulcers in the stomach and intestines. On April 1, 2020, the U.S. Food and Drug Administration (FDA) requested a […]
Read more
Improving Quality of Care: Update of Risks Associated with Use of Fluoroquinolones
May 5, 2020 / by Health Plan / Alerts, Pharmacy Announcements
Learning Objectives: Describe the recent U.S. Food and Drug Administration (FDA) drug safety communications for fluoroquinolones. Identify potential adverse effects associated with use of fluoroquinolones. Summarize best practices for responsible prescribing of fluoroquinolones. Key Points: Fluoroquinolones are broad-spectrum antibiotics that are FDA-approved to treat various bacterial infections, including infections caused by gram-negative bacilli. Over the […]
Read more
Claims Corner – A newsletter brought to you by Health Plan of San Joaquin – April 23
April 24, 2020 / by Health Plan / Alerts, Claims Corner, Non-Contracted Provider
In this issue: FAQs for this COVID Moment More Helpful Information Reminders Questions about Coronavirus COVID-19? STAY INFORMED FREQUENTLY ASKED QUESTIONS When conducted over the phone, should providers bill their Evaluation and Management (E/M) Office Visits as previously instructed? YES. See #1 & #2 in MORE HELPFUL INFORMATION below. How should providers bill follow-ups, lab [...]Read more
Communication Matters – Exchange of Information between Hospitals and PCPs Post-discharge
April 17, 2020 / by Health Plan / Alerts
Date: April 17, 2020 To: HPSJ Contracted Hospitals From: HPSJ Utilization Management Department Subject: Communication Matters – Exchange of Information between Hospitals and PCPs Post-discharge Business: Medi-Cal Joint Commission standards require that the following information be shared with the PCPs at the time of the discharge: Reason(s) for hospitalization Significant findings/events during the inpatient stay […]
Read more
Communication Matters – Exchange of Information between SNF and PCPs Post-discharge!
April 17, 2020 / by Health Plan / Alerts
Date: April 17, 2020 To: HPSJ Providers: Skilled Nursing Facilities (SNFs) From: HPSJ Utilization Management Department Subject: Communication Matters – Exchange of Information between SNF and PCPs Post-discharge! Business: Medi-Cal Skilled nursing facilities (SNFs) are a very important component in the continuum of care. Sharing information about the patient’s care helps the primary care practitioners […]
Read more
Communication Matters – Sending Information to the PCPs
April 17, 2020 / by Health Plan / Alerts
Date: April 17, 2020 To: HPSJ Providers (Hospitals for their Emergency Rooms) From: HPSJ Utilization Management Department Subject: Communication Matters – Sending Information to the PCPs Business: Medi-Cal It is important that Emergency Room providers help the PCPs better manage their patient’s care by sharing the following information with them: Reason(s) for the visit Significant […]
Read more
DHCS Guidance for NEMT and NMT Providers: COVID-19
April 15, 2020 / by Health Plan / Alerts, Non-Contracted Provider
Date: April 15, 2018 To: HPSJ Providers – • Non-Emergency Medical Transportation (NEMT) Providers • Non-Medical Transportation (NMT) ProvidersHPSJ Providers (HPSJ) Providers, Practices, and Facilities From: HPSJ Provider Services Department Subject: DHCS Guidance for NEMT and NMT Providers: COVID-19 Business: Medi-Cal COVID-19 Guidance for NEMT and NMT Providers The Department of Health Care Services (DHCS) [...]Read more