October 21, 2015 / by HPSJ / Alerts
To: Health Plan of San Joaquin Pharmacy and Therapeutics Committee From: Provider Services Department – Health Plan of San Joaquin Subject: Provider Alert Formulary Update Products: Medi-Cal, AIM Effective 9/23/2015, the Pharmacy and Therapeutics Committee has approved the following changes: Additions to the Formulary: Fluticasone Furoate (Arnuity Ellipta) – No PA required. Reserved for patients […]
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Health Plan of San Joaquin provider Alerts
Limitations to the Sutter Gould Specialty Network
December 16, 2015 / by HPSJ / Alerts
To: Health Plan of San Joaquin (HPSJ) Providers From: Provider Services Department Subject: Limitations to the Sutter Gould Specialty Network Business: Medi-Cal, AIM (now known as Medi-Cal Access Program) This message is being sent to you as part of HPSJ’s ongoing efforts to keep our providers informed of changes that may impact their practice. Sutter […]
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Reminder: Annual Dilated Retinal Eye Exams Now Available for Diabetic Members
November 12, 2015 / by HPSJ / Alerts
Date: November 12, 2015 To: Health Plan of San Joaquin (HPSJ) Providers From: Provider Services Department Subject: Reminder: Annual Dilated Retinal Eye Exams Now Available for Diabetic Members Business: Medi-Cal, AIM HPSJ is pleased to announce that, as of September 1, 2015, all HPSJ members with diabetes can obtain a dilated retinal eye examination annually through VSP […]
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Lunch and Learn for Stanislaus County PCPs with patients between ages of 0 and 18
November 4, 2015 / by HPSJ / Alerts
When: Wednesday, November 18, 2015 (11:00am – 1:00pm) Where: Provider Services Subject: HPSJ Community Room, 1025 J Street, Modesto Who: Providers with HPSJ patients (0 through 18 years old) LUNCH & LEARN Health Plan of San Joaquin presents its new initiative – ORAL HEALTH FOR CHILDREN STARTS AT BIRTH 11:00am Welcome & Introductions Lakshmi Dhanvanthari, […]
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HPSJ’s Policy and Procedures for Dental Intravenous Sedations & General Anesthesia for dental procedures
October 30, 2015 / by HPSJ / Alerts
To: Health Plan of San Joaquin (HPSJ) Primary Care & Specialty Physicians and Surgery Centers From: Provider Services Subject: HPSJ’s Policy and Procedures for Dental Intravenous Sedations & General Anesthesia for dental procedures Business: Medi-Cal Effective December 15, 2015 Health Plan of San Joaquin’s policies and procedures have been revised in compliance with the California […]
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Document Requirements for Oxygen/Respiratory Equipment
October 28, 2015 / by HPSJ / Alerts
To: Health Plan of San Joaquin Providers From: Provider Services Department Subject: Document Requirements for Oxygen/Respiratory Equipment Business: Medi-Cal, AIM (now known as Medi-Cal Access Program) Effective December 15, 2015 We at HPSJ, in collaboration with our network providers, want to ensure that your patients who require home oxygen – either as a new request […]
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Provider Alert – Fluoride Varnish Treatment
October 21, 2015 / by HPSJ / Alerts
To: Health Plan of San Joaquin (HPSJ) Primary Care and Specialty Physicians From: Provider Services Department Subject: Increased Reimbursement on Fluoride Varnish Treatment and Expanded Pharmacy Benefit for Fluoride Drops and Tablets Products: Medi-Cal Effective: November 1, 2015 ONLY HPSJ’s Medi-Cal members are affected by the following changes. Fluoride Varnish Treatment Both Primary […]
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Provider Alert Formulary Update
October 21, 2015 / by HPSJ / Alerts
To: Health Plan of San Joaquin Pharmacy and Therapeutics Committee From: Provider Services Department – Health Plan of San Joaquin Subject: Provider Alert Formulary Update Products: Medi-Cal, AIM Effective 9/23/2015, the Pharmacy and Therapeutics Committee has approved the following changes: Additions to the Formulary: Fluticasone Furoate (Arnuity Ellipta) – No PA required. Reserved for patients […]
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HEDIS Member Outreach
October 6, 2015 / by HPSJ / Alerts
To: Health Plan of San Joaquin (HPSJ) Providers From: Provider Services Department – Health Plan of San Joaquin Subject: HEDIS Member Outreach Products: Medi-Cal Managed Care Please help your patients who are HPSJ members when they contact you for an appointment to be seen before December 31. It’s HEDIS time for our HPSJ provider network […]
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Vantage Transport Services Deactivated by DHCS – Effective October 1, 2015
October 2, 2015 / by HPSJ / Alerts
To: Health Plan of San Joaquin (HPSJ) Providers From: Provider Services Department Subject: Vantage Transport Services Deactivated by DHCS – Effective October 1, 2015 Products: Medi-Cal, AIM HPSJ has been informed by the Department of Health Care Services (DHCS) that it has “deactivated” Vantage Transport as a contracted, Medi-Cal transportation provider. As of October 1, […]
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ICD 10 Monthly Alert September 2015
September 18, 2015 / by HPSJ / Alerts
Health Plan of San Joaquin (HPSJ) is here to help, however your practice must take steps to be ready for the change from ICD-9 to ICD-10 on October 1, 2015. For any claim submitted with incorrect code A clean claim should be submitted. Do not submit a provider dispute or a corrected claim. Prep Your […]
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