October 26, 2019 / by Health Plan / Alerts
Date: October 25, 2019 To: Health Plan of San Joaquin (HPSJ) Practitioners, Providers, and Facilities From: HPSJ Claims Department Subject: Provider Alert Additional Payments Business: Medi-Cal Managed Care During a recent audit, Health Plan of San Joaquin (HPSJ) identified the following: Not paying specialty rates on certain services Not paying penalty when interest was paid […]
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Health Plan of San Joaquin provider Alerts
African American Mental Health Providers Support Group
January 28, 2020 / by Health Plan / Alerts
Date: January 28, 2020 To: Health Plan of San Joaquin (HPSJ) Behavioral Health Providers From: HPSJ Health Education Department Subject: African American Mental Health Providers Support Group Business: Medi-Cal Ayesha Paige Hunter, EdD, LMFT, is a provider who sits on the Perinatal Equity Initiative Community Advisory Board group (PEI CAB). Dr. Hunter has organized a […]
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Notice of Recoupment- Capitation (CAP) Overpayment – Unallowed payments – CAP paid providers after HSPJ members’ death
January 10, 2020 / by Health Plan / Alerts
Date: January 10, 2020 To: Health Plan of San Joaquin (HPSJ) Physicians, Providers, Pharmacies, and Capitated Service Providers From: Health Plan of San Joaquin Subject: Notice of Recoupment – Capitation (CAP) Overpayment – Unallowed payments – CAP paid providers after Health Plan of San Joaquin members’ death Business: Medi-Cal Dear Provider, We have been informed […]
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Effective 2/24/2020, the Pharmacy and Therapeutics Committee has approved the following changes.
December 19, 2019 / by Health Plan / Alerts
Date: December 13, 2019 To: Health Plan of San Joaquin (HPSJ) Providers From: HPSJ Medical Management Department Subject: REMINDER – Beacon Health Options is available during the holidays Business: Medi-Cal Effective 02/24/2020, the Pharmacy and Therapeutics Committee has approved the following changes: to: Help connect your patients to mental health services Get psychiatric consultation services […]
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REMINDER – Beacon Health Options is available during the holidays 2019
December 16, 2019 / by Health Plan / Alerts
Date: December 13, 2019 To: Health Plan of San Joaquin (HPSJ) Providers From: HPSJ Medical Management Department Subject: REMINDER – Beacon Health Options is available during the holidays Business: Medi-Cal While the holidays are a time of joy for many, for some, it can be a time of increased stress, loneliness, and anxiety. Health Plan […]
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Formulary Update Effective February 24, 2020
December 12, 2019 / by Health Plan / Alerts, Pharmacy Announcements
Date: December 12, 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 Effective February 24, 2020 Business: Medi-Cal Effective 02/24/2020, the Pharmacy and Therapeutics Committee has approved the following changes: Additions to the Formulary: Tranexamic Acid (Lysteda) 650 mg […]
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Prop 56 – Childhood Development Screening Update & Provider Training
December 9, 2019 / by Health Plan / Alerts
Date: December 9, 2019 To: Health Plan of San Joaquin (HPSJ) Practitioners and Providers From: HPSJ Claims Department Subject: Prop 56 – Childhood Development Screening Update & Provider Training Additional $$$ Reimbursements DHCS webinar, Wednesday, December 11 (1:00 p.m. – 2:00 p.m.) Business: Medi-Cal The Department of Health Care Services (DHCS) has added additional reimbursement […]
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Prop 56 – Screening for Adverse Childhood Experiences Update & Webinar
December 9, 2019 / by Health Plan / Alerts
Date: December 9, 2019 To: Health Plan of San Joaquin (HPSJ) Practitioners and Providers From: HPSJ Claims Department Subject: Prop 56 – Screening for Adverse Childhood Experiences Update & Webinar Additional $$$ Reimbursements DHCS webinar, Wednesday, December 11 (1:00 p.m. – 2:00 p.m.) Upcoming: Required DHCS training Business: Medi-Cal Managed Care The Department of Health […]
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Proposition 56: Supplemental Payment Update 2019
November 15, 2019 / by Health Plan / Alerts
Date: November 15, 2019 To: Health Plan of San Joaquin (HPSJ) PCPs and Specialists From: HPSJ Claims Department Subject: Proposition 56: Supplemental Payment Update 2019 Business: Medi-Cal Managed Care The Department of Health Care Services (DHCS) has extended the Supplemental Payment Program through Proposition 56 as listed below. All supplemental payments will be going through […]
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Providers & Community Partners Advisory – California Wildfires & Smoke, and PG&E Power Shut-Offs
October 30, 2019 / by Health Plan / Alerts
Date: October 30, 2019 To: HPSJ Providers, HPSJ Pharmacies, and Community-Based Organizations – San Joaquin Co. & Stanislaus Co. From: Health Plan of San Joaquin Medical Management Subject: HPSJ Expedites Access to Benefits & Prescriptions for Any HPSJ Medi-Cal Member Affected During California Fire Season Refrigerated Prescribed Medications Electrical Medical Equipment Health Plan of […]
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Provider Alert Additional Payments
October 26, 2019 / by Health Plan / Alerts
Date: October 25, 2019 To: Health Plan of San Joaquin (HPSJ) Practitioners, Providers, and Facilities From: HPSJ Claims Department Subject: Provider Alert Additional Payments Business: Medi-Cal Managed Care During a recent audit, Health Plan of San Joaquin (HPSJ) identified the following: Not paying specialty rates on certain services Not paying penalty when interest was paid […]
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