September 10, 2018 / by Health Plan / Alerts
Date: September 05, 2018 To: Health Plan of San Joaquin (HPSJ) Practitioners, Providers and Facilities From: HPSJ Claims Department Subject: Provider Alert Claim Overpayments Business: Medi-Cal For Your Information In accordance with the California Department of Health Care Services (DHCS) All Plan Letter, APL 17-003, HPSJ has implemented new auditing algorithms to identify potential overpayments […]
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Health Plan of San Joaquin provider Alerts
NEW – Opioid 7-Day Supply Limit for Initial Fill
September 20, 2018 / by Health Plan / Alerts, Pharmacy Announcements
Date: September 20, 2018 To: Primary Care Providers, Specialists, Clinics, Pharmacies and Hospitals From: Health Plan of San Joaquin Pharmacy Department Subject: NEW – Opioid 7-Day Supply Limit for Initial Fill Business: Medi-Cal To reduce the potential for chronic opioid use or misuse, Health Plan of San Joaquin is implementing a safety limit on initial […]
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Provider Alert – 2018-2019 Flu Season
September 14, 2018 / by Health Plan / Alerts
Date: September 13, 2018 To: Health Plan of San Joaquin (HPSJ) Practitioners and Providers From: HPSJ Medical Management Department Subject: Provider Alert – 2018-2019 Flu Season Business: Medi-Cal Spreading the Word, Not the Flu It’s official: Flu season has begun. We want to help your patients get the preventive care they need. Sometimes it can […]
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Reported Sexually Transmitted Diseases Reach a New High in California
September 11, 2018 / by Health Plan / Alerts
Date: August 9, 2018 To: HPSJ Primary Care Providers, Specialists, and Pharmacies From: California Department of Public Health (CDPH) Subject: Reported Sexually Transmitted Diseases Reach a New High in California Business: Medi-Cal SACRAMENTO – A record number of Californians were diagnosed with a sexually transmitted disease (STD) in 2017, according to a new report released […]
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Provider Alert Claim Overpayments
September 10, 2018 / by Health Plan / Alerts
Date: September 05, 2018 To: Health Plan of San Joaquin (HPSJ) Practitioners, Providers and Facilities From: HPSJ Claims Department Subject: Provider Alert Claim Overpayments Business: Medi-Cal For Your Information In accordance with the California Department of Health Care Services (DHCS) All Plan Letter, APL 17-003, HPSJ has implemented new auditing algorithms to identify potential overpayments […]
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September 2018 – Claims corner newsletter
September 9, 2018 / by Health Plan / Alerts, Claims Corner
HPSJ Member ID# All claims billed for HPSJ members must be billed with their HPSJ member ID#. The ID# starts with 200. Claims submitted with the MCL CIN# will be rejected as “member unknown.” HPSJ member eligibility can be verified through the provider portal New born claims Physician services for the care of the newborn […]
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Provider Appointment Availability Survey (PAAS)
September 6, 2018 / by Health Plan / Alerts
Date: September 05, 2018 To: Health Plan of San Joaquin (HPSJ) Providers and Practitioners From: Health Plan of San Joaquin: Provider Services Subject: Provider Appointment Availability Survey (PAAS) Business: Medi-Cal Starting Today HPSJ is required to perform an annual Provider Appointment Availability Survey (PAAS), as mandated by the California Department of Managed HealthCare (DMHC). The […]
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Montelukast Recall
August 31, 2018 / by Health Plan / Alerts, Pharmacy Announcements
Date: August 31, 2018 To: Health Plan of San Joaquin (HPSJ) Pharmacies and PCPs From: HPSJ Pharmacy Department Subject: Montelukast Recall Business: Medi-Cal Montelukast Recall We are sending this alert because your patients may have filled a prescription for Montelukast Sodium 10mg Tablets. The product is labeled as Montelukast Sodium Tablets USP 10mg, but may […]
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Hydrochlorothiazide Recall
August 30, 2018 / by Health Plan / Alerts, Pharmacy Announcements
Date: August 30, 2018 To: Health Plan of San Joaquin (HPSJ) Pharmacies and PCPs From: HPSJ Pharmacy Department Subject: Hydrochlorothiazide Recall Business: Medi-Cal Hydrochlorothiazide Recall We are sending this alert because your patients may have filled a prescription for Hydrochlorothiazide 12.5mg Tablet. The product is labeled as Hydrochlorothiazide Tablet USP 12.5mg, but may contain Spironolactone […]
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Advance Notice of Possible Site Reviews – 2018 DHCS Audit
August 13, 2018 / by Health Plan / Alerts
Date: August 13, 2018 To: Health Plan of San Joaquin (HPSJ Primary Care Providers (PCP) and Specialists From: Compliance Department Subject: Advance Notice of Possible Site Reviews – 2018 DHCS Audit Business: Medi-Cal California’s Department of Health Care Services (DHCS) has scheduled a routine annual medical audit of Health Plan of San Joaquin (HPSJ). The […]
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Adverse Effects from Fluoroquinolone Antibiotics
August 9, 2018 / by Health Plan / Alerts
Date: August 9, 2018 To: HPSJ Primary Care Providers, Specialists, and Pharmacies From: Health Plan of San Joaquin Pharmacy Department Subject: Adverse Effects from Fluoroquinolone Antibiotics Business: Medi-Cal The Department of Health Care Services (DHCS) wants all providers to be aware of the FDA announcement for potential risks of fluoroquinolone use. The following safety warnings […]
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