April 18, 2019 / by Health Plan / Alerts
Date: April 18, 2019 To: HPSJ Primary Care Providers, Specialists, Clinics, Pharmacies, and Hospitals From: Health Plan of San Joaquin Pharmacy Department Subject: Opioid 90 MME/Day Limit – Effective 7/22/2019 Business: Medi-Cal To reduce the potential for chronic opioid use or misuse, Health Plan of San Joaquin is implementing a safety limit on opioid prescriptions […]
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Health Plan of San Joaquin provider Alerts
Stanislaus TB Clinic Information Update – And Resource for Future Assistance
May 30, 2019 / by Health Plan / Alerts
Date: May 30, 2019 To: Health Plan of San Joaquin (HPSJ) Stanislaus County Practices & Providers From: HPSJ Medical Management Department Subject: Stanislaus TB Clinic Information Update – And Resource for Future Assistance Business: Medi-Cal Managed Care This message is to inform you of upcoming changes to clinical services provided at the Stanislaus County Health […]
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Risks with Sudden Discontinuation of Opioids
May 30, 2019 / by Health Plan / Alerts
Date: May 30, 2019 To: HPSJ Primary Care Providers, Specialists, and Pharmacies From: HPSJ Medical Management Department Subject: Risks with Sudden Discontinuation of Opioids Business: Medi-Cal The Department of Health Care Services (DHCS) wants all providers to be aware of the Food and Drug Administration (FDA) announcement of April 9, 2019 regarding risks of sudden […]
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TRAINING OPPORTUNITY – Focus on Latent TB Prevention
May 22, 2019 / by Health Plan / Alerts
Date: March 22, 2019 To: Health Plan of San Joaquin (HPSJ) – Stanislaus County Practices and Providers From: HPSJ Medical Management Department Subject: TRAINING OPPORTUNITY – Focus on Latent TB Prevention Business: Medi-Cal Managed Care “Registration Deadline: Friday, May 24, 2019 Register at – https://www.currytbcenter.ucsf.edu/trainings/focus-tb-prevention Wednesday June 5, 2019 there will be a half-day training […]
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Update in Grievance Process – Grievances and Grievance Replies
May 16, 2019 / by Health Plan / Alerts
Date: May 16, 2019 To: Health Plan of San Joaquin (HPSJ) Primary Care Providers (PCP) From: HPSJ Quality Management Department Subject: Update in Grievance Process – Grievances and Grievance Replies Business: Medi-Cal Health Plan of San Joaquin (HPSJ) is charged with maintaining quality of care for our members and as such must investigate, or follow […]
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Member Billing for Missed Appointments
May 15, 2019 / by Health Plan / Alerts
Date: May 15, 2019 To: Health Plan of San Joaquin (HPSJ) Providers; HPSJ Customer Service From: HPSJ Provider Services Department Subject: Member Billing for Missed Appointments Business: Medi-Cal In recent months, we have had inquiries from both providers and members regarding billing members for missed appointments. Please be aware that the Department of Health Care […]
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Recovery Payments – Non-Invasive Vascular Diagnostic Studies
May 14, 2019 / by Health Plan / Alerts
Date: May 13, 2019 To: Health Plan of San Joaquin (HPSJ) Practitioners and Providers and Dialysis Clinics From: HPSJ Claims Department Subject: Recovery Payments – Non-Invasive Vascular Diagnostic Studies Business: Medi-Cal HPSJ recently identified a system issue which may have caused erroneous payments on specific codes for Non-Invasive Vascular Diagnostic Studies (NVDS). We will be […]
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CDC has created a Measles Tool Kit
May 9, 2019 / by Health Plan / Alerts
Date: May 8, 2019 To: Health Plan of San Joaquin (HPSJ) Primary Care Providers (PCP) From: HPSJ Provider Services Department Subject: CDC has created a Measles Tool Kit Business: Medi-Cal For Providers: CDC has created a Measles Tool Kit CDC developed a one-stop-shop digital toolkit with products for you and your patients about vaccines and […]
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HEDIS Training Lunch and Learn – Practical Tips for Your Success This Year
May 2, 2019 / by Health Plan / Alerts
Date: May 2, 2019 To: Health Plan of San Joaquin (HPSJ) Primary Care Providers (PCP) From: HPSJ Provider Services Department Subject: HEDIS Training Lunch and Learn – Practical Tips for Your Success This Year Business: Medi-Cal Our HPSJ providers are essential partners in delivering care to our members. Because of your valued contributions, we are […]
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Paper Claims Submission – Address Change – REMINDER
April 22, 2019 / by Health Plan / Alerts
Date: May 01, 2019 To: Health Plan of San Joaquin (HPSJ) Practitioners and Providers From: HPSJ Claims Departmen Subject: Paper Claims Submission – Address Change – REMINDER Business: Medi-Cal Health Plan of San Joaquin (HPSJ) will have a TEMPORARY new mailing address for initial and corrected paper claim(s) submissions. Effective May 15, 2019 all paper […]
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Opioid 90 MME/Day Limit – Effective 7/22/2019
April 18, 2019 / by Health Plan / Alerts
Date: April 18, 2019 To: HPSJ Primary Care Providers, Specialists, Clinics, Pharmacies, and Hospitals From: Health Plan of San Joaquin Pharmacy Department Subject: Opioid 90 MME/Day Limit – Effective 7/22/2019 Business: Medi-Cal To reduce the potential for chronic opioid use or misuse, Health Plan of San Joaquin is implementing a safety limit on opioid prescriptions […]
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