December 13, 2017 / by Health Plan / Alerts
Date: November 13, 2017 To: Health Plan of San Joaquin (HPSJ) Primary Care Providers (PCP), Specialists and Ancillary Providers From: HPSJ Quality Management Department Subject: New DHCS California Regulation for All Providers Business: Medi-Cal FFS Enrollment Effective January 1, 2018 This can affect your HPSJ contract. Please review immediately. There is a new regulation […]
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Health Plan of San Joaquin provider Alerts
CME classes for infectous disease and Stanislaus STD
January 3, 2018 / by Health Plan / Alerts
To: Health Plan of San Joaquin (HPSJ) Primary Care Providers (PCP) From: Health Plan of San Joaquin Subject: CME classes for infectous disease and Stanislaus STD CME classes for infectous disease and Stanislaus STD Download Attachments:
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REMINDER: Coordination of Care Between Hospice Agencies and Primary Care Physicians (PCPs)
December 14, 2017 / by Health Plan / Alerts
Date: December 14, 2017 To: Health Plan of San Joaquin (HPSJ) Hospital Providers From: HPSJ Medical Management Department Subject: REMINDER: Coordination of Care Between Hospice Agencies and Primary Care Physicians (PCPs) Business: Medi-Cal Hospice Partners: This is a reminder to our contracted Hospice Agencies of the importance of the coordination of care between hospitals and […]
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REMINDER: Coordination of Care Between Skilled Nursing Facilities (SNF) and Primary Care Physicians (PCPs)
December 14, 2017 / by Health Plan / Alerts
Date: December 14, 2017 To: Health Plan of San Joaquin (HPSJ) Hospital Providers From: HPSJ Medical Management Department Subject: REMINDER: Coordination of Care Between Skilled Nursing Facilities (SNF) and Primary Care Physicians (PCPs) Business: Medi-Cal Skilled Nursing Facility Partners: This is a reminder to our contracted Skilled Nursing Facilities of the importance of the coordination […]
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REMINDER: Coordination of Care Between Hospitals and Primary Care Physicians (PCPs)
December 14, 2017 / by Health Plan / Alerts
Date: December 14, 2017 To: Health Plan of San Joaquin (HPSJ) Hospital Providers From: HPSJ Medical Management Department Subject: REMINDER: Coordination of Care Between Hospitals and Primary Care Physicians (PCPs) Business: Medi-Cal Hospital Partners: This is a reminder to our contracted acute care hospitals of the importance of the coordination of care between hospitals and […]
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UPDATE – Online Authorization Approval dates
December 14, 2017 / by Health Plan / Alerts
Date: December 14, 2018 To: Health Plan of San Joaquin (HPSJ) Providers and Practitioners From: HPSJ Medical Management & IT Departments Subject: UPDATE – Online Authorization Approval dates Business: Medi-Cal Step-by-step instructions have been posted: on the HPSJ provider website (www.hpsj.com/providers/) within the Provider Portal As with any upgrade, we continue to work on identified […]
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Formulary Update – Pharmacy and Therapeutics Committee Has approved the following changes
December 14, 2017 / by Health Plan / Alerts
Date: December 14, 2017 To: Health Plan of San Joaquin (HPSJ) Physicians, Providers, and Pharmacies From: Health Plan of San Joaquin Pharmacy and Therapeutics Committee Subject: Formulary Update Business: Medi-Cal Effective 02/22/2018, the Pharmacy and Therapeutics Committee has approved the following changes: Sofosbuvir/Velpatasvir/Voxilaprevir (Vosevi): PA required. This medication is restricted to Diplomat Specialty Pharmacy. Please […]
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New DHCS California Regulation for All Providers
December 13, 2017 / by Health Plan / Alerts
Date: November 13, 2017 To: Health Plan of San Joaquin (HPSJ) Primary Care Providers (PCP), Specialists and Ancillary Providers From: HPSJ Quality Management Department Subject: New DHCS California Regulation for All Providers Business: Medi-Cal FFS Enrollment Effective January 1, 2018 This can affect your HPSJ contract. Please review immediately. There is a new regulation […]
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COMING SOON! Enhanced “HEDIS gap in care” reporting systems for Providers
December 1, 2017 / by Health Plan / Alerts
Date: November 29, 2017 To: Health Plan of San Joaquin (HPSJ) Primary Care Providers From: HPSJ Quality Management Department Subject: COMING SOON! Enhanced “HEDIS gap in care” reporting systems for Providers Business: Medi-Cal HPSJ is delivering reports on gaps in care that are easier to use and that illustrate gaps in care at multiple levels. […]
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Provider Appointment Availability Survey (PAAS)
November 8, 2017 / by Health Plan / Alerts
Date: November 8, 2017 To: Health Plan of San Joaquin (HPSJ) Providers and Practitioners From: Health Plan of San Joaquin Network Services Subject: Provider Appointment Availability Survey (PAAS) Business: Medi-Cal HPSJ is required to perform an annual Provider Appointment Availability Survey, as mandated by the California Department of Managed HealthCare (DMHC). The success of this […]
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Affirmative Statement about Utilization Management Incentives
November 1, 2017 / by Health Plan / Alerts
Date: November 1, 2017 To: Health Plan of San Joaquin (HPSJ) Providers and Practitioners From: Medical Management Department Subject: Affirmative Statement about Utilization Management Incentives Business: Medi-Cal Effective: January 1, 2018 Health Plan of San Joaquin’s mission is to continuously improve the health of our community. HPSJ supports its mission through our vision statement which […]
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