Health Plan of San Joaquin provider Alerts

NEW – Six Month HPSJ Outpatient Palliative Care Pilot Project

Date: July 31, 2017 To: Health Plan of San Joaquin (HPSJ) Hospitals with Inpatient Palliative Care Programs – Chief Medical Officer, Case Management Team, Admittance Department, Hospitalists and Inpatient Palliative Care Teams From: Medical Management Department – Case Management Subject: NEW – Six Month HPSJ Outpatient Palliative Care Pilot Project Business: Medi-Cal With the launch […]

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State Reverses Change to PM 160 Encounter Forms

Date: July 18, 2017 To: Health Plan of San Joaquin (HPSJ) Primary Care Providers (PCPs) From: Provider Services Department Subject: State Reverses Change to PM 160 Encounter Forms Business: Medi-Cal, MCAP (Medi-Cal Access Program, previously known as AIM) The Department of Health Care Services (DHCS) has informed HPSJ that at this time: PM 160 Encounter […]

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NEW FORM Non-Emergency Medical Transportation – Physician Certification Statement Form

Date: July 13, 2017 To: Health Plan of San Joaquin Providers, Practitioners and Facilities From: HPSJ Medical Management Department Subject: NEW FORM Non-Emergency Medical Transportation – Physician Certification Statement Form Business: Medi-Cal, MCAP (Medi-Cal Access Program, previously known as AIM) Effective July 1, 2017 For non-emergency medical transportation (NEMT) services, providers will be required to […]

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HEDIS Partnership Initiative – Annual Program KICK OFF Luncheon

Date: July 13, 2017 To: Health Plan of San Joaquin (HPSJ) HEDIS Partnership Program Primary Care Providers (PCP) From: Provider Services and Quality Departments Subject: HEDIS Partnership Initiative – Annual Program KICK OFF Luncheon Business: Medi-Cal The HPSJ HEDIS Provider Partnership Program is back for another year! The second year kick-off luncheon meeting is by-invitation […]

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REMINDER: Changes for Appeal Filing with effective date of 7/1/2017

Date: July 12, 2017 To: Health Plan of San Joaquin Primary Care Providers (PCP) and Specialist From: HPSJ Medical Management Department Subject: REMINDER: Changes for Appeal Filing with effective date of 7/1/2017 Business: Medi-Cal, MCAP (Medi-Cal Access Program, previously known as AIM) Effective July 1/2017 California’s Department of Health Care Services (DHCS) has issued a […]

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CORRECTION – Section 12-3: UPDATE – Section 12 – HPSJ Provider Manual

Date: June 29, 2017 To: Health Plan of San Joaquin (HPSJ) Providers and Practitioners From: Health Plan of San Joaquin Claims & Medical Management Departments Subject: CORRECTION – Section 12-3: UPDATE – Section 12 – HPSJ Provider Manual Business: Medi-Cal, MCAP (Medi-Cal Access Program, previously known as AIM) Please refer to the updated Section 12 […]

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UPDATE – HPSJ’s New Electronic Medical Management System

Date: June 29, 2017 To: Health Plan of San Joaquin (HPSJ) Providers and Practitioners From: HPSJ Medical Management & IT Departments Subject: UPDATE – HPSJ’s New Electronic Medical Management System Business: Medi-Cal, MCAP (Medi-Cal Access Program, previously known as AIM) We continue to partner with our providers on the state-of-the-art addition to our DRE provider […]

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REMINDER – Transitions for CHDP services with effective dates of service on or after July 1, 2017

Date: June 16, 2017 To: Health Plan of San Joaquin (HPSJ) Providers From: Provider Services Department Subject: REMINDER – Transitions for CHDP services with effective dates of service on or after July 1, 2017 Business: Medi-Cal, MCAP (Medi-Cal Access Program, previously known as AIM) Effects July 1, 2017 HPSJ is pleased to note that effective […]

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Online Waiver Training – Available from American Academy of Pediatrics (AAP) at www.aap.org

Date: June 15, 2017 To: Pediatricians From: HPSJ Medical Management Department Subject: Online Waiver Training – Available from American Academy of Pediatrics (AAP) at www.aap.org Health Plan of San Joaquin (HPSJ) encourages all AAP members to complete online, selfpaced trainings for 8.0 hours of CME credits. WHEN / WHERE Available through June 1, 2019 YOU […]

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Quarterly Provider Incentive – Newly Enrolled HPSJ Member Initial Health Assessment (IHA)

Date: June 9, 2017 To: Health Plan of San Joaquin (HPSJ) PCPs and OB/GYNs From: HPSJ Provider Services Department Subject: Quarterly Provider Incentive – Newly Enrolled HPSJ Member Initial Health Assessment (IHA) Business: Medi-Cal It is important for newly enrolled HPSJ members to receive an Initial Health Assessment (IHA). This ensures that members are comprehensively assessed […]

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