December 24, 2014 / by Health Plan / Alerts
December 24, 2014 Provider Alert To: Health Plan of San Joaquin (HPSJ) Physicians, Providers, and Pharmacies From: Provider Relations Department Subject: Holiday Service Hours Products: All Health Plan of San Joaquin and San Joaquin Health Administrators will be closed as follows: Wednesday, December 24, 2014 Closed 3:00pm – 5:00pm Thursday, December 25, 2014 Closed Thursday, January […]
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Health Plan of San Joaquin provider Alerts
Measles in California and San Joaquin County
February 9, 2015 / by Health Plan / Alerts
Health Advisory To: Health Care Providers From: Alvaro Garza, MD, MPH, Health Officer Situation: We continue with a growing epidemic of measles in California with origins in the Disneyland park. As of 2 February 2015, 92 cases have been reported in state residents. Among these, 59 have a confirmed epidemiologic link to the Disney exposure. […]
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CHDP PM 160 Changes to Current Billing Process
February 9, 2015 / by Health Plan / Alerts
February 9, 2015 Provider Alert To: Primary Care Providers (PCP) From: Health Plan of San Joaquin Subject: CHDP PM 160 Changes to Current Billing Process Products: Medi-Cal Managed Care As a valued HPSJ provider, we want to make you aware of several billing changes. These changes are required by Department of Health Care Services and […]
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Behavioral Health Treatment
January 9, 2015 / by Health Plan / Alerts
As of September 15, 2014, Medi-Cal plans are responsible for providing Behavioral Health Therapy (BHT) services to individuals under the age of 21 who have an Autism Spectrum Disorder (ASD) diagnosis and for individuals without a diagnosis of autism where medically indicated. The Health Plan of San Joaquin’s Behavioral Health Benefits Manager, Beacon Health Strategies […]
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Introducing EFT Payment!
January 6, 2015 / by Health Plan / Alerts
Health Plan of San Joaquin has selected Emdeon as its electronic payment and remittance reporting provider. There is no cost to you to use Emdeon ePayment and enrollment is free! Emdeon ePayment Replaces paper-based claims payments with electronic (EFT) payments that are directly deposited into your bank account Benefits of Emdeon ePayment Helps You Get […]
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HPSJ 2014 Holiday Service Hours
December 24, 2014 / by Health Plan / Alerts
December 24, 2014 Provider Alert To: Health Plan of San Joaquin (HPSJ) Physicians, Providers, and Pharmacies From: Provider Relations Department Subject: Holiday Service Hours Products: All Health Plan of San Joaquin and San Joaquin Health Administrators will be closed as follows: Wednesday, December 24, 2014 Closed 3:00pm – 5:00pm Thursday, December 25, 2014 Closed Thursday, January […]
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Introducing the new Health Plan of San Joaquin Website
December 18, 2014 / by Health Plan / Alerts
To: All Providers From: Health Plan of San Joaquin Subject: New HPSJ Website Products: Medi-Cal Managed Care Introducing the new Health Plan of San Joaquin Website Health Plan of San Joaquin is excited to announce the launch of our newly designed website, hpsj.com, set to go live on Monday, December 22, 2014. Our goal was […]
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New Prior Authorization Form
December 4, 2014 / by Health Plan / Alerts
December 1, 2014 PROVIDER ALERT To: Health Plan of San Joaquin (HPSJ) Physicians, Providers, and Pharmacies From: Health Plan of San Joaquin Pharmacy Department Subject: New Prior Authorization Form Required effective 1/1/2015 Products: All Senate Bill (SB) 866 will become effective for DMHC regulated Health Plans (including HPSJ) on January 1st, 2015. This law requires […]
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Recommendations For Synagis 2014-2015
November 21, 2014 / by Health Plan / Alerts
RECOMMENDATIONS FOR SYNAGIS 2014-2015 CPT Code 96372 The American Academy of Pediatrics (AAP) recommends the use of palivizumab (Synagis), an RSV monoclonal antibody vaccine, to prevent serious RSV illness in qualifying high-risk infants. The 2014 AAP recommendations (Red Book 29th edition) as well as the 2014 CCS Synagis Guidelines (NL: 13-0914) are incorporated into the […]
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Annual Access Study
November 21, 2014 / by Health Plan / Alerts
November 21, 2014 PROVIDER ALERT To: Primary Care Providers (PCP) and Specialists From: Quality Management Department Subject: Annual Access Study Products: Medi-Cal The California Department of Managed Health Care requires health plans to establish metrics for measuring and monitoring the adequacy of a health plan’s contracted provider network to provide enrollees with timely access to […]
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ACA Section 1202 Payment – 10/29/2014
November 14, 2014 / by Health Plan / Alerts
October 21, 2014 ACA Section 1202 Payment Provider Alert To: HPSJ Providers (Excluding Federally Qualified Health Clinics (FQHC) and Rural Health Clinics (RHCs) From: Provider Relations Department Pursuant to the Affordable Care Act (ACA) as amended by the H.R. 4872-24 Health Care and Education Reconciliation Act of 2010, Section 1202, ACA and 42 Code of […]
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