September 27, 2018 / by Health Plan / Alerts
Date: September 27, 2018 To: Health Plan of San Joaquin (HPSJ) Physicians, Providers, and Pharmacies From: Health Plan of San Joaquin Pharmacy and Therapeutics Committee Subject: Provider Alert – Formulary update effective 12/10/2018 Business: Medi-Cal Effective 12/10/2018, the Pharmacy and Therapeutics Committee has approved the following changes: Additions to the Formulary: Abaloparatide (Tymlos) 3120mcg/1.56mL pen-injector: […]
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Health Plan of San Joaquin provider Alerts
HPSJ Expedites Access to Benefits & Prescriptions for Any HPSJ Medi-Cal Member Affected by California Wildfires & Smoke
November 13, 2018 / by Health Plan / Alerts
Date: November 13, 2018 To: HPSJ Providers, HPSJ Pharmacies, Community-Based Organizations – San Joaquin & Stanislaus Counties From: Health Plan of San Joaquin, External Affairs Subject: HPSJ Expedites Access to Benefits & Prescriptions for Any HPSJ Medi-Cal Member Affected by California Wildfires & Smoke Health Plan of San Joaquin (HPSJ) has set up streamlined access to […]
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HEDIS Training Lunch and Learn – Practical Tips for Success This Year
November 2, 2018 / by Health Plan / Alerts
Date: November 2, 2018 To: Health Plan of San Joaquin (HPSJ) Primary Care Providers (PCP) From: HPSJ Medical Management Department Subject: HEDIS Training Lunch and Learn – Practical Tips for Success This Year Our HPSJ providers are essential partners in delivering care to our members. Because of your valued contributions, we are glad to provide […]
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REMINDER – DHCS Requirements Related to Preventing Privacy Incidents
November 2, 2018 / by Health Plan / Alerts
Date: November 2, 2018 To: Health Plan of San Joaquin (HPSJ) Providers From: Provider Services Department Subject: REMINDER – DHCS Requirements Related to Preventing Privacy Incidents Business: Medi-Cal Reminder As part of our efforts to prevent privacy‐related incidents, Health Plan of San Joaquin (HPSJ) is mandated to send out an annual reminder to our providers […]
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Proposition 56: Supplemental Payment Update
October 31, 2018 / by Health Plan / Alerts
Date: October 30, 2018 To: Health Plan of San Joaquin (HPSJ) PCPs and Specialists From: HPSJ Claims Department Subject: Proposition 56: Supplemental Payment Update Business: Medi-Cal Great News: The Department of Health Care Services (DHCS) proposal for a one-year extension to the supplemental payment for certain physician services using Proposition 56 Tobacco Tax Funds has […]
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Reminder – Physician Certification Statement (PCS) Form – Update
October 31, 2018 / by Health Plan / Alerts, Pharmacy Announcements
Date: October 30, 2018 To: Health Plan of San Joaquin (HPSJ) Practitioners and Providers From: HPSJ [Medical Management Department] Subject: Reminder – Physician Certification Statement (PCS) Form Business: Medi-Cal Update As we continue to seek ways to streamline processes, Health Plan of San Joaquin has simplified prior authorization requirements for transportation for your busy office. […]
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New Forms Update: 2018-2019 Palivizumab (Synagis)
October 25, 2018 / by Health Plan / Alerts, Pharmacy Announcements
Date: October 25, 2018 To: Health Plan of San Joaquin (HPSJ) Providers and Practitioners From: HPSJ [Medical Management Department] Subject: New Forms Update: 2018-2019 Palivizumab (Synagis) Business: Medi-Cal The Center of Disease Control and Prevention (CDC) reports that Respiratory syncytial virus (RSV) is known as one of the most common illnesses among infants and children. […]
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HEDIS 2018 Member Incentives
October 24, 2018 / by Health Plan / Alerts
Please work with your patients to perform these important services by the end of the year (12/31/18). Date: October 24, 2018 To: Health Plan of San Joaquin (HPSJ) Primary Care Physicians (PCPs) From: HPSJ Medical Management Department Subject: HEDIS 2018 Member Incentives Business: Medi-Cal At HPSJ, we are your partner to improve the health and wellness […]
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Reminder – Physician Certification Statement (PCS) Form
October 22, 2018 / by Health Plan / Alerts
Date: October 22, 2018 To: ealth Plan of San Joaquin (HPSJ) Practitioners and Providers From: HPSJ Medical Management Department Subject: Reminder – Physician Certification Statement (PCS) Form Business: Medi-Cal Spreading the Word, Not the Flu As we continue to seek ways to streamline processes, Health Plan of San Joaquin has simplified prior authorization requirements for […]
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October 2018 – Claims corner newsletter
October 8, 2018 / by Health Plan / Alerts, Claims Corner
Opioid 7-Day Supply Limit for Initial Fill Effective 12/1/2018, all initial fills of opioid prescriptions will be limited to a seven (7) day supply. To reduce the potential for chronic opioid use or misuse, HPSJ is implementing this safety limit on initial opioid prescription fills for treatment of acute pain. This is based on the […]
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Provider Alert – Formulary update effective 12/10/2018
September 27, 2018 / by Health Plan / Alerts
Date: September 27, 2018 To: Health Plan of San Joaquin (HPSJ) Physicians, Providers, and Pharmacies From: Health Plan of San Joaquin Pharmacy and Therapeutics Committee Subject: Provider Alert – Formulary update effective 12/10/2018 Business: Medi-Cal Effective 12/10/2018, the Pharmacy and Therapeutics Committee has approved the following changes: Additions to the Formulary: Abaloparatide (Tymlos) 3120mcg/1.56mL pen-injector: […]
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