November 16, 2016 / by Health Plan / Alerts
Date: November 16, 2016 To: Health Plan of San Joaquin (HPSJ) Providers From: Provider Services Department Subject: Behavioral Health Benefits Business: Medi-Cal, MCAP (Medi-Cal Access Program, previously known as AIM) In order to better serve our members, your patients, HPSJ has made the strategic decision to more directly work with behavioral health service providers to […]
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Health Plan of San Joaquin provider Alerts
Facility Demographics & Data Validation Project (EDI 274)
November 30, 2016 / by Health Plan / Alerts
Date: November 30, 2016 To: Health Plan of San Joaquin (HPSJ) Providers From: Provider Services Department Subject: Facility Demographics & Data Validation Project (EDI 274) Business: Medi-Cal, MCAP (Medi-Cal Access Program, previously known as AIM) To meet the Department of Health Care Services (DHCS) deadlines, we must have your information before Dec. 30. Why? Since […]
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DHCS Requirements Related to Preventing Privacy Incidents
November 29, 2016 / by Health Plan / Alerts
Date: November 29, 2016 To: Health Plan of San Joaquin (HPSJ) Providers From: Provider Services Department Subject: DHCS Requirements Related to Preventing Privacy Incidents Business: Medi Cal, Medi Cal Access Program (formerly known as AIM) Reminder As part of our efforts to prevent privacy‐related incidents, Health Plan of San Joaquin (HPSJ) is mandated to send […]
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Behavioral Health Benefits
November 16, 2016 / by Health Plan / Alerts
Date: November 16, 2016 To: Health Plan of San Joaquin (HPSJ) Providers From: Provider Services Department Subject: Behavioral Health Benefits Business: Medi-Cal, MCAP (Medi-Cal Access Program, previously known as AIM) In order to better serve our members, your patients, HPSJ has made the strategic decision to more directly work with behavioral health service providers to […]
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Change to Prior Authorization Requirements
November 15, 2016 / by Health Plan / Alerts
Date: November 15, 2016 To: Health Plan of San Joaquin (HPSJ) Providers From: Utilization Management (UM) Department Subject: Change to Prior Authorization Requirements Business: Medi Cal, Medi Cal Access Program (formerly known as AIM) Effective: January 25, 2017 Our providers are important partners in delivering care to our patients. As we seek more ways to […]
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Affirmative Statement about Utilization Management Incentives
November 10, 2016 / by Health Plan / Alerts
Date: November 10, 2016 To: Health Plan of San Joaquin (HPSJ) Providers From: Medical Management Department Subject: Affirmative Statement about Utilization Management Incentives Business: Medi-Cal, MCAP (Medi-Cal Access Program, previously known as AIM The mission of Health Plan of San Joaquin is to continuously improve the health of our community. HPSJ supports its mission through […]
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Provider Alert – Interest Payments
November 1, 2016 / by Health Plan / Alerts
Date: November 1, 2016 To: Health Plan of San Joaquin (HPSJ) Providers and Billing Offices From: HPSJ Claims Department Subject: Interest Payments Business: Medi-Cal, MCAP (Medi-Cal Access Program, previously known as AIM) As of August 26, 2016 Health Plan of San Joaquin has implemented a change in how interest payments will be reflected on current Remittance […]
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Provider Alert – Reminders No Balance Billing or Surcharge
October 13, 2016 / by Health Plan / Alerts
Date: October 13, 2016 To: Health Plan of San Joaquin (HPSJ) Providers From: Provider Services Department Subject: REMINDERS – (1) No Balance Billing or Surcharge (2) Third Party Liability (TPL) Business: Medi-Cal, MCAP (Medi-Cal Access Program, previously known as AIM) Per Provider’s contract: No Balance Billing or Surcharge Medi-Cal payment constitutes payment in full per […]
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Proper Billing Practices, per the Medi-Cal Guidelines
October 12, 2016 / by Health Plan / Alerts
Date: October 12, 2016 To: Health Plan of San Joaquin (HPSJ) Providers From: HPSJ Provider Services Department Subject: Proper Billing Practices, per the Medi-Cal Guidelines Business: Medi-Cal, MCAP (Medi-Cal Access Program, previously known as AIM) ———————————————————————————————————————————————————— Health Plan of San Joaquin (HPSJ) strives to maintain, update and educate on proper billing practices consistent with the guidelines […]
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HPSJ MCL Provider Alert-Formulary Update 2016-Oct 11
October 12, 2016 / by Health Plan / Alerts
Date: October 12, 2016 To: Health Plan of San Joaquin (HPSJ) Physicians and Providers From: Health Plan of San Joaquin Pharmacy and Therapeutics Committee Subject: Formulary Update Business: Medi-Cal, AIM Effective 12/16/2016, the Pharmacy and Therapeutics Committee has approved the following changes: Additions to the Formulary: Xigduo XR (Dapagliflozin/Metformin) 5mg-500mg, 5mg-1000mg, 10mg-500mg, 10mg- 1000mg: Step […]
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COPD Disease Management (DM) Program
September 29, 2016 / by Health Plan / Alerts
Date: September 29, 2016 To: Health Plan of San Joaquin (HPSJ) Providers From: HPSJ Medical Management Department Subject: COPD Disease Management (DM) Program Business: Medi-Cal, MCAP (Medi-Cal Access Program, previously known as AIM) We’re excited to announce Health Plan of San Joaquin’s new Disease Management program for HPSJ patients with COPD (chronic obstructive pulmonary disease)! We […]
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