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
Affirmative Statement about Utilization Management Incentives – REMINDER
December 19, 2016 / by Health Plan / Alerts
Date: December 19, 2016 To: Health Plan of San Joaquin (HPSJ) Providers From: Medical Management Department Subject: Affirmative Statement about Utilization Management Incentives – REMINDER 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 […]
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REMINDER: Coordination of Care Between Skilled Nursing Facilities (SNF) and Primary Care Physicians (PCPs)
December 19, 2016 / by Health Plan / Alerts
Date: December 19, 2016 To: Health Plan of San Joaquin (HPSJ) Providers and Practitioners 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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California Children Services (CCS) Eligible Services
December 15, 2016 / by Health Plan / Alerts
Date: December 15, 2016 To: Health Plan of San Joaquin (HPSJ) Providers From: Claims Department Subject: California Children Services (CCS) Eligible Services 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 the guidelines set forth by Medi-Cal (MCAL) while continually seeking ways […]
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Pregnancy: Early Care & Diagnostic Services
December 15, 2016 / by Health Plan / Alerts
Date: December 15, 2016 To: Health Plan of San Joaquin (HPSJ) Providers From: HPSJ Medical Management Department Subject: Pregnancy: Early Care & Diagnostic Services 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 the guidelines set forth by Medi-Cal (MCAL), while […]
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Provider Network Demographics & Data Validation Project (EDI 274)
December 14, 2016 / by Health Plan / Alerts
Date: December 14, 2016 To: Health Plan of San Joaquin (HPSJ) Providers From: Provider Services Department Subject: Provider Network 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? […]
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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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