September 21, 2017 / by Health Plan / Alerts
Date: September 21, 2017 To: Health Plan of San Joaquin (HPSJ) Physicians, Providers, and Pharmacies From: Health Plan of San Joaquin Pharmacy and Therapeutics Committee Subject: Formulary Update Products: Medi-Cal Effective 11/29/2017, the Pharmacy and Therapeutics Committee has approved the following changes: Additions to the Formulary: Rizatriptan 5mg ODT: Limited to 9 tablets per 30 […]
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Health Plan of San Joaquin provider Alerts
Affirmative Statement about Utilization Management Incentives
November 1, 2017 / by Health Plan / Alerts
Date: November 1, 2017 To: Health Plan of San Joaquin (HPSJ) Providers and Practitioners From: Medical Management Department Subject: Affirmative Statement about Utilization Management Incentives Business: Medi-Cal Effective: January 1, 2018 Health Plan of San Joaquin’s mission is to continuously improve the health of our community. HPSJ supports its mission through our vision statement which […]
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CL Cultural Competency Provider Training October 2017
October 16, 2017 / by Health Plan / Alerts
Date: October 6, 2017 To: Health Plan of San Joaquin (HPSJ) Physicians, Providers, and Pharmacies From: Health Plan of San Joaquin Subject: Provider Alert – CL Cultural Competency Provider Training October 2017 CULTURAL COMPETENCY TRAINING 2017 Mandated Attestation Due by 10/31/2017 Dear Valued HPSJ Provider: As part of provider education for the Medicaid program, Health […]
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UPDATE – HPSJ’s New Electronic Medical Management System (the Enhanced DRE Provider Portal)
October 5, 2017 / by Health Plan / Alerts
Date: October 6, 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 (the Enhanced DRE Provider Portal) Products: Medi-Cal Successful implementation happened on Monday, October 2, 2017 Step-by-step instructions have been posted on the HPSJ provider website (hpsj4.wpengine.com/providers/) […]
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Formulary Update
September 21, 2017 / by Health Plan / Alerts
Date: September 21, 2017 To: Health Plan of San Joaquin (HPSJ) Physicians, Providers, and Pharmacies From: Health Plan of San Joaquin Pharmacy and Therapeutics Committee Subject: Formulary Update Products: Medi-Cal Effective 11/29/2017, the Pharmacy and Therapeutics Committee has approved the following changes: Additions to the Formulary: Rizatriptan 5mg ODT: Limited to 9 tablets per 30 […]
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Provider Appointment Availability Survey (PAAS)
September 18, 2017 / by Health Plan / Alerts
Date: September 18, 2017 To: Health Plan of San Joaquin (HPSJ) Providers and Practitioners From: Health Plan of San Joaquin Network Services Subject: Provider Appointment Availability Survey (PAAS) Business: Medi-Cal HPSJ is required to perform an annual Provider Appointment Availability Survey, as mandated by the California Department of Managed HealthCare (DMHC). The success of this […]
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Provider Appointment Availability Survey (PAAS) – Coming Soon!
September 6, 2017 / by Health Plan / Alerts
Date: September 6, 2017 To: Health Plan of San Joaquin (HPSJ) Providers and Practitioners From: Health Plan of San Joaquin Subject: Provider Appointment Availability Survey (PAAS) Coming soon! Business: Medical HPSJ is required to perform an annual Provider Appointment Availability Survey, as mandated by the California Department of Managed HealthCare (DMHC). The success of this […]
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Eligibility Resolved! Updated Member Eligibility
September 2, 2017 / by Health Plan / Alerts
Date: September 2, 2017 (5:00 a.m.) To: Health Plan of San Joaquin (HPSJ) Providers and Pharmacies From: Health Plan of San Joaquin Subject: Eligibility Resolved! Updated Member Eligibility Business: Medical Effective Now – Member eligibility has been updated. The correct September 2017 eligibility files are now reflected through all normalchannels (DRE provider portal, HPSJ IVR, […]
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Change – Prior Authorization Requirements for Physical Therapy and Occupational Therapy
August 9, 2017 / by Health Plan / Alerts
Date: August 9, 2017 To: Health Plan of San Joaquin (HPSJ) Practitioners and Providers From: HPSJ Medical Management Department Subject: Change – Prior Authorization Requirements for Physical Therapy and Occupational Therapy Business: Medi-Cal Effective October 11, 2017 Background Previously, in an effort to support our providers, HPSJ removed the prior authorization requirement for an initial […]
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Check Run & Remittance Advice (835) posting schedule update
August 4, 2017 / by Health Plan / Alerts
Date: August 4, 2017 To: Health Plan of San Joaquin (HPSJ) Providers and Billing Offices From: Provider Services Department Subject: Check Run & Remittance Advice (835) posting schedule update Business: Medi-Cal, MCAP (Medi-Cal Access Program, previously known as AIM) Effective Immediately, HPSJ has implemented a change in Check Run Dates and the ability to view […]
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DRE Refresher Training Lunch and Learn
August 4, 2017 / by Health Plan / Alerts
Date: August 4, 2017 To: Health Plan of San Joaquin (HPSJ) Primary Care Providers (PCP) From: Provider Services Department Subject: DRE Refresher Training Lunch and Learn Our HPSJ providers are important partners in delivering care to our members. Because of your valued contribution, we are glad to provide the following DRE (secure provider portal) refresher […]
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