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
Provider Appointment Availability Survey (PAAS)
November 8, 2017 / by Health Plan / Alerts
Date: November 8, 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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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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