April 17, 2026 / by Health Plan / Alerts, Medi-Cal Provider Alerts
Date: April 15, 2026 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan Practitioners, Facilities, and Hospitals Type: Informational/Educational Subject: Reminder: Medi-Cal Pharmacy (Rx) – Updates and Changes Business: Medi-Cal Managed Care This is a reminder of the Provider Alert issued on March 20, 2026, regarding the upcoming Medi-Cal Rx [...]
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Health Plan of San Joaquin provider Alerts
Physician-Administered Drug (PAD) Billing and Payment Requirements
May 1, 2026 / by Health Plan / Alerts, Medi-Cal Provider Alerts
Date: April 29, 2026 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan Physicians, Clinics, and Hospitals Type: Informational/Educational Subject: Physician-Administered Drug (PAD) Billing and Payment Requirements Business: Medi-Cal Managed Care The purpose of this alert is to remind providers about physician-administered drugs (PADs) and provide resources to help ensure [...]Read more
Medi-Cal Enrollment Requirements for Applied Behavioral Analysis (ABA) Groups
May 1, 2026 / by Health Plan / Alerts, Medi-Cal Provider Alerts
Date: April 29, 2026 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan ABA Groups Type: Regulatory Subject: Medi-Cal Enrollment Requirements for Applied Behavioral Analysis (ABA) Groups Business: Medi-Cal Managed Care Medi-Cal Enrollment Requirements for Applied Behavioral Analysis (ABA) Groups As a follow-up to the Provider Alert, in accordance with [...]Read more
Human Milk from a Licensed Tissue Bank is a Covered Benefit
April 24, 2026 / by Health Plan / Alerts, Medi-Cal Provider Alerts
Date: April 22, 2026 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan OBGYNs, Pediatricians, Hospital NICUs, and Doulas Type: Regulatory Subject: Human Milk from a Licensed Tissue Bank is a Covered Benefit Business: Medi-Cal Managed Care The Department of Managed Health Care (DMHC), Office of Planning Licensing (OPL) issued [...]Read more
Release of the Updated Medicare Outpatient Observation Notice (MOON)
April 23, 2026 / by Health Plan / Alerts, D-SNP Provider Alerts
Date: April 20, 2026 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan Hospitals Type: Regulatory Subject: Release of the Updated Medicare Outpatient Observation Notice (MOON) Business: Medicare Advantage D-SNP The Centers for Medicare & Medicaid Services (CMS) announced that the Office of Management and Budget (OMB) has approved the updated [...]Read more
USPSTF Recommendation – Intimate Partner Violence Screening for Women of Reproductive Age
April 17, 2026 / by Health Plan / Alerts, D-SNP Provider Alerts, Medi-Cal Provider Alerts
Date: April 15, 2026 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan Primary Care Providers Type: Informational/Educational Subject: USPSTF Recommendation – Intimate Partner Violence Screening for Women of Reproductive Age Business: Medi-Cal Managed Care/Medicare Dual Special Needs Program (D-SNP) Facility Site Review (FSR) Update Calendar Year 2026 Intimate Partner [...]Read more
DHCS APL 26-002: Medi-Cal Managed Care Plan Responsibilities for Non-Specialty Mental Health Services
April 17, 2026 / by Health Plan / Alerts, Medi-Cal Provider Alerts
Date: April 15, 2026 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan Practitioners and Providers Type: Regulatory Subject: DHCS APL 26-002: Medi-Cal Managed Care Plan Responsibilities for Non-Specialty Mental Health Services Business: Medi-Cal Managed Care The Department of Health Care Services (DHCS) issued All Plan Letter (APL) 26- 002 [...]Read more
Reminder: Medi-Cal Pharmacy (Rx) – Updates and Changes
April 17, 2026 / by Health Plan / Alerts, Medi-Cal Provider Alerts
Date: April 15, 2026 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan Practitioners, Facilities, and Hospitals Type: Informational/Educational Subject: Reminder: Medi-Cal Pharmacy (Rx) – Updates and Changes Business: Medi-Cal Managed Care This is a reminder of the Provider Alert issued on March 20, 2026, regarding the upcoming Medi-Cal Rx [...]Read more
2026 Medicare Stars Pocket Guide
April 15, 2026 / by Health Plan / Alerts, D-SNP Provider Alerts
Date: April 15, 2026 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan D-SNP Provider Network Type: Informational/Educational Subject: 2026 Medicare Stars Pocket Guide Business: Medicare Advantage D-SNP Health Plan is pleased to announce that the 2026 Medicare Stars Pocket Guide is now available in an electronic format for immediate [...]Read more
Medicare D-SNP Enrollment with Other Medi-Cal Managed Care Plan
April 13, 2026 / by Health Plan / Alerts, D-SNP Provider Alerts
Date: April 08, 2026 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan Practitioners, Providers, and Facilities Type: Regulatory Subject: Medicare D-SNP Enrollment with Other Medi-Cal Managed Care Plan Business: Medicare Advantage D-SNP As a reminder, Health Plan launched a Medicare Advantage Dual Special Needs Plan (D-SNP) starting 01/01/2026, as [...]Read more
FDA Drug Recall Alert – Magnesium Sulfate in Water for Injection, USP 4g/100mL
April 2, 2026 / by Health Plan / Alerts, D-SNP Provider Alerts, Medi-Cal Provider Alerts
Date: April 01, 2026 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan Practitioners, Facilities, and Hospitals Type: Informational/Educational Subject: Language Resources Business: Medi-Cal Managed Care/Medicare Dual Special Needs Program (D-SNP) On March 24, 2026, the Food and Drug Administration (FDA) released a recall announcement on Magnesium Sulfate in Water [...]Read more