September 25, 2025 / by Health Plan / Alerts
Date: September 25, 2025 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan Primary Care Providers, Specialists, Behavioral Health Providers, and Ancillary Providers Type: Informational Subject: California Health Coalition Event Business: Medi-Cal Managed Care California Department Public Health (CDPH) State Public Health Officer Dr. Erica Pan, in collaboration with the [...]
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Health Plan of San Joaquin provider Alerts
DHCS’s ACEs Aware Learning Center Webinar on 10/23/2025
October 8, 2025 / by Health Plan / Alerts, Medi-Cal
Date: October 8, 2025 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan All Network Type: Event Subject: DHCS's ACEs Aware Learning Center Webinar on 10/23/2025 Business: Medi-Cal Managed Care Adverse Childhood Experiences (ACEs) Aware initiative will hold a webinar California Providers: Support Youth Behavioral Health with These Free Digital [...]Read more
Strengthening Connections with Children and Youth Best Practices: Webinar
October 8, 2025 / by Health Plan / Alerts, Medi-Cal
Date: October 8, 2025 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan All Providers Type: Event Subject: Strengthening Connections with Children and Youth Best Practices: Webinar Business: Medi-Cal Managed Care The Department of Health Care Services (DHCS) will host a public webinar, Strengthening Connections with Children and Youth Providers, [...]Read more
Relocation of Select Policy in Evaluation and Management
October 1, 2025 / by Health Plan / Alerts, Medi-Cal
Date: October 1, 2025 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan All Providers, Behavioral Health Providers & Facilities Type: Informational/Educational Subject: Relocation of Select Policy in Evaluation and Management Business: Medi-Cal Managed Care The Department of Health Care Services (DHCS) is providing an update on the DHCS Medi-Cal [...]Read more
Medical Benefit Update – Effective December 15, 2025
October 1, 2025 / by Health Plan / Alerts, Medi-Cal
Date: October 1, 2025 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan Physicians, Providers & Facilities Type: Formulary Subject: Medical Benefit Update - Effective December 15, 2025 Business: Medi-Cal Managed Care Effective December 15, 2025, the Pharmacy and Therapeutics Committee has approved the following changes to the medical benefit. [...]Read more
Referral to Non-Specialty Mental Health Services and Behavioral Health Treatment/Applied Behavioral Analysis
October 1, 2025 / by Health Plan / Alerts, Medi-Cal
Date: October 1, 2025 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan All Primary Care Providers Type: Procedural Update Subject: Referral to Non-Specialty Mental Health Services and Behavioral Health Treatment/Applied Behavioral Analysis Business: Medi-Cal Managed Care Health Plan manages Medi-Cal Behavioral Health Services/Non-Specialty Mental Health Services (NSMHS) and Behavioral [...]Read more
2025-2026 Flu Prevention Campaign Launch
October 1, 2025 / by Health Plan / Alerts, Medi-Cal
Date: October 1, 2025 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan Providers Type: Informational/Educational Subject: 2025-2026 Flu Prevention Campaign Launch Business: Medi-Cal Managed Care In partnership with our local public health agencies, Health Plan launched a flu prevention campaign to protect families and communities during the 2025–2026 flu [...]Read more
ECM Payments Process Update
October 1, 2025 / by Health Plan / Alerts, Medi-Cal
Date: October 1, 2025 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan Enhanced Care Management (ECM) Providers Type: Informational Subject: ECM Payments Process Update Business: Medi-Cal Managed Care As part of ongoing efforts for efficiency and accuracy, Health Plan has implemented internal process improvements for payments of Enhanced Care [...]Read more
California Health Coalition Event
September 25, 2025 / by Health Plan / Alerts
Date: September 25, 2025 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan Primary Care Providers, Specialists, Behavioral Health Providers, and Ancillary Providers Type: Informational Subject: California Health Coalition Event Business: Medi-Cal Managed Care California Department Public Health (CDPH) State Public Health Officer Dr. Erica Pan, in collaboration with the [...]Read more
Do not submit a Provider Dispute for Remittance Advices with Blank or Missing Claim Line Information
September 24, 2025 / by Health Plan / Alerts
Date: September 24, 2025 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan Providers, Facilities, Hospitals, Clinics Type: Process Update Subject: Do not submit a Provider Dispute for Remittance Advices with Blank or Missing Claim Line Information Business: Medi-Cal Managed Care We are aware of a system issue related to [...]Read more
Breast Cancer Screening (BCS-E) & Cervical Cancer Screening (CCSE)
September 24, 2025 / by Health Plan / Alerts
Date: September 24, 2025 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan CONTRACTED PCPs & OBGYN Type: Informational/Educational Subject: Breast Cancer Screening (BCS-E) & Cervical Cancer Screening (CCSE) Business: Medi-Cal Managed Care Healthcare Effectiveness Data Information Set (HEDIS) Update Measurement Year 2025 Cancer Screening for Women Measures Update-BCS-E-Breast Cancer [...]Read more