February 9, 2015 / by Health Plan / Alerts
Health Advisory To: Health Care Providers From: Alvaro Garza, MD, MPH, Health Officer Situation: We continue with a growing epidemic of measles in California with origins in the Disneyland park. As of 2 February 2015, 92 cases have been reported in state residents. Among these, 59 have a confirmed epidemiologic link to the Disney exposure. […]
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Health Plan of San Joaquin provider Alerts
Provider Alert – ICD-10 is coming 10/1
April 14, 2015 / by Health Plan / Alerts
April 8, 2015 edition – In an ongoing effort to keep our Providers informed of upcoming changes, HPSJ would like to take this opportunity to once again remind you of the coming transition to ICD 10. We hope you’re ready! Why change? The periodic revisions of ICD-9-CM mirror changes in the medical and healthcare field. […]
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Codes: News & Updates – Local, crosswalk & unlisted/unspecified CPT codes
April 8, 2015 / by Health Plan / Alerts
To: HPSJ Providers From: Health Plan of San Joaquin – Provider Services Department Subject: Codes: News & Updates – Local, crosswalk & unlisted/unspecified CPT codes Business: Medi-Cal Medi-Cal Local Codes and Modifier ZS HPSJ previously removed the ability for providers to bill Medi-Cal Local Codes and Modifier ZS, effective October 1, 2014, with the expectation […]
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Prior Authorization Multiple Changes
March 18, 2015 / by Health Plan / Alerts
To: HPSJ Providers From: Health Plan of San Joaquin – Provider Services Department Subject: Prior Authorization Multiple Changes Business: Medi-Cal and AIM Good news for our providers. These Medi-Cal services will no longer require Prior Authorization for our contracted providers when performed as out-patient or office-based procedures: Colonoscopy, Sigmoidoscopy and Endoscopy Physical Therapy (PT) and […]
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First Friday Monthly – ICD-10 Provider Alert
March 9, 2015 / by Health Plan / Alerts
ICD-10 is Coming … 10/1 In the march to ICD-10 and October 1, here is a new monthly spotlight on what HPSJ is doing in parallel with your own efforts to get ready and how we will be helping you smooth the transition for your practice. Coming in May Code Crosswalk Interactive Tool will be […]
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Alert ACA SECTION 1202 Payment
March 5, 2015 / by Health Plan / Alerts
To: HPSJ Providers (Excluding Federally Qualified Health Clinics (FQHC) and Rural Health Clinics (RHCs) From: Health Plan of San Joaquin – Provider Services Department Subject: ACA SECTION 1202 Payment Pursuant to the Affordable Care Act (ACA) as amended by the H.R. 4872-24 Health Care and Education Reconciliation Act of 2010, Section 1202, ACA and 42 […]
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AMENDED ALERT – CHDP PM 160 Changes to Current Billing Process
February 18, 2015 / by Health Plan / Alerts
To: Primary Care Providers (PCP) From: Health Plan of San Joaquin (HPSJ) Subject: AMENDED ALERT – CHDP PM 160 Changes to Current Billing Process Product: Medi-Cal Managed Care As a valued HPSJ provider, we want to make you aware of several billing changes. These changes are required by Department of Health Care Services and have […]
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Important information, tools and materials are available at hpsj.com
February 17, 2015 / by Health Plan / Alerts
To: Health Plan of San Joaquin (HPSJ) Physicians, Providers, and Pharmacies From: Provider Services Department As a valued Health Plan of San Joaquin (HPSJ) provider, we would like to remind you about all of the important information, tools and materials that you can access from our website. We include information about many topics of interest […]
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Measles in California and San Joaquin County
February 9, 2015 / by Health Plan / Alerts
Health Advisory To: Health Care Providers From: Alvaro Garza, MD, MPH, Health Officer Situation: We continue with a growing epidemic of measles in California with origins in the Disneyland park. As of 2 February 2015, 92 cases have been reported in state residents. Among these, 59 have a confirmed epidemiologic link to the Disney exposure. […]
Read more
CHDP PM 160 Changes to Current Billing Process
February 9, 2015 / by Health Plan / Alerts
February 9, 2015 Provider Alert To: Primary Care Providers (PCP) From: Health Plan of San Joaquin Subject: CHDP PM 160 Changes to Current Billing Process Products: Medi-Cal Managed Care As a valued HPSJ provider, we want to make you aware of several billing changes. These changes are required by Department of Health Care Services and […]
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Behavioral Health Treatment
January 9, 2015 / by Health Plan / Alerts
As of September 15, 2014, Medi-Cal plans are responsible for providing Behavioral Health Therapy (BHT) services to individuals under the age of 21 who have an Autism Spectrum Disorder (ASD) diagnosis and for individuals without a diagnosis of autism where medically indicated. The Health Plan of San Joaquin’s Behavioral Health Benefits Manager, Beacon Health Strategies […]
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