February 27, 2017 / by Health Plan / Alerts
Date: February 21, 2017 To: Third Party Administrator (TPA) Contracted Providers From: San Joaquin Health Administrators (SJHA) Subject: Courtesy Message – Additional Information Business: TPA Effective March 1, 2017 As a courtesy, we want to make you aware that effective March 1, 2017, SJHA (San Joaquin Health Administrators) will no longer provide TPA (Third Party […]
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Health Plan of San Joaquin provider Alerts
Coming Soon – HPSJ’s New Electronic Medical Management System
April 6, 2017 / by Health Plan / Alerts
Date: April 6, 2017 To: Health Plan of San Joaquin (HPSJ) Providers and Practitioners From: HPSJ Medical Management & IT Departments Subject: Coming Soon – HPSJ’s New Electronic Medical Management System Business: Medi-Cal, MCAP (Medi-Cal Access Program, previously known as AIM) This is an update as we continue to partner with our providers and in […]
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Provider Satisfaction Survey Arriving In April
March 23, 2017 / by Health Plan / Alerts
Date: March 23, 2017 To: Health Plan of San Joaquin (HPSJ) Providers and Practitioners From: Medical Management Department – Health Plan of San Joaquin Subject: Provider Satisfaction Survey Arriving In April Business: Medi-Cal, MCAP (Medi-Cal Access Program, previously known as AIM) HPSJ values our providers and appreciates your partnership and participation in our network. In April, […]
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Pricing for Injectables: HPSJ’s Temporary Fix for a DHCS Technical Glitch
March 14, 2017 / by Health Plan / Alerts
Date: March 13, 2017 To: Health Plan of San Joaquin (HPSJ) Providers and Facilities From: HPSJ Claims Department Subject: Pricing for Injectables: HPSJ’s Temporary Fix for a DHCS Technical Glitch Business: Medi-Cal, MCAP (Medi-Cal Access Program, previously known as AIM) Health Plan of San Joaquin (HPSJ) strives to keep our network practices and providers upto-date […]
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Provider Alert – Formulary Update Effective 5/11/2017
March 9, 2017 / by Health Plan / Alerts
Date: March 9, 2017 To: Health Plan of San Joaquin (HPSJ) Physicians and Providers From: Health Plan of San Joaquin Pharmacy and Therapeutics Committee Subject: Provider Alert – Formulary Update Effective 5/11/2017, Business: Medi-Cal, MCAP (Medi-Cal Access Program, previously known as AIM) Effective 5/11/2017, the Pharmacy and Therapeutics Committee has approved the following changes: Additions […]
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COMING SOON! HEDIS 2017 Member Incentives
March 1, 2017 / by Health Plan / Alerts
Date: March 1, 2017 To: Health Plan of San Joaquin (HPSJ) Providers From: HPSJ Medical Management Department Subject: COMING SOON! HEDIS 2017 Member Incentives Business: Medi-Cal, MCAP (Medi-Cal Access Program, previously known as AIM) Please work with your patients to perform these important services by the end of the year (12/31/17). At HPSJ, we are your […]
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Courtesy Message – Additional Information
February 27, 2017 / by Health Plan / Alerts
Date: February 21, 2017 To: Third Party Administrator (TPA) Contracted Providers From: San Joaquin Health Administrators (SJHA) Subject: Courtesy Message – Additional Information Business: TPA Effective March 1, 2017 As a courtesy, we want to make you aware that effective March 1, 2017, SJHA (San Joaquin Health Administrators) will no longer provide TPA (Third Party […]
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Courtesy Message – SJHA ends TPA Services with San Joaquin County Employee Health Plan
February 21, 2017 / by Health Plan / Alerts
Date: February 21, 2017 To: Third Party Administrator (TPA) Contracted Providers From: San Joaquin Health Administrators (SJHA) Subject: Courtesy Message – SJHA ends TPA Services with San Joaquin County Employee Health Plan Business: TPA Effective March 1, 2017 As a courtesy, we want to make you aware that effective March 1, 2017, SJHA (San Joaquin […]
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Coming – Spring 2017 Enhanced DRE Service for HPSJ Provider Network
February 8, 2017 / by Health Plan / Alerts
Date: February 8, 2017 To: Health Plan of San Joaquin (HPSJ) Providers and Practitiones From: HPSJ Medical Management & IT Departments Subject: Coming – Spring 2017 Enhanced DRE Service for HPSJ Provider Network Business: Medi-Cal, MCAP (Medi-Cal Access Program, previously known as AIM) Coming – Spring 2017 Enhanced DRE Service for HPSJ Provider Network As […]
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HEDIS Time: Annual Medical Records Review
February 1, 2017 / by Health Plan / Alerts
Date: February 1, 2017 To: Health Plan of San Joaquin (HPSJ) Providers and Practitioners From: Medical Management Department – Health Plan of San Joaquin Subject: HEDIS Time: Annual Medical Records Review Business: Medi-Cal, MCAP (Medi-Cal Access Program, previously known as AIM) Traditionally scheduled for February through May of each year, the 2017 Medical Review Process […]
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Effective 2/21/2017, the Pharmacy and Therapeutics Committee has approved the following changes:
December 21, 2016 / by Health Plan / Alerts
Date: December 21, 2016 To: Health Plan of San Joaquin (HPSJ) Providers and Practitioners From: HPSJ Medical Management Department Subject: Comprehensive Tobacco Cessation Services Business: Medi-Cal, MCAP (Medi-Cal Access Program, previously known as AIM) Additions to the Formulary: Potassium Citrate ER 15 mEq (Urocit-K): No PA required. Alemtuzumab (Lemtrada): PA required. Restricted to neurologists. Documented diagnosis […]
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