October 28, 2015 / by Health Plan / Alerts
To: Health Plan of San Joaquin Providers From: Provider Services Department Subject: Document Requirements for Oxygen/Respiratory Equipment Business: Medi-Cal, AIM (now known as Medi-Cal Access Program) Effective December 15, 2015 We at HPSJ, in collaboration with our network providers, want to ensure that your patients who require home oxygen – either as a new request […]
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Health Plan of San Joaquin provider Alerts
Update – Refining Continues for System Identification for fraud, waste and abuse capture, as well as claims editing
January 13, 2016 / by Health Plan / Alerts
To: Health Plan of San Joaquin (HPSJ) Providers From: Provider Services Department Subject: Update – Refining Continues for System Identification for fraud, waste and abuse capture, as well as claims editing Business: Medi-Cal, AIM (now known as Medi-Cal Access Program) As part of ongoing oversight efforts, state and federal regulators mandate that health plans, including […]
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Provider Satisfaction Survey Arriving This Month
January 6, 2016 / by Health Plan / Alerts
To: Health Plan of San Joaquin (HPSJ) Providers From: Provider Services Department Subject: Provider Satisfaction Survey Arriving This Month Business: Medi-Cal, AIM (now known as Medi-Cal Access Program) HPSJ values our providers and appreciates your participation in our network. In mid-January you will receive our Provider Satisfaction Survey. We ask that you take a few […]
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Changes to Prior Authorization Requirement for Dispensing of Ear Molds
December 30, 2015 / by Health Plan / Alerts
To: Health Plan of San Joaquin (HPSJ) Audiologists, Speech Pathologists and Hearing Aid Dispensing Providers From: Provider Services Department Subject: Changes to Prior Authorization Requirement for Dispensing of Ear Molds Business: Medi-Cal Effective: Retroactively to January 1, 2014 Code V5264 used for ear molds, which are needed in conjunction with hearing aids, no longer require […]
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Provider Alert Regarding HPSJ preventive Health guidelines
December 28, 2015 / by Health Plan / Alerts
“It takes time and careful consideration to plan preventive care for each patient. As a Health Plan of San Joaquin provider we want to support you in your efforts to provide preventive care to all members in a timely fashion. With our new age specific Preventive Health Care Guidelines you can quickly reference and determine […]
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Limitations to the Sutter Gould Specialty Network
December 16, 2015 / by Health Plan / Alerts
To: Health Plan of San Joaquin (HPSJ) Providers From: Provider Services Department Subject: Limitations to the Sutter Gould Specialty Network Business: Medi-Cal, AIM (now known as Medi-Cal Access Program) This message is being sent to you as part of HPSJ’s ongoing efforts to keep our providers informed of changes that may impact their practice. Sutter […]
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Reminder: Annual Dilated Retinal Eye Exams Now Available for Diabetic Members
November 12, 2015 / by Health Plan / Alerts
Date: November 12, 2015 To: Health Plan of San Joaquin (HPSJ) Providers From: Provider Services Department Subject: Reminder: Annual Dilated Retinal Eye Exams Now Available for Diabetic Members Business: Medi-Cal, AIM HPSJ is pleased to announce that, as of September 1, 2015, all HPSJ members with diabetes can obtain a dilated retinal eye examination annually through VSP […]
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Lunch and Learn for Stanislaus County PCPs with patients between ages of 0 and 18
November 4, 2015 / by Health Plan / Alerts
When: Wednesday, November 18, 2015 (11:00am – 1:00pm) Where: Provider Services Subject: HPSJ Community Room, 1025 J Street, Modesto Who: Providers with HPSJ patients (0 through 18 years old) LUNCH & LEARN Health Plan of San Joaquin presents its new initiative – ORAL HEALTH FOR CHILDREN STARTS AT BIRTH 11:00am Welcome & Introductions Lakshmi Dhanvanthari, […]
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HPSJ’s Policy and Procedures for Dental Intravenous Sedations & General Anesthesia for dental procedures
October 30, 2015 / by Health Plan / Alerts
To: Health Plan of San Joaquin (HPSJ) Primary Care & Specialty Physicians and Surgery Centers From: Provider Services Subject: HPSJ’s Policy and Procedures for Dental Intravenous Sedations & General Anesthesia for dental procedures Business: Medi-Cal Effective December 15, 2015 Health Plan of San Joaquin’s policies and procedures have been revised in compliance with the California […]
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Document Requirements for Oxygen/Respiratory Equipment
October 28, 2015 / by Health Plan / Alerts
To: Health Plan of San Joaquin Providers From: Provider Services Department Subject: Document Requirements for Oxygen/Respiratory Equipment Business: Medi-Cal, AIM (now known as Medi-Cal Access Program) Effective December 15, 2015 We at HPSJ, in collaboration with our network providers, want to ensure that your patients who require home oxygen – either as a new request […]
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Provider Alert – Fluoride Varnish Treatment
October 21, 2015 / by Health Plan / Alerts
To: Health Plan of San Joaquin (HPSJ) Primary Care and Specialty Physicians From: Provider Services Department Subject: Increased Reimbursement on Fluoride Varnish Treatment and Expanded Pharmacy Benefit for Fluoride Drops and Tablets Products: Medi-Cal Effective: November 1, 2015 ONLY HPSJ’s Medi-Cal members are affected by the following changes. Fluoride Varnish Treatment Both Primary […]
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