Health Plan of San Joaquin provider Alerts

Health Plan of San Joaquin presents its annual HEDIS training – March 17

When: Thursday, March 17, 2016 (12:00pm – 1:30pm) Where: HPSJ Community Room, 7751 S. Manthey Road, French Camp Who: Providers, Office Managers, Medical Assistants, Billers 12:00pm Welcome: Agenda Overview Review packet 12:15pm Meeting purpose: How to improve your HEDIS rates – Increase your opportunity for Provider Incentives 12:30pm Medical Management: Information & Updates related to […]

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Notification of Mail Theft and Potential Fraud

To: Health Plan of San Joaquin (HPSJ) Providers From: Provider Services Department Subject: Notification of Mail Theft and Potential Fraud Business: Medi-Cal, MCAP (Formerly known as AIM) In keeping with our Fraud, Waste and Abuse policies, HPSJ wants to keep you informed of a potential mail theft or fraud that may impact you or your […]

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CHDP PM 160 Changes to the Current Billing Process – Reminder

To: Primary Care Providers (PCP) From: Health Plan of San Joaquin (HPSJ) Subject: CHDP PM 160 Changes to the 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 the California Department of Health Care Services (DHCS) and […]

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Update – Refining Continues for System Identification for fraud, waste and abuse capture, as well as claims editing

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

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

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

“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

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

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

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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