Health Plan of San Joaquin provider Alerts

DHCS Opens Public Comment Period for the CalAIM 1115 Demonstration

Date: March 04, 2026 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan All Providers Type: Regulatory Subject: DHCS Opens Public Comment Period for the CalAIM 1115 Demonstration Business: Medi-Cal Managed Care On February 10, 2026, the Department of Health Care Services (DHCS) launched 30-day public and Tribal comment periods [...]

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2026 Advocacy in Action Conference: United for Community, Rooted in Justice – Presented by: California Alliance of Child and Family Services and Catalyst Center

Date: March 04, 2026 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan All Providers Type: Event Subject: 2026 Advocacy in Action Conference: United for Community, Rooted in Justice - Presented by: California Alliance of Child and Family Services and Catalyst Center Business: Medi-Cal Managed Care California Alliance of Child [...]

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Proposition 36 Implementation, Request for Information (RFI) Released – Due 2/27/2026

Date: February 27, 2026 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan All Providers Type: Informational/Educational Subject: Proposition 36 Implementation, Request for Information (RFI) Released - Due 2/27/2026 Business: Medi-Cal Managed Care On January 6, 2026, the Department of Health Care Services (DHCS) launched Proposition 36: Community-Based Substance Use [...]

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Behavioral Health Treatment Authorization Requests – New Template

Date: February 25, 2026 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan Behavioral Health Treatment/Applied Behavioral Health Providers Type: Procedural Subject: Behavioral Health Treatment Authorization Requests - New Template Business: Medi-Cal Managed Care Health Plan requires that Behavioral Health Treatment (BHT) services must be provided, observed, and directed under [...]

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Medicare Advantage D-SNP Plan Name Clarification

Date: February 25, 2026 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan Providers Type: Informational/Educational Subject: Medicare Advantage D-SNP Plan Name Clarification Business: Medicare Dual Special Needs Plan (D-SNP) As a reminder, Health Plan launched a Medicare Advantage Dual Special Needs Plan(D-SNP) starting 01/01/2026. Our plan marketing name is [...]

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Mandatory Annual Trainings – Complete by 06/30/2026

Date: February 18, 2026 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan Providers Type: Regulatory Subject: Mandatory Annual Trainings – Complete by 06/30/2026 Business: Medi-Cal Managed Care/Medicare D-SNP ACTION REQUIRED Please complete ALL SEVEN trainings by 06/30/2026 In accordance with California Department of Health Care Services (DHCS) and Centers [...]

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Available Webinars February 2026

Date: February 11, 2026 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan Providers Type: Informational/Educational Subject: Available Webinars February 2026 Business: Medi-Cal Managed Care The Medi-Cal Outreach and Education team (O&E) and the Department of Health Care Services (DHCS) are offering category-specific webinar sessions throughout the year. The following [...]

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Children’s Presumptive Eligibility Pre-Enrollment Worksheet Update

Date: February 11, 2026 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan Providers Type: Procedural Update Subject: Children’s Presumptive Eligibility Pre-Enrollment Worksheet Update Business: Medi-Cal Managed Care The Children’s Presumptive Eligibility Pre-Enrollment Worksheet (DHCS 4073) is a tool used by qualified providers to collect applicant information and reference when [...]

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DRE Member Roster Enhancement Update

Date: February 4, 2026 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan Primary Care Providers Type: Informational/Educational Subject: DRE Member Roster Enhancement Update Business: Medi-Cal Managed Care/Medicare D-SNP Effective January 22, 2026, the Member Roster available in the provider portal, Doctors Referral Express (DRE), now includes the date of [...]

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USPSTF Recommendation – Skin Cancer Behavioral Counseling

Date: January 21, 2026 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan All contracted PCPs Type: Informational/Educational Subject: USPSTF Recommendation – Skin Cancer Behavioral Counseling Business: Medi-Cal Managed Care Facility Site Review (FSR) Update Calendar Year 2026 Skin Cancer Prevention Behavioral Counseling The U.S. Preventative Services Task Force (USPSTF) [...]

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