September 5, 2025 / by Health Plan / Alerts
Date: September 3, 2025 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan Providers Type: Informational/Educational Subject: Reminder: Telehealth Services Business: Medi-Cal Managed Care Due to recent federal immigration changes, it may potentially cause members to be fearful of visiting your clinic, which may lead to missed or canceled appointments. [...]
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Health Plan of San Joaquin provider Alerts
Free Zoom Training: Perinatal Substance Use Disorder 101 Presented by Postpartum Support International
September 24, 2025 / by Health Plan / Alerts
Date: September 23, 2025 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan All Primary Care Providers and BH Providers Type: Informational/Educational Subject: Free Zoom Training: Perinatal Substance Use Disorder 101 Presented by Postpartum Support International Business: Medi-Cal Managed Care The Policy Center, Postpartum Support International and Colorado Department of [...]Read more
Free Zoom Webinar – Addiction 101: Understanding Lived Experience and the Science to Prevent Overdose Sponsored by California Overdose Prevention Network (COPN)
September 22, 2025 / by Health Plan / Alerts
Date: September 22, 2025 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan Primary Care Providers and BH Providers Type: Informational/Educational Subject: Free Zoom Webinar - Addiction 101: Understanding Lived Experience and the Science to Prevent Overdose Sponsored by California Overdose Prevention Network (COPN) Business: Medi-Cal Managed Care The California [...]Read more
2025 Provider Appointment Availability Survey (PAAS)
September 19, 2025 / by Health Plan / Alerts
Date: September 19, 2025 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan Primary Care Providers, Specialists, Behavioral Health Type: Regulatory Subject: 2025 Provider Appointment Availability Survey (PAAS) Business: Medi-Cal Managed Care The Provider Appointment Availability Survey (PAAS) has begun. Health Plan is required by the Department of Health Care [...]Read more
Changes to Prior Authorization Search Tool in Provider Portal
September 11, 2025 / by Health Plan / Alerts
Date: September 11, 2025 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan Providers, Facilities and Hospitals Type: Informational Subject: Changes to Prior Authorization Search Tool in Provider Portal Business: Medi-Cal Managed Care Health Plan’s current claims processing system upgrade to QNXT 2.0 scheduled for September 12, 2025, includes an [...]Read more
REMINDER IMPORTANT! PLEASE READ: Claims Processing System Upgrade – QNXT 2.0 Go-Live Moved to 9/12/2025
September 10, 2025 / by Health Plan / Alerts
Date: September 10, 2025 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan Providers, Facilities and Hospitals Type: Informational Subject: REMINDER IMPORTANT! PLEASE READ: Claims Processing System Upgrade – QNXT 2.0 Go-Live Moved to 9/12/2025 Business: Medi-Cal Managed Care Health Plan recently announced that our current claims processing system will [...]Read more
Peer-to-Peer Update
September 5, 2025 / by Health Plan / Alerts
Date: September 3, 2025 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan All Providers and facilities Type: Procedural Update Subject: Peer-to-Peer Update Business: Medi-Cal Managed Care A treating provider can request a peer-to-peer discussion with Health Plan’s medical director within 5 business days of receiving notification of a denied [...]Read more
DHCS Release of Request for Applications for Behavioral Health Continuum Infrastructure Program – Round 2: Unmet Needs
September 5, 2025 / by Health Plan / Alerts
Date: September 3, 2025 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan Providers Type: Informational Subject: DHCS Release of Request for Applications for Behavioral Health Continuum Infrastructure Program - Round 2: Unmet Needs Business: Medi-Cal Managed Care The Department of Health Care Services (DHCS) has released the Bond Behavioral [...]Read more
Reminder: Telehealth Services
September 5, 2025 / by Health Plan / Alerts
Date: September 3, 2025 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan Providers Type: Informational/Educational Subject: Reminder: Telehealth Services Business: Medi-Cal Managed Care Due to recent federal immigration changes, it may potentially cause members to be fearful of visiting your clinic, which may lead to missed or canceled appointments. [...]Read more
Community Health Worker (CHW) Technical Assistance Webinar: Standing Recommendation in Action
August 28, 2025 / by Health Plan / Alerts
Date: August 28, 2025 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan All Providers Type: Event Subject: Community Health Worker (CHW) Technical Assistance Webinar: Standing Recommendation in Action Business: Medi-Cal Managed Care The Department of Health Care Services (DHCS) is partnering with the California Health Care Foundation (CHCF) and [...]Read more
FDA Drug Recall Alert – Lactated Ringer’s Injection USP 1000 mL/0.9% Sodium Chloride Injection USP 1000 mL
August 26, 2025 / by Health Plan / Alerts
Date: August 26, 2025 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan Practitioners, Facilities, and Hospitals Type: Informational/Educational Subject: FDA Drug Recall Alert - Lactated Ringer’s Injection USP 1000 mL/0.9% Sodium Chloride Injection USP 1000 mL Business: Medi-Cal Managed Care On August 19, 2025, the Food and Drug Administration [...]Read more