June 26, 2026 / by Health Plan / D-SNP Provider Alerts
Access & Continuity of Care Work with county and state officials to identify the resulting losses in coverage from federal and state health care policy and financing changes upon the most vulnerable in our service areas. Keep provider partners, advocacy organizations, members, county leaders, and community stakeholders informed of these impacts. Explore possible initiatives to [...]
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FDA Drug Recall Alert – Cyclophosphamide for Injection, USP, 1g/vial and 2g/vial
July 31, 2026 / by Health Plan / Alerts, D-SNP Provider Alerts, Medi-Cal Provider Alerts
Date: July 09, 2026 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 – Cyclophosphamide for Injection, USP, 1g/vial and 2g/vial Business: Medi-Cal Managed Care/Medicare Advantage D-SNP On July 24, 2026, the Food and Drug Administration (FDA) released a [...]Read more
Planned JIVA System Maintenance and Social Care Connect Go-Live
July 10, 2026 / by Health Plan / Alerts, D-SNP Provider Alerts, Medi-Cal Provider Alerts
Date: July 09, 2026 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan All Providers, Enhanced Care Management & Community Supports Providers, and CBO's Type: Regulatory Subject: Planned JIVA System Maintenance and Social Care Connect Go-Live Business: Medi-Cal Managed Care/Medicare Advantage D-SNP Health Plan will be performing planned system maintenance [...]Read more
Medi-Medi Payments and Balance Billing
July 10, 2026 / by Health Plan / Alerts, D-SNP Provider Alerts
Date: July 08, 2026 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan Practitioners, Providers, and Facilities Type: Regulatory Subject: Medi-Medi Payments and Balance Billing Business: Medicare Advantage D-SNP As you know, Health Plan launched a Medicare Advantage Dual Special Needs Plan (D-SNP) starting 01/01/2026 known as Health Plan of [...]Read more
Strategic Plan 2026-2028
June 26, 2026 / by Health Plan / D-SNP Provider Alerts
Access & Continuity of Care Work with county and state officials to identify the resulting losses in coverage from federal and state health care policy and financing changes upon the most vulnerable in our service areas. Keep provider partners, advocacy organizations, members, county leaders, and community stakeholders informed of these impacts. Explore possible initiatives to [...]Read more
REMINDER: Mandatory Annual Trainings – Complete by 06/30/2026
June 26, 2026 / by Health Plan / Alerts, D-SNP Provider Alerts, Medi-Cal Provider Alerts
Date: June 24, 2026 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan All Providers Type: Regulatory Subject: REMINDER: Mandatory Annual Trainings – Complete by 06/30/2026 Business: Medi-Cal Managed Care/Medicare Dual Special Needs Program (D-SNP) This is a reminder that the due date is approaching for Health Plan’s mandatory trainings [...]Read more
Medical Benefit Updates – Effective August 31, 2026
June 25, 2026 / by Health Plan / Alerts, D-SNP Provider Alerts, Medi-Cal Provider Alerts
Date: June 24, 2026 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan Physicians and Providers Type: Formulary Subject: Medical Benefit Updates – Effective August 31, 2026 Business: Medi-Cal Managed Care/Medicare Dual Special Needs Program (D-SNP) Effective August 31, 2026, the Pharmacy and Therapeutics Committee has approved the following changes [...]Read more
FDA Medical Device Recall Alert – Certain Omnipod Pods
June 18, 2026 / by Health Plan / Alerts, D-SNP Provider Alerts, Medi-Cal Provider Alerts
Date: June 10, 2026 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan Practitioners, Facilities, and Hospitals Type: Informational/Educational Subject: FDA Medical Device Recall Alert – Certain Omnipod Pods Business: Medi-Cal Managed Care/Medicare Dual Special Needs Program (D-SNP) On May 26, 2026, the Food and Drug Administration (FDA) released a [...]Read more
Upcoming Payment Fulfillment Transition
June 15, 2026 / by Health Plan / Alerts, D-SNP Provider Alerts, Medi-Cal Provider Alerts
Date: June 10, 2026 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan Providers Type: Informational Subject: Upcoming Payment Fulfillment Transition Business: Medi-Cal Managed Care/Medicare Dual Special Needs Program (D-SNP) Health Plan will be transitioning its payment fulfillment services to Optum Financial (Optum). This is anticipated to occur in Q4 [...]Read more
FDA Medical Device Recall Alert – Certain Omnipod Pods
June 15, 2026 / by Health Plan / Alerts, D-SNP Provider Alerts, Medi-Cal Provider Alerts
Date: June 10, 2026 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan Practitioners, Facilities, and Hospitals Type: Informational/Educational Subject: FDA Medical Device Recall Alert – Certain Omnipod Pods Business: Medi-Cal Managed Care/Medicare Dual Special Needs Program (D-SNP) On May 26, 2026, the Food and Drug Administration (FDA) released a [...]Read more
Medi-Cal and Me
June 9, 2026 / by Health Plan / D-SNP Provider Alerts
What is Medi-Cal? Who Qualifies? How to Apply What is Medi-Cal? Medi-Cal is California’s version of the Federal Medicaid program. If you qualify, you can enroll in no-cost or low-cost health coverage year round. Benefits of Medi-Cal include Primary & Specialist Care Pharmacy & Prescription Drug Services Vision Care [...]Read more