Strategic Plan 2026-2028

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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REMINDER: Mandatory Annual Trainings – Complete by 06/30/2026

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 [...]

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Medical Benefit Updates – Effective August 31, 2026

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 [...]

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FDA Medical Device Recall Alert – Certain Omnipod Pods

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 [...]

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Upcoming Payment Fulfillment Transition

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 [...]

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FDA Medical Device Recall Alert – Certain Omnipod Pods

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 [...]

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FDA Drug Recall Alert – DOXOrubicin Hydrochloride Liposome Injection 50mg/25 mL

Date: May 27, 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 – DOXOrubicin Hydrochloride Liposome Injection 50mg/25 mL Business: Medi-Cal Managed Care/Medicare Dual Special Needs Program (D-SNP) On May 13, 2026, the Food and Drug Administration (FDA) [...]

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Jiva System Upgrade – “Add” Button for Documents

Date: May 27, 2026 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan All Providers Type: Procedural Update Subject: Jiva System Upgrade – “Add” Button for Documents Business: Medi-Cal Managed Care/Medicare Dual Special Needs Program (D-SNP) Effective 4/27/2026, there was an upgrade to Jiva, Health Plan’s medical management system. This [...]

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REMINDER: Mandatory Annual Trainings – Complete by 06/30/2026

Date: May 20, 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 [...]

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