Medi-Cal Pharmacy (Rx) – Coordination of Benefits (COB) Billing Updates for Skilled Nursing Facilities

Date: April 29, 2026 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan Skilled Nursing Facilities Type: Informational/Educational Subject: Medi-Cal Pharmacy (Rx) - Coordination of Benefits (COB) Billing Updates for Skilled Nursing Facilities Business: Medi-Cal Managed Care/Medicare Dual Special Needs Program (D-SNP) Effective May 8, 2026, diabetic testing supplies, such [...]

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Free Zoom Two-Part Training: Utilizing Cultural Humility to Enhance Safety, Trust, and Engagement with Clients

Date: April 29, 2026 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan All Primary Care and Behavioral Health Providers Type: Informational/Educational Subject: Free Zoom Two-Part Training: Utilizing Cultural Humility to Enhance Safety, Trust, and Engagement with Clients Business: Medi-Cal Managed Care/Medicare Dual Special Needs Program (D-SNP) The Los Angeles [...]

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Release of the Updated Medicare Outpatient Observation Notice (MOON)

Date: April 20, 2026 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan Hospitals Type: Regulatory Subject: Release of the Updated Medicare Outpatient Observation Notice (MOON) Business: Medicare Advantage D-SNP The Centers for Medicare & Medicaid Services (CMS) announced that the Office of Management and Budget (OMB) has approved the updated [...]

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USPSTF Recommendation – Intimate Partner Violence Screening for Women of Reproductive Age

Date: April 15, 2026 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan Primary Care Providers Type: Informational/Educational Subject: USPSTF Recommendation – Intimate Partner Violence Screening for Women of Reproductive Age Business: Medi-Cal Managed Care/Medicare Dual Special Needs Program (D-SNP) Facility Site Review (FSR) Update Calendar Year 2026 Intimate Partner [...]

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2026 Medicare Stars Pocket Guide

Date: April 15, 2026 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan D-SNP Provider Network Type: Informational/Educational Subject: 2026 Medicare Stars Pocket Guide Business: Medicare Advantage D-SNP Health Plan is pleased to announce that the 2026 Medicare Stars Pocket Guide is now available in an electronic format for immediate [...]

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Medicare D-SNP Enrollment with Other Medi-Cal Managed Care Plan

Date: April 08, 2026 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan Practitioners, Providers, and Facilities Type: Regulatory Subject: Medicare D-SNP Enrollment with Other Medi-Cal Managed Care Plan  Business: Medicare Advantage D-SNP As a reminder, Health Plan launched a Medicare Advantage Dual Special Needs Plan (D-SNP) starting 01/01/2026, as [...]

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FDA Drug Recall Alert – Magnesium Sulfate in Water for Injection, USP 4g/100mL

Date: April 01, 2026 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan Practitioners, Facilities, and Hospitals Type: Informational/Educational Subject: Language Resources Business: Medi-Cal Managed Care/Medicare Dual Special Needs Program (D-SNP) On March 24, 2026, the Food and Drug Administration (FDA) released a recall announcement on Magnesium Sulfate in Water [...]

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Language Resources

Date: April 01, 2026 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan All Providers Type: Informational/Educational Subject: Language Resources Business: Medi-Cal Managed Care/Medicare Dual Special Needs Program (D-SNP) The Cultural & Linguistic Services department of Health Plan of San Joaquin and Mountain Valley Health Plan reminds providers to ensure [...]

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FDA Medical Device Recall Alert – Insulet Initiates Voluntary Medical Device Correction for Certain Omnipod® 5 Pods in the U.S.

Date: March 26, 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 – Insulet Initiates Voluntary Medical Device Correction for Certain Omnipod® 5 Pods in the U.S. Business: Medi-Cal Managed Care/Medicare Dual Special Needs Program (D-SNP) On [...]

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Medical Benefit Update- Effective 06/01/2026

Date: March 11, 2026 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) Pharmacy and Providers To: Health Plan Pharmacy and Therapeutics Committee Type: Formulary Subject: Medical Benefit Update- Effective 06/01/2026 Business: Medi-Cal Managed Care/Medicare D-SNP Effective 06/01/2026, the Pharmacy and Therapeutics Committee has approved the following changes to the medical benefit. Code [...]

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