October 1, 2025 / by Health Plan / Alerts, Medi-Cal Provider Alerts
Date: October 1, 2025 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan Physicians, Providers & Facilities Type: Formulary Subject: Medical Benefit Update - Effective December 15, 2025 Business: Medi-Cal Managed Care Effective December 15, 2025, the Pharmacy and Therapeutics Committee has approved the following changes to the medical benefit. [...]
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Medical Benefit Update – Effective December 15, 2025
October 1, 2025 / by Health Plan / Alerts, Medi-Cal Provider Alerts
Date: October 1, 2025 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan Physicians, Providers & Facilities Type: Formulary Subject: Medical Benefit Update - Effective December 15, 2025 Business: Medi-Cal Managed Care Effective December 15, 2025, the Pharmacy and Therapeutics Committee has approved the following changes to the medical benefit. [...]Read more
Referral to Non-Specialty Mental Health Services and Behavioral Health Treatment/Applied Behavioral Analysis
October 1, 2025 / by Health Plan / Alerts, Medi-Cal Provider Alerts
Date: October 1, 2025 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan All Primary Care Providers Type: Procedural Update Subject: Referral to Non-Specialty Mental Health Services and Behavioral Health Treatment/Applied Behavioral Analysis Business: Medi-Cal Managed Care Health Plan manages Medi-Cal Behavioral Health Services/Non-Specialty Mental Health Services (NSMHS) and Behavioral [...]Read more
2025-2026 Flu Prevention Campaign Launch
October 1, 2025 / by Health Plan / Alerts, Medi-Cal Provider Alerts
Date: October 1, 2025 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan Providers Type: Informational/Educational Subject: 2025-2026 Flu Prevention Campaign Launch Business: Medi-Cal Managed Care In partnership with our local public health agencies, Health Plan launched a flu prevention campaign to protect families and communities during the 2025–2026 flu [...]Read more
ECM Payments Process Update
October 1, 2025 / by Health Plan / Alerts, Medi-Cal Provider Alerts
Date: October 1, 2025 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan Enhanced Care Management (ECM) Providers Type: Informational Subject: ECM Payments Process Update Business: Medi-Cal Managed Care As part of ongoing efforts for efficiency and accuracy, Health Plan has implemented internal process improvements for payments of Enhanced Care [...]Read more