May 15, 2026 / by Health Plan / Alerts, Medi-Cal Provider Alerts
Date: May 13, 2026 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan Practitioners, Facilities, and Hospitals Type: Informational/Educational Subject: Medi-Cal Pharmacy (Rx) – Wegovy Coverage Update Business: Medi-Cal Managed Care Effective April 1, 2026, Medi-Cal Rx will not require a prior authorization (PA) for Wegovy, a GLP-1 drug, if [...]
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FDA Drug Recall Alert – DOXOrubicin Hydrochloride Liposome Injection 50mg/25 mL
May 29, 2026 / by Health Plan / Alerts, D-SNP Provider Alerts, Medi-Cal Provider Alerts
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) [...]Read more
Jiva System Upgrade – “Add” Button for Documents
May 29, 2026 / by Health Plan / Alerts, D-SNP Provider Alerts, Medi-Cal Provider Alerts
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 [...]Read more
Commission for Behavioral Health (CBH) Meeting on 05/28/26
May 22, 2026 / by Health Plan / Alerts, Medi-Cal Provider Alerts
Date: May 20, 2026 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan All Practitioners and Behavioral Health Providers Type: Event Subject: Commission for Behavioral Health (CBH) Meeting on 05/28/26 Business: Medi-Cal Managed Care Effective May 29, 2026, Medi-Cal Rx will be implementing the following changes to the current Medicare [...]Read more
REMINDER: Mandatory Annual Trainings – Complete by 06/30/2026
May 22, 2026 / by Health Plan / Alerts, D-SNP Provider Alerts, Medi-Cal Provider Alerts
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 [...]Read more
Medi-Cal Pharmacy (Rx) – Changes to Medicare Part D Coordination of Benefits (COB)
May 22, 2026 / by Health Plan / Alerts, Medi-Cal Provider Alerts
Date: May 20, 2026 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan Practitioners, Facilities, and Hospitals Type: Informational/Educational Subject: Medi-Cal Pharmacy (Rx) – Changes to Medicare Part D Coordination of Benefits (COB) Business: Medi-Cal Managed Care Effective May 29, 2026, Medi-Cal Rx will be implementing the following changes to [...]Read more
MyRewards Quality Incentive Program is Changing
May 22, 2026 / by Health Plan / Alerts, Medi-Cal Provider Alerts
Date: May 20, 2026 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan Primary Care Providers, Obstetricians, Pediatricians, and Federally Qualified Health Centers Type: Informational/Educational Subject: MyRewards Quality Incentive Program is Changing Business: Medi-Cal Managed Care Health Plan’s Quality Incentive Program for members called, “myRewards”, engages members to complete wellness [...]Read more
New HCAI Funding Opportunity Launches 6/1/26 – Medi-Cal Behavioral Health Recruitment and Retention Program (MBH-RRP)
May 22, 2026 / by Health Plan / Alerts, Medi-Cal Provider Alerts
Date: May 20, 2026 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan All Practitioners and Behavioral Health Providers Type: Informational/Educational Subject: New HCAI Funding Opportunity Launches 6/1/26 - Medi-Cal Behavioral Health Recruitment and Retention Program (MBH-RRP) Business: Medi-Cal Managed Care The Department of Health Care Access and Information (HCAI) [...]Read more
The Department of Healthcare Services Skilled Nursing Facilities Workforce & Quality Improvement Program – File Reconciliation Calendar Year 2025
May 20, 2026 / by Health Plan / Alerts, Medi-Cal Provider Alerts
Date: May 15, 2026 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan Skilled Nursing Facilities Type: Regulatory Subject: The Department of Healthcare Services Skilled Nursing Facilities Workforce & Quality Improvement Program – File Reconciliation Calendar Year 2025 Business: Medi-Cal Managed Care Health Plan is providing an update on the [...]Read more
FDA Medical Device Recall Alert – TRUE METRIX Blood Glucose Monitoring Systems
May 15, 2026 / by Health Plan / Alerts, D-SNP Provider Alerts, Medi-Cal Provider Alerts
Date: May 13, 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 – TRUE METRIX Blood Glucose Monitoring Systems Business: Medi-Cal Managed Care/Medicare Dual Special Needs Program (D-SNP) On April 28, 2026, the Food and Drug Administration [...]Read more
Medi-Cal Pharmacy (Rx) – Wegovy Coverage Update
May 15, 2026 / by Health Plan / Alerts, Medi-Cal Provider Alerts
Date: May 13, 2026 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan Practitioners, Facilities, and Hospitals Type: Informational/Educational Subject: Medi-Cal Pharmacy (Rx) – Wegovy Coverage Update Business: Medi-Cal Managed Care Effective April 1, 2026, Medi-Cal Rx will not require a prior authorization (PA) for Wegovy, a GLP-1 drug, if [...]Read more