November 5, 2025 / by Health Plan / Alerts, Medi-Cal Provider Alerts
Date: November 05, 2025 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan Practitioners, Facilities, and Hospitals Type: Informational/Educational Subject: Changes to Medi-Cal Rx - 60-day Countdown Business: Medi-Cal Managed Care Medi-Cal Rx Pharmacy Benefit Changes for all Medi-Cal Members. Effective January 1, 2026, the following changes will be implemented [...]
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Excellent Health Outcomes for All (EHOA) training
December 3, 2025 / by Health Plan / Alerts, Medi-Cal Provider Alerts
Date: December 1, 2025 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan Network Providers Type: Regulatory Subject: Excellent Health Outcomes for All (EHOA) training Business: Medi-Cal Managed Care The Excellent Health Outcomes for All (EHOA) Training, formerly referred to as Diversity Equity and Inclusion (DEI), is now available on [...]Read more
FDA Drug Recall Alert – Famotidine Injection 20mg per 2ml
November 26, 2025 / by Health Plan / Alerts, Medi-Cal Provider Alerts
Date: November 24, 2025 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 – Famotidine Injection 20mg per 2ml Business: Medi-Cal Managed Care On November 06, 2025, the Food and Drug Administration (FDA) released a recall announcement on Famotidine [...]Read more
FDA Drug Recall Alert – Potassium Chloride Injection, 20 mEq
November 26, 2025 / by Health Plan / Alerts, Medi-Cal Provider Alerts
Date: November 24, 2025 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 – Potassium Chloride Injection, 20 mEq Business: Medi-Cal Managed Care On November 03, 2025, the Food and Drug Administration (FDA) released a recall announcement on Potassium [...]Read more
Reminder: Provider Satisfaction Survey is Here
November 20, 2025 / by Health Plan / Alerts, Medi-Cal Provider Alerts
Date: November 19, 2025 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan Contracted Provider Network Type: Regulatory Subject: Reminder: Provider Satisfaction Survey is Here Business: Medi-Cal Managed Care This is a reminder that the annual Provider Satisfaction Survey is currently in progress and is being administered by our third-party [...]Read more
Provider Manual Update 45 Day Notice
November 20, 2025 / by Health Plan / Alerts, Medi-Cal Provider Alerts
Date: November 19, 2025 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan Providers and Facilities Type: Procedural Update Subject: Provider Manual Update 45 Day Notice Business: Medi-Cal Managed Care This alert serves as an official 45 business day notice to meet the California Department of Managed Health Care (DMHC) [...]Read more
DHCS APL 25-011: H.R. 1 – Federal Payments to Prohibited Entities
November 13, 2025 / by Health Plan / Alerts, Medi-Cal Provider Alerts
Date: November 11, 2025 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan Providers Type: Regulatory Subject: DHCS APL 25-011: H.R. 1 – Federal Payments to Prohibited Entities Business: Medi-Cal Managed Care The Department of Health Care Services (DHCS) issued an All Plan Letter (APL) 25-011: H.R. 1 – Federal [...]Read more
After Hours Survey is Here
November 7, 2025 / by Health Plan / Alerts, Medi-Cal Provider Alerts
Date: November 06, 2025 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan Primary Care Providers Type: Regulatory Subject: After Hours Survey is Here Business: Medi-Cal Managed Care The Department of Health Care Services (DHCS) and the Department of Managed Health Care (DMHC) require that providers have 24 hours, 7 [...]Read more
Changes to Medi-Cal Rx – 60-day Countdown
November 5, 2025 / by Health Plan / Alerts, Medi-Cal Provider Alerts
Date: November 05, 2025 From: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) To: Health Plan Practitioners, Facilities, and Hospitals Type: Informational/Educational Subject: Changes to Medi-Cal Rx - 60-day Countdown Business: Medi-Cal Managed Care Medi-Cal Rx Pharmacy Benefit Changes for all Medi-Cal Members. Effective January 1, 2026, the following changes will be implemented [...]Read more
The Department of Healthcare Services Skilled Nursing Facilities Workforce & Quality Improvement Program – File Reconciliation Calendar Year 2024
November 3, 2025 / by Health Plan / Alerts, Medi-Cal Provider Alerts
Date: November 03, 2025 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 2024 Business: Medi-Cal Managed Care Health Plan is providing an update on the [...]Read more
Medi-Cal Pharmacy (Rx) – DHCS APL 25-013 Medi-Cal Rx Pharmacy Benefits, And Cell and Gene Therapy Coverage
October 29, 2025 / by Health Plan / Alerts, Medi-Cal Provider Alerts
Date: October 29, 2025 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) – DHCS APL 25-013 Medi-Cal Rx Pharmacy Benefits, And Cell and Gene Therapy Coverage Business: Medi-Cal Managed Care REMINDER: In accordance with Governor Gavin Newsome’s Executive Order [...]Read more