Important Information for Non-Contracted Hospitals

Date: 08/23/2021 To: Non-Contracted Providers From: Health Plan of San Joaquin Subject: Important Information for Non-Contracted Hospitals Business: Medi-Cal Dear Non-Contracted Hospital Partners, California Health and Safety Code1262.8, includes various provisions regarding emergency and post-stabilization care. Post-stabilization care is defined as medically necessary care provided after an emergency medical condition has been stabilized as defined [...]

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Important Update for Pharmacy Benefits Change: April 1, 2021

Date: November 20, 2020 To: Health Plan of San Joaquin (HPSJ) Provider Network From: Health Plan of San Joaquin Subject: Important Update for Pharmacy Benefits Change: • NEW – Effective Date moved to April 1, 2021 • State requests continued registration & preparation • Meanwhile: No change – HPSJ will continue to offer the pharmacy [...]

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NEW – HPSJ Stretches Members’ Flu Vaccine Access

Date: November 18, 2020 To: Health Plan of San Joaquin (HPSJ) All Providers & Facilities From: Health Plan of San Joaqui Subject: NEW - HPSJ Stretches Members’ Flu Vaccine Access Business: Medi-Cal Managed Care Due to concerns about possible concurrent contracting of Covid-19 and influenza, Health Plan of San Joaquin (HPSJ) has expanded access for [...]

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Telehealth Billing Synchronous and Asynchronous Telehealth Services

Date: October 22, 2020 To: Health Plan of San Joaquin (HPSJ) All Providers & Facilities From: Health Plan of San Joaquin Subject: UPDATE - Telehealth Billing Synchronous and Asynchronous Telehealth Services Business: Medi-Cal Managed Care This Alert is to provide clarification of billing requirements for Synchronous and Asynchronous Telehealth Services. Important Billing Guidelines Only the [...]

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Information found on the Website

Date: October 12, 2020 To: Health Plan of San Joaquin (HPSJ) Primary Care Providers {PCP}, OBGYN, and All Specialist From: Health Plan of San Joaquin Subject: Information found on the Website Business: Medi-Cal Health Plan of San Joaquin would like to remind you about our website (http://www.hpsj.com). We include information about many topics of interest [...]

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Health Officer Order for Influenza Vaccination of All Health-Care Workers (HCW) during the flu season.

Date: September 15, 2020 To: Health-Care Facilities Administrators and Staff From: Maggie Park, M.D., San Joaquin County Public Health Officer Subject: Health Officer Order for Influenza Vaccination of All Health-Care Workers (HCW) during the flu season. It has always been very important that all health care workers receive an annual influenza vaccine to protect themselves [...]

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Update: Cost Avoidance and Post Pay Recoveries – DHCS Intervention

Date: September 4, 2020 To: Health Plan of San Joaquin (HPSJ) All Practitioners and Facilities From: Health Plan of San Joaquin Subject: Update: Cost Avoidance and Post Pay Recoveries – DHCS Intervention Business: Medi-Cal Managed Care The California State Law requires Medi-Cal and Managed Care Plans (MCP’s) to be the payer of last resort for [...]

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**Reminder**DHCS Encounter Requirement – NDC Required

Date: September 4, 2020 To: Health Plan of San Joaquin (HPSJ) All Providers & Facilities From: Health Plan of San Joaquin Subject: **Reminder**DHCS Encounter Requirement – NDC Required Business: Medi-Cal Managed Care Health Plan of San Joaquin (HPSJ) sent out a provider alert on August 5, 2019 informing providers of the new DHCS requirement for [...]

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COVID-19: Overpayments on Testing Codes

Date: August 31, 2020 To: Health Plan of San Joaquin (HPSJ) All Providers & Facilities From: Health Plan of San Joaquin Subject: COVID-19: Overpayments on Testing Codes Business: Medi-Cal In response to the Novel Coronavirus (COVID-19), the Centers for Medicare & Medicaid Services (CMS) established the following HCPCS codes for COVID-19 diagnostic testing services: U0003: [...]

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