October 13, 2020 / by Health Plan / Alerts, Non-Contracted Provider
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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Continuity of Care Information for Non-Contracted Hospitals
August 24, 2021 / by Health Plan / Alerts, Non-Contracted Provider
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Important Update for Pharmacy Benefits Change: April 1, 2021
November 20, 2020 / by Health Plan / Alerts, Non-Contracted Provider, Pharmacy Announcements
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 [...]Read more
NEW – HPSJ Stretches Members’ Flu Vaccine Access
November 18, 2020 / by Health Plan / Alerts, Non-Contracted Provider
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 [...]Read more
**Reminder**DHCS Encounter Requirement – NDC Required (Update)
November 5, 2020 / by Health Plan / Alerts, Non-Contracted Provider
Date: November 5, 2020 To: Health Plan of San Joaquin (HPSJ) All Provider & Facilities From: Health Plan of San Joaquin Subject: **Reminder**DHCS Encounter Requirement – NDC Required (Update) Business: Medi-Cal Managed Care Health Plan of San Joaquin (HPSJ) sent out a provider alert on August 5, 2019 & September 4, 2020 informing providers of [...]Read more
Telehealth Billing Synchronous and Asynchronous Telehealth Services
October 22, 2020 / by Health Plan / Alerts, Non-Contracted Provider
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 [...]Read more
Information found on the Website
October 13, 2020 / by Health Plan / Alerts, Non-Contracted Provider
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 [...]Read more
Health Officer Order for Influenza Vaccination of All Health-Care Workers (HCW) during the flu season.
September 17, 2020 / by Health Plan / Alerts, Non-Contracted Provider
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 [...]Read more
Update: Cost Avoidance and Post Pay Recoveries – DHCS Intervention
September 4, 2020 / by Health Plan / Alerts, Non-Contracted Provider
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 [...]Read more
**Reminder**DHCS Encounter Requirement – NDC Required
September 4, 2020 / by Health Plan / Alerts, Non-Contracted Provider
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 [...]Read more
COVID-19: Overpayments on Testing Codes
August 31, 2020 / by Health Plan / Alerts, Non-Contracted Provider
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: [...]Read more