Collecting Social Determinants of Health (SDOH) Data

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Date: October 12, 2021
To: Health Plan of San Joaquin (HPSJ) All Practitioners and Facilities
From: Health Plan of San Joaquin
Subject: Collecting Social Determinants of Health (SDOH) Data
Business: Medi-Cal Managed Care

The Department of Health Care Services (DHCS) has issued APL 21-009 for the purpose of collecting social determinants of health (SDOH) data. While DHCS encounter data systems accept and allows the use of all ICD-10-CM, DHCS has prioritized 18 SDOH codes provided below. Health Plan of San Joaquin (HPSJ) will require use of the 18 SDOH ICD-10 codes listed below when billing for services. The SDOH codes will be effective on January 1, 2022 for San Joaquin County, and July 1, 2022 for Stanislaus County.

Code Description

For further details and the complete list of ICD-10-CM, please view Attachment A within
APL 21-009 in the link provided:
https://www.dhcs.ca.gov/formsandpubs/Documents/MMCDAPLsandPolicyLetters/APL2021/APL21-009.pdf

Please pass along the above information to your billing company, if applicable. If you have questions, please do not hesitate to contact our Customer Service Department at 1.888.936.PLAN (7526).

Posted on October 12th, 2021 and last modified on September 8th, 2022.

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