COVID-19 Provider Updates

Health Plan of San Joaquin will continue to support members and our valued providers to maximize vaccine adoption and administration. HPSJ remains responsible for providing case management and care coordination for members.

Vaccination and Test Sites: If your practice is not providing vaccinations to members, please direct them to www.hpsj.com/decide for a community vaccination and testing calendar. HPSJ is present at many of these events in the community to help answer questions.

 

There is no cost to members for medically-needed screening, testing, and treatment for Coronavirus.

Do your HPSJ patients need transportation to test or vaccination sites? They can call HPSJ at 888.936.7526 TTY 711 to set up transportation to/from their vaccine appointment.

COVID-19 Medication Infusion Sites Within HPSJ’s Network

San Joaquin General Hopsital

  • Address: 500 W. Hospital Road, French Camp, CA 95231
  • Phone: 888.634.1123
  • Hours: Friday to Tuesday, 8:00AM to 4:00PM

Elite Urgent Care

  • Address: 1524 McHenry Ave Suite 130 Modesto CA, 95350
  • Phone: 209.846.3176
  •  Hours:
    • Mondays and Wednesdays, 8:00AM to 7:00PM
    • Tuesdays, Thursdays, and Fridays, 9:00AM to 7:00PM
    • Saturdays and Sundays, 9:00AM to 3:00PM
Outpatient COVID-19 Pre-exposure Prophylaxis and Treatment Options

Billing Options for COVID-19 Medications/Vaccines or Tests

  Pharmacy Benefit
(Billed via Pharmacy)
Medical Benefit
(Billed via medical claims)
Medication/Vaccine* or Test Medi-Cal Rx Medi-Cal FFS HPSJ
Paxlovid (nirmatrevir/ritonavir) Yes No No
Bebtelovimab Yes Yes No
Lagevrio (molnupiravir) Yes No No
Veklury (remdesivir) Yes Yes No
Evusheld (tixagevimab/cilgavimab) Yes Yes No
COVID-19 Vaccines Yes Yes No
Prescribed in-home testing kits Yes No Yes
Antibody Testing No No Yes
Vaccine administration fee when performed at the provider’s office or pharmacy No Yes No

*All medications/vaccines are federally covered at this time and free to providers/pharmacies, therefore providers/pharmacies will only be reimbursed for the professional dispensing fee via Medi-Cal Fee-For-Service/Medi-Cal Rx.

Local Public Health Agencies

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CDPH
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SCHSA
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SJCPHS
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Encourage patients to catch up on care and get vaccinated.

ALD
ALD

Still trying to decide about COVID-19 vaccines?

Ask. Learn.
Decide.

Ask.
Learn.
Decide.

Links and Resources

Mental Health Supports
 

Provider Alerts
Provider Alerts

Pharmacy Updates
Pharmacy Announcements

For questions please call Provider Services, 209.942.6340.

Posted on March 25th, 2020 and last modified on October 26th, 2022.

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