As a Health Plan of San Joaquin/Mountain Valley Health Plan Advantage D-SNP (HMO) member, you have access to a variety of tools and resources to help you find the information you need fast an easy. On this page you will find files such as the Privacy Practices, Member Handbook, Provider Directory and much more!

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Advantage D-SNP member materials

benefits 1

Last updated: 07/01/2026

member-cover-handbook 1

Last updated: 07/01/2026

provider-directory

Last updated: 07/01/2026

formulary-cover

Last updated: 07/01/2026

An example of a general publication.

Last updated: 07/01/2026

Effective July 1, 2026, Medi-Cal dental benefit is changing. Click here to learn more:

What is changing?

Medi-Cal Dental: Starting on July 1, 2026, Medi-Cal covers dental check-ups and preventive care for:

  • Members who are eligible for federal full-scope Medi-Cal
  • Members who are not eligible for federal full-scope Medi-Cal and meet at least one of the 3 exceptions below:
  • Under age 19;
  • Designated by the county as pregnant (and up to one year after pregnancy ends); and/or
  • Designated by the county as foster youth or former foster youth under age 26 who were in foster care on their 18th birthday.

What this means for you?

Your member materials that have been updated with following changes. The changes are posted on our website at
www.hpsj-mvhp.org. You will find them in the Advantage D-SNP section under Member Materials. If you would like to receive printed materials in the mail, please call 1-888-361-7526. If you are hearing impaired, please call TTY 711.

  • Member Handbook, Chapter 2
    • Section Q, updated Medi-Cal dental section
  • Member Handbook, Chapter 4
    • Dental Services, updated first paragraph
    • Section F2, updated Medi-Cal dental section
  • Provider and Pharmacy Directory
    • Section C, updated note about dental providers section
  • Summary of Benefits
    • updated “You need dental care” section

Advantage D-SNP forms

Name English Spanish Khmer Vietnamese
Enrollment Form Download Download Download Download
Appointment of Representative Form Download Download Download Download
Health Risk Assessment Form Download Download Download Download
Medicare Prescription Payment Program Enrollment Form Download Download Download Download
Member Reimbursement Form (medical services) Download
Part D Direct Member Reimbursement Form Download Download Download Download
Part D Model Coverage Determination Request Form Download Download Download Download
Part D Model Coverage Redetermination Request Form Download Download Download Download

Privacy, security, HIPAA forms

Please click this button to view HIPAA forms, including privacy and security forms that describe how we protect and maintain your personal health information. 

Other helpful resources

How to request materials

Our plan can give you materials in languages other than English including Spanish, Cambodian, and Vietnamese, and in formats such as large print, braille, or audio. To get materials in one of these alternative formats, please call Customer Service at 1-888-361-7526 TTY 711.

Language assistance services

All Health Plan Advantage D-SNP members who speak languages other than English can ask for help. You have the right to no-cost interpreter, as well as American Sign Language. You do not have to use a friend or children to interpret for you.

An interpreter can help you:

  • Listen to your doctor and tell you what he/she is saying in your language
  • Tell your doctor what you are saying

Need help getting an interpreter in your language? Call our Customer Service Department at
1-888-361-7526 TTY 711.

NOTE: If you want a person who speaks your language to help at your doctor’s visit, call Customer Service at least 5 (five) working days before your scheduled appointment.

We can help you:

  • Make an appointment
  • Talk to the Advice Nurse
  • Talk to your health care provider during your visit

We can also help you with:

  • Claims
  • Questions
  • Complaints
  • Referrals to community programs

Need Help?
Call our Customer Service team at 1-888-361-7526 (TTY 711) from
8:00 a.m. to 8:00 p.m., seven days a week from October 1 – March 31,
& Monday – Friday, April 1 – September 30.
The call is free.

7751 S. Manthey Road French Camp, CA 95231
1-888-361-7526 (TTY: 711)

Hours of Operation: 8:00 a.m. – 8:00 p.m.
Mon – Sun: October 1 – March 31

Mon – Fri: April 1 – September 30

 

H5734_606099_2026_ACCEPTED

Posted on August 6th, 2025 and last modified on July 2nd, 2026.

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