In The News

HPSJ Credits Its Network Providers: “THANKS! Once again, we could not have done this without you!”

(French Camp, CA)—In April 2022, Health Plan of San Joaquin (HPSJ) received from the California Department of Managed Health Care (DMHC) its Measurement Year (MY) 2020 Timely Access Report. The MY 2020 Timely Access Report presented unique challenges due to the COVID-19 pandemic. However, overall appointment availability increased in comparison to previous years, in part due to a greater number of appointments available through telehealth during the public health emergency. Health Plan of San Joaquin said it is proud to consistently have high scores, as it ranks amongst the highest plans in California across “Commercial, Individual/Family, and Medi-Cal plans combined” for urgent and non-urgent appointments.

• Across Commercial, Individual/Family, and Medi-Cal plans combined, HPSJ achieved 90% for both urgent and non-urgent appointment wait times across all provider types (primary, specialty, non-physician mental health, and ancillary).
• Across Medi-Cal plans, HPSJ achieved 96% across all provider types (primary care, specialty, non-physician mental health, and ancillary) for non-urgent appointments.
• Across Medi-Cal plans, HPSJ achieved 85% for urgent appointments across all provider types (primary care, specialty, and non-physical.

For a second year, HPSJ points for this success to the active partnership with their providers. “This is a partnership that not only promoted urgent and non-urgent care access for HPSJ patients, but it also illustrates how each of our provider partners went the extra mile to respond with accurate, complete reporting of timely compliance data. That they did so while safely reopening to welcome patients back during the pandemic is even more impressive.” – HPSJ Chief Operations Officer Lizeth Granados

NOTE: Urgent is defined as 2 days with no required prior authorization and 4 days with required prior authorization. Non-urgent care is defined as 10 business days (primary care physicians), 15 business days (specialists), and for mental health 10 business days (non-physician) and 15 business days (ancillary providers).

About Health Plan of San Joaquin

Health Plan of San Joaquin, a not-for-profit, public health plan, has been serving members and the community since 1996. Located in the heart of California’s multicultural Central Valley, local HPSJ is the leading Medi-Cal managed care provider, serving over 90% of Medi-Cal recipients in San Joaquin County and over 70% in Stanislaus County. HPSJ offers a broad network of providers and works closely with doctors to develop programs and services to ensure quality health care for over 396,000 members who are mostly working families and children, as well as seniors and disabled residents. 

Media Contact:

Jill Center, Health Plan of San Joaquin

jcenter@hpsj.com or 209.461.2372; www.hpsj.com