HIPAA Provider Training & Attestation

Providers are required to complete training every year, either the training offered on the HPSJ website or another health plan and send HPSJ a signed attestation.

Health Insurance Portability and Accountability Act of 1996 (HIPAA)

The Health Insurance Portability and Accountability Act of 1996 (HIPAA) is a federal law that required the creation of national standards to protect sensitive patient health information from being disclosed without the patient’s consent or knowledge. The US Department of Health and Human Services (HHS) issued the HIPAA Privacy Rule to implement the requirements of HIPAA. The HIPAA Security Rule protects a subset of information covered by the Privacy Rule.

HIPAA Privacy Rule

The Privacy Rule standards address the use and disclosure of individuals’ health information (known as “protected health information”) by entities subject to the Privacy Rule. These individuals and organizations are called “covered entities.” The Privacy Rule also contains standards for individuals’ rights to understand and control how their health information is used. A major goal of the Privacy Rule is to ensure that individuals’ health information is properly protected while allowing the flow of health information needed to provide and promote high quality health care and to protect the public’s health and well-being. The Privacy Rule strikes a balance that permits important uses of information while protecting the privacy of people who seek care and healing.

HIPAA Basics for Providers: Privacy, security, and breach notification rules.

Please fill out the form

Instructions: After reading the training document, please sign the form attesting to have received the annually required HIPAA Provider Training & Attestation. * Please fill out all required fields

An Authorized Person can complete the training attestation on behalf of your practice for each provider

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HIPAA Provider
Training Acknowledgement & Attestation

Health Plan of San Joaquin, as a licensed health care services plan this training is mandated by California’s Department of Health Care Services (DHCS) and the Federal Centers for Medicare and Medicaid Services (CMS) to ensure providers, their employees, and delegated entities are meeting the unique and diverse needs of all members.

Health Plan of San Joaquin is required to provide annual HIPAA training to our participating provider network and delegated entities. Providers and their employees are required to either complete the HIPAA training offered on the HPSJ website or complete another, acceptable HIPAA training and and provide proof of training. Proof can be a certificate of completion, training program outline, or a web link to the training. After choosing one of the training options, providers must attest for themselves and their employees who completed the training by completing the attestation below.

An Authorized Person can complete the training attestation on behalf of your practice for each provider and staff

Training Option 1:

Training Option 2:


attest to having received the annually required Network Provider HIPAA Training and resources for the Medi-Cal/MediCaid program.

Provider/Authorized Signature

I agree to the terms and conditions
(Sign Here)
Clear Signature

Please send this completed form to HPSJ at providernetworks.verification@hpsj.com and fax 209-933 3700

 This training is required for all providers and their staff. Please list all providers and staff who also completed the training down below

Provider & Employee Name (First and Last)
Provider Individual NPI#

Posted on October 14th, 2021 and last modified on June 12th, 2023.