Information found on the Website

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Date: October 12, 2020
To: Health Plan of San Joaquin (HPSJ) Primary Care Providers {PCP}, OBGYN, and All Specialist
From: Health Plan of San Joaquin
Subject: Information found on the Website
Business: Medi-Cal

Health Plan of San Joaquin would like to remind you about our website (http://www.hpsj.com). We include information about many topics of interest on our website. You can view and/or download information about the following topics on the website.

  • The process to refer members to case management.
  • Information about Health Plan of San Joaquin medical necessity criteria, including how to obtain or view a copy.
  • Information about the availability of staff to answer questions about UM issues.
  • The toll-free number to contact staff regarding UM issues.
  • Information about Health Plan of San Joaquin pharmaceutical management
    procedures including our drug list along with restrictions and preferences; how to
    use pharmaceutical management procedures; an explanation of limits and quotas; how practitioners can provide information to support an exception request; and Health Plan of San Joaquin’s processes for generic substitution, therapeutic interchange, and step-therapy.
  • A description of the process to review information submitted to support a
    practitioner’s credentialing application, correct erroneous information and, upon
    request, to be informed of the status of the credentialing or recredentialing
    application.
  • Health Plan of San Joaquin member rights and responsibilities statement

If you have any questions about accessing our website or if you would like more information, please call the Provider Relations Department at (209) 942-6340. The most recent information about Health Plan of San Joaquin and our services is always available on our website.

Posted on October 13th, 2020

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