Provider Alerts

In accordance with All Plan Letter (APL) 23-023 and 23-027, effective January 1, 2024, all Medi-Cal Managed Care Plans (MCPs) will become responsible for the full Long-Term Care (LTC) benefit at the following Intermediate Care Facility for Developmentally Disabled (ICF/DD) facility types and homes:

• Intermediate Care Facility for the Developmentally Disabled (ICF/DD)
• Intermediate Care Facility for the Developmentally Disabled – Habilitative (ICF/DD-H)
• Intermediate Care Facility for the Developmentally Disabled – Nursing (ICF/DD-N)
• Subacute Care Facilities

HPSJ will issue new member identification cards before 1/1/2024 for members who reside in an Intermediate Care Facility (ICF) and Subacute Facility. The member identification card will state the following, ‘Plan: Medi-Cal’; however, when a provider verifies eligibility, the member will not be assigned to a Primary Care Provider (PCP); the member will be assigned to HPSJ as the PCP. This will not interrupt members’ care, and members can continue seeing their assigned providers prior to this change.

If you have any further questions, please contact your Provider Services Representative, or call our Customer Service Department at 1-888-936-PLAN (7526). You may also visit https://www.hpsj.com/alerts/ for online access to the documents shared. The most recent information about Health Plan of San Joaquin and our services is always available on our website https://www.hpsj.com/