PCP Selection Change Form Automation

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Date: April 4, 2018
To: Health Plan of San Joaquin (HPSJ) Primary Care Practitioners
From: HPSJ Provider Services Department
Subject: PCP Selection Change Form Automation
Business: Medi-Cal Managed Care

Coming Soon: Electronic PCP Selection Change Form

Our HPSJ network providers are important partners in delivering care to our members. As we continue to see ways to streamline processes, HPSJ has simplified the PCP Selection Form process and requirements for your busy PCP practices.

  • The form will now be available online via your secure DRE Provider Portal
  • The member information will be auto-populated
  • English form option only available at this time
  • You will be able to verify online, real-time, if the form with your PCP request, was approved
    or denied and why

Effective May 1, 2018, all PCP Selection Form requests will need to be submitted via the DRE Provider Portal. Your Provider Service Representative will be available to provide additional training or to give you access to DRE if needed, or you can always call our Customer Service Department at 209-942-6320.Electronic PCP Selection Change Form

Posted on April 4th, 2018 and last modified on September 9th, 2022.

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