Provider Panel Capacity (Open/Closed Status)
| Date: | August 05, 2022 |
| To: | HPSJ PCPs, Providers and Family Practitioners |
| From: | Health Plan of San Joaquin (HPSJ) |
| Subject: | Provider Panel Capacity (Open/Closed Status) |
| Business: | Medi-Cal Managed Care |
Appointment Access and Availability for Health Plan of San Joaquin (HPSJ) members is crucial to their health care.
All HPSJ providers are considered “open” to serve new and established Members unless there is written notice on file indicating panel capacity limitations. If a provider is officially “closed” to new Members, it is important that Members or potential Members be directed to contact HPSJ Customer Service, so that they can be assisted in obtaining another provider and if necessary, correct any errors in the Provider Directory.
For more information: Please review the Provider Manual, Section 7: Provider-Member Relationship, Provider Panel Capacity and Open and Closed Panel Status; Appointment Access and Availability Standards. Link: www.hpsj.com/provider-manual
Changes to panel capacity, providers must provide written notice to the Provider Services Department via fax 209.461.2565, or email providerservicesdepartment@hpsj.com. Please allow up to five (5) business days for the requested change to be activated in our online provider directory.
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.
If you have questions, please contact the Provider Services team at 1.888.936.PLAN (7526).