Provider Policies

This section of our website is dedicated to supporting Health Plan of San Joaquin providers with valuable tools and resources on current policies.

Utilization Management
 | Size: 248 KB Mar 31st, 2017 UM69 Provider - Preventable Condition Monitoring and Reporting  | Size: 164 KB Mar 31st, 2017 UM68 Advance Directives  | Size: 112 KB Mar 31st, 2017 UM67 Use of Board Certified Physicians Making Medically Necessary Determinations  | Size: 116 KB Mar 31st, 2017 UM66 Communication to Members and Providers Regarding UM Issues  | Size: 153 KB Mar 31st, 2017 UM63 New Medical Technology  | Size: 209 KB Mar 31st, 2017 UM62 Delegation of Utilization Management  | Size: 151 KB Mar 31st, 2017 UM56 Vision Care  | Size: 129 KB Mar 31st, 2017 UM55 Transportation Services  | Size: 220 KB Mar 31st, 2017 UM49 Mental Health Medi-Cal  | Size: 75 KB Mar 31st, 2017 UM46 Attachment A - Components of Screening  | Size: 166 KB Mar 31st, 2017 UM46 Alcohol and Substance Abuse Treatment Services  | Size: 134 KB Mar 31st, 2017 UM40 Dental Care and Dental Anesthesia  | Size: 171 KB Mar 31st, 2017 UM38 AIDS Medi-Cal Waiver Program Referral  | Size: 151 KB Mar 31st, 2017 UM37 Medi-Cal Waiver Program Criteria  | Size: 173 KB Mar 31st, 2017 UM35 Major Organ Transplant Cases - Identification and Referral Process  | Size: 137 KB Mar 31st, 2017 UM24 Neonatal Intensive Care Unit_NICU Services  | Size: 121 KB Mar 31st, 2017 UM17 Routine Screening for Cancer  | Size: 167 KB Mar 31st, 2017 UM14 Provider Objections to Providing Covered Services  | Size: 230 KB Mar 31st, 2017 UM07 Notice of Action for Delayed, Denied, Modified, or Terminated Services  | Size: 165 KB Mar 31st, 2017 UM05 Over - Under Utilization of Services Monitoring  | Size: 163 KB Mar 31st, 2017 UM04 Emergency Department Services  | Size: 180 KB Mar 31st, 2017 UM02 In Patient Admissions and Concurrent Review
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Posted on March 31st, 2017 and last modified on April 3rd, 2017.