REMINDER – Changes to PM 160 Encounter Forms  

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Date: February 21, 2019
To: Health Plan of San Joaquin (HPSJ) Primary Care Providers (PCPs)
From: Provider Services Department
Subject: REMINDER – Changes to PM 160 Encounter Forms
Business: Medi-Cal

The Department of Health Care Services (DHCS) informed HPSJ that PM 160 CHDP encounter forms
were eliminated from the state Medi-Cal program effective July 1, 2017.

As a reminder –
All Medi-Cal Managed Care Health Plans are no longer required to accept PM 160 CHDP
encounter submissions from PCPs.

Health Plan of San Joaquin –

  • Encourages electronic claims submissions (EDI) for a quicker turn-around time,
    but also will accept CMS-1500 claim forms in place of PM 160
  • If you are not currently submitting claims EDI, please contact our Provider
    Services Department at 209-942-6340

If you have any further questions, please contact our Customer Service Department at (209) 942-6320.

For further PM 160 details, please access the following link:

Posted on February 21st, 2019