Date: October 22, 2018 To: ealth Plan of San Joaquin (HPSJ) Practitioners and Providers From: HPSJ Medical Management Department Subject: Reminder – Physician Certification Statement (PCS) Form Business: Medi-Cal
Spreading the Word, Not the Flu
As we continue to seek ways to streamline processes, Health Plan of San Joaquin has simplified prior authorization requirements for transportation for your busy office.
HPSJ requires a completed Physician Certification Statement (PCS) form to approve transportation for Non -Emergency Medical Transportation (NEMT).
The following items are required:
- Time frame of transportation needed, this can include multiple visits
- Clinical indications or documentation to support the medical transportation such as functional limitations with ambulation
Additionally, all authorizations that are approved for NEMT will be valid for the duration of the PCS form, up to six months.
If a member needs additional transportation during the time the PCS is valid, you will not need an additional authorization unless:
- Transportation provider is different than the original request
- CPT codes are different
- Change in patient condition
HPSJ will work with our providers (PCPs and Specialists) to obtain PCS forms on behalf of Transportation agencies. Our HPSJ network providers are important partners in delivering care to our members. We
hope this change will be helpful for you and your practice.
If you have questions, please contact our Customer Service Department at 209.942.6320.
Effective June 3, 2014, Walgreens became an exclusive partner with Health Plan of San Joaquin for Medi-Cal beneficiaries.
Provider Alerts - October 22, 2018