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Date: March 10, 2020
To: Health Plan of San Joaquin (HPSJ) Providers, Practices, and Facilities
From: HPSJ Provider Services Department
Subject: Reminders for COVID-19 (Coronavirus) HPSJ Member Care
Business: Medi-Cal

Like you, Health Plan of San Joaquin (HPSJ) is closely following all the advisories from the CDC and the California Department of Public Health, as well as our local public health
departments.

This is a good time to offer the following reminders.

HPSJ HealthReach Nurse/Physician Advice Line –
This Nurse Line and MD consult service is available to HPSJ members with viral respiratory symptoms. HealthReach details include the following:

  • 1-800-655-8294 (toll free)
  • Available – at no charge to members – 24 hours a day, 7 days a week.
  • If the Advice Nurse feels that consultation with a physician is required, one can be made available to our member as part of the phone call.

No prior authorizations are needed –

  • For patients seeking necessary emergency care:
    • This is for in-network providers
    • or out-of-network providers
  • This includes for screening, testing, and treatment related to COVID-19.
    • As of today, QUEST Labs has testing kits available for HPSJ patients.

Billing Reminders –

  • Do not bill Medi-Cal members for medically necessary testing related to COVID-19.
  • Please bill HPSJ using ICD-10-CM UO7.1

To see the practical and timely advice we are giving our members, please go to https://www.hpsj.com/coronavirus/ — including the link to CDC.

We want to support you and your staff and help ensure our health plan members can access medically necessary care in a timely fashion. If you have any questions, please contact Customer Service at 209-942-6320.

We deeply appreciate the care that you give to our HPSJ members, and all that you do for the health and well-being of our community. THANK YOU!

Posted on March 10th, 2020 and last modified on March 10th, 2020.

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