Skilled Nursing Facility/Long Term Care Payment Issue
| Date: | May 4, 2023 |
| To: | Health Plan of San Joaquin (HPSJ) Contracted Skilled Nursing Facility/Long Term Care |
| From: | HPSJ |
| Type: | Regulatory/Informational |
| Subject: | Skilled Nursing Facility/Long Term Care Payment Issue |
| Business: | Medi-Cal Managed Care |
We regret to inform you that due to a technical issue that occurred on March 31, 2023, some long-term care claims may have processed incorrectly. We are aware of this issue and are working diligently to identify all affected claims and adjust them promptly.
We understand the importance of timely claim processing and reimbursement for our providers, and we apologize for any inconvenience this may have caused. Rest assured; we are actively working to resolve this issue as quickly as possible. Our team will work with you to ensure that all affected claims are adjusted correctly and that you receive the correct reimbursement.
We appreciate your understanding and patience during this time, and we apologize for any inconvenience caused. We will continue to keep you updated on our progress and provide any additional information as needed.
Thank you for your cooperation and for being a valued provider in our network.
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.