UPDATE: Monthly Capitation (CAP) and Fee For Service (FFS) Payments

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Date: July 12, 2021
To: Health Plan of San Joaquin (HPSJ) All Contracted and Non-Contracted Providers
From: Health Plan of San Joaquin
Subject: UPDATE: Monthly Capitation (CAP) and Fee For Service (FFS) Payments
Business: Medi-Cal Managed Care

We are very sorry there have been processing delays for the payments addressed below.
This is to bring you up to date on the situation, which has now been remedied.

June Capitation (CAP) Payments:

  • The June CAP payments were all sent out via live check. There were no ACH (automated clearing house) transfers submitted.
  • If you usually receive ACH transfers directly to your account, for the month of June please check your post office box or office mail delivery
  • For July CAP payments, timely delivery will be via your usual method, either live check or ACH transmission

July Fee For Service (FFS) Payments:

  • The FFS payments scheduled for July 2nd were delayed until July 6th due to internal processing and the July 4th holiday
  • Live checks should be received within a week from when they were issued (July 6th)
  • NOTE: The ACH transfers were sent to providers on July 6th

If you have any questions, please contact Provider Services at 209-942-6340.
Again, we apologize for any inconvenience this has caused.

Posted on July 12th, 2021 and last modified on July 13th, 2021.