August 8, 2022 / by HPSJ / Alerts
Date: August 17, 2022 To: HPSJ Practitioners, Providers and Facilities From: Health Plan of San Joaquin (HPSJ) Subject: Virtual Look and Learn Business: Medi-Cal Managed Care Please join us August 17, 2022, from 12:00 pm to 1:00 pm, for a Virtual Provider Look and Learn Session. We will be covering the following items: Fluoride Varnish [...]
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Health Plan of San Joaquin provider Alerts
Provider Appointment Availability Survey Is Here
September 26, 2022 / by HPSJ / Alerts
Date: September 23, 2022 To: Health Plan of San Joaquin Providers From: Health Plan of San Joaquin Provider Services Subject: Provider Appointment Availability Survey Is Here Business: Medi-Cal Health Plan of San Joaquin (HPSJ) is required by the California Department of Managed Health Care (DMHC) to perform an annual Provider Appointment Availability Survey (PAAS). The [...]Read more
Advance Notice of Possible Site Reviews – 2022 DHCS Audit
September 8, 2022 / by HPSJ / Alerts
Date: September 8, 2022 To: Health Plan of San Joaquin (HPSJ) Primary Care Providers and Specialists From: HPSJ Compliance Department Subject: Advance Notice of Possible Site Reviews – 2022 DHCS Audit Business: Medi-Cal The California Department of Health Care Services (DHCS) has scheduled a routine annual medical audit of Health Plan of San Joaquin [...]Read more
Medi-Cal Rx Phase I, Wave III Go-Live
September 7, 2022 / by HPSJ / Alerts
Date: September 7, 2022 To: Health Plan of San Joaquin (HPSJ) Physicians and Providers From: Health Plan of San Joaquin Pharmacy and Therapeutics Committee Subject: Medi-Cal Rx Phase I, Wave III Go-Live Business: Medi-Cal Managed Care Effective September 16, 2022, 11 Standard Therapeutic Classes (STC) will be reinstated with prior authorization (PA) requirements. The STC [...]Read more
DHCS APL 22-007 Housing and Homelessness Incentive Program
September 2, 2022 / by HPSJ / Alerts
Date: September 02, 2022 To: HPSJ Primary Care Providers, Specialists, Hospitals and Facilities From: Health Plan of San Joaquin (HPSJ) Subject: DHCS APL 22-007 Housing and Homelessness Incentive Program Business: Medi-Cal The Health Plan of San Joaquin (HPSJ) received All Plan Letter APL 22-007 Housing and Homelessness Incentive Program. The purpose of this APL is [...]Read more
COVID-19 Outpatient Treatment and Preventative Care Resources
August 30, 2022 / by HPSJ / Alerts
Date: August 30, 2022 To: Health Plan of San Joaquin (HPSJ) Physicians and Providers From: HPSJ Pharmacy and Therapeutics Committee Subject: COVID-19 Outpatient Treatment and Preventative Care Resources Business: Medi-Cal Multiple factors must be considered when selecting the appropriate outpatient treatment and preventative care options for COVID-19. The below links can be used to assist [...]Read more
Reminder of Website Information Available to Providers
August 23, 2022 / by HPSJ / Alerts
Date: August 22, 2022 To: HPSJ Practitioners and Facilities From: Health Plan of San Joaquin (HPSJ) Subject: Reminder of Website Information Available to Providers Business: Medi-Cal REMINDER The Health Plan of San Joaquin (HPSJ) website provides information about programs and services. You can view or download information about the following topics on the website: HPSJ’s [...]Read more
Skilled Nursing Facilities – Long Term Care (LTC) Benefit Transitioning to Medi-Cal Managed Care Health Plans
August 15, 2022 / by HPSJ / Alerts
Date: August 15, 2022 To: HPSJ Contracted Providers From: Health Plan of San Joaquin (HPSJ) Subject: Skilled Nursing Facilities - Long Term Care (LTC) Benefit Transitioning to Medi-Cal Managed Care Health Plans Business: Medi-Cal Managed Care As part of the California Advancing and Innovating Medi-Cal (CalAIM) initiative, including the mandatory transition of beneficiaries to managed [...]Read more
Virtual Look and Learn
August 8, 2022 / by HPSJ / Alerts
Date: August 17, 2022 To: HPSJ Practitioners, Providers and Facilities From: Health Plan of San Joaquin (HPSJ) Subject: Virtual Look and Learn Business: Medi-Cal Managed Care Please join us August 17, 2022, from 12:00 pm to 1:00 pm, for a Virtual Provider Look and Learn Session. We will be covering the following items: Fluoride Varnish [...]Read more
UPDATE – Value Based Payment (VBP) Program – Continuance – 07/22/2022
August 8, 2022 / by HPSJ / Alerts
Date: August 05, 2022 To: Health Plan of San Joaquin (HPSJ) Contracted Providers From: Health Plan of San Joaquin Subject: UPDATE – Value Based Payment (VBP) Program – Continuance – 07/22/2022 Business: Medi-Cal The following is an update regarding the future of the Value Based Payment (VBP) program. As you may know, the Proposition 56 [...]Read more
Provider Panel Capacity (Open/Closed Status)
August 8, 2022 / by HPSJ / Alerts
Date: August 05, 2022 To: HPSJ PCPs, Providers and Family Practitioners From: Health Plan of San Joaquin (HPSJ) Subject: Provider Panel Capacity (Open/Closed Status) Business: Medi-Cal Managed Care Appointment Access and Availability for Health Plan of San Joaquin (HPSJ) members is crucial to their health care. All HPSJ providers are considered “open” to serve new [...]Read more