Enhanced Care Management (ECM) Birth Equity Population of Focus (POF) – Live as of 01/01/2024

September 13, 2024 / by HPSJ / Alerts

Date: September 11, 2024 From: Health Plan To: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) Providers, OB-GYN's, and OB Departments at all Hospitals and Facilities Type: Informational/Educational Subject: Enhanced Care Management (ECM) Birth Equity Population of Focus (POF) – Live as of 01/01/2024 Business: Medi-Cal Managed Care The ECM Birth Equity POF [...]

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Department of Health Care Services (DHCS) Integrated Core Practice Model (ICPM) and Integrated Training Guide (ITG) Sessions

September 13, 2024 / by HPSJ / Alerts

Date: September 11, 2024 From: Health Plan To: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) Providers and Facilities Type: Informational/Educational Subject: Department of Health Care Services (DHCS) Integrated Core Practice Model (ICPM) and Integrated Training Guide (ITG) Sessions Business: Medi-Cal Managed Care The Department of Health Care Services (DHCS) is excited to [...]

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Justice-Involved Live Webinars

September 13, 2024 / by HPSJ / Alerts

Date: September 11, 2024 From: Health Plan To: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) Providers Type: Informational Subject: Justice-Involved Live Webinars Business: Medi-Cal Managed Care Health Plan is happy to announce an enhancement to our EDI 837 Inbound Processing System effective September 3, 2024, aimed at improving the efficiency and accuracy [...]

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EDI 837 Inbound Processing Enhancement – Effective 9/3/2024

August 28, 2024 / by HPSJ / Alerts

Date: August 28, 2024 From: Health Plan To: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) Providers Type: Informational Subject: EDI 837 Inbound Processing Enhancement – Effective 9/3/2024 Business: Medi-Cal Managed Care Health Plan is happy to announce an enhancement to our EDI 837 Inbound Processing System effective September 3, 2024, aimed at [...]

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Calendar Year (CY) 2024 Medi-Cal Targeted Rate Increases (TRI) and Impact to Proposition 56 Directed Payments

August 28, 2024 / by HPSJ / Alerts

Date: August 28, 2024 From: Health Plan To: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) Fee-for-Service (FFS) Providers Type: Regulatory Subject: Calendar Year (CY) 2024 Medi-Cal Targeted Rate Increases (TRI) and Impact to Proposition 56 Directed Payments Business: Medi-Cal Managed Care Pursuant to the 2023 Budget Act and Assembly Bill (AB) 118 [...]

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RETRACT – Update to Behavioral Health and Social Services Referrals

August 26, 2024 / by HPSJ / Alerts

Date: August 26, 2024 From: Health Plan To: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) Providers and Practitioners Type: Procedural Update Subject: RETRACT - Update to Behavioral Health and Social Services Referrals Business: Medi-Cal Managed Care The Provider Alert sent on Friday, 8/23/2024, titled “Update to Behavioral Health and Social Services Referrals” [...]

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Advance Notice of Possible Site Reviews – 2024 DHCS Audit

August 23, 2024 / by HPSJ / Alerts

Date: August 23, 2024 From: Health Plan To: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) Providers Type: Regulatory Subject: Advance Notice of Possible Site Reviews – 2024 DHCS Audit  Business: Medi-Cal Managed Care The California Department of Health Care Services (DHCS) has scheduled a routine annual medical audit of Health Plan. The [...]

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Community Reinvestment Grant Webinar

August 19, 2024 / by HPSJ / Alerts

Date: August 16, 2024 From: Health Plan To: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) Providers and Practitioners Type: Informational/Educational Subject: Community Reinvestment Grant Webinar Business: Medi-Cal Managed Care Health Plan is excited to announce the Community Reinvestment Grant Webinar. This webinar is a part of our ongoing commitment to community reinvestment [...]

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DHCS Release of Request for Applications for Behavioral Health Infrastructure Grants

August 15, 2024 / by HPSJ / Alerts

Date: August 14, 2024 From: Health Plan To: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) Providers Type: Informational Subject: DHCS Release of Request for Applications for Behavioral Health Infrastructure Grants Business: Medi-Cal Managed Care The Department of Health Care Services (DHCS) has released the Bond Behavioral Health Continuum Infrastructure Program (BHCIP) Round [...]

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False NEMT/NMT All Plan Letter (APL) Notice

August 15, 2024 / by HPSJ / Alerts

Date: August 14, 2024 From: Health Plan To: Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) Providers Type: Informational Subject: False NEMT/NMT All Plan Letter (APL) Notice Business: Medi-Cal Managed Care Health Plan has been made aware of a false All Plan Letter (APL) circulating with subject line “Carving Out of Non-Core Benefits [...]

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