October 8, 2020 / by HPSJ / Alerts, Pharmacy Announcements
Date: October 8, 2020 To: Health Plan of San Joaquin (HPSJ) Physicians, Providers, and Pharmacies From: Health Plan of San Joaquin Pharmacy and Therapeutics Committee Subject: Formulary Update - Effective December 16, 2020 Business: Medi-Cal Effective December 16, 2020, the Pharmacy and Therapeutics Committee has approved the following changes. Additions to the Formulary: Upadacitinib (Rinvoq) [...]
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Health Plan of San Joaquin provider Alerts
Med-Cal Rx WHAT YOU NEED TO KNOW! About Specialty Medications – Part 1
October 29, 2020 / by HPSJ / Alerts
Date: October 28, 2020 To: Health Plan of San Joaquin (HPSJ) Provider Network From: Health Plan of San Joaquin Subject: Medi-Cal Rx, the Pharmacy Carve-Out – Your Bi-Weekly Update ABOUT SPECIALTY MEDICATIONS – First Example Respiratory syncytial virus (RSV): 2020-2021 Palivizumab (SYNAGIS) Business: Medi-Cal The Centers for Disease Control and Prevention (CDC) reports that the [...]Read more
Telehealth Billing Synchronous and Asynchronous Telehealth Services
October 22, 2020 / by HPSJ / Alerts, Non-Contracted Provider
Date: October 22, 2020 To: Health Plan of San Joaquin (HPSJ) All Providers & Facilities From: Health Plan of San Joaquin Subject: UPDATE - Telehealth Billing Synchronous and Asynchronous Telehealth Services Business: Medi-Cal Managed Care This Alert is to provide clarification of billing requirements for Synchronous and Asynchronous Telehealth Services. Important Billing Guidelines Only the [...]Read more
Join HPSJ for a LOOK AND LEARN2020 Vision of Behavioral Health!
October 20, 2020 / by HPSJ / Alerts
Holidays are fast approaching. COVID-19 is still with us. Multiple research studies are illustrating concerning trends in the mental health of many in our community. In your own practice, something you observe during an office visit, telehealth session or examination may offer powerful opportunities to alter the ultimate health outcomes for your HPSJ patients who [...]Read more
TOP TOPICS Monthly Spotlights Just for HPSJ Providers
October 20, 2020 / by HPSJ / Alerts, Top Topics
October 13, 2020 – Volume One Next LOOK & LEARN, Coming Soon 2020 Perspective on Behavioral Health – Two Choices for you: November 10, 2020, 12:00PM/noon – 2:00PM November 12, 2020, 8:00AM –10:00AM Holidays are fast approaching. COVID-19 is still with us. Many research studies show concerning trends in the mental health of many in [...]Read more
Information found on the Website
October 13, 2020 / by HPSJ / Alerts, Non-Contracted Provider
Date: October 12, 2020 To: Health Plan of San Joaquin (HPSJ) Primary Care Providers {PCP}, OBGYN, and All Specialist From: Health Plan of San Joaquin Subject: Information found on the Website Business: Medi-Cal Health Plan of San Joaquin would like to remind you about our website (http://www.hpsj-mvhp.org). We include information about many topics of interest [...]Read more
Formulary Update – Effective December 16, 2020
October 8, 2020 / by HPSJ / Alerts, Pharmacy Announcements
Date: October 8, 2020 To: Health Plan of San Joaquin (HPSJ) Physicians, Providers, and Pharmacies From: Health Plan of San Joaquin Pharmacy and Therapeutics Committee Subject: Formulary Update - Effective December 16, 2020 Business: Medi-Cal Effective December 16, 2020, the Pharmacy and Therapeutics Committee has approved the following changes. Additions to the Formulary: Upadacitinib (Rinvoq) [...]Read more
2020 Immunization Updates: Vaccination during COVID-19, Flu, HepA, and Tdap
September 30, 2020 / by HPSJ / Alerts, Pharmacy Announcements
Each year, the California Medi-Cal Drug Use Review (DUR) program issues an annual summary of updates on immunization guidelines, products, and/or research in collaboration with the California Department of Public Health (CDPH) Immunization Branch. For reference, the recommended immunization schedules for 2020 in the United States can be accessed on the Centers for Disease Control […]
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MCAS Measure ADD – Follow up care for children prescribed ADHD Medication
September 29, 2020 / by HPSJ / Alerts
Date: September 29, 2020 To: Health Plan of San Joaquin (HPSJ) Primary Care Providers {PCP}, OBGYN, BH, All Specialists From: Health Plan of San Joaquin Subject: MCAS Measure ADD – Follow up care for children prescribed ADHD Medication Business: Medi-Cal If you have any questions about this measure or any of the other MCAS/HEDIS measures, [...]Read more
Diabetes Screening for People With Schizophrenia or Bipolar Disorder
September 22, 2020 / by HPSJ / Alerts
Date: September 22, 2020 To: Health Plan of San Joaquin (HPSJ) Primary Care Providers {PCP}, OBGYN, BH and All Specialist From: Health Plan of San Joaquin Subject: MCAS Measure: SSD – Diabetes Screening for People With Schizophrenia or Bipolar Disorder Who Are Using Antipsychotic Medications Business: Medi-Cal **NEW MEASURE for 2020 measurement year** SSD – [...]Read more
MCAS Measure: APM– Metabolic Monitoring for Children and Adolescents on Antipsychotics
September 22, 2020 / by HPSJ / Alerts
Date: September 22, 2020 To: Health Plan of San Joaquin (HPSJ) Primary Care Providers {PCP}, OBGYN, and Specialist From: Health Plan of San Joaquin Subject: MCAS Measure: APM– Metabolic Monitoring for Children and Adolescents on Antipsychotics Business: Medi-Cal Children taking antipsychotics have unique needs and challenges. Medication Management and monitoring of potential health risks are [...]Read more