Health Plan of San Joaquin provider Alerts

Requirements for Early and Periodic Screening, Diagnostic and Treatment Services (EPSDT)

Date: February 21, 2019 To: Health Plan of San Joaquin (HPSJ) Providers From: HPSJ Medical Management Department Subject: Requirements for Early and Periodic Screening, Diagnostic and Treatment Services (EPSDT) Business: Medi-Cal Health Plan of San Joaquin contracted Primary Care Providers are required to screen children under the age of 21. All members under 21 years […]

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REMINDER – Changes to PM 160 Encounter Forms  

Date: February 21, 2019 To: Health Plan of San Joaquin (HPSJ) Primary Care Providers (PCPs) From: Provider Services Department Subject: REMINDER – Changes to PM 160 Encounter Forms Business: Medi-Cal The Department of Health Care Services (DHCS) informed HPSJ that PM 160 CHDP encounter forms were eliminated from the state Medi-Cal program effective July 1, […]

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New Authorization Requirement – Chronic Care Benefits

Date: February 21, 2019 To: Health Plan of San Joaquin (HPSJ) Providers From: HPSJ Medical Management Department Subject: New Authorization Requirement – Chronic Care Benefits Business: Medi-Cal Effective April 17, 2019, HPSJ’s benefit coverage for Chronic Care Management will require a prior authorization. This applies to CPT codes 99490 and 99491. Chronic care management services […]

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Beacon Health Options Web-based training on Anxiety Disorders  

Date: February 14, 2019 To: Health Plan of San Joaquin (HPSJ) PCPs From: HPSJ Medical Management Department Subject: Beacon Health Options Web-based training on Anxiety Disorders Business: Medi-Cal Please join Beacon Health Options for a Behavioral Health Web-based training session on Anxiety Disorders Learn how to spot warning signs and get members the help they […]

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Alcohol Misuse: Screening and Behavioral Counseling Interventions 

Date: February 1, 2018 To: Health Plan of San Joaquin (HPSJ) PCPs From: HPSJ Medical Management Department Subject: Alcohol Misuse: Screening and Behavioral Counseling Interventions   Business: Medi-Cal Consistent with United States Preventive Services Task Force (USPSTF) recommendations and the Medi-Cal Provider Manual, providers MUST annually screen adults aged 18 years or older for alcohol misuse […]

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New Authorization Requirements – Chronic Care Management Services

Date: January 2, 2019 To: Health Plan of San Joaquin (HPSJ) PCPs From: HPSJ Medical Management Department From: HPSJ Medical Management Department Subject: New Authorization Requirements – Chronic Care Management Services Business: Medi-Cal Effective March 4, 2019 HPSJ’s benefit coverage for Chronic Care Management, CPT code 99490, will require a prior authorization. Chronic care management services […]

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HPSJ March 9, 2019 Special Training – FREE CME & CE Credits Space Limited to 70 attendees

When/Where: Saturday, March 9, 2019 (8:30am – 1:00pm) Registration & breakfast start at 8:00am Health Plan of San Joaquin, 7751 S. Manthey Rd., French Camp, CA 95231 Invited: HPSJ Providers and Special Invitees Who should attend: MDs, PAs, NPs, and Behavioral Health Counselors Also Welcome: LMFTs, LCSWs, RNs, PharmDs, PhDs, PsyDs Speaker: Brian Hurley, MD, […]

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Incentive Claims – Important Reminder

Date: December 13, 2018 To: Health Plan of San Joaquin (HPSJ) Primary Care Providers (PCP) From: Provider Services Department Subject: Incentive Claims – Important Reminder Business: Medi-Cal Action Now Our HPSJ providers are important partners in delivering care to our members. Because of your valued contribution, we are sending this additional reminder to get all […]

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New DHCS California Regulation for All Providers – Reminder

Date: December 10, 2018 To: Health Plan of San Joaquin (HPSJ) Primary Care Providers (PCP), Specialists From: HPSJ Quality Management Department – REMINDER Subject: New DHCS California Regulation for All Providers Business: Medi-Cal FFS Enrollment Requirement to Remain in Managed Care Contract Effective 1/10/2019 all Medi-Cal managed contracted providers will be required to also be […]

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Second reminder – Beacon Health Options is available during the holidays

Date: December 5, 2018 To: Health Plan of San Joaquin (HPSJ) Providers From: HPSJ Medical Management Department Subject: Second reminder – Beacon Health Options is available during the holidays Business: Medi-Cal Reminder: While the holidays are time of joy, it can sometimes be a time of increased stress, loneliness, and anxiety. Health Plan of San […]

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