May 15, 2015 / by HPSJ / Alerts
To: Health Plan of San Joaquin (HPSJ) Physicians and Providers From: Health Plan of San Joaquin Pharmacy and Therapeutics Committee Subject: Formulary Update Products: Medi-Cal, AIM Effective 4/1/2015, the Pharmacy and Therapeutics Committee has approved the following changes: Additions to the Formulary: Zoledronic Acid (Reclast 5mg IV) – PA required. Reserved for patients with documentation […]
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DMHC and DHCS have scheduled a routine annual joint medical audit of HPSJ
June 3, 2015 / by HPSJ / Alerts
To: Primary Care Providers (PCP) From: Health Plan of San Joaquin Subject: 2015 DMHC/DHCS Joint Audit Products: Medi-Cal Managed Care California’s Department of Managed Health Care (DMHC) and the Department of Health Care Services (DHCS) have scheduled a routine annual joint medical audit of Health Plan of San Joaquin (HPSJ). The medical audit will consist […]
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CHDP PM 160 Changes to the Current Billing Process
May 28, 2015 / by HPSJ / Alerts
To: Primary Care Providers (PCP) From: Health Plan of San Joaquin Pharmacy and Therapeutics Committee Subject: CHDP PM 160 Changes to the Current Billing Process Products: Medi-Cal Managed Care Effective: June 30, 2015 As a valued HPSJ provider, we want to make you aware of several coming billing changes. These changes are required by the […]
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Health Plan of San Joaquin (HPSJ) chief joins California Association Board with focus on health systems quality improvements
May 22, 2015 / by HPSJ / Press Releases
(French Camp, CA) – Health Plan of San Joaquin (HPSJ) CEO Amy Shin has joined the board of the Oakland-based California Health Care Safety Net Institute (SNI), the research and quality improvement affiliate of the California Association of Public Hospitals and Health Systems (CAPH). As CAPH’s quality improvement partner, SNI designs and directs programs that […]
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Alert Formulary RX Update
May 15, 2015 / by HPSJ / Alerts
To: Health Plan of San Joaquin (HPSJ) Physicians and Providers From: Health Plan of San Joaquin Pharmacy and Therapeutics Committee Subject: Formulary Update Products: Medi-Cal, AIM Effective 4/1/2015, the Pharmacy and Therapeutics Committee has approved the following changes: Additions to the Formulary: Zoledronic Acid (Reclast 5mg IV) – PA required. Reserved for patients with documentation […]
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Health Plan of San Joaquin (HPSJ) invites Stanislaus & San Joaquin to “Go Red for Women”
May 13, 2015 / by HPSJ / Press Releases
(French Camp, CA) – Health Plan of San Joaquin (HPSJ) invited Community Partners to join them on Friday, May 8, 2015, to support the American Heart Association’s Go Red for Women lunch, along with hundreds of other Stanislaus and San Joaquin women at the Doubletree Hotel in Modesto. Go Red for Women supports the American […]
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HPSJ Kicks Off Another Healthy Workplace Initiative (PORT O CALL, Greater Stockton Chamber of Commerce, May 2015)
May 8, 2015 / by HPSJ / News
On April 1, almost 200 staff participated in the first-ever Walking Day event held by Health Plan of San Joaquin (HPSJ) in partnership with San Joaquin General Hospital (SJGH). The event, to support the American Heart Association’s National Day of Walking, also marked the opening of a series of walking paths on the neighboring HPSJ […]
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DHCS Reporting Requirements related to Provider-Preventable
May 5, 2015 / by HPSJ / Alerts
To: Health Plan of San Joaquin (HPSJ) Providers From: Provider Services Department Subject: DHCS Reporting Requirements related to Provider-Preventable Conditions Business: Medi-Cal As of July 1, 2012 the Federal Affordable Care Act (ACA) requires that providers report all Provider-Preventable Conditions (PPCs) that are associated with claims for Medi-Cal payment or with courses of treatment furnished […]
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Provider Alert – HEDIS Lunch/Learn 4/29/15
April 16, 2015 / by HPSJ / Alerts
Date: Wednesday, April 29, 2015 Time: Noon-1:30 pm Place: Health Plan of San Joaquin/Community Room Audience: Medical Assistants and Office Managers From: Health Plan of San Joaquin How to Improve HEDIS Rates and increase your Provider Incentive Please RSVP to Amanda Y (209) 469-8333 or Crystal (209) 461-2283 no later than Friday, April 24, 2015. […]
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Health Plan of San Joaquin (HPSJ) CEO Testifies on Health Costs Upsurge (Modesto Chamber of Commerce, PROGRESS, April 2015)
April 14, 2015 / by HPSJ / News
HPSJ CEO Amy Shin testified in February before the California Senate Health Committee hearing on “Making Health Care Affordable: What’s Driving Costs?” HPSJ serves nearly 300,000 Medi-Cal recipients in Stanislaus and San Joaquin counties. Modesto Chamber of Commerce, PROGRESS, April 2015 View PDF
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Provider Alert – ICD-10 is coming 10/1
April 14, 2015 / by HPSJ / Alerts
April 8, 2015 edition – In an ongoing effort to keep our Providers informed of upcoming changes, HPSJ would like to take this opportunity to once again remind you of the coming transition to ICD 10. We hope you’re ready! Why change? The periodic revisions of ICD-9-CM mirror changes in the medical and healthcare field. […]
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