Provider Alert – Formulary Update Effective 5/11/2017

Date: March 9, 2017 To: Health Plan of San Joaquin (HPSJ) Physicians and Providers From: Health Plan of San Joaquin Pharmacy and Therapeutics Committee Subject: Provider Alert – Formulary Update Effective 5/11/2017, Business: Medi-Cal, MCAP (Medi-Cal Access Program, previously known as AIM) Effective 5/11/2017, the Pharmacy and Therapeutics Committee has approved the following changes: Additions […]

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COMING SOON! HEDIS 2017 Member Incentives

Date: March 1, 2017 To: Health Plan of San Joaquin (HPSJ) Providers From: HPSJ Medical Management Department Subject: COMING SOON! HEDIS 2017 Member Incentives Business: Medi-Cal, MCAP (Medi-Cal Access Program, previously known as AIM) Please work with your patients to perform these important services by the end of the year (12/31/17). At HPSJ, we are your […]

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Courtesy Message – Additional Information

Date: February 21, 2017 To: Third Party Administrator (TPA) Contracted Providers From: San Joaquin Health Administrators (SJHA) Subject: Courtesy Message – Additional Information Business: TPA Effective March 1, 2017 As a courtesy, we want to make you aware that effective March 1, 2017, SJHA (San Joaquin Health Administrators) will no longer provide TPA (Third Party […]

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How to Stop Tooth Decay in Your Baby

February – National Children’s Dental Health Month Baby teeth are vital. If baby teeth are lost too early [due to tooth decay], the teeth that are left may move and not leave any room for adult teeth to come in. “Baby teeth help babies to chew, speak and smile. They also help the adult teeth […]

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Health Plan of San Joaquin announces new controller

(French Camp, CA) – Health Plan of San Joaquin (HPSJ) has announced that Eleanor Falcon has been appointed controller for HPSJ. As controller, she supervises the financial operations of the not-for-profit managed care plan which annually distributes nearly $1 billion in state and federal revenue. Before her current appointment, Falcon was HPSJ’s assistant controller. Eleanor […]

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Coming – Spring 2017 Enhanced DRE Service for HPSJ Provider Network

Date: February 8, 2017 To: Health Plan of San Joaquin (HPSJ) Providers and Practitiones From: HPSJ Medical Management & IT Departments Subject: Coming – Spring 2017 Enhanced DRE Service for HPSJ Provider Network Business: Medi-Cal, MCAP (Medi-Cal Access Program, previously known as AIM) Coming – Spring 2017 Enhanced DRE Service for HPSJ Provider Network As […]

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HEDIS Time: Annual Medical Records Review

Date: February 1, 2017 To: Health Plan of San Joaquin (HPSJ) Providers and Practitioners From: Medical Management Department – Health Plan of San Joaquin Subject: HEDIS Time: Annual Medical Records Review Business: Medi-Cal, MCAP (Medi-Cal Access Program, previously known as AIM) Traditionally scheduled for February through May of each year, the 2017 Medical Review Process […]

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