Reminder- Collecting Social Determinants of Health (SDOH) Data
| Date: | October 16, 2024 |
| From: | Health Plan of San Joaquin/Mountain Valley Health Plan (Health Plan) |
| To: | Health Plan Primary Care Physicians |
| Type: | Educational/Informational |
| Subject: | Reminder- Collecting Social Determinants of Health (SDOH) Data |
| Business: | Medi-Cal Managed Care |
As part of the Department of Health Services (DHCS) California Advancing and Innovating Medi-Cal (CalAIM) initiative introduced in 2019, Population Health Management (PHM) is a program that identifies and manages member risk and needs through a whole person care approach while focusing and addressing Social Determinants of Health (SDOH).
Consistent and reliable reporting of SDOH is vital to advancing and improving Medi-Cal population care.
In 2022, DHCS identified and designated 25 Priority SDOH codes to collect reliable SDOH data for Medi-Cal members.
Health Plan requires the use of these codes when billing for services.
For more information on the 25 Priority SDOH codes and requirements from DHCS as well as a complete list of ICD-10-CM SDOH codes, please see DHCS All Plan Letter (APL) 21-009:
https://www.dhcs.ca.gov/formsandpubs/Documents/MMCDAPLsandPolicyLetters/APL2021/APL21-009.pdf
If you have any further questions, please contact your Provider Services Representative, or call our Customer Service Department at 1-888-936-7526 (PLAN). You may also visit https://www.hpsj.com/alerts/ for online access to the documents shared. The most recent information about Health Plan and our services is always available on our website www.hpsj-mvhp.org
