Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) builds healthier communities by investing in prevention. We have tools to help you identify your Medi-Cal patients due for services. Our Provider Services team will partner with your staff to achieve optimal results.
Thank you for your support in improving health and potentially reducing preventable diseases in our members.
Schedule your patients for preventative services today and increase your earning potential!
| Chronic Health Measures | ||
| Controlling High Blood Pressure (CBP) | Glycemic Status Assessment for Patients with Diabetes >9% (GSD) | |
| Women’s Health Measures | ||
| Prenatal and Postpartum Care: Timeliness of Prenatal Care (PPC-Pre) | Prenatal and Postpartum Care: Postpartum Care (PPC-Pst) | |
| Chlamydia Screening in Women (CHL) | Cervical Cancer Screening (CCS-E) | |
| Breast Cancer Screening (BCS-E) | ||
| Behavioral Health Measures | ||
| Follow-Up After ED Visit for Mental Illness – 30 Days (FUM) | Follow-Up After ED Visit for Substance Abuse – 30 Days (FUA) | |
| Children’s Health Measures | ||
| Child and Adolescent Well-Care Visits (WCV) | Childhood Immunization Status: Combination 10 (CIS-10-E) | |
| Well-Child Visits in First 30 Months of Life: 0 to 15 Months, 6 or More Well-Child Visits (W30-6+) |
Well-Child Visits in First 30 Months of Life: 15 to 30 Months, 2 or More Well-Child Visits (W30-2+) |
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| Immunizations for Adolescents: Combination 2 (IMA-2-E) | Developmental Screening in the First 3 Years of Life (DEV-CH) | |
| Topical Fluoride for Children (TFL-CH) | ||
For incentive payment information, please CLICK HERE
If you have any questions please contact your Health Plan representative at 1-209-942-6340 or by email at ProviderServicesDepartment@hpsj.com.
Posted on January 29th, 2020 and last modified on February 4th, 2025.
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