Reminder – Collecting Social Determinants of Health (SDOH) Data
| Date: | July 26, 2023 |
| To: | Health Plan of San Joaquin (HPSJ) Contracted Primary Care Physicians |
| From: | HPSJ |
| Type: | Informational/Educational |
| 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) program introduced in 2019, Population Health Management (PHM) is an initiative that identifies and manages member risk and need 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.
DHCS has identified and designated 25 Priority SDOH codes to collect reliable SDOH data for Medi-Cal members.
As of 2022, Health Plan of San Joaquin (HPSJ) 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 questions or need assistance, please call our Provider Services team at (209) 942-6340. You may also visit https://www.hpsj.com/alerts/ for online access to the documents shared. The most recent information about Health Plan of San Joaquin and our services is always available on our website https://www.hpsj.com/.