The Health Plan of San Joaquin (HPSJ) Provider Portal, known as Doctor Referral Express (DRE), offers a comprehensive digital platform designed to streamline communication and administrative processes for healthcare providers participating in the Medi-Cal Managed Care program.
Official Links
- Primary Website: https://www.hpsj.com/providers/
- Provider Portal Self-Serve: https://www.hpsj.com/provider-portal-self-serve-doctor-referral-express-dre/
What is the Provider Portal?
The DRE Provider Portal is an electronic Medical Management System that enables healthcare providers to:
- Submit new portal access requests
- Reactivate existing accounts
- Reset passwords
- Access critical provider resources and tools
Who Can Use the Portal?
Eligibility Requirements:
- Must have an existing contract with Health Plan of San Joaquin
- Providers, clinics, and facilities serving Medi-Cal patients
Access and Login Process
Account Activation Steps
- Visit the HPSJ providers website
- Submit a self-serve request for portal access
- Await email notification of request status
- Require clinic supervisor approval within 14 business days
Important Note: Requests will be voided if not approved within the specified timeframe.
Key Features
Portal Capabilities
- Automated request management
- Secure account access
- Streamlined administrative processes
Privacy and Security
Access Controls
- Contractual verification required
- Supervised account approval process
- Email-based communication for transparency
Customer Support
Provider Services Department
- Phone: 1-888-936-PLAN (7526)
- TTY: 711
- Available for portal training and support inquiries
Recent Portal Developments
2025 Updates
- New electronic Medical Management System
- Enhanced DRE Provider Portal functionality
- Continuous system improvements
Compliance and Accreditation
HPSJ maintains high standards of quality, evidenced by:
- NCQA Three-Year Accreditation for Medicaid HMO
- Commitment to maintaining robust provider support systems
Unprovided Information
Some specific portal functionalities are not detailed in the available documentation, such as:
- Exact login procedures
- Comprehensive list of portal features
- Specific technical requirements for access
Additional Resources
Providers are encouraged to:
- Contact Provider Services for specific portal training
- Review the latest Provider Alerts for system updates
- Utilize available support channels for assistance
The HPSJ Provider Portal represents a critical digital tool for healthcare providers, offering a secure, efficient platform for managing patient care and administrative tasks within the Medi-Cal Managed Care program.
Disclaimer: Information based on HPSJ website documentation as of August 2025.
FAQ
Is Medi-Cal the same as the Health Plan of San Joaquin?
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OC Elder Lawhttps://www.ocelderlaw.comHealth Plan of San Joaquin Medi-Cal: Enrollment and BenefitsAug 12, 2024 — HPSJ is a health plan that provides Medi-Cal services to residents in San Joaquin and Stanislaus Counties. HPSJ offers a range of medical benefits a…
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OC Elder Lawhttps://www.ocelderlaw.comHealth Plan of San Joaquin Medi-Cal: Enrollment and BenefitsAug 12, 2024 — Is the Health Plan of San Joaquin the same as Medi-Cal? No, the Health Plan of San Joaquin (HPSJ) is not the same as Medi-Cal. Medi-Cal is Californi…
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HPSJ/MVHPhttps://www.hpsj.comMountain Valley Health Plan (MVHP) / Expansion Effective 1/1/2024Nov 17, 2023 — The San Joaquin County Health Commission (SJCHC), currently operating as Health Plan of San Joaquin (HPSJ), is proud to announce that SJCHC will exp…
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Facebook · Health Plan of San Joaquin/Mountain Valley Health Planhttps://www.facebook.comHealth Plan of San Joaquin/Mountain Valley Health Plan – FacebookHealth Plan of San Joaquin/Mountain Valley Health Plan is the leading Medi-Cal managed care provider in San Joaquin and Stanislaus Counties, now serving Medi-Ca…
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Health for Californiahttps://www.healthforcalifornia.comMedi-Cal Insurance Coverage – Health for CaliforniaYour Medi-Cal benefits will depend on how you qualify for Medi-Cal. Some patients get full-scope Medi-Cal, meaning they qualify for all Medi-Cal coverage. Some …
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icarol.infohttps://www.icarol.infoProgram: Medi-CalProvides healthcare coverage including medical, dental, and vision insurance for income eligible households. Offers assistance with enrollment applications. Med…
Is the Health Plan of San Joaquin the same as Mountain Valley Health Plan?Health Plan of San Joaquin/Mountain Valley Health Plan is the leading Medi-Cal managed care provider in San Joaquin and Stanislaus Counties, now serving Medi-Cal members in Alpine and El Dorado Counties.
How do I contact the Health Plan of San Joaquin?Please review our Evidence of Coverage located under Member Tools or contact Customer Service at our Toll Free number 1-888-936-PLAN (7526) or 1-209-942-6320.
What is the payer ID for San Joaquin health Plan?
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Health Plan of San Joaquinhttps://www.hpsj.comSection 10: Claims Submission – Health Plan of San JoaquinTo submit claims electronically, providers must establish an account with a clearing house of choice. Examples of clearing houses are Change Healthcare (Payer I…
https://www.hpsj.com/providers/
Find tools and resources for Health Plan area providers. DRE Login, forms & document links, provider alerts, and much more.
https://www.hpsj.com/provider-portal-self-serve-doctor-referral-express-dre/
To improve your Doctor Referral Express (DRE) experience, HPSJ has implemented a new self-serve automated system to allow users to submit requests.