855-643-1643. More detailed information can be found in the provider manual. 808-832-5300. Violations may also result in the termination the any and all Medicaid related Provider Agreements, revocation of the Medicaid Provider Registration, and/or the termination of or imposition of sanctions under any other contract or agreement with the State of Hawaii, Department of Human Services Administration. This program is commonly known as the QUEST program. Hilo, HI 96720-4670. . This program is commonly known as the QUEST program. Contact Information for People with Medicare. The Hawaii Department of Human Services (DHS)/Med-QUEST Division (MQD) requires all care providers who serve QUEST members to register with the new MQD provider enrollment system, HOKU.

The Department of Human Services manages the Medicaid program in Hawaii. . Hawaii Medicaid Phone Number: Customer Service Med Quest: 800-316-8005 (Neighbour Islands) 524-3370 (Ohau) . The Humana difference. Tory Tanaka: ttanaka@alohacare.org, 808-973-0459. Hawaii OTC Formulary; ICD 10 - Diagnosis List . Find My Plan; . Medicaid I/DD Waiver Providers. At times when MassHealth Customer Service is closed, call Medicare at 1-800-MEDICARE (1- 800-633-4227), 24 hours a day, 7 days a week. TTY users can call 1-877-486-2048. To contact other departments, simply click the contact button. Coordination of Care (COC) Other forms can be found on the Provider Express Optum Forms page. Helping our members on their health journey is our main focus. determinations in "HILOC"a secure Web application available to Hawaii Medicaid health plans and their contracted Medicaid providers. I want to be a Medicaid I/DD Waiver Provider; I am a Medicaid I/DD Waiver Provider; Administrative Hearing for Medicaid I/DD Waiver Providers; Medicaid I/DD Waiver Providers Archive: Transmittal Memos Issued by the DDD; Medicaid I/DD Waiver Providers Archive: Training for Providers.

Medicaid Online To view the website for Hawaii Medicaid online, click here. Download Medicaid Brochure Apply for Medicaid account settings. Child Trafficking Reporting from neighbor islands. Every state's Medicaid and CHIP program is changing and improving. Services are provided through the Medicaid 1915 (c) Home and Community-Based Services (HCBS) Waiver, for Individuals with Intellectual and Developmental Disabilities (Medicaid I/DD Waiver). (Blue Card Provider Phone Number) 855-854-1438 (Exchange Kentucky/Indiana) 800-456-3967 (FEP) . SOURCE: Med-QUEST Memo 20-03 (Mar.

Member complaints and grievances All health plans have a member grievance and appeals process to help address any problems. The enrollment date is February 29, 2016. You can find that in your health plan member ID card. Coronavirus Disease 2019 (COVID-19) The U.S. Department of Health and Human Services (HHS) is responding to an outbreak of respiratory disease caused by a novel (new) coronavirus named "Coronavirus Disease 2019" (abbreviated "COVID-19"). Email: CS@HawaiiDentalService.com. Medicaid Providers 1-888-846-4262 (TTY 711) CCS Providers 1-866-401-7540 (TTY 711) 24 hours, 7 days a week 'Ohana Health Plan Providers 1-866-319-3554 More information coming Summer 2022. To learn how to update your provider information (including address, phone number, office hours, areas of . Provider Services Contact Information; 800-338-7909 Toll Free . Step 2 - In the "Provider Information" section, you will need to enter the provider's name, contact person, phone number, fax number, provider address, pharmacy address, pharmacy name, whether this is a routine or urgent request, . For questions about your claims or other personal Medicare information, log into (or create) your secure Medicare account , or call us at 1-800-MEDICARE (1-800-633-4227). For more information about the Hawaii PRO services, contact Elizabeth Marsh, .

East Hawaii Section. Providers who are eligible to bill for Hawaii Medicaid services are also eligible to bill for telehealth. TTY users (people who have difficulty hearing or speaking) should call 1-877-486-2048.

Molina Healthcare Phone Number claims address of Medicare and Medicaid. Extra Contact Information. ACC/DD/Dual Complete One Provider Call Center. This process takes an estimated 30-40 minutes to . *National Provider Contracting and Strategy is responsible for providers or vendors contracted with a National Agreement or any form of national contract with KP. To find out if your doctor participates in telehealth services, call MDX Hawai'i COVID-19 hotline at (808) 650-2717 or toll-free (877) 544-0777, Monday - Friday from 8 a.m. to 5 p.m. local time. Toll-free: 1-844-379-4325. . Replace your lost Medicaid ID card; Report out of state travel; You can also call our Customer Services Call Center at: Oahu TTY / TDD Neighbor Islands TTY / TDD (808) 524 - 3370 (808) 692 - 7182 1 (800) 316 - 8005 All changes in provider information should be emailed to CRB immediately at doh.dddcrb@doh.hawaii.gov. Child Abuse Reporting from neighbor islands. Call toll-free 1-800-316-8005 TTY: Toll-free 1-800-603-1201 for hearing impaired. Provider Relations Hawaii . Getting Started Non-Ohana Providers. Learn about Medicaid plans. This same contact information is printed on the Hawaii Medicaid application.

Services and supports are identified through a person-centered planning process with case managers to develop . Our local customer service representatives will be happy to answer your questions about our plans and benefits. More detailed information can be found in the provider manual. . Child Trafficking Reporting. For information regarding the Hawaii Medicaid EHR Incentive Program, Click Here Warning: The information provided through the State of Hawaii, Department of Human Services, Medicaid Program Online Web Application is confidential under state and federal law. Case managers also coordinate and assist individuals in .

'Ohana Health Plan can be the smart choice for your Medicaid needs. Learn more about how we're supporting members and providers. 16, 2020), & HI Med-QUEST Medicaid Provider Manual: Federally Qualified Health Centers, Chapter 21 (21.2.1),pg . Our passion is to serve the people of Hawaii in the true spirit of aloha. Download Adobe Acrobat Reader to open and read PDF documents from this site. Fax: 808-692-8087. The State Overviews provide resources that highlight the key characteristics of states' Medicaid and CHIP programs and report data to increase public transparency about the programs' administration and outcomes. HDS provides free, on-site training sessions at your dental office. Medicare Helpful Contacts Page. Open 8 a.m. to 8 p.m. Eastern time, Monday through Friday.

Toll-free: 1-844-379-4325. Learn more. . Select the following section tabs to view the types of training we provide. Address Telephone Group Practice PAC ID; 206 E Elm St, Caldwell, ID 83605-4815: Medicaid Office Location Hawaii Department of Human Services PO Box 339 Honolulu, HI 96809 Medicaid Office Phone Number The phone number to call the Hawaii Medicaid office is 800-316-8005 or in state call 808-524-3370. Access DOH resources for diagnosis/treatment of COVID-19. South Carolina Medicaid Phone Number: 803-898-2580 Provider Service Center: 888-289-0709: South Dakota Medicaid : 605-773-4766 800-227-3020 Behavioral Health Services 605-773-3123

Our local customer service representatives will be happy to answer your questions about our plans and benefits.

Providers. Email: HCSBInquiries@dhs.hawaii.gov. Details. Please call HDS Professional Relations from Oahu at (808) 529-9222 or toll-free at 1-844-379-4324 to schedule a convenient training time. The purpose of the Medicaid I/DD Waiver is to support people to have a full life in the community.

Ruffy Arellano, Provider Relations Manager: rarellano@alohacare.org, 808-973-1467. We are committed to improving the health of Hawaii's communities. Oahu: (808) 529-9248. . To find a provider within your health plan's network, you will need to know the name of your health plan. Here you will be able to continue your application, view your application status, eligibility details, notices, request changes to your household, and update your.

UAT; Forms; Frequently Asked Questions; CMS 416 Reports .

0:00. BCBS Provider Phone Number. Depending on your health needs and financial situation, you may qualify for free or low-cost health insurance plans. Malia Garza: mgarza@alohacare.org, 808-973-0828. AlohaCare is a non-profit health plan founded in 1994 by Hawaii's Community Health Centers. Phone: 1-855-643-8180. Since the 1980s, Humana has been centered on healthcare. We try our best to keep this provider list up-to-date, and easy to use.

This version of the Medicaid and CHIP Scorecard was released . Child Abuse Reporting from neighbor islands. Neighbor Islands - Toll-free: 1-800-316-8005 If you have recently moved and have a new address, have a new phone number or have a new baby, please call Med-QUEST to give them the new information. Coronavirus (COVID-19) Keep yourself informed about Coronavirus (COVID-19.) Humana has a proud history in the healthcare industry.

TTY users (people who have difficulty hearing or speaking) should call 1-877-486-2048. Hawaii Medicaid Prior (Rx) Authorization Form . Hawaii Medicaid is a Health Care Program for Hawaii residents who find themselves unable to afford or obtain health insurance .

. To contact other departments, simply click the contact button. Hawaii Medicaid (Hawaii Medicaid) phone number is 800-316-8005, located at 1404 . A complete application includes a Medicaid Provider Enrollment Agreement and a W9, which must be signed by the provider and . Toll Free: 1-888-398-1188. Thank you for your participation and should you need additional information or have any questions, please do not hesitate to contact the Provider Contracting and . Click on Create a New Account to create an account with the Department of Human Services, Medicaid Online. Now available on the Provider Portal. Outbreaks of novel virus infections among people are always of public health concern. Medicaid Ombudsman for Providers; PCP Reimbursement Enhancement .

'Ohana Health Plan values what you do for our members. IA Health Link Provider-Specific Information Materials .

As of November 2021, Hawaii has enrolled 422,119 individuals in Medicaid and CHIP a net increase of 46.39% since the first Marketplace Open Enrollment Period and related Medicaid program changes in October 2013. Relay: 711.

Public Assistance Information Line. Medicaid is a jointly funded, Federal-State health insurance program for people with limited income and resources who meet eligibility requirements. 215 E Hawaii Ave Nampa ID 83686-6011 : Telephone: 2084633000 : . Child Trafficking Reporting. Maintaining a healthy community starts with providing quality care to those who need it most. Telephone numbers and web link information related to specific Medicare questions. Hawaii Department of Health. 808-832-5300. We began in 1961 as a nursing home company called Extendicare and became known as Humana in 1974. Contact; hawaii medicaid providers. Customer service staff; Your choice of doctors Hawaii: 808-948-6330 (Oaho) 800-790-4672 (Neighbour Islands) . Published on February 2017 | Categories: Documents | Downloads: 8 | Comments: 0 | Views: 69 McLean, VA - November 16, 2021 - CNSI, a leading provider of innovative technology products and solutions that improve health outcomes and reduce healthcare costs, announced today that Arizona and Hawaii's evoBrix Provider Management Information System (PMIS) Module, developed and deployed by CNSI, was awarded full certification by the U.S. Centers for Medicare and Medicaid Services . Members should call Iowa Medicaid Member Services for help at 1-800-338-8366 or locally in the Des Moines area at 515-256-4606. Thank you for your continued partnership and collaboration. Fee-For-Service. Complete the Provider Enrollment Application. Welcome to Wellcare; Join Our Network; Medicaid Resources; Medicare Resources;

The Hawaii Kaiser Permanente Provider Contracting and Relations Department is committed to providing support to you and your staff which includes contractual and operational inquiries. Oahu: (808) 529-9248.

Hawaii has adopted one or more of the targeted enrollment strategies outlined in guidance CMS issued on May 17, 2013, designed to . HAWAII. Approximately 780 drug manufacturers currently participate in this program. Services are provided through the Medicaid 1915(c) Home and Community-Based Services (HCBS) Waiver, for Individuals with Intellectual and Developmental Disabilities (Medicaid I/DD Waiver).The purpose of the Medicaid I/DD Waiver is to support people to have a full life in the community. 808-832-5300. E-Mail: idedisupport@gainwelltechnologies.com. AlohaCare is the third-largest health plan in Hawaii. . 800-4-HUMANA (800-448-6262) Open 8 a.m. to 8 p.m. Eastern time, Monday through Friday. Seniors in Hawaii can apply for MedQuest online on the State of Hawaii My Medical Benefits website, by calling 1-800-316-8005 to reach MedQuest enrollment services, or by contacting their local MedQuest Office. I Disagree. TTY users, call 1-800-603-1201 toll-free.

QUEST Integration; Community Care Services; Member Login; Medicare. Please refer to Hawaii Provider Manual Chapter 21 (21.2.1) for a list of eligible providers. Individuals also can 2) submit an on-line application at www.mybenefits.hawaii.gov; or 3) contact the Hawaii Connector Call Center (1-877-628-5076; TTY/TDD users call 1-855-585-8604) to receive assistance over the phone. Email: CS@HawaiiDentalService.com.

Local: 1 (208) 373-1424. HDS provides free, on-site training sessions at your dental office. Select the following section tabs to view the types of training we provide. ERIC C MOSS is a physician enrolled with Centers for Medicare & Medicaid Services (CMS). 1 (866) 686-4272.

Report Medicare Fraud & Abuse: 800-HHS-TIPS (1-800-447-8477) Medicare.gov. The program is funded jointly by states and the federal government. To better serve our members and providers of our corporate office on O`ahu, we created a ground floor lobby reception office. Access DOH resources for diagnosis/treatment of COVID-19. Reservations: 1-866-475-5744 Ride Assistance: 1-866 . Neighbor Islands - Toll-free: 1-800-316-8005 If you have recently moved and have a new address, have a new phone number or have a new baby, please call Med-QUEST to give them the new information.

Select "Register" in the upper right hand corner to complete the TPA registration. For eligibility/benefits and claims inquiries.

For additional contact options including telephone/fax numbers, and email/physical mailing address, Click here. Medicaid Office Location; Illinois Department of Healthcare and Family Services 201 South Grand Avenue East Springfield, IL 62763; Medicaid Office Phone Number; The phone number to call the Illinois Medicaid office is 800-843-6154 or call 800-226-0768.

Kansas Aging and Disability Services Website. 855-643-1643.

Public Assistance Information Line.

Medicaid Providers. 1-800-445-1638, available from 8:00 a.m. - 5:00 p.m. Central Time. Providers. 2022 Medicare and PDP Compare Plans and Enroll Now.

Approved waiver providers are paid by Medicaid to deliver direct services to DDD holds at least two (2) HCBS Medicaid I/DD Waiver Provider Trainings each year to update waiver providers on the activities of the division, any .

Toggle navigation OPEN NPI.

Medicaid Providers. Call Med-QUEST Enrollment Services Section at 1-800-316-8005 toll-free if you have health plan enrollment and eligibility questions. will take you away from KP.org. Do you have questions about Kansas Medicaid or KanCare? Medicaid provides health coverage to millions of Americans, including eligible low-income adults, children, pregnant women, elderly adults and people with disabilities.

Child Abuse Reporting. When you call 1-800-MEDICARE, you can also enroll in another Medicare health or drug plan.

We know our providers work hard to serve their patients.

Call 1-844-884-0734. One method of providing services is through the fee-for-service (FFS) program. You Are a Part of Our 'Ohana. The Medicaid 1915 (c) Home and Community-Based Services (HCBS) Waiver for individuals with intellectual and developmental disabilities (I/DD) is authorized under Section 1915 (c) of the Social . We are committed to providing you and your family with the quality health care you deserve. Affordable Care Act (ACA) You can purchase individual health insurance through the Health Insurance Marketplace. When you call 1-800-MEDICARE, you can also enroll in another Medicare health or drug plan. Hawaii: Registration requirement for Medicaid providers. Live. Transportation Services Contact Information. Or if you would like to learn more and apply for Medicaid benefits, click on the link below. General contact information for Wellcare of Hawaii members and providers, including phone numbers and online forms. TTY users (people who have difficulty hearing or speaking) should call 1-877-486-2048. These are plans that meet government requirements per the Affordable Care Act. Child Trafficking Reporting.

If you do not have a Medicaid ID card, call the Med-QUEST Division at: Oahu: (808) 524-3370. Provider Relation Contact; Primary Care Provider; ESPDT. It offers a variety of health care services, such as: Vision Care, Dental Care, Hospital Care, Prescription Coverage and more. Provider payment integrity.

Medicare and Medicaid customer service. Child Abuse Reporting. People who do not qualify may apply for insurance programs through Hawaii Health Connector, which allows you to select a health insurance plan that may fit . Kaiser Permanente is not responsible for the content or policies of external websites. Contact State of Hawai'i Department of Human Services Med-QUEST Division to apply for Medicaid or verify your eligibility. The QUEST Integration program brings managed care services to all of Hawai'i's Medicaid members. Through the Medicaid 1915(c) Home and Community-Based Services Waiver for individuals with intellectual and developmental disabilities (Medicaid I/DD Waiver), individuals can access services to support a full life in the community. Fee Schedules; Provider Bulletins; Provider Manual; Health Plan Resources; Provider Resources. Learn more at HealthCare.gov. If you have created an account and wish to login, click on the login button below. For eligibility/benefits and claims inquiries: 800-457-4708. Medicaid is administered by states, according to federal requirements.

Healthcare done well.

Child Abuse Reporting. Important Information shared by The Hawaii Department of Health. Coronavirus (COVID-19) . Our Customer Service hours are Monday through Friday from 7:30 AM to 4:30 PM, HST. At times when MassHealth Customer Service is closed, call Medicare at 1-800-MEDICARE (1- 800-633-4227), 24 hours a day, 7 days a week.

Learn more.

Phone: (808) 586-4400

Our Brands. Services and supports are identified through a person-centered planning process with case managers. 0:00. Medicare Service Center: 800-MEDICARE (800-633-4227) Medicare Service Center TTY: 877-486-2048. Medicare Reimbursement Rates for COVID-19 Testing Services for All Provider Types* We are complying with the rates published on March 12, 2020 by CMS: U0001 = $35.91; U0002 = $51.31; Please note: Commercial products will reimburse COVID-19 testing services in accordance with our negotiated commercial contract rates. The Med-QUEST Division will also accept new provider applications or existing provider change requests by email, fax or mail. 78.9 Million People Covered*. Our Customer Service hours are Monday through Friday from 7:30 AM to 4:30 PM, HST.

Child Abuse Reporting from neighbor islands.

Our provider list allows you to search by provider's last name, location, specialty, health plan, and more.

Waiver Provider Trainings: Possibilities Now; Waiver Provider . Mailing Address: Med-QUEST Division. 0:00 / 5:55 . Pre-Admission Screening and Resident Review (PASRR) Compliance Reviews . 808-832-1999. Resources Transmittal Memos Waiver Standards Policies and Procedures (PDF Format) Questions If you are a current Medicaid I/DD Waiver provider and have questions, you may contact the DDD CRB at 808-733-2133 or doh.dddcrb@doh.hawaii.gov. Hawaii Medicaid Provider Bulletin 2006 Acs Claims. Your Hawaii Medicaid EQRO Site . Medicaid. Health Care Services Branch, Provider Enrollment. Toll Free: 1-888-380-3088. BCBS Prefix List; BCBS Prefix List - Alpha. Hawaii Medicaid Provider Bulletin 2006 Acs Claims.

Once complete, follow the link for the Provider Enrollment Application after logging in.

855-643-1643. The Medicaid Drug Rebate Program (MDRP) is a program that includes Centers for Medicare & Medicaid Services (CMS), state Medicaid agencies, and participating drug manufacturers that helps to offset the Federal and state costs of most outpatient prescription drugs dispensed to Medicaid patients.

1250 Punchbowl Street Honolulu, Hawaii 96813. Toll Free: 1-888-380-3088. State of Hawaii Department of Human Services Med-QUEST Division DHS Medicaid Online At times when MassHealth Customer Service is closed, call Medicare at 1-800-MEDICARE (1- 800-633-4227), 24 hours a day, 7 days a week. When you call 1-800-MEDICARE, you can also enroll in another Medicare health or drug plan. Contact information listed below is specific to Hawaii health plans. Visit www.mybenefits.hawaii.gov to enroll and track your eligibility online. Email: Kancare.ombudsman@ks.gov Website: www.KanCareOmbudsman.ks.gov KanCare Ombudsman.

Find a Provider; Contact Us; Help Center; Providers. Additional information is available, including psych/neuropsych testing guidelines, credentialing plans, and Disability Solutions Manual, on the Provider Express Guidelines & Policies page. Finding a Medicaid Dentist : Become a Med-QUEST Provider - HOKU : Update Provider Information- HOKU : HDS MEDICAID CHECK SCHEDULE : Medicaid Newsletter-Winter 2021 : Medicaid Newsletter-Summer 2021 : Medicaid Newsletter - Spring 2020 : Medicaid Newsletter - Summer 2017 : Medicaid Newsletter - Winter 2016 : Medicaid Newsletter - Spring 2016 .