If you have created an account and wish to login, click on the login button below. For additional contact options including telephone/fax numbers, and email/physical mailing address, Click here. 1 (866) 686-4272. Contact State of Hawai'i Department of Human Services Med-QUEST Division to apply for Medicaid or verify your eligibility. HDS provides free, on-site training sessions at your dental office. Provider Services Contact Information; 800-338-7909 Toll Free . Hawaii Medicaid Phone Number: Customer Service Med Quest: 800-316-8005 (Neighbour Islands) 524-3370 (Ohau) . Enterprise Voice Portal Phone Number: 877-842-3210 Advance Notification, Prior Authorization and Admission Notification Fraud, Waste and Abuse (Report Potential Non-Compliance or Suspected Issues) Outpatient Radiology Notification & Authorization - Submission and Status ACC/DD/Dual Complete One Provider Call Center. Reservations: 1-866-475-5744 Ride Assistance: 1-866 . Child Abuse Reporting from neighbor islands. Providers who are eligible to bill for Hawaii Medicaid services are also eligible to bill for telehealth. Medicare Service Center: 800-MEDICARE (800-633-4227) Medicare Service Center TTY: 877-486-2048. 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 . For more information about the Hawaii PRO services, contact Elizabeth Marsh, . Phone: 1-855-643-8180. 1-800-445-1638, available from 8:00 a.m. - 5:00 p.m. Central Time. Contact; hawaii medicaid providers. 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. 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. Relay: 711. Kaiser Permanente is not responsible for the content or policies of external websites. 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 . Your Hawaii Medicaid EQRO Site . Visit www.mybenefits.hawaii.gov to enroll and track your eligibility online. Resources Transmittal Memos Waiver Standards Policies and Procedures (PDF Format) The Med-QUEST Division will also accept new provider applications or existing provider change requests by email, fax or mail. 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. Waiver Provider Trainings: Possibilities Now; Waiver Provider . For eligibility/benefits and claims inquiries: 800-457-4708. State of Hawaii Department of Human Services Med-QUEST Division DHS Medicaid Online Child Abuse Reporting. Our Brands. Malia Garza: firstname.lastname@example.org, 808-973-0828. 2022 Medicare and PDP Compare Plans and Enroll Now. (DD) / Long Term Care (LTC) / Dual Complete One (HMO-SNP) Medicaid Contact Information. Medicaid is a jointly funded, Federal-State health insurance program for people with limited income and resources who meet eligibility requirements. . Depending on your health needs and financial situation, you may qualify for free or low-cost health insurance plans. TTY users, call 1-800-603-1201 toll-free. Medicare and Medicaid customer service. 16, 2020), & HI Med-QUEST Medicaid Provider Manual: Federally Qualified Health Centers, Chapter 21 (21.2.1),pg . Humana has a proud history in the healthcare industry. Hawaii: Registration requirement for Medicaid providers. Contact Information for People with Medicare. Getting Started Non-Ohana Providers. 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 . Every state's Medicaid and CHIP program is changing and improving. Case managers also coordinate and assist individuals in . Helping our members on their health journey is our main focus. 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. Our Customer Service hours are Monday through Friday from 7:30 AM to 4:30 PM, HST. 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. Medicaid Providers. 'Ohana Health Plan can be the smart choice for your Medicaid needs. Services and supports are identified through a person-centered planning process with case managers to develop . 808-832-5300. Access DOH resources for diagnosis/treatment of COVID-19. Provider Relation Contact; Primary Care Provider; ESPDT. Select "Register" in the upper right hand corner to complete the TPA registration. When you call 1-800-MEDICARE, you can also enroll in another Medicare health or drug plan. Hawaii: 808-948-6330 (Oaho) 800-790-4672 (Neighbour Islands) . Welcome to Wellcare; Join Our Network; Medicaid Resources; Medicare Resources; TTY users (people who have difficulty hearing or speaking) should call 1-877-486-2048. 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 . 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. More detailed information can be found in the provider manual. Learn more about how we're supporting members and providers. Learn more. AlohaCare is a non-profit health plan founded in 1994 by Hawaii's Community Health Centers. The QUEST Integration program brings managed care services to all of Hawai'i's Medicaid members. TTY users (people who have difficulty hearing or speaking) should call 1-877-486-2048. Hawaii Medicaid (Hawaii Medicaid) phone number is 800-316-8005, located at 1404 . 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 . . Hawaii OTC Formulary; ICD 10 - Diagnosis List . If you do not have a Medicaid ID card, call the Med-QUEST Division at: Oahu: (808) 524-3370. 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. Medicaid provides health coverage to millions of Americans, including eligible low-income adults, children, pregnant women, elderly adults and people with disabilities. 0:00 / 5:55 . 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"). Child Abuse Reporting from neighbor islands. Child Abuse Reporting. Additional information is available, including psych/neuropsych testing guidelines, credentialing plans, and Disability Solutions Manual, on the Provider Express Guidelines & Policies page. To contact other departments, simply click the contact button. Address Telephone Group Practice PAC ID; 206 E Elm St, Caldwell, ID 83605-4815: Public Assistance Information Line. . 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. Click on Create a New Account to create an account with the Department of Human Services, Medicaid Online. . Toll-free: 1-844-379-4325. 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 . *National Provider Contracting and Strategy is responsible for providers or vendors contracted with a National Agreement or any form of national contract with KP. TTY users can call 1-877-486-2048. Services and supports are identified through a person-centered planning process with case managers. E-Mail: email@example.com. Hawaii Department of Health. Call Med-QUEST Enrollment Services Section at 1-800-316-8005 toll-free if you have health plan enrollment and eligibility questions. This process takes an estimated 30-40 minutes to . Oahu: (808) 529-9248. Child Trafficking Reporting from neighbor islands. We began in 1961 as a nursing home company called Extendicare and became known as Humana in 1974. Mailing Address: Med-QUEST Division. 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. Now available on the Provider Portal. 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. 800-4-HUMANA (800-448-6262) Open 8 a.m. to 8 p.m. Eastern time, Monday through Friday. Details. You Are a Part of Our 'Ohana. Public Assistance Information Line. Child Abuse Reporting. Provider Relations Hawaii . Toggle navigation OPEN NPI. Medicaid Providers. Medicaid Ombudsman for Providers; PCP Reimbursement Enhancement . 1250 Punchbowl Street Honolulu, Hawaii 96813. Local: 1 (208) 373-1424. This same contact information is printed on the Hawaii Medicaid application. Customer service staff; Your choice of doctors 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 To find a provider within your health plan's network, you will need to know the name of your health plan. All changes in provider information should be emailed to CRB immediately at firstname.lastname@example.org. Our passion is to serve the people of Hawaii in the true spirit of aloha. determinations in "HILOC"a secure Web application available to Hawaii Medicaid health plans and their contracted Medicaid providers. Toll Free: 1-888-380-3088. Hawaii has adopted one or more of the targeted enrollment strategies outlined in guidance CMS issued on May 17, 2013, designed to . Do you have questions about Kansas Medicaid or KanCare? East Hawaii Section. Outbreaks of novel virus infections among people are always of public health concern. 808-832-5300. To better serve our members and providers of our corporate office on O`ahu, we created a ground floor lobby reception office. 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. We are committed to providing you and your family with the quality health care you deserve. 0:00. 855-643-1643. 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. Providers. The Department of Human Services manages the Medicaid program in Hawaii. Complete the Provider Enrollment Application. QUEST Integration; Community Care Services; Member Login; Medicare. To contact other departments, simply click the contact button. Live. A complete application includes a Medicaid Provider Enrollment Agreement and a W9, which must be signed by the provider and . Member complaints and grievances All health plans have a member grievance and appeals process to help address any problems. Learn more. Telephone numbers and web link information related to specific Medicare questions. HDS provides free, on-site training sessions at your dental office. Approximately 780 drug manufacturers currently participate in this program. Skip to main content. More detailed information can be found in the provider manual. One method of providing services is through the fee-for-service (FFS) program. Coronavirus (COVID-19) Keep yourself informed about Coronavirus (COVID-19.) ERIC C MOSS is a physician enrolled with Centers for Medicare & Medicaid Services (CMS). HAWAII. . Toll Free: 1-888-380-3088. Medicaid I/DD Waiver Providers. will take you away from KP.org. To learn how to update your provider information (including address, phone number, office hours, areas of . Important Information shared by The Hawaii Department of Health. Medicaid is administered by states, according to federal requirements. 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, . 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 purpose of the Medicaid I/DD Waiver is to support people to have a full life in the community. I Disagree. Extra Contact Information. Medicare Helpful Contacts Page. Published on February 2017 | Categories: Documents | Downloads: 8 | Comments: 0 | Views: 69 78.9 Million People Covered*. Health Care Services Branch, Provider Enrollment. 808-832-5300. Coronavirus (COVID-19) . Hawaii Medicaid Provider Bulletin 2006 Acs Claims. 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 Child Trafficking Reporting. The program is funded jointly by states and the federal government. Email: CS@HawaiiDentalService.com. Toll Free: 1-888-398-1188. Our local customer service representatives will be happy to answer your questions about our plans and benefits. Healthcare done well. General contact information for Wellcare of Hawaii members and providers, including phone numbers and online forms. Provider payment integrity. Learn more at HealthCare.gov. Open 8 a.m. to 8 p.m. Eastern time, Monday through Friday. We try our best to keep this provider list up-to-date, and easy to use. 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. The Humana difference. Oahu: (808) 529-9248. Hawaii Medicaid Prior (Rx) Authorization Form . The enrollment date is February 29, 2016. Pre-Admission Screening and Resident Review (PASRR) Compliance Reviews . 855-643-1643. 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. When you call 1-800-MEDICARE, you can also enroll in another Medicare health or drug plan. Download Medicaid Brochure Apply for Medicaid Call 1-844-884-0734. account settings. 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. Welcome Providers! Toll-free: 1-844-379-4325. These are plans that meet government requirements per the Affordable Care Act. More information coming Summer 2022. UAT; Forms; Frequently Asked Questions; CMS 416 Reports . 601 Kamokila Blvd., Room 506A. 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. Transportation Services Contact Information. Thank you for your continued partnership and collaboration. Tory Tanaka: email@example.com, 808-973-0459. Child Trafficking Reporting. 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. Fee-For-Service. Child Trafficking Reporting. SOURCE: Med-QUEST Memo 20-03 (Mar. Our Customer Service hours are Monday through Friday from 7:30 AM to 4:30 PM, HST. Call toll-free 1-800-316-8005 TTY: Toll-free 1-800-603-1201 for hearing impaired. BCBS Provider Phone Number. 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. When you call 1-800-MEDICARE, you can also enroll in another Medicare health or drug plan. TTY users (people who have difficulty hearing or speaking) should call 1-877-486-2048. 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 855-643-1643. We are committed to improving the health of Hawaii's communities. Learn more about ACA insurance options in Hawaii. Find My Plan; . Our local customer service representatives will be happy to answer your questions about our plans and benefits. Hawaii Medicaid Provider Bulletin 2006 Acs Claims. Medicaid. 808-832-1999. Please refer to Hawaii Provider Manual Chapter 21 (21.2.1) for a list of eligible providers. (Blue Card Provider Phone Number) 855-854-1438 (Exchange Kentucky/Indiana) 800-456-3967 (FEP) . Select the following section tabs to view the types of training we provide. Child Abuse Reporting from neighbor islands. AlohaCare is the third-largest health plan in Hawaii. It offers a variety of health care services, such as: Vision Care, Dental Care, Hospital Care, Prescription Coverage and more. 215 E Hawaii Ave Nampa ID 83686-6011 : Telephone: 2084633000 : . Download Adobe Acrobat Reader to open and read PDF documents from this site. Kansas Aging and Disability Services Website. Fee Schedules; Provider Bulletins; Provider Manual; Health Plan Resources; Provider Resources. Affordable Care Act (ACA) You can purchase individual health insurance through the Health Insurance Marketplace. 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 firstname.lastname@example.org. This version of the Medicaid and CHIP Scorecard was released . BCBS Prefix List; BCBS Prefix List - Alpha. Report Medicare Fraud & Abuse: 800-HHS-TIPS (1-800-447-8477) Medicare.gov. 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. Email: Kancare.email@example.com Website: www.KanCareOmbudsman.ks.gov KanCare Ombudsman. Molina Healthcare Phone Number claims address of Medicare and Medicaid. Ruffy Arellano, Provider Relations Manager: firstname.lastname@example.org, 808-973-1467. Email: CS@HawaiiDentalService.com. Email: HCSBInquiries@dhs.hawaii.gov. . Fax: 808-692-8087. Providers. Once complete, follow the link for the Provider Enrollment Application after logging in. IA Health Link Provider-Specific Information Materials . Toll Free Fax: 1 (877) 517-2040. Medicaid Online To view the website for Hawaii Medicaid online, click here. Since the 1980s, Humana has been centered on healthcare. 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). 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. 0:00. Our provider list allows you to search by provider's last name, location, specialty, health plan, and more. 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. 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. Or if you would like to learn more and apply for Medicaid benefits, click on the link below. For eligibility/benefits and claims inquiries. Hilo, HI 96720-4670. . Maintaining a healthy community starts with providing quality care to those who need it most. Phone: (808) 586-4400 Learn about Medicaid plans. Find a Provider; Contact Us; Help Center; Providers. You can find that in your health plan member ID card. Here you will be able to continue your application, view your application status, eligibility details, notices, request changes to your household, and update your. We know our providers work hard to serve their patients. 'Ohana Health Plan values what you do for our members. . This program is commonly known as the QUEST program. 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. Coordination of Care (COC) Other forms can be found on the Provider Express Optum Forms page. Access DOH resources for diagnosis/treatment of COVID-19. 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). This program is commonly known as the QUEST program. Hawaii Medicaid is a Health Care Program for Hawaii residents who find themselves unable to afford or obtain health insurance . Contact information listed below is specific to Hawaii health plans. 1404 Kilauea Avenue. Toll Free: 1-888-380-3088. Select the following section tabs to view the types of training we provide.