AlohaCare
Provider Finder Drug Finder Event Finder Prior Auth Lookup Tool

Plan Publications

Find any publications and information that AlohaCare had available to you.
  2. Medicare Provider Manual
  6. Provider Quick Reference Guide
  7. QUEST Integration Pharmacy Payer Sheet

 

2021 Provider Advisories

  1. Jan. 29: Acupuncture
  2. Jan. 30: Hawaii's Vaccination Plan
    1. Medicaid Eligibility For Freely Associated States Under The Compact Of Free Association (COFA) Citizens
  3. Feb. 4: COVID-19 Pandemic-Related Flexibilities Offered by Med-QUEST
  4. Feb. 12: Non-Emergent Medical Transportation (NEMT) Scheduling Transitioning To IntelliRide - Updated: 3/24/21
  5. April 16: Community Care Foster Family Home (CCFFH) and Expanded Adult Residential Care Home (EARCH) - IMPORTANT CLAIMS SUBMISSION UPDATES
  6. May 4:  New Pharmacy Benefits Manager - IngenioRx (beginning 7/1/2021)
  7. June 15: REMINDER: New Pharmacy Benefits Manager - IngenioRx (beginning 7/1/2021)

Pharmacy Communications

  1. March 23: 100 Days Supply Coverage for Medicare Maintenance Drugs
  2. May 7: Diabetic Testing Supplies
  3. June 1: New Implementation - IngenioRx and CVS Caremark

2020 Provider Advisories

  1. March 20 (11:20 a.m.): Important COVID-19 Notification
  2. April: New Boxed Warning: montelukast (Singulair) and Mental Health Side Effects
  3. April: Updated List of Covered Telehealth Services and Other Important Notifications Related to COVID-19
  4. May: Medicare Quality Measures: CMS Part D Star Ratings
  5. July: COVID-19: Nebulizer Use During the Pandemic
  6. July: Prior Authorizations
  7. July: CARES Act Provider Relief Fund
  8. August: CARES Act Provider Relief Fund Application Deadline Extended!
  9. September: Drug Management Program, a Pharmacy Home & Designated Prescriber for Opioid Therapy
  10. September: Medication Adherence & Statin Use in Diabetics -- a Member Outreach Campaign
  11. September: Opioid Utilization & Morphine Milligram Equivalents (MME)
  12. October: 2020 Annual Plan Change Information for Providers
    1. 2020 APC Provider Fact Sheet
    2. 2020 APC Provider Office Flyer
    3. 2020 APC Provider Regulations
  13. October: COVID-19 Public Health Emergency Extended
  14. October: Non-Emergent Medical Transportation
  15. November: Prior Authorization Changes
  16. December: AlohaCare Substance Abuse Prior Authorization Changes
  17. December: Electronic Visit Verification (EVV) Implementation Clarifying Information

2019 Provider Advisories

  1. March: Update on Adaptive Behavior Services
  2. May: Medicare Advantage and QUEST Integration Reimbursement Guidelines for LMFT and LMHC
    Behavioral Health Providers
  3. June: Changes to Prior Authorization List
  4. June: Asthma Management & Albuterol Quantity Limits
  5. July: Diabetic Testing Supplies
  6. August: Electronic Prior Authorization (ePA) for Medicare (AlohaCare Advantage Plus)
  7. August: Accredo Specialty Pharmacy
  8. September: Implementation of Patient Driven Payment Model (PDPM) and
    Patient Driven Groupings Model (PDGM)
  9. September: FDA Warns About Serious Liver Injury with Some Hepatitis C Medicines
  10. September: FDA Adds Warning for Certain Insomnia Medicines
  11. October: New Morphine Milligram Equivalents
  12. October: Our Care Our Choice Act
  13. December: FDA warns about rare but severe lung inflammation with Ibrance, Kisquali, and Verzenio for breast cancer
  14. December: FDA identifies harm reported from sudden discontinuation of opioid pain medicines
  15. December: CDC Guideline for Prescribing Opioids for Chronic Pain
  16. December: FDA approves Boxed Warning about increased risk of blood clots with higher does of arthritis and ulcerative colitis medicine tofacitinib (Xeljanz, Xeljanz XR)
  17. December: FDA adds Boxed Warning for increased risk of death with gout medicine Uloric (febuxostat)
  18. December: Opioids and Benzodiazepines

2018 Provider Advisories

  1. June: PT/OT Prior Authorization Policy

2017 Provider Advisories

  1. July: Change in Referral Policy
  2. October: Change in Prior Authorization Policy
  3. November: Flu Vaccine and Colorectal Screenings

2016 Provider Advisories

     2. May: AlohaCare National Drug Codes Billing Requirements
     3. October: Unlicensed Behavioral Health Providers in FQHCs and RHCs

2015 Provider Advisories

  1. July: ICD-10 Transition
  2. September: ICD-10 Claims

2014 Provider Advisories

  1. November
  2. October
  3. September
    1. AlohaCare Advantage (HMO) Medicare Health Plan
    2. Provider Education Session (Hilo)
  4. May
  5. April
  6. February
    1. CMS 1500 Claim Form

Provider Newsletters

      1. Quarter 1 2021
      2. Quarter 3 2020
      3. Quarter 2 2020
      4. Quarter 4 2019
      5. Quarter 3 2019
      6. Quarter 2 2019
      7. Quarter 1 2019
      8. Quarter 4 2018
      9. Quarter 3 2018
      10. Quarter 2 2018
      11. Quarter 1 2018
      12. Quarter 4 2017
      13. Quarter 3 2017
      14. Quarter 2 2017
      15. Quarter 1 2017