Plan Publications

Find any publications and information that AlohaCare had available to you.
  1. Medicare Provider Manual
  2. Provider Quick Reference Guide

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. September: Implementation of Patient Driven Payment Model (PDPM) and
    Patient Driven Groupings Model (PDGM)
  8. September: FDA Warns About Serious Liver Injury with Some Hepatitis C Medicines
  9. September: FDA Adds Warning for Certain Insomnia Medicines
  10. October: New Morphine Milligram Equivalents
  11. October: Our Care Our Choice Act
  12. December: FDA warns about rare but severe lung inflammation with Ibrance, Kisquali, and Verzenio for breast cancer
  13. December: FDA identifies harm reported from sudden discontinuation of opioid pain medicines
  14. December: CDC Guideline for Prescribing Opioids for Chronic Pain
  15. December: FDA approves Boxed Warning about increased risk of blood clots with higher does of arthritis and ulcerative colitis medicine tofacitinib (Xeljanz, Xeljanz XR)
  16. December: FDA adds Boxed Warning for increased risk of death with gout medicine Uloric (febuxostat)

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 3 2019
  2. Quarter 2 2019
  3. Quarter 1 2019
  4. Quarter 4 2018
  5. Quarter 3 2018
  6. Quarter 2 2018
  7. Quarter 1 2018
  8. Quarter 4 2017
  9. Quarter 3 2017
  10. Quarter 2 2017
  11. Quarter 1 2017