Decorative arrowsHMSA Provider Resource Center
HomeNews and AlertsE-LibraryMedicare E-LibraryCommunications ArchiveQUEST Integration
Frequently Asked QuestionsUseful Web SitesContacting HMSA
HMSA Logo
 

Payment Transformation

 

2017 Payment Transformation PCP Tool Kit

Coreo Resource Library or call 892-3428 on Oahu or 1 (888) 600-4672 toll-free on the Neighbor Islands.

 

 

2018 Payment Transformation PO Tool Kit

 

 

 

Payment Transformation Program Guide

 

The Payment Transformation Program Guide is available on HHIN. Click here to log in.

 

TCOC Behavioral Health Services Exclusions

  

 

Full Code Sets (2017)

 

Full Code Sets (2018)

  

Historic Code Sets Archive

 

 

Requests for Reconsideration and Program Exceptions

If you disagree with an aspect of the Payment Transformation program and wish to request a review, please use the following form.  Please fill out the form in its entirety and include any supporting documentation.  Email the form and supporting documentation to PSinquiries@hmsa.com.

 

Payment Transformation Review Request Form (Effective 10/1/2018)

 

*NOTE: Do not use this form if you are requesting to exclude a member from the denominator of a performance measure.  Those requests should be submitted electronically through Coreo. Please see the Payment Transformation Program Guide for more details.

 

 

PCP PT Training Resources

 

Click on the links below for information designed to help providers and office staff engage with their patients.

 

 

  

Payment Transformation for Specialists

 

 

 

Additional information:

 

 

First Published:12/07/2015
Latest Revision:10/23/2018
Back to Top

Files that are in PDF format can be viewed using the free Adobe Reader or another PDF-reader application.

Decorative arrowsHomeNews and AlertsE-LibraryMedicare E-LibraryCommunications ArchiveQUEST IntegrationFrequently Asked QuestionsUseful Web SitesContacting HMSA

Non-discrimination notice

Need a language interpreter?

ʻŌlelo Hawaiʻi | Bisaya | 繁體中文 | Ilokano | 日本語 | 한국어 | ພາສາລາວ | Kajin Ṃajōḷ | Lokaiahn Pohnpei | Gagana Sāmoa | Español | Tagalog | Tonga | Foosun Chuuk | Tiếng Việt