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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


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
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