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Table of contents - Hawaii Medicaid - Hawaii.gov

Table of contents - Hawaii Medicaid - Hawaii.gov 2025

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The document is a Dermatology Referral Form that collects patient and physician information, insurance details, clinical diagnosis, and medication prescriptions for various dermatological conditions. It includes sections for prior therapies, affected areas, and specific medications with dosage instructions. The form also requires a prescriber signature and authorizes Hawaii Specialty Pharmacy to handle insurance prior authorization.

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Click ‘Get Form’ to open it in the editor.
Begin by filling out the 'Patient Information' section. Enter the patient's name, address, city, home phone, email, last four digits of their Social Security number, date of birth, weight (select lbs or kg), and height (select ft or cm).
Next, complete the 'Physician Information' section. Provide the physician's name, address, city, phone number, office email, key office contact details, state license number, and DEA number.
In the 'Insurance Information' section, check all applicable boxes for required documents such as demographic sheets and insurance cards. Ensure to attach copies of these documents.
Fill in the 'Clinical Diagnosis' area by selecting relevant diagnoses and providing additional information as needed. Include any prior therapies and affected areas.
Lastly, complete the 'Medications and Directions' section by selecting medications prescribed along with their strengths and directions for use.

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How many people have Medicaid in Hawaii?

Total Medicaid and CHIP enrollment in Hawaii was 419,168 in Jun 2024. Total Medicaid spending in fiscal year 2022 was $3 billion in Hawaii; the federal government paid 73.0% of these Medicaid costs.

Is HMSA Hawaii Medicaid?

In Hawaii, most of the Medicaid services are delivered through MCO. There are five (5) MCO health plans: AlohaCare, HMSA, Kaiser Permanente, Ohana Health Plan, and UnitedHealthcare Community Plan that provides medical and Long Term Services and Support (LTSS) benefits. .uhccommunityplan.com/hawaii-medicaid-plans.

What does HMSA fall under?

Headquartered on Oahu with centers statewide to serve our members, HMSA is an independent licensee of the Blue Cross and Blue Shield Association.

What is the highest income to qualify for Medicaid in Hawaii?

Income Asset Limits for Eligibility Feb. 2025 Jan. 2026 Hawaii Medicaid Long-Term Care Eligibility for Seniors Type of MedicaidSingleMarried (both spouses applying) Income Limit Asset Limit Institutional / Nursing Home Medicaid No hard limit* $3,000 Home and Community Based Services $1,499.17 / month $3,0001 more row Jan 20, 2025

Is HMSA Quest Medicare or Medicaid?

HMSA QUEST (Medicaid)

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Has Hawaii expanded Medicaid?

Hawaii joins 12 other states leading the way with expanded continuous Medicaid coverage for children, alongside Colorado, Kansas, Massachusetts, Minnesota, Montana, New Jersey, New Mexico, New York, Oregon, Pennsylvania, Utah and Washington.

What is Hawaii Medicaid called?

Hawaiis Medicaid/CHIP is called Med-QUEST (QUEST stands for Quality care, Universal access, Efficient utilization, Stabilizing costs, and Transforming the way health care is provided to recipients).

Is HMSA part of Medicare?

HMSAs Medicare Rx Plan is a stand-alone Medicare prescription drug plan offered by Hawaii Medical Service Association (HMSA). HMSA contracts with the Centers for Medicare and Medicaid Services (CMS) to offer a Medicare prescription drug plan to employer/union sponsored groups.

Table of contents - Hawaii Medicaid - Hawaii.gov 2025

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