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HSA Integrated Case Management Services Referral Form Please submit form along with medical documentation to ICBMs: Mail: PO Box 860, Honolulu, HI 96808-0860 Attn: Intake Specialist KL-MMICMS Fax:
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How to fill out hmsa integrated case management

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How to fill out hmsa integrated case management:

01
Access the hmsa integrated case management form on the official website or through your healthcare provider.
02
Carefully read and understand the instructions provided at the beginning of the form.
03
Fill out your personal information accurately, including your name, contact details, and healthcare identification number.
04
Provide detailed information about your medical history, including any existing conditions, medications, and previous treatments.
05
Answer all the questions regarding your current health status, symptoms, and any ongoing treatment plans.
06
If applicable, provide information about your healthcare provider, including their name, contact details, and any relevant documentation.
07
Review your completed form to ensure all sections are filled out correctly and to the best of your knowledge.
08
Submit the form either online, by mail, or through your healthcare provider's designated submission method.

Who needs hmsa integrated case management?

01
Individuals with complex medical conditions or multiple diagnoses that require ongoing and coordinated care.
02
Patients who have experienced frequent hospital visits or readmissions.
03
Individuals requiring assistance in navigating the healthcare system to access appropriate services and resources.
04
Patients with chronic illnesses who may benefit from proactive management and coordination of their healthcare needs.
05
Individuals seeking comprehensive care plans that integrate medical, behavioral, and social aspects of their health.
06
Patients who want to actively participate in the decision-making process regarding their healthcare treatment options.
07
Individuals who are looking for support and guidance to optimize their health outcomes and improve their quality of life.
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Family planning services. Psychiatric/psychological services. Diagnostic, screening, preventive and rehabilitative services. Early and Periodic Screening, Diagnosis and Treatment (EPSDT) services.
Medical eye examination: Visits to the eye doctor for an eye condition (i.e., medical condition) or for a change in visual acuity (i.e., clarity of vision) will be covered under your medical plan (i.e., HMSA QUEST Integration, not EyeMed).
If you are eligible for Hawaii QUEST, you will choose one medical plan to serve you and any family members who are in the program with you. All family members must enroll in the same medical plan. If you do not make a choice, you will be assigned to a medical plan.QUEST Details and QUEST State Offices. Inpatient CareEyeglasses (every 24 months)No charge73 more rows
Important QUEST Integration Contact Information. Have health plan enrollment questions? Call Med-QUEST Enrollment Services Section at 1-800-316-8005 toll-free, 7:45 a.m. to 4:30 p.m., Monday-Friday, except state holidays. TTY users, call 1-800-603-1201 toll-free.
Hawaii's QUEST Integration is a Department of Human Services (DHS), Med-QUEST Division (MQD) comprehensive section 1115 (a) demonstration that expands Medicaid coverage to children and adults originally implemented on August 1, 1994.
Where can I get help or more information about HMSA QUEST Integration? Call 808-948-6486 or 1-800-440-0640 toll-free. Visit the HMSA QUEST Integration website.
HMSA's Plan for QUEST Integration Members coordinates benefits by paying the Medicare coinsurance/copayment and any unmet annual deductible. QUEST Integration defers to any medical necessity determination made by Medicare.
The Hawaii QUEST Program (QUEST) is a Medicaid managed care program where the State pays health plans to provide coverage of medical and mental health services.
Medications to treat non-pulmonary and latent tuberculosis not covered by the Dept of Health are covered by QUEST Integration. For individuals younger than 21: Also includes all medically necessary prescription drugs allowed under federal Medicaid rules and regulations.
There are many options with affordable rates available for those seeking to stay well and stay covered. Please call the Department of Human Services at 1-800-316-8005 if you no longer need coverage from QUEST (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.

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HMSA Integrated Case Management is a program that aims to coordinate and manage healthcare services for individuals with complex medical needs.
Healthcare providers, hospitals, and medical facilities are required to file HMSA Integrated Case Management for eligible patients.
To fill out HMSA Integrated Case Management, healthcare providers must gather relevant patient information and complete the necessary forms provided by HMSA.
The purpose of HMSA Integrated Case Management is to ensure that individuals with complex medical needs receive coordinated and efficient healthcare services.
HMSA Integrated Case Management requires reporting of patient demographics, medical history, current treatment plans, and coordination of care details.
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