ACS Memos-2013 ACS Memos-2012 ACS Memos-2011 ACS Memos-2010 ACS Memos-2009
ACS Memos-2008 ACS Memos-2007 ACS Memos-2006 ACS Memos-Miscellaneous
Provider Pharmacy Memos

The following memos are available for download. You will need Adobe Acrobat Reader to view these files.

ADM Memos

ADM Memos-2012

• ADM-1221 Implementation of Payment of Services Reimbursement Increases for Primary Care Physicians (PCP) for Calendar Years (CY) 2013 and 2014
• ADM-1215 Transition of Dental Claims Contract to Hawaii Dental Services (HDS) Effective January 16, 2013
• Hawaii Medicaid Dental Transition Calendar

ADM Memos-2010

• ADM-1007 Clarification on Consultation Codes

ACS Memos

ACS Memos-2013

• ACS M13-05 Med-QUEST Division and Medicare’s PECOS Requirements
• ACS M13-04 Medicaid Fee-For-Service Program Pharmacy Reimbursement Changes
• ACS M13-03 Reporting Requirement of Non-340B Medications to Comply with the Affordable Care Act (ACA) Medicaid Medication Rebate Program
• ACS M13-02 Changes to Psychotherapy Codes for Fee-For-Services (FFS) Reimbursement Effective January 1, 2013
• ACS M13-01 Transition of Community Care Services (CCS) Program Contractor

ACS Memos-2012

• ACS M12-12A Information on Self-Attestation of Primary Care Physicians for Receipt of Reimbursement Increases For Primary Care Services for CY 2013 and CY 2014
• ACS M12-12 Implementation of Payment of Services Reimbursement Increases for Primary Care Physicians (PCP) for Calendar Years (CY) 2013 and 2014
• ACS M12-11 Provider Reimbursement for EPSDT Services in Third-Party Liability (TPL) Claims
• ACS M12-10 Transition of Dental Claims Contract to Hawaii Dental Services (HDS) Effective January 16, 2013
• Hawaii Medicaid Dental Transition Calendar
• ACS M12-09 Guidelines for Submittal and Payment of Intentional Termination of Pregnancy (ITOP) Claims
• ACS M12-08B Criminal History Record and Registry Check Process Update
• ACS M12-08A Criminal History Record and Registry Check Process Update
• ACS M12-08 Criminal History Record and Registry Check Process
• ACS M12-07 Prevention of Serious Lower Respiratory Tract Infections Caused by Respiratory Syncytial Virus (RSV)
• ACS M12-06 Annuity Documentation for Medicaid Long-Term Care Services (LTCS) Coverage
• ACS M12-04 Medicaid Processing of 340B Medications
• ACS M12-03A QUEST-ACE and QUEST-NET Eligibility Reduction
• ACS M12-03 Medicaid Benefits
• ACS M12-03 Press Release
• ACS M12-03 QUEST Program Updates
• ACS M12-02 Federally Qualified Health Centers and School-Based Dental Services
• ACS M12-01 Supervision Requirements for Behavioral Health Providers in FQHCs and RHCs

ACS Memos-2011

• ACS M11-12 Elective Caesarean Section – Not Covered
• ACS M11-11 Payment Error Rate Measurement (PERM) Provider Education Calls by Centers for Medicare and Medicaid Services (CMS)
• ACS M11-10 Interpretive Rules on Level of Care Evaluation Forms (1147s)
• ACS M11-09 Prevention of Serious Lower Respiratory Tract Infections Caused by Respiratory Syncytial Virus (RSV)
• ACS M11-08 New Process for Requesting Reimbursement of Nurse Aide Training Competency Evaluation Program Testing Fees
• ACS M11-07 State Pharmacy Assistance Program (SPAP)
• ACS M11-06 Non-Emergency Transportation Policy revisions
• ACS M11-05 Provider Exclusion/Reinstatement List on MQD Website
• ACS M11-04 Behavioral Health Providers Billing for Medicaid Rehabilitation Option Services
• ACS M11-03 Reimbursement to FQHCs for Retinal Imaging and Interpretation
• ACS M11-02 Changes in Oxygen Reimbursement
• ACS M11-01 EPOGEN Overpayments

ACS Memos-2010

• ACS M10-18 Hospice Care for Children Related to Affordable Care Act (ACA)
• ACS M10-17 Basic Health Hawaii
• ACS M10-16 Clarification on Billing Hearing Aid Related Services for Early Intervention (0 to 3) Client
• ACS M10-15 Medicaid Hospice Nursing Facility Room and Board Reimbursement
• ACS M10-14 State Pharmacy Assistance Program (SPAP)
• ACS M10-13 Payment Error Rate Measurement (PERM) Audit Federal Fiscal Year 2011 (FFY 2011)
• ACS M10-12 Fee-For-Service QUEST and QExA Programs Prevention of Serious Lower Respiratory Tract Infections Caused by Respiratory Syncytial Virus (RSV)
• ACS M10-11 Recovery of Inappropriately Paid Non-Emergency Transportation Claims
• ACS M10-09B Guidance of Health Plan Reimbursement to Federally Qualified Health Centers (FQHCs) and Rural Health Centers (RHCs)
• ACS M10-09A Guidance of Health Plan Reimbursement to Federally Qualified Health Centers (FQHCs) and Rural Health Centers (RHCs)
• ACS M10-09 Guidance of Health Plan Reimbursement to FQHCs and RHCs
• ACS M10-08 Reimbursement for Intentional Termination of Pregnancies 14 Weeks Gestation Performed in Non-Facility Settings
• ACS M10-07 Coverage of Dialysis Services as Emergency Services for Eligible COFA Migrants and Legally Residing Immigrants
• ACS M10-06 Basic Health Hawaii
• ACS M10-05 Exclusion from all Federal Health Care Programs
• ACS M10-04 Transition of Care - Clarification on Financial Responsibility Roles
• ACS M10-03 Medicaid Payment for Long-Term Care Services
• ACS M10-02 Clarification on Epogen Reimbursement and Composite/Epogen Rates
• ACS M10-01 Acute Psychiatric Hospitalization Exceeding Thirty Days Prior to July 1, 2010

ACS Memos-2009

• ACS M09-30 TPL Review for Medicaid Overpayments
• ACS M09-29 Standards Regardign the Reputable and Responsible Character of H&CBS Providers
• ACS M09-28 Audits by Medicaid Integrity Contractors (MICs)
• ACS M09-27 State Pharmacy Assistance Program (SPAP)
• ACS M09-26 Clarification on the 1147 Functional Points Instruction
• ACS M09-25 Clarification to Oxygen Rental Criteria in the Medicaid Provider Manual
• ACS M09-24 Coordination of Benefits for QExA clients
• ACS M09-23 1147 Technical Assistance for Online Utilizers
• ACS M09-21 Basic Health Hawaii, QUEST-Net & QUEST-ACE Formulary Eff September 1, 2009 First DataBank AWP Calculation Change Eff September 26, 2009
• ACS M09-20 Prevention of Serious Lower Respiratory Tract Infections Caused by RSV
• ACS M09-19 QExA Update
• ACS M09-18 Acute Care Hospital Costs for DOH/CAMHD Clients
• ACS M09-17 Community Care Services (CCS) Clients and Medicare Part D as Primary Insurer
• ACS M09-16 Non-Emergency Transportation Policy Adherence
• ACS M09-15 Medicaid Fee Schedule Changes
• ACS M09-14 Drugs Prescribed by Dentists for QUEST or QUEST Expanded Access (QExA) Recipients
• ACS M09-13 Change in Prior Authorization Requirements for Nicotine Replacement Therapy
• ACS M09-12 1147 Wed-Based Application Program
• ACS M09-11 Level of Care Evaluations (1147) Deferrals
• ACS M09-10 Coordination of Benefits (COB) and Cross-over Claims
• ACS M09-09 Prior Authorization Denials
• ACS M09-08 Clarification and Changes in Policies and Prior Authorization Requirements for Hearing Aid Related Services
• ACS M09-07 Final Nursing Facility Level of Care Determination Forms (1147) for QExA Implementation
• ACS M09-06 Proper Billing for Non-Emergency Transportation Services
• ACS M09-05 QUEST Expanded Access (QExA) - Effective Feb. 1, 2009 Specific Pharmacy and Prescription Information
• ACS M09-04 QUEST Expanded Access Information For Non-Emergency and Emergency Transportation Providers
• ACS M09-03 Transition From Medicaid Fee For Service (FFS) To QExA
• ACS M09-01 Changes in Completing the Medicaid Census Report

ACS Memos-2008

• ACS M08-23 Fee-For-Service (FFS) Program Only
  1. Quest Expanded Access (QExA) Program for FFS Recipients - Effective February 1, 2009
  2. Behavior Health Management Change - Efffective January 1, 1009
• ACS M08-22 Incident Reports
• ACS M08-20 Community Review of 1147 Forms for QUEST Expanded Access (QExA) Implementation
• ACS M08-19 Fee-For-Service (FFS) Program Only
  1. Quest Expanded Access (QExA) Program for FFS Recipeints - Effective February 1, 2009
  2. Medicaid Drug Federal Upper Limits (FUL) Updates - Effective November 6, 2008 and November 28, 2008
• ACS M08-18 Exclusion from all Federal Health Care Programs
• ACS M08-17 State Pharmacy Assistance Program (SPAP)
  1. Eligible Medicare Part D Plans for 2009
  2. Copayment Update - Effective January 1, 2009
• ACS M08-16 Medicaid (G) Codes for Screening and Brief Intervention for Alcohol and Substance Abuse HCPCS Codes G0396 & G0397
• ACS M08-15 New Medicaid Hospice Rrates Effective October 1, 2008 through September 30, 2009
• ACS M08-14 Department of Human Services, Med-QUEST Division Medicaid Critical Access Hospital Inpatient Acute and Long Term Care Payments
• ACS M08-13 1. Single Ingredient Albuterol Chlorofluorocarbon (CFC) Inhalers for Asthma, 2. Medicaid Drug Federal Upper Limits (FUL) Resume
• ACS M08-12 Pharmacy Claims for Drugs Prescribed by Dentists for QUEST Recipients are Processed by Medicaid Fee-For-Service (FFS)
• ACS M08-11 Prevention of Serious Lower Respiratory Tract Infections Caused by Respiratory Syncytial Virus (RSV)
• ACS M08-10 Fee Schedule - Neighbor Island
• ACS M08-09 VOID
• ACS M08-08 Clarification on Department of Human Services, Med-QUEST Division Medicaid Hospital Supplemental Payments
• ACS M08-08A Clarification on Department of Human Services, Med-QUEST Division Medicaid Hospital Supplemental Payments (Supercedes ACS M08-08)
• ACS M08-06 FEE-FOR SERVICE PROGRAM ONLY NATIONAL DRUG CODES (ndcS) SUBMITTAL REQUIREMENTS EFFECTIVE JULY 1, 2008
• ACS M08-05 Letter from Lillian B. Koller, Director, about the QUEST Expanded Access (QExA) Program Effective February 1, 2009
• ACS M08-04 Dental Provider Manual - Update #1
• ACS M08-03 Fee-For-Service Program Only Delay of National Drug Codes (NDCs) Required on CMS 1500 for Medicare Cross-Over Claims until July 1, 2008
• ACS M08-02 Delay of National Drug Codes (NDCs) Submittal Requirements
• ACS M08-01 Medicaid Fee Schedule Changes

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ACS Memos-2007

• ACS M07-23 Changes to Medicare Payment Methodologies
• ACS M07-22 Addiitonal Changes in Prior Authorization Requirements and Clarifications
• ACS M07-22 Attachment A - DME/Supplies Not Requiring Prior Authorization
• ACS M07-21A NPI Contingency Plan Options Addendum
• ACS M07-21 NPI Contingency Plan Options
• ACS M07-20 Adult Mental Health Division (AMHD) PreAdmission Screening Resident Review (PASRR)
• ACS M07-19 Fee-For-Service (FFS) Program Only National Drug Code (NDC) Requirements on UB92/04 Outpatient Drug Claims, Effective January 1, 2008
• ACS M07-18 Prevention of Serious Lower Respiratory Tract Infections Caused by Respiratory Syncytial Virus (RSV)
• ACS M07-17 Clarification and Changes in Prior Authorization Requirements for Vision Services
• ACS M07-17 Attachment (CERTIFICATION OF VISION SERVICES AND SUPPLIES)
• ACS M07-16A FQHC Dental Claims
• ACS M07-16 Dental Procedure codes
• ACS M07-15 Transition of Dental Claims Processing
• ACS M07-15 Attachment 1 (CDT code sets)
• ACS M07-15 Attachment 2 (Revised Dental chapter of the Medicaid Provider Manual)
• ACS M07-15 Attachment 3 (Benefits, Prior Authorization and Claims Processing Frequently Asked Questions)
• ACS M07-15 Attachment 4 (Authorization for Direct Deposit Form - ACH Form)
• ACS M07-14 Important Information Regarding the Transition of Dental Claims Processing
• ACS M07-13 Tamper-Resistant Paper Prescriptions are Required for Medicaid Reimbursement Effective October 1, 2007
• ACS M07-13A and Attachment Tamper-Resistant Prescription paper and/or Pads (TRPP) TO USE EFFECTIVE October 1, 2007 and FAQ's
• ACS M07-13B REVISION: Tamper-Resistant Prescription paper (TRPP) TO USE, EFFECTIVE: April 1, 2008
• ACS M07-13C Tamper Resistant Prescription Pad Clarification of Population Covered and Recommended Features for Hawaii Medicaid
• ACS M07-13D Prescribers Required To Use Tamper Resistant Prescription Pads (TRPP) April 1, 2008 For Written Prescriptions; Pharmacists Contact Prescribers If TRPP Not Used
• ACS M07-13E Tamper Resistant Prescription Pad (TRPP) Clarification of Recommended Features for Hawaii Medicaid Effective October 1, 2008
• ACS M07-12 Implementation of NPI Contingency Plan
• ACS M07-11 National Drug Codes Required on CMS 1500 for Medicare Cross-Over Claims Effective January 1, 2008
• ACS M07-10 Postponement of the transition of processing and payment of Dental Services
• ACS M07-09 Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) Forms and Procedures
• ACS M07-08 Transition of Processing and Payment of Dental Services
• ACS M07-07 Implementation of NPI Contingency Plan
• ACS M07-06 State Approved Feeding Assistants Training Program (FATP)
• ACS M07-05 Optional Period for NPI Submission
• ACS M07-04 Adult Dental Benefits Effective December 1, 2006
• ACS M07-03 Clarification of Enternal Supplies used for Medicaid Eligibles
• ACS M07-02 National Provider Identifier (NPI) Trainings
• ACS M07-01 National Provider Identifier (NPI) Trainings

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ACS Memos-2006

• ACS M06-20 Adult Dental Benefits Effective 12/1/06 (Preventive, Restorative and Dentures)
• ACS M06-19 DHS 1147E (July,2006) Level of Care and Service Authorization Requests
• ACS M06-18 Clarification and Changes in Prior Authorization Requirements
• ACS M06-17 Revised DHS Form 208
• ACS M06-16 New Medicare Crossover Process
• ACS M06-15 Home and Community Based Services (HCBS) Counseling for Nursing Facility (SNF & ICF) or Subacute Level of Care Recipients
• ACS M06-14 Prevention of Serious Lower Respiratory Tract Infections Caused by Respiratory Syncytial Virus (RSV)
• ACS M06-13 Specialty Care for QUEST Members under Age 21 Who Reside on a Neighbor Island
• ACS M06-12 Kidney Transplantation
• ACS M06-11 Medicare Denial Code PR49
• ACS M06-10 2005-0414-06 TPL Coverage Type on Web
• ACS M06-09 Extension of the Proficiency Checklist Process for the Assessment of the Competency of Nurse Aides Currently Employed by Medicare/Medicaid Certified Nursing Facilities
• ACS M06-08 2005-0414-03 TPL Information on 271
• ACS M06-07 Billing for Pre-Natal Services and Deliveries
• ACS M06-06 National Provider Identifier Information
• ACS M06-05 Restoration of Rates for Portable Oxygen and Oxygen Concentrators
• ACS M06-04 Adoption of New DHS 1147E Form for Level of Care and Service Authorization Requests for EPSDT Services for Medically Fragile Children
• ACS M06-03 Formal 1147 Denial Process
• ACS M06-02 Fill-in Revised 1147 Forms and Changes to the 1147C Form
• ACS M06-01 Use of Neuraminidase Inhibitors for the Treament of Influenza A and B

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