Hmsa Precertification Form - Please fax completed form to: Welcome to the hmsa (hawai'i medical service association) health plan page. Web 818 keeaumoku street. Decision & notification are made within 14 calendar days* for hmsa commercial, federal and eutf plans: Mental health/substance use disorder precertification. • if the patient has more than one hmsa plan, then only one prior authorization is needed under their primary plan. • if medicare part b is the primary insurer, no prior authorization is needed. For medicare and medicaid plans: Should providers request two prior authorizations for patients who have more than one hmsa plan? Decisions & notification are made within 15 calendar days*.
For medicare and medicaid plans: Please fax completed form to: Web hmsa precertification request form. (md, pa, rn, rd or lpn) • if the patient has more than one hmsa plan, then only one prior authorization is needed under their primary plan. Mental health/substance use disorder precertification. Welcome to the hmsa (hawai'i medical service association) health plan page. Should providers request two prior authorizations for patients who have more than one hmsa plan? Decisions & notification are made within 15 calendar days*. Hmsa’s physical medicine program requires prior authorization for outpatient rehabilitative and habilitative physical medicine services (i.e., physical therapy, occupational therapy, and chiropractic services). The documents below have been designed to help radmd users navigates the prior authorization process for each program evolent is responsible for. • if medicare part b is the primary insurer, no prior authorization is needed. Web 818 keeaumoku street. Decision & notification are made within 14 calendar days* for hmsa commercial, federal and eutf plans: Precertification request* payment determination request hmo administrative review.