ACS Memos-2014 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-2005 ACS Memos-2004 ACS Memos-2003 ACS Memos-2002

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

ACS Memo Archive

FFS Memos-2014

• FFS M14-14 QUEST Integration Implementation
• FFS M14-12 Hawaii Medicaid (QUEST and QEXA Programs) Guideline for Prophylaxis of Respiratory Syncytial Virus (RSV) Infections in High Risk Infants
• FFS M14-11 QUEST Integration
• FFS M14-09 Long-Term Care Determination Letters
• FFS M14-08A Changes to QUEST Benefits
• FFS M14-08 Changes to QUEST Benefits
• FFS M14-07 Electronic Health Record Survey

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ACS Memos-2013

• FFS M13-12 At Risk for Institutional Level of Care Evaluation Process
• ACS M13-10 Prevention of Serious Lower Respiratory Tract Infections Caused by Respiratory Syncytial Virus (RSV)

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ACS Memos-2012

• ACS M12-07 Prevention of Serious Lower Respiratory Tract Infections Caused by Respiratory Syncytial Virus (RSV)
• 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

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ACS Memos-2011

• ACS M11-09 Prevention of Serious Lower Respiratory Tract Infections Caused by Respiratory Syncytial Virus (RSV)
• ACS M11-07 State Pharmacy Assistance Program (SPAP)

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ACS Memos-2010

• ACS M10-17 Basic Health Hawaii
• 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 M10-08 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 M10-04 Transition of Care - Clarification on Financial Responsibility Roles
• ACS M10-01 Acute Psychiatric Hospitalization Exceeding Thirty Days Prior to July 1, 2010

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ACS Memos-2009

• ACS M09-30 TPL Review for Medicaid Overpayments
• ACS M09-27 State Pharmacy Assistance Program (SPAP)
• 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 M09-17 Community Care Services (CCS) Clients and Medicare Part D as Primary Insurer
• ACS M09-12 1147 Wed-Based Application Program
• 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

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ACS Memos-2008

• ACS M08-17 State Pharmacy Assistance Program (SPAP)
  1. Eligible Medicare Part D Plans for 2009
  2. Copayment Update - Effective January 1, 2009
• ACS M08-15 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 M08-11 Prevention of Serious Lower Respiratory Tract Infections Caused by Respiratory Syncytial Virus (RSV)
• 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 M07-21A 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 M07-16A 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 M07-12 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 M07-05 Optional Period for NPI Submission
• ACS M07-04 Adult Dental Benefits Effective December 1, 2006
• 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 M06-16 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 M06-12 Kidney Transplantation
• 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 M06-06 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 M06-02 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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ACS Memos-2005

• ACS M05-12 Full Benefit Dual EligibilityEffective January 1, 2006 Medicare parts B, D, and Medicaid
• ACS M05-11 Management of Nursing Facility (NF) Residents who Require Psychotropic Medications
• ACS M05-10 Processing of Prior Authorizations
• ACS M05-09 Clarification of the Assessment of hte Competency of Nurses Aides Currently Employed By Medicaid Certified Nursing Facilities
• ACS M05-09 (Updated) Clarification of the Assessment of hte Competency of Nurses Aides Currently Employed By Medicaid Certified Nursing Facilities
• ACS M05-08 Changes to the 1147 Level of Care Forms
• ACS M05-07 Claims for Patient With Continuous Confinements
• ACS M05-06 Provider Contact By TMA International Trusts
• ACS M05-05 Authorization of Nursing Facility Level of Care (1147 Process) and External Quality Review Organization (EQRO)/Peer Review Organization (PRO) Contract
• ACS M05-04 Outpatient Surgical Billing
• ACS M05-03 Hearing Aids for Medicaid Eligible Individuals Less Than Twenty One (21) Years of Age
• ACS M05-02 Changes in the Coding of Incontinence Products Effective 01/01/2005
• ACS M05-01 Capitated Dental Clinic Change Effective 02/01/05

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ACS Memos-2004

• ACS M04-14 Acceptance of Claim Form ADA 2002
  1. Attachment to ACS M04-14
• ACS M04-13 Assessment of the Competency of Nurses Aides Currently Employed by Medicaid Certified Nursing Facilities
  1. Attachment 1 to ACS M04-13
  2. Attachment 2 to ACS M04-13
  3. Attachment 3 to ACS M04-13
  4. Attachment 4 to ACS M04-13
• ACS M04-11 Pharmacies and Providers of Durable Medical Equipment and Medical Supplies
  1. Attachment 1 to ACS M04-11
  2. Attachment 2 to ACS M04-11
• ACS M04-10 DME Coverage Clarification
• ACS M04-09 Exclusion from All Federal Health Care Programs
• ACS M04-08 Adult Dental Coverage
  1. Attachment to ACSM04-08
• ACS M04-07 Changes to Submitting Form 208 -Interisland Air Transportation Travel Request
• ACS M04-06 DentalICFMR
• ACSM04-05 Exclusion from Federal Programs
• ACS M04-04 DME Meeting Announcement
• ACSM04-03 Changes to PA Letters
• ACS M04-02 Clarification of the Prior Authorization and Claim Submittal Process for Certain DME
• ACS M04-01 Delayed Implementation for PDL and Enhanced Prior Authorization Phase I Drugs

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ACS Memos-2003

• ACS M03-23 Memo to Pharmacists on Patient Lists with Drugs that will be Prior Authorized
• ACS M03-22 Dental Procedures
• ACS M03-21 Medicare Part B Crossover Claims
• ACS M03-20 Procedure Codes
  1. P04-03 ACS Memo First Health: Development and Implementation of the "National Medicaid Pooling Initiative"
• ACS M03-19 PA Requirements for Prescription Drugs
• ACS M03-18 (Vision) Changes to Billing Local Codes
• ACS M03-17 (DASH & CHAMP) Changes to Billing Local Codes
• ACS M03-16 (DOH-DDD) Changes to Billing Local Codes
• ACS M03-15 (AMHD) Changes to Billing Local Codes
• ACS M03-14 (Planned Parenthd) Changes in Billing Local Codes
• ACS M03-13 (0-3 Program) Changes to Billing Local Codes
• ACS M03-12 Clarification of Coverage of Dental Sedation
• ACS M03-11 Devlop & Implement Preferred Drug List
• ACS M03-10 Changes to the 1144 Medical Authorization Form
• ACS M03-09 HIPAA Transactions & Code Sets Contingency Plans
• ACS M03-08 Changes in Coding for EPSDT Medically Fragile Case Management, Skilled Nursing and Personal Care Services
• ACS M03-07 Changes in Coding for Incontinence Supplies
  1. Instructions
  2. Attachmt 1144A
  3. 1144A Req for Med Auth of Incontinence Supplies
• ACS M03-06 Exclusion from all Federal Hlth Care Programs
• ACS M03-05 Capitated Dental Clinic Chng Eff053103
• ACS M03-04 Medicaid Requirmts for Nurs Facility Verbal & Phone Prescriptions
• ACS M03-03 Removal of Prior Auth Requiremt for Psychotherapy
• ACS M03-02 Instruct aft 1147 LOC
• ACS M03-01 Changes to Submitting Form 208
  1. Attachments
  2. Att Recipient Ltr
  3. Changes to Submitting Form 208

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ACS Memos-2002

• ACS M02-16 Sign Language Interpreter Services 8/12/02
• ACS M02-14 Coverage of Elective Tooth extractions 7/3/02