Provider Grievance and Appeals

AlohaCare 
https://www.alohacare.org/Providers/ResourcesForProviders.aspx    


HMSA
https://hmsa.com/portal/provider/zav_QI.02.PRO.40.htm
 

Kaiser Permanente Provider Manual
No link for provider grievances and appeals but the information is found in the provider manual.    

'Ohana Health Plan 
https://www.wellcare.com/en/Hawaii/Providers/Medicaid
    

UnitedHealthcare Community Plan Provider Manual
Information is found in the Provider Administrative Guide (Provider Manual), Chapter 16.    

 

If you need help on grievance and appeals with the Health Plans, please contact the Medicaid Ombudsman Office.