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HILOC Login

Medicaid Health Plans and Providers Click here to access the secure, password protected Hawaii Level of Care (HILOC) Web application for electronic submission of requests and tracking the status of your requests. Additional resources, including a HILOC User Guide, are available under the Resources...

Patients and Families

If you have questions or concerns about whether: You are ready for discharge from a hospital or other healthcare setting. A healthcare service should be ended. You received quality healthcare. Please refer to the table of contact numbers below. State/Territory Appeals and Complaints...

Care Coordination

FAQs

If your question is not answered in the below Frequently Asked Questions, please send your query to: KElliott@hsag.com

Care Coordination

Mandatory and Optional Activities

Data Science & Advanced Analytics

HSAG’s Data Science & Advanced Analytics (DSAA) Division focuses on the increasing role of information technology, data collection, and advanced data analysis in the healthcare industry. DSAA applies a multidisciplinary systems approach, ranging from epidemiology and biostatistics to...

Network Access Evaluations

Federal and state regulations governing Medicaid services require that each Coordinated Care Organization (CCO) maintains a network of appropriate healthcare providers to ensure adequate access to all services covered under the Medicaid contract. Each CCO must submit documentation to the state...

HEDIS®

HSAG offers HEDIS® Compliance Audit™ services, which focus on assisting managed care organizations (MCOs) with reporting valid HEDIS measures. HSAG has been performing NCQA HEDIS Compliance Audits™ nationwide since 1999. With experience administering HEDIS Compliance Audits across the Medicaid,...

Hawaii Medicaid EQRO

External Quality Review Organization Services HSAG performs the following EQRO services: Review of Health Plan Compliance with Managed Care Standards, Review of Corrective Action Plans, and Re-evaluation of Corrective Actions Validation of Performance Improvement Projects Validation of Performance...