Hawaii Payer Configuration and Requirements Tables

The payer configuration table is a valuable resource to help you understand the specific requirements for each payer contract as they relate to the integration process. By referencing this table, you can ensure the correct configuration of payer contracts, maintain compliance, and streamline workflows. Use this topic as a quick reference to verify the scope of each payer’s requirements and to facilitate a smooth integration process.

Payer	Wellcare of Hawaii BH
835s Availability	Not in Scope
Billing Required	Not in Scope
Communications Module Availability	Not in Scope
DX Code Provider/Payer Managed	Payer Managed
EVV Required	Required
Payer GPS Tolerance	TBD
Missed Visits Required	Not in Scope
POC Compliance Required	Not in Scope
Rate Provider/Payer Managed	Not in Scope
Referring Physician Required	Not in Scope