Hawaii Medical Service Association (HMSA)
Welcome to the HMSA (Hawai‘i Medical Service Association) page. Here you can access useful information about the program.
Clinical Guidelines:
Advanced Imaging and Cardiac Clinical Guidelines
- Advanced Imaging and Cardiac Guidelines - Effective April 1 - Annually
IPM and Surgery Clinical Guidelines
- IPM and Spine Surgery Guidelines - Effective July 1 - Annually
Note: Refer to the Utilization Review Matrix documents to view specific codes managed by Magellan Healthcare
UM Matrix:
Advanced Imaging & Cardiac Solutions:
Interventional Pain Management & Surgery:
- HMSA IPM & Spine, Hip, Knee & Shoulder Surgery UM Matrix - 2019
- HMSA Spine Surgery Auth & Coding Reference Guide
- HMSA Hip Knee Shoulder Surgery Auth & Coding Reference Guide
Helpful Educational Documents by Program:
What to do when your request is denied or auth has expired
Advanced Imaging Program:
- HMSA Advanced Imaging Checklist
- HMSA Advanced Imaging Quick Reference Guide (QRG)
- HMSA Advanced Imaging Tip Sheets
- HMSA Advanced Imaging Tip Sheets for Pediatrics
- HMSA Preauthorization Process for Clinically Urgent Requests
- HMSA Clinical Fast Pass / Limited Fast Pass
Cardiac Solutions Program:
- HMSA CPT Catheterization Code Clarification
- HMSA Cardiac Solutions Checklist
- HMSA MPI vs Stress Echo Tip Sheet
- HMSA Cardiac Tip Sheet
- HMSA Cardiac Solutions Frequently Asked Questions (FAQs)
- HMSA Cardiac Solutions Quick Reference Guide (QRG)
- HMSA Preauthorization Process for Clinically Urgent Requests
Musculoskeletal Program (Pain Management, Spine, Hip, Knee & Shoulder Surgery) Program:
- Interventional Pain Management (IPM):
- Spine Surgery:
- Hip, Knee, Shoulder Surgery Program:
RadMD:
- RadMD for Imaging Provider
- RadMD Quick Start Guide
- RadMD Upload Feature
- RadMD IPM & Surgery Quick Start Guide
- RadMD Track Auth Status