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COVID-19 Coronavirus Update

We Are Committed to Keeping Our Members and Communities Healthy and Safe. 

Our team at MDX Hawai‘i is actively monitoring the coronavirus (COVID-19) situation and working in conjunction with the other health care providers to keep our members and communities safe. 

For more information and some helpful tips on being safe during the COVID-19 situation, please click here.  

 

Prior Authorization Update

On March 13, 2020, the President of the United States issued a national state of emergency due to the COVID-19 pandemic.  New rules will be implemented starting on the date of emergency declaration through the end date of the emergency declaration.

Eligible MDX Hawai‘i Medicare Advantage members will have the following prior authorization rules apply to them:

  • For HMO members, no specialty referral request is required to see a specialist for a covered service.  After the emergency declaration has ended, please ensure that ongoing care with either a contracted or non-contracted provider has been approved.
  • For all Medicare Advantage members, no prior authorization is required to use a non-contracted facility.  
  • The out-of-network copay will be reduced to an in-network copay rate.