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Welcome Health Care Providers

Thank you for your interest in our plan. 'Ohana Health Plan, a health plan offered by WellCare Health Insurance of Arizona, Inc., understands that maintaining a healthy community starts with providing care to those who need it most. As the largest Medicaid- and Medicare-only contractor in the nation, the WellCare group of companies offers affordable health care plans to individuals eligible for government-sponsored programs.

 

Successful Provider Partnerships Are a Priority

'Ohana has about 140 local employees staffed across six Hawaiian islands. More than half of our local employees are nurses, social workers and physicians, as well as a dedicated Provider Relations team. 'Ohana providers also benefit from partnerships with more than 3,800 employees nationwide focused on helping members receive the best health care available.

'Ohana's team of local Service Coordinators is trained to collaborate with physicians in providing the highest level of care to patients. In addition, providers and members can expect to benefit from our J.D. Power Award-winning customer service when contacting us by telephone.

Become an 'Ohana Health Plan Provider

Easy Access to Important Information

Click on the Resources tab above to access the wealth of information this Web site has available for our physician and provider partners or use the other tabs to access useful resources like claims, authorizations and eligibility information from the secure provider-only portion of this site.

CMS-Mandated Fraud, Waste and Abuse Training

The Centers for Medicare & Medicaid Services (CMS) has mandated that all delegated and contracted providers who render benefits or services for Medicare Part C and Part D programs must meet fraud, waste and abuse (FWA) training requirements by December 31, 2009. Click here for more information on how to fulfill this requirement.

Are You NPI Compliant?

Compliance with the National Provider Identifier (NPI) mandate is critical. As of May 23, 2008, claims submitted to 'Ohana must comply with the requirement to use only the National Provider Identifier (NPI) on standard transactions.

 

For more information or to learn how to become an 'Ohana provider, send an e-mail to: providers@ohanahealthplan.com.

 
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