Dear Provider,

‘Ohana Health Plan would like to inform you of a change in how redeterminations (appeals) will be processed beginning January 1, 2010.

In order to facilitate redetermination requests and to offer better service to our providers and members, ‘Ohana has made the decision to have medical benefit claim redeterminations and medication benefit redeterminations processed separately.

Beginning January 1, 2010, if you would like to request a redetermination (appeal) for a medication benefit, please utilize the following contact information to submit a redetermination request.

To request a medication appeal for a Medicare member:

'Ohana Health Plan                               Fax: 1-888-865-6531

Attn: Pharmacy Appeals

P.O. Box 31398

Tampa, FL  33631-3398

Please download the attached notice and the new Medication Appeal Request form.

Thank you,
'Ohana Health Plan