Administers and oversees the following Health Service Programs:
- Medicaid Assistance Program (MAP)
- Medically Indigent Program (MIP)
Inside the Bureau of Health Care Financing Administration
The Program Management Section is responsible for the financial and program management support; development, monitoring & evaluation of the program state plan, policies and procedures, operations, manuals, and rules and regulations.
The operations section oversees the utilization control and claims processing unit, off-island referral coordination, and the benefit support unit.
The Quality Management Section is responsible for maintaining and developing the quality management of the Operation & Program Management Section.
The Prior Authorization section is responsible for the issuance of Prior Authorization of the medical services.
The Claims Intake Section is responsible for the intake of claims from participating providers.