The Med-QUEST Division QUEST Integration Annual Plan Change (APC) choice period is from October 1, 2017 to October 31, 2017. The five (5) available health plans serving QUEST Integration members are AlohaCare, HMSA, Kaiser Permanente, ‘Ohana Health Plan, and UnitedHealthcare Community Plan. Kaiser Permanente QUEST Integration is ONLY available on Oahu and Maui. Your new health plan will take effect on January 1, 2018. If you do not want to change your health plan, do not return the plan change form. You will remain in your same health plan as long as you remain eligible. To make a health plan change, you have three (3) options: Complete the Choice Form and Mail it to: Med-QUEST Enrollment Services P.O. Box 700190 Kapolei, Hawaii 96709-0190 Complete the Choice Form and Fax it to: 1-800-576-5504 Call Med-QUEST Enrollment Services Section at: 1-800-316-8005 Press "0" to speak with a call center representative. Mail will need to be postmarked by October 31, 2017 and fax must have date/time stamp of October 31, 2017.

The Affordable Care Act (42 CFR Part 455, subpart E) requires the State Medicaid Agency, Department of Human Services, Med-QUEST Division (MQD) to perform more comprehensive screening, credentialing and enrollment for all Medicaid providers in effort to enhance Medicaid fraud prevention. Providers are identified as “high”, “moderate” and “limited” risk levels. The 21st Century Cures Act has set a compliance deadline of January 1, 2018 for these requirements.

Department of Human Services, Med-QUSET Division (MQD) and its contractor, Health Services Advisory Group collaborated with public and private stakeholders to build an efficient web-based PASRR compliance system, whereby all individuals will be protected under PASRR to ensure that Long Term Services Supports (LTSS) are provided in the most integrated setting that meets the individual’s need and preferences. The neighbor islands (i.e. Hawaii island, Kauai, lanai, Maui, Molokai) began to use the E-PASRR application on December 11, 2017. Oahu will begin using the E-PASRR application on February 1, 2018. There will be a number of webinar and in-person trainings in January and February 2018.

Hawaii’s Home and Community-Based Services (HCBS) transition plan is called “My Choice My Way.” The Department of Human Services (DHS) is partnering with Medicaid waiver participants, waiver families, provider associations, advocates, other State agencies, and other stakeholders throughout this process to develop the plan, receive input, and assure that everyone has access to needed information to assist with transition activities. DHS is committed to engaging with stakeholders through this process and looks forward to receiving feedback. The outcome of this process will be that Medicaid waiver participants will receive services in a way that enables them to live and thrive in truly integrated community settings.