Text Size Decrease - Increase + Reset
Human Services Hawaii.gov

Hospital Quality

Med-QUEST Hospital Quality Pay for Performance Program

The Hospital Quality Pay for Performance (P4P) program is a collaborative effort to further the mission of administering innovative and high-quality healthcare programs with aloha to empower Hawai`i's residents towards improved and sustained wellbeing.  In 2026, the program will pay up to $100 million in Medicaid incentive payments to Hawai`i hospitals that meet specific quality goals. 

Contact Information

Please email comments and questions regarding the Hospital Quality Pay for Performance program to [email protected] and [email protected] with the Subject Line – Hospital Quality. 

Upcoming Due Dates

The following due dates do not reflect MQD-approved exceptions for individual hospitals.  A comprehensive list of deadlines can be found in Appendix D: Deadline Summary of QI-2607 FFS 26-03 CCS-2602 HOSPITAL QUALITY PAY FOR PERFORMANCE GUIDANCE FOR MEASUREMENT YEAR 2026


#    Measure Name Reporting Element Due Date Delivered By Data Source Tied to Interim Payment
7

Safe Use of Opioids – Concurrent Prescribing

Baseline (1/1/25 - 12/31/25) Data Reporting

08/31/26

Hospitals

Hospital EMR

 Yes, Fall 2026
1

Reduce ED Visits for Medicaid
Managed Care with 4 or more Visits

MP Q2 (4/1/26 - 6/30/26) & FFQP (7/1/2025- 6/30/2026) Data Reporting

90-day extension:

12/29/26

HAH

DataGen

 No
2 Reduce Hospital-Wide Readmission
Rates for Medicaid Managed CareMembers

Q2 (4/1/26 - 6/30/26) Data Reporting

90-day extension:

12/29/26

HAH

DataGen

 No
5

Healthy Hawai`i: HRSN Screening

5.b.ii. Q3 (7/1/26 - 9/30/26) HRSN Data Reporting w/ Appendix A & C REaL 

11/02/26

Hospitals

Hospital EMR

 Yes, Winter 2026/2027
1 Reduce ED Visits for Medicaid Managed Care with 4 or more Visits MP Q3 (7/1/26 - 9/30/26) & FFQP (10/1/2025 - 9/30/2026) Data Reporting 

90-day extension:

03/31/27

 HAH DataGen No
2 Reduce Hospital-Wide Readmission Rates for Medicaid Managed Care Members  Q3 (7/1/26 - 9/30/26) Data Reporting

90-day extension:

03/31/27

 HAH DataGen No
5 Healthy Hawai`i: HRSN Screening    5.a.ii. Domain Element completion 12/31/26 Hospitals Hospitals Yes, Fall 2026
5 Healthy Hawai`i: HRSN Screening    5.a.iii. Updated Roadmap  12/31/26 Hospitals Hospitals No

Hospital Meetings

Participating hospitals are invited to attend recurring Hospital Quality Pay for Performance workgroup meetings to discuss program planning, implementation, and best practices. The meetings are typically recorded, and meeting materials are distributed afterwards.  For information on program meetings, contact [email protected] and [email protected] with the Subject Line – Hospital Quality. 

Upcoming Hospital Workgroup Meetings

  • November:  12th

 

Prior Hospital P4P Workgroup Meeting Materials

Hospital Quality P4P Program Workgroup Meeting: 9/17/26
Link to PPT
Link to Recording 

Hospital Quality P4P Program Workgroup Meeting: 8/6/26
Link to PPT
Link to Recording 

Hospital Quality P4P Program Workgroup Meeting: 7/23/26
Link to PPT
Link to Recording 

Hospital Quality P4P Program Workgroup Meeting: 7/9/26
Link to PPT
Link to Recording 

Hospital Quality P4P Program Workgroup Meeting: 6/18/26
Link to PPT
Link to Recording 

Hospital Quality P4P Program Workgroup Meeting: 5/21/26
Link to PPT
Link to Recording

Hospital Quality P4P Program Workgroup Meeting: 4/9/26
Link to PPT
Link to Recording 

Hospital Quality P4P Program Workgroup Meeting: 3/25/26
Link to PPT
Link to Recording

Hospital Quality P4P Program Workgroup Meeting: 3/12/26
Link to PPT
Link to Recording 

Hospital Quality P4P Program Workgroup Meeting: 1/23/26
Link to PPT
Link to Recording 

Scroll to top