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Provider Management System Upgrade Project - HOKU Update

QUEST Integration Contract Rescind Announcement

The Hawaii State Department of Education (HIDOE) is implementing the Seamless Summer Option program a few months earlier than scheduled, as approved by the U.S. Department of Agriculture (USDA) and Hawaii Child Nutrition Programs, to provide free grab-and-go meals for students during the extended spring break period.

On January 22, 2020, Med-QUEST extended awards to each of the plans who submitted a proposal. Hawaii Medical Services Association and UnitedHealthCare were awarded contracts to provide services statewide and ‘Ohana Health Plan and AlohaCare were awarded contracts to provide services to the island of O‘ahu only. These plans are scheduled to go into effect on July 1, 2020.

New Process for 1095-B Tax Forms

Notice for Public Forum on the Section Medicaid 1115 Demonstration

2020 News Articles

View the latest Med-QUEST news, events, notices, meetings, hearings, updated information, and more for 2019.

2019 Annual Plan Change

The State of Hawaii, Department of Human Services (DHS), has issued this Request for Proposals (RFP) with the intent of securing contracts for the provision of covered services to eligible Medicaid and Children’s Health Insurance Program (CHIP) members for medically necessary medical, behavioral health, and long-term services and supports in a fully risk-based managed care environment.

The Hawaii Department of Health (DOH) Office of Health Care Assurance (OHCA) and the Hawaii Department of Human Services (DHS) Med-QUEST Division (MQD) are excited to announce the upcoming launch of the Hawaii Background Check System (HI BCS) to assist facilities and the providers to comply with the background check requirements by providing a central internet-based method of applying for a background check and to check on the status of current or past background checks. We cordially invite you to attend an orientation session.

The State of Hawaii, through its Medicaid Agency, the Department of Human Services (DHS), Med-QUEST Division (MQD), is requesting proposals from qualified organizations to provide Kokua services that includes performing outreach and application assistance for uninsured or underinsured Hawaii residents who may be eligible for health insurance coverage options available through the Medicaid program or the federal health insurance marketplace. The initial contract term will be from July 1, 2019 through June 30, 2020.

The Med-QUEST Division hereby notifies the public that a post-award forum will be held to afford the public with an opportunity to provide meaningful comments on the progress of the 1115 demonstration project.

DHS 1121A “Agreement to Act as an Authorized Representative” Form Available For Use

2018 Annual Plan Change

View the latest Med-QUEST news, events, notices, meetings, hearings, updated information, and more for 2018.

Aloha! To prepare for and address severe weather conditions resulting from Hurricane Lane, and for the safety of our staff, the Hawaii MedQUEST Division Offices will be closed on August 23, 2018 and August 24, 2018. We anticipate reopening for regular business on Monday, August 27, 2018, pending weather-dependent updates from the Governor’s office over the weekend (for the latest updates, please visit https://governor.hawaii.gov/newsroom/). We do apologize for any inconvenience this may cause, and look forward to serving your needs when we return to the office.

Department of Human Services/Med-QUEST Division to require the use of an Electronic Visit Verification (“EVV”) system for Medicaid-provider personal care services and home health services.

The State of Hawaii, Department of Human Services (the State) is proposing to request approval from the federal Department of Health and Human Services (HHS), Centers for Medicare and Medicaid Services (CMS) to extend the “QUEST Integration” Demonstration Project (Project Number 11-W-0001/9) under Section 1115(a) of the Social Security Act for an additional five years in order to further transform and improve the healthcare delivery system for low-income Hawai‘i residents. The State will request approval of a five-year extension of the 1115 Demonstration (Waiver) beginning January 1, 2019 and continuing through December 31, 2023.