Hawai'i Medicaid State Plan and Demonstration
The State of Hawai‘i, Department of Human Services has received a five-year extension of the QUEST Integration Section 1115 demonstration from CMS. The extension will run from August 1, 2019 through July 31, 2024.
For over two decades, the demonstration has efficiently and effectively delivered comprehensive benefits to a large number of beneficiaries through a competitive managed care delivery system. Under the extension, “QUEST Integration” (QI) will continue to build on this success by delivering services through managed care, while integrating the demonstration’s programs and benefits to ensure more patient-centered care delivery. All eligible beneficiaries will continue to be enrolled under QUEST Integration, and access to services will be determined by clinical criteria and medical necessity.
The Med-QUEST Division is committed to laying the foundation for innovative programs that support and create healthy families and healthy communities through the QUEST program. To accomplish this goal, MQD is building the Hawai‘i ‘Ohana Nui Project Expansion (HOPE) program, a five-year initiative to develop and implement a roadmap to achieve this vision of healthy families and healthy communities. The QUEST Integration waiver will be the vehicle for the HOPE program to be put into practice.
The Hawaiʻi Medicaid State Plan is an agreement between Hawaii and the Federal government describing how that Hawaiʻi administers its Medicaid programs. Department of Human Services is the single State agency designated to administer the Medicaid program under Title XIX of the Social Security Act.
State Plan Amendment 20-0003 "Update to Rate Changes to Non-Institutional Items and Services: Dental, Early Periodic Screening, Diagnostic and Treatment, Home Pharmacy, Home Health Agency and Medical Supplies" - Posted 11/30/20
20-0003 Public Notice Addendum - Posted 02/10/21
21-0004 Public Notice Addendum - Effective Date updated to 01/01/21 - Posted 02/10/21
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For further information on Hawaii CHIP State Plan Amendments approved by CMS, go to: