Community Care Services (CCS) is a program the Department of Human Services (DHS) developed for Medicaid beneficiaries who have serious mental illness (SMI) or
serious and persistent mental illness (SPMI) in the QUEST Expanded Access (QExA) program. The program is administered by a Behavioral Health Organization (BHO)
that case manage, authorize, and facilitate the delivery of behavioral health services to Medicaid eligible adults. In Hawaii, those with a behavioral health
diagnosis of Severe Mental Illness (SMI) or Severe and Persistent Mental Illness (SPMI) may have difficulty in accomplishing their activities of daily living
(ADL) and thus require additional services beyond the basic behavioral health services utilized by individuals without SMI or SPMI. Currently, individuals with
SMI or SPMI who are less than 65 years and not blind or disabled (non-ABD) receive their additional behavioral health services through their QUEST health plan.
Individuals with SMI or SPMI who are 65 or older, blind or disabled (ABD) are enrolled in QExA and receive the additional behavioral health services through either
the CCS or Adult Mental Health Division (AMHD) programs.