Text Size Decrease - Increase + Reset
Human Services Hawaii.gov
Hawai'i State seal Hawai'i Department of Human Services seal Med-QUEST logo

Hawai'i Department of Human Services

Med-QUEST logo

Menu

  • Home
  • About
    • What is Medicaid
    • QUEST Integration
    • Mission Statement
    • The Administration
    • Success Stories
    • Recent News
    • Hawaiʻi Medicaid State Plan and Demonstration
    • Med-QUEST Healthcare Advisory Committee
    • Need to get in touch with us?

      Contact Us
  • Members & Applicants
    • Get Started
      • Apply for Medicaid
      • Choose a Health Plan
      • Start Your New Health Plan
      • Medicaid Programs
    • Already Covered
      • Health Plans
      • Change/Update Your Information
      • My Choice My Way
      • Going Home Plus
    • Covered Benefits
      • QUEST Integration Benefits
      • Additional Covered Benefits
    • Member Forms
    • Provider Directory
    • Fee-For-Service
    • Rights & Responsibilities
      • Grievance and Appeals
      • HIPAA
    • Member Resources
    • Fraud Prevention
    • Need to get in touch with us?

      Contact Us
  • Plans & Providers
    • Be a New Provider
    • Pharmacy
    • Provider Forms
    • EHR Incentive Program
    • Managed Care Providers
      • EPSDT
      • Provider Relation Contact
      • Primary Care Provider
    • Fee-For-Service
      • Fee Schedules
      • Provider Bulletins
      • Provider Manual
    • Health Plan Resources
    • Provider Resources
    • Electronic Visit Verification
    • Provider Memos
    • Criminal History Record & Background Check
    • Provider Exclusion Reinstatement List
    • Provider Enrollment Modernization
    • Health Assessment
    • Grievance and Appeals
    • Certification Programs
    • Need to get in touch with us?

      Contact Us
  • Resources
    • Forms
    • Reports
    • Eligibility Branch Offices
    • Medicaid Ombudsman
    • Rules & Policies
    • Quality Strategy
    • Consumer Guides
    • Solicitations and Contract
    • Community Resources
    • Stay Well Stay Covered
    • Need to get in touch with us?

      Contact Us
  • FAQ
  • Need to get in touch with us?

    Contact Us
  1. Home
  2. Plans & Providers
  3. Fee-For-Service
  4. Provider Manual

FFS Provider Manual

The Med-QUEST FFS Provider Manual is available for download. You will need Adobe Acrobat Reader to view these files.

  • Chapter 01 Medicaid General Information
  • Chapter 02 Provider Requirements
  • Chapter 03 Client Eligibility & Enrollment
  • Chapter 04 Claims Payment
  • Chapter 05 EPSDT
  • Chapter 06 Medical/Surgical Services
  • Chapter 07 Laboratory, Pathology & Radiology Services
  • Chapter 08 Transplant Services
  • Chapter 09 Home Health Services
  • Chapter 10 DMEPOS
  • Chapter 11 Hospital Services & Dialysis
  • Chapter 12 Long Term Care
  • Chapter 13 Ambulatory Surgical Centers
  • Chapter 14 Dental Services
  • Chapter 15 Behavioral Health Services
  • Chapter 16 Transportation, Meals, Lodging & Foreign Language Translation/Sign Language Translation
  • Chapter 17 Rehabilitative Therapy Services
  • Chapter 18 Hospice Services
  • Chapter 19 Pharmacy Services
  • Chapter 20 Eye Examinations/Vision & Hearing
  • Chapter 21 Federally Qualified Health Centers
 
  • Appendix 01 (A01 to A62)
  • Appendix 02 (B01 to B46)
  • Appendix 03 (C001 to C032)
  • Appendix 04 (D01 to D44)
  • Appendix 05 (E01 to E17)
  • Appendix 06 (F001 to F101)
 
  • Be a New Provider
  • HIPAA
      • Hawaii OTC Formulary
      • ICD 10 - Diagnosis List
      • PA Criteria
      • Plan Summaries
      • Maximum Standard Doses
      • Hawaii Fee-For-Services Formulary Search
      • MCO Formulary Search
      • Provider Memos
      • Home Infusion Billing Memos
      • Drug Rebate Report
      • Specialty Providers
      • State MAC Report
      • Federal Upper Limit
      • National Average Drug Acquisition Cost (NADAC)
    • Payment and Claims Info
    • Updates / FAQ
      • OBRA 1990
      • DUR Codes
    • Pharmacy Forms
    • Payer Sheets
      • Clinical Newsletters
      • Dur Newsletters
  • Provider Forms
    • Provider Relation Contact
    • Primary Care Provider
      • Forms
      • Frequently Asked Questions
      • CMS 416 Reports
      • EPSDT Resources
      • EPSDT Training
      • Alpha
      • Forms
    • Fee Schedules
    • Provider Bulletins
    • Provider Manual
  • Health Plan Resources
    • Medicaid Ombudsman for Providers
    • PCP Reimbursement Enhancement
    • Electronic Health Record
    • e-PASRR
    • EVV FAQs
  • Provider Memos
  • Criminal History Record & Background Check
  • Provider Exclusion Reinstatement List
  • Health Assessment
  • Grievance and Appeals
  • Certification Programs
    • HOKU-Registration
Scroll to top

Forms

View frequently asked questions

FAQs

General frequently asked questions

KOLEA

Visit the KOLEA website for information on applying

Med-QUEST logo

Department of Human Services

Med-QUEST Division

Contact Us
Website
  • Accessibility
  • Terms of Use
  • Privacy Policy
  • Nondiscrimination Policy
  • Report Website Problems
  • Archive Site
About Med-Quest
  • About Us
  • Contact Us
  • News & Updates
  • Report Fraud, Waste, & Abuse
State of Hawaii
  • Hawaii.gov
  • Human Services
  • Statewide Search
Hawai'i State seal Hawai'i Department of Human Services seal
2021 STATE OF HAWAII MED-QUEST DIVISION ALL RIGHTS RESERVED