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Human Services Hawaii.gov

Reports

View our reports below.

Please click here to view CMS reports.

View the Fiscal Reports at http://humanservices.hawaii.gov/reports/fiscal-reports/

Medicaid Contract Report - SY 2025

Medicaid Contract Report - SY 2024

Medicaid Contract Report - SY 2023

Medicaid Contract Report - SY 2022

Medicaid Contract Report - SY 2021

Medicaid Contract Report - SY 2020 

Medicaid Contract Report - SY 2019

Medicaid Contract Report - SY 2018

Coming Soon!

 

 

Medical Loss Ratio Audits

Audited Financial Reports

National Committee for Quality Assurance (NCQA) Certificates

 

QUEST Integration NAAAR

Community Care Services NAAAR

2025

CY 2025 Metric Aggregate Result 
Percentage of standard prior authorization requests that were approved 91.7%
Percentage of standard prior authorization requests that were denied 8.3%
Percentage of standard prior authorization requests approved after appeal 0.1%
Average time to decision for standard prior authorizations 4.2 days
Median time to decision on standard prior authorizations 1.0 day
Percentage of expedited prior authorization requests that were approved 97.1%
Percentage of expedited prior authorization requests that were denied 2.9%
Average time to decision for expedited prior authorizations 17.3 hours
Median time to decision for expedited prior authorizations 7 hours
Percentage of total prior authorization requests approved with extended timeframe 0.8%
   
Please note that the aggregate results slightly differ from the totals displayed on the webpage due to the inclusion of Med-QUEST Fee for Service (FFS) prior authorization (PA) data. The FFS PA data counts do not meet the threshold to be reported separately.
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