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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

 

2025

CY Q1-Q3 2025 Metric Aggregate Result 
Percentage of standard prior authorization requests that were approved 92.28%
Percentage of standard prior authorization requests that were denied 7.72%
Percentage of standard prior authorization requests approved after appeal 0.07%
Average time to decision for standard prior authorizations 4 days
Median time to decision on standard prior authorizations 1 day
Percentage of expedited prior authorization requests that were approved 97.90%
Percentage of expedited prior authorization requests that were denied 2.10%
Average time to decision for expedited prior authorizations 16 hours
Median time to decision for expedited prior authorizations 5 hours
Percentage of total prior authorization requests approved with extended timeframe 0.67%
   
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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