The Department of Human Services Med-QUEST Division (MQD) is launching a more patient centric Medicaid program to better serve clients. QUEST Integration effectively combines and replaces the QUEST and QUEST Expanded Access (QExA) programs.
“The benefits of QUEST Integration include more health plan choices for aged, blind or disabled individuals, and a greater ability for a beneficiary to remain with the same health plan upon turning 65 or developing a disability,” explained Dr. Kenny Fink, MQD Administrator. “Additionally, eligible beneficiaries will gain expanded access to home and community based services to prevent decline to institutional level of care.” QUEST Integration also reduces administrative burden by creating a single managed care program.
The health plans participating in QUEST Integration are AlohaCare, Hawaii Medical Service Association (HMSA), Kaiser Foundation Health Plan (Oahu & Maui only), ‘Ohana Health Plan and UnitedHealthcare Community Plan.
The open enrollment period for QUEST Integration is September 2 through September 30, 2014. Enrollment packets will be mailed to all eligible QUEST and QExA members the week of August 25, 2014. To help beneficiaries select a health plan the enrollment packet will include a newsletter and health plan informational flyers. If beneficiaries want to stay in their current health plan, they DO NOT need to make a plan choice. All current health plans are participating in QUEST Integration.
Beneficiaries who want to change to a different health plan must notify the MQD by September 30, 2014. They can notify the MQD by:
- Returning their completed plan change form to the MQD address provided in the enrollment packet;
- Faxing the completed form to the MQD at 1-800-576-5504; or
- Calling the Med-QUEST Enrollment Call Center at 524-3370 or 1-800-316-8005 toll-free
In mid-December 2014, the MQD will mail Health Plan Confirmation notices to eligible beneficiaries. The notices will identify the beneficiary’s new (if selected) or unchanged QUEST Integration health plan that takes effect January 1, 2015. The MQD will facilitate transfer of client information from the old health plan to the new health plan, including primary care provider information, specialist care, and special care needs.
The QUEST Integration health plans will mail out identification cards in January 2015. If beneficiaries must access medical care prior to receiving their plan identification card, providers will accept the Health Plan Confirmation notice.
The MQD took multiple steps to inform the public about QUEST Integration, including holding public hearings, conducting community outreach and soliciting public comments. The MQD staff made numerous and substantive changes in response to public input. As a result, QUEST Integration is an innovative program shaped by the community for the community.
For more information about the DHS Med-QUEST Division and QUEST Integration, please visit www.humanservices.hawaii.gov