Hawaii
QUEST Integration
QUEST Integration is the latest incarnation of Hawaii's 1115 Waiver program for integrated, managed Medicaid services. It has been in operation since 2013. Previously, Hawaii had a separate program for Medicaid recipients receiving LTSS, which was known as QUEST Expanded Access, or QExA. Enrollment is mandatory.
Capitation rates for QUEST Integration vary by age, gender, island of residence, and Medicaid eligibility group, such as Medicaid expansion, "Aged/blind/disabled" (ABD), and CHIP. Two rates are used for the ABD category, according to whether the person is also covered under Medicare. These are both blended rates, determined by stratifying members according to their LTSS needs and residential setting.
More information
QUEST Integration (and predecessors) reports to CMS and enrollment reports
Program documents
QUEST 2017 External Quality Review Report of Results
QUEST Integration Request for Proposals (includes contract language):
QUEST Integration Waiver Application:
QUEST Integration Waiver Extension Application:
QUEST Integration Waiver Temporary Extension Approval:
QUEST Integration Waiver Approval and Special Terms & Conditions:
QUEST Amendment Approval Letter:
Med-QUEST Quality Strategy Performance Measures:
LTSS assessment tools used by all plans: