Med-QUEST Division (MQD)
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DHS 1147 Level of Care Evaluation Form
Hawaii Going Home Plus Project Site
Scoring Criteria for QUEST Expanded Access (QExA) program
QUEST Expanded Access (QExA) Roundtable, Request For Proposals (RFP) Summary, June 29, 2007
QUEST
What is Hawaii QUEST?
It’s a program that provides health coverage through managed care plans for eligible lower income Hawaii residents.
Who may apply for Hawaii QUEST?
An enrollment cap is currently in place for Hawaii QUEST. No more than 125,000 people can be in the program at one time. Until the number of people enrolled in Hawaii QUEST falls below that number, no new recipients will be enrolled except:
- people who receive TANF or GA financial assistance;
- people whose income is less than the AFDC standard of assistance;
- pregnant women and children under age one with household income up to 185% of the Federal Poverty Level (FPL);
- children age one but under age six with household income up to 133% of the FPL;
- children under age 19 born after September 30,1983, with household income up to 100% of the FPL;
- foster children and children in subsidized adoptions up to age 21;
- people who lose their employer-sponsored coverage or extended coverage in a group health plan because of loss of employment within 45 days of their date of application;
When Hawaii QUEST enrollment is no more than 120,000 on December 31 of any calendar year, an open application period will be conducted in the following calendar year.
QUEST Details and QUEST Offices
PACE
Program of All-inclusive Care for the Elderly (PACE)
PACE is a managed care type of program that serves people 55 years of age or older, living in Maui. Individuals must voluntarily select PACE, which includes primary medical care provided by the PACE physician. Generally, participants attend the PACE Adult Day Health program where a variety of services are provided. Some services include:
Speech therapy
Occupational and/or physical therapy
Dental services
Audiology
Optometry
Podiatry
Home medical care services
Transportation
To receive services, an individual must be eligible for Medicaid or able to privately pay, require nursing facility level of care, and also meet other program related requirements. PACE program staff determine eligibility for this program and may be contacted on Maui at (Area Code 808) 442-4555.
