Contract Award 2012 QUEST Annual Plan Change
Payment Error Rate Measurement (PERM)
State Pharmacy Assistance Program (SPAP) Proposed Ammendments
Pre-existing Condition Insurance Plan (PCIP) EHR Incentive Programs

Contract Award The Department of Human Services, Med-QUEST Division, has updated its website regarding QUEST Procurement 2011 by releasing additional documents from the RFP-MQD-2011-003 Contract Award. Click here to view the updated information.

2012 QUEST Annual Plan Change QUEST Hawaii Annual Plan Change is now! This is the one time during the benefit year clients can choose a health plan. The plan you choose during Annual Plan Change will begin coverage on July 1, 2012. To ask questions or to enroll, call Med-QUEST Customer Service at 1-800-316-8005 (Toll-Free) Oahu & Neighbor Islands. V/TTY line Toll-Free for hearing impaired users, 1-800-603-1201. Click here for more information.

ATTENTION PROVIDERS The Payment Error Rate Measurement (PERM) Review Contractors Audit Update Within the next month or so the PERM review audit contractor may be requesting Medicaid patient records from your offices. These records will be based on claims that you filed with the Medicaid program. You are required by Hawaii Administrative Rules and your Provider Agreements with the Med-QUEST Division to cooperate with the PERM contractor requests. The Centers for Medicare and Medicaid (CMS) has a website that you can access if you have any questions about PERM. The website is www.cms.gov/PERM. Once opening the website, on the left hand side of the page you will see "Providers". If you click on the word Provider it will take you to information specific to providers. If you have any questions, please feel free to contact Shelley Siegman at (808)692-8095 or Suzanne Noland at (808)692-8055.

State Pharmacy Assistance Program (SPAP) The State Pharmacy Assistance Program (SPAP), also known as Smooth Transitions, was discontinued on July 1, 2011 due to lack of funding. SPAP was a state-funded program that paid Medicare Part D prescription drug co-payments for Medicare recipients. Click here for more information.

Proposed Ammendments Proposed Amendments to the 1115 Demonstration Waiver and State Plan After receiving and reviewing copious public input through two community forums and other opportunities to provide comment, the Department of Human Services has prepared and submitted amendments to its 1115 Demonstration Waiver and to its State Plan to the federal Centers for Medicare & Medicaid Services for approval. Click here to view the 1115 Demonstration Waiver Amendment Click here to view the State Plan Amendment

Pre-existing Condition Insurance Plan (PCIP) The Affordable Care Act, PCIP provides health care coverage for uninsured people with pre-existing conditions until new insurance market rules go into effect in 2014. PCIP is provided through the U.S. Department of Health and Human Services and administered through the Office of Personnel Management. More information is available at: www.healthcare.gov Additional information relating to PCIP is available through the Government Employee Health Association (GEHA). GEHA currently administers PCIP in 20 states. GEHA website: www.pciplan.com

Med-QUEST Electronic Health Record (EHR) Incentive Program The Department of Human Services, Med-QUEST Division is planning the Med-QUEST Electronic Health Record (EHR) Incentive Program, click here for more information.