General Information
QUEST Expanded Access (QExA) is a program the Department of Human Services (DHS) developed for Medicaid clients who are 65 years or older or disabled of all ages, who were previously receiving services through a fee-for-service (FFS) system. The design of QExA is for clients to receive service coordination, outreach, improved access, and enhanced quality healthcare services coordinated by health plans through a managed care delivery system. In QExA, with a few exceptions, Medicaid clients receive their primary, acute, and long-term care services through a managed care health plan. The long-term care services offered will include both home and community-based services (HCBS) as well as institutional care (nursing facilities).

The two managed care health plans that participate in the QExA program are Evercare QExA and ‘Ohana Health Plan. Contact information for both health plans is listed below:

Evercare QExA http://www.evercarehealthplans.com/HI_QExA or call 1-888-980-8728

‘Ohana Health Plan http://www.ohanahealthplan.com/ or call 1-888-846-4262

Program design features are available at the QExA Hawai’i website at http://www.qexa.org/. If you have any questions, please contact the QExA HelpLine at 1-866-928-1959