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