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 beneficiaries 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 beneficiaries 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 ‘Ohana Health Plan and UnitedHealthcare Community Plan.
Contact information for both health plans is listed below:
‘Ohana Health Plan http://www.ohanahealthplan.com/ or call 1-866-924-0277
UnitedHealthcare Community Plan www.uhccommunityplan.com or call 1-888-980-8728
Program design features are available at the QExA Hawai’i website at http://www.qexa.org/.
If you have any questions, please contact the Med-QUEST Division at 1-800-316-8005.