Med-QUEST Division: Secure Provider Access to Hawaii Medicaid Services

hawaii

The Hawaii Department of Human Services Med-QUEST Division offers healthcare providers a dedicated online portal to streamline Medicaid service management, designed to enhance efficiency and support comprehensive patient care across the state.

Official Links

Provider Portal Overview

Healthcare providers serving Hawaii’s Medicaid population can leverage the online portal to:

  • Manage patient information
  • Access provider directories
  • Submit claims
  • Verify patient eligibility
  • Review program guidelines

Access and Authentication

Login Requirements

  • Requires unique username and password
  • JavaScript must be enabled in web browser
  • Case-sensitive password authentication

Security Warnings

  • After 3 failed login attempts within 15 minutes, account will be locked
  • Account can be unlocked by:
    1. Contacting master account holder
    2. Using password recovery feature

Key Portal Features

Provider Resources

  • Electronic provider forms
  • Fee schedules
  • Provider bulletins
  • Provider manual access
  • Primary care provider information

Compliance and Certification

  • Electronic Health Record (EHR) Incentive Program
  • Provider exclusion and reinstatement lists
  • Background check information
  • Certification program details

Privacy and Security

The portal adheres to strict confidentiality guidelines:

  • Complies with state and federal law
  • Follows HIPAA Administrative Simplification provisions
  • Limited information disclosure
  • Secure access for Medicaid program administration

Support and Assistance

Contact Information

  • General Contact: 1-877-628-5076
  • Language Support: 1-800-316-8005
  • TTY Services: 711

Accessibility Features

The Med-QUEST Division provides:

  • Free language services
  • Qualified interpreters
  • Information in multiple formats
  • Non-discrimination commitment

Unprovided Information

Some specific portal functionalities were not detailed in the available sources, including:

  • Exact login process steps
  • Comprehensive list of portal features
  • Specific technical requirements beyond JavaScript

Recommendations for Providers

  1. Ensure browser compatibility
  2. Keep login credentials secure
  3. Use provided support channels for assistance
  4. Regularly review program updates and bulletins

The Hawaii Medicaid Provider Portal represents a critical digital infrastructure supporting healthcare providers in delivering comprehensive patient services efficiently and securely.


Disclaimer: Information accurate as of August 2025, based on available Med-QUEST Division documentation.

FAQ

Is HMSA Hawaii Medicaid?In Hawaii, most of the Medicaid services are delivered through MCO. There are five (5) MCO health plans: AlohaCare, HMSA, Kaiser Permanente, ‘Ohana Health Plan, and UnitedHealthcare Community Plan that provides medical and Long Term Services and Support (LTSS) benefits.

What is Hawaii’s Medicaid program called?Hawaii’s Medicaid/CHIP is called Med-QUEST (QUEST stands for Quality care, Universal access, Efficient utilization, Stabilizing costs, and Transforming the way health care is provided to recipients).

Is AlohaCare Hawaii Medicaid?We specialize in QUEST (Medicaid) health insurance to people living on Oahu, Kauai, Molokai, Lanai, Maui and Hawaii Island. We are mission driven to care for people who are underserved with specific health needs. We provide health care coverage for Hawaii’s QUEST (Medicaid) beneficiaries.

How do I contact Hawaii Medicaid?Call 1-800-316-8005 to tell us which language you speak. (TTY: 711).

https://hiweb.statemedicaid.us/Account/Login.aspx

State of Hawaii Department of Human Services Med-QUEST Division DHS Medicaid Online. LogIn |. User Help. Overview · Terms of Use · Frequently Asked Questions.

https://medquest.hawaii.gov/

Provider Information. Use our provider directory to find a Primary Care Provider or a Specialty Health Care provider by clicking on the following link. FIND

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