Hawaii QUEST Expanded

Hawaii's QUEST program is a statewide program, and provides medical, dental, and behavioral health services through competitive managed care delivery systems. The QUEST program was designed to increase access to health care and control the rate of annual increases in health care expenditures. The State combined its Medicaid program with its then General Assistance Program and its innovative State Health Insurance Program. The QUEST program covers adults with incomes at or below 100 percent of the federal poverty level (FPL) and uninsured children with family incomes at or below 200 percent FPL. In addition, the QUEST-Net program provides a full Medicaid benefit for children with family incomes above 200, but not exceeding 300 percent FPL and a limited benefit package for adults with incomes at or below 200 percent FPL who were previously enrolled under the QUEST program. The QUEST-ACE component provides the same benefits as QUEST-Net component to adults with incomes up to 200 percent FPL who are not eligible under the State Plan or cannot enroll into QUEST due to the enrollment cap. The Quest Expanded Access (QExA) program provides long term care services for the aged, blind and disabled (ABD) populations using an integrated managed care delivery system. In May 2010, the Demonstration was amended to include the Hawaii Premium Payment Program which provides a 12 month subsidy to eligible employers for providing employer-sponsored health insurance to qualified employees, with a date of hire, beginning May 1, 2010 up to April 30, 2011.