Med-QUEST Determinations

The Department of Human Services (DHS) Med-QUEST Division (MQD) helps low-income adults and children obtain health coverage through managed care plans.  On October 1, 2013, in compliance with mandates of the Affordable Care Act, the DHS launched an on-line system that simplifies the application and eligibility determination process.

Beginning May 2014,  Hawaii determination data will be posted monthly.  This revised time line aligns with required reporting to the federal Centers for Medicare and Medicaid Services (CMS)

 

For the period of  July 2014

Calls to MQD Call Center                 8,129

Applications

  • On-line                                       2,278
  • Paper                                            3,983
  • Phone                                             98

Individuals determined Medicaid Eligible (excludes CHIP)

  • MAGI                                                  21,699
  • Non-MAGI                                      2,395
  •  Determined CHIP Eligible        2,249

Individuals determined Medicaid Ineligible (excludes CHIP)          18,609
(Applications sent to Hawaii Health Connector for tax incentive and cost-share determinations)
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NOTES:

  • May includes November 2013 and May 2014 renewals.  In accordance with the Affordable Care Act, children, pregnant women, families, and certain adults (MAGI groups) who were eligible for medical assistance prior to October 1, 2013, (their eligibility renewals were due between October 2013 and March 2014) had their eligibility period extended by six months. This was to accommodate the revised/updated renewal form that now requires IRS information.
  • The MQD will continue this renewal process through September 2014.  If the MAGI renewal form is not returned, the system automatically terminates the case at the end of the month.

 

Since October 1, 2013

Calls to MQD Call Center                                       84,066

Applications

  • On-line                                                              31,273
  • Paper                                                                 42,242
  • Phone                                                                  2,162

Individuals determined Medicaid Eligible (excludes CHIP)

  • MAGI                                                                     144,610
  • Non-MAGI                                                            35,193
  • Determined CHIP Eligible                              12,966

Individuals determined Medicaid Ineligible                           102,911
(Applications sent to Hawaii Health Connector for tax incentive and cost-share determinations)

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NOTES:  

  • Calls reflect the number of calls received by the MQD Call Center.  (Excludes calls to MQD eligibility units)
  • Eligibility determinations are made at the end of each week, and reported the following week.  This number does not necessarily reflect to-date enrollment numbers
  • Medicaid determinations = MAGI + non-MAGI eligible determinations (Excludes CHIP)
  • Total eligible and ineligible count = Medicaid + CHIP
  • These figures do not include state funded programs