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 is posted monthly.  This revised time line aligns with required reporting to the federal Centers for Medicare and Medicaid Services (CMS).

For the period of September 2014

Calls to MQD Call Center                 unavailable

Applications

  • On-line                                      2,148
  • Paper                                           4,991
  • Phone                                            288

Individuals determined Medicaid Eligible (excludes CHIP)

  • MAGI                                                  35,081
  • Non-MAGI                                      3,646
  • Determined CHIP Eligible       3,787

Individuals determined Medicaid Ineligible (excludes CHIP)          27,623
(Applications sent to Hawaii Health Connector for tax incentive and cost-share determinations)
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For the Period of April – September 2014 

Calls to MQD Call Center                                       61,788

Applications

  • On-line                                                              21,794
  • Paper                                                                 37,642
  • Phone                                                                 1,456

Individuals determined Medicaid Eligible (excludes CHIP)

  • MAGI                                                                    215,806
  • Non-MAGI                                                            28,824
  • Determined CHIP Eligible                             24,280

Individuals determined Medicaid Ineligible                       178,662

(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