Managed Care Providers
Information and resources for healthcare providers serving Hawaii Medicaid members through QUEST Integration managed care health plans.
Working with Health Plans
As a Medicaid provider, you will work directly with one or more QUEST Integration health plans. Each plan has its own provider portal, claims processes, and support resources.
Key Provider Information
- Credentialing: Complete credentialing with each health plan you wish to contract with
- Claims: Submit claims according to each plan's requirements and timelines
- Prior Authorization: Follow health plan procedures for services requiring approval
- Provider Manual: Review each plan's provider manual for policies and procedures
Not Yet a Medicaid Provider?
Learn how to enroll as a Hawaii Medicaid provider.