QUEST Integration Benefits
QUEST Integration is Hawaii's Medicaid managed care program that provides comprehensive health coverage through contracted health plans.
Medical Benefits
- Primary care physician visits
- Specialist consultations and referrals
- Hospital inpatient stays
- Outpatient hospital services
- Emergency room care (no prior authorization needed)
- Urgent care services
- Laboratory and diagnostic testing
- X-rays, MRIs, and imaging services
- Durable medical equipment
Preventive Care
- Annual wellness exams
- Immunizations and vaccinations
- Cancer screenings
- Prenatal and postnatal care
- Well-child visits and EPSDT services
- Health education and counseling
Behavioral Health
- Mental health assessments
- Individual and group therapy
- Psychiatric medication management
- Substance abuse treatment
- Crisis intervention
- Case management services
Prior Authorization
Some services require prior authorization from your health plan before you receive care. Contact your health plan to learn which services need approval. Emergency services never require prior authorization.