Med-QUEST
Hawaii Medicaid is Med-QUEST, under the Department of Human Services. QUEST integration plans are the managed-care payers. A California Medi-Cal county plan will not pay a Hawaii member.
Medical Billing Services in Hawaii
Med-QUEST is not California Medi-Cal, even though both states share a Medicare contractor. Hawaii Medicaid is Med-QUEST, under the Department of Human Services. QUEST integration plans are the managed-care payers. A California Medi-Cal county plan will not pay a Hawaii member.
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What a claim follows in Hawaii
Med-QUEST is not California Medi-Cal, even though both states share a Medicare contractor.
Noridian, Jurisdiction E
Medicare Part A and Part B for a Hawaii practice go to Noridian Healthcare Solutions, Jurisdiction E, with California and Nevada. Alaska uses Noridian Jurisdiction F.
No-fault auto
Hawaii is a no-fault state. Auto medical bills go to the no-fault insurer. A work injury goes to the employer's carrier under the Disability Compensation Division. Neither one is a Med-QUEST claim.
Hawaii has no land border. The billing neighbors are the other Jurisdiction E states, and only for Medicare. Medicaid enrollment is with Med-QUEST. The EHR login still happens from the Jamaica office.
Nearby states
CA
California
Same Medicare contractor, Noridian Jurisdiction E. Medi-Cal is a different Medicaid program.
California medical billing AKAlaska
No land border. Alaska Medicare is Noridian Jurisdiction F.
Alaska medical billing USAll 50 states
The directory of state Medicaid programs and Medicare contractors.
Back to the state listHawaii billing questions
What is Hawaii's Medicaid program?
Med-QUEST. QUEST plans are the managed-care payers. Medi-Cal does not pay those members.
How is a Hawaii auto injury billed?
To the no-fault insurer, not to Med-QUEST or the health plan.
Does a Hawaii practice change the fee?
The fee is a percentage of net collections. The written rate follows volume, specialty, and how much of the cycle you hand over. There is no setup fee, and the agreement is month to month. The state is not a surcharge. How pricing is set.