STATE OF HAWAII
DEPARTMENT OF HUMAN SERVICES
MED-QUEST DIVISION

PUBLIC NOTICE

The Department of Human Services (“DHS”) is supplementing the public notices to amend the Medicaid State Plan published on November 20, 2012 and July 11, 2013 to establish an alternative benefit plan for individuals eligible who are (1) an adult between the ages of 19 and 65 years; (2) with an income below 133% of the federal poverty level; and (3) who are not enrolled in Medicare.

The proposed amendments to the State Plan effective January 1, 2014 will establish an alternative benefit plan (ABP) for the new adult group in accordance with section 1902(a)(10)(A)(i)(VIII) of the Social Security Act in compliance with the Affordable Care Act (ACA). The ABP will contain the ten (10) essential health benefits as described in 42 C.F.R. 440.347 to include family planning services, early periodic screening, diagnostic and treatment services for individuals under age 21 years and mental health or substance use disorder benefits in accordance with the Mental Health Parity and Addiction Equity Act.

Finally, in accordance with section 5006(e) of the American Recovery and Reinvestment Act of 2009, the DHS will provide notification of the establishment of the alternative benefit plan to the designated Urban Indian Organization.

A copy of the proposed changes are available for public viewing from the first working day that the public notice appears in the Honolulu Star-Advertiser, Hawaii Tribune Herald, West Hawaii Today, The Maui News, and The Garden Island, from Monday – Friday, exclusive of State holidays, between the hours of 9:00 a.m. to 2:00 p.m. at the appropriate Med-QUEST Division offices on their respective islands listed below. On Oahu, the proposed changes will be available at 601 Kamokila Boulevard, Room 518, Kapolei, Hawaii 96707, between the hours of 7:45 a.m. to 4:30 p.m., from Monday – Friday, exclusive of State holidays.

On Oahu: Department of Human Services
Med-QUEST Division
Policy & Program Development Office
601 Kamokila Blvd., Room 518
Kapolei, Hawaii 96707-2021
Phone: 692-8058

Mailing Address:
Med-QUEST Division
Policy & Program Development Office
P. O. Box 700190
Kapolei, Hawaii 96709-0190

On Maui: Med-QUEST Division
Maui Section
Millyard Plaza
210 Imi Kala Street, Suite 101
Wailuku, Hawaii 96793
Phone: 243-5780

On Molokai: Med-QUEST Division
Molokai Section
State Civic Center
65 Makaena Street, Room 110
Kaunakakai, Hawaii 96748
Phone: 1-800-894-5755

On Lanai: Med-QUEST Division
Lanai Section
Calltoll free 1-800-894-5755

On Kauai: Med-QUEST Division
Kauai Section
Dynasty Court
4473 Pahee Street, Suite A
Lihue, Hawaii 96766
Phone: 241-3575

On Hawaii: Med-QUEST Division
East Hawaii Section
Waiakea Kai Shopping Plaza
88 Kanoelehua Ave., Room 107
Hilo, Hawaii 96720
Phone: 933-0339

Med-QUEST Division
West Hawaii Section
Lanihau Professional Center
75-5591 Palani Road, Suite 3004
Kailua-Kona, Hawaii 96740
Phone: 327-4970

The Department encourages public comment concerning the proposed changes sent to any of the above locations no later than October 9, 2013. Upon request, any written comments received by the department may be reviewed at the locations noted above.

DEPARTMENT OF HUMAN SERVICES
PATRICIA MCMANAMAN, DIRECTOR
(SA560102 9/24/13)~