STATE OF HAWAII
DEPARTMENT OF HUMAN SERVICES
MED-QUEST DIVISION

Pursuant to 42 C.F.R. §447.205, the Department of Human Services (“DHS”) is proposing to continue the Medicaid reimbursement rates to eligible primary care physicians for certain primary care services at 100% of the Medicare rates. The proposed changes will be submitted for review by the federal government as an amendment to the Medicaid State Plan to be effective following the date of the notice.

Payments will continue to be made by the Med-QUEST Division for claims submitted under the Medicaid Fee-For-Service program and by the health plans for claims and/or encounter data submitted under the Medicaid managed care program. The funding for the increased primary care payments will continue to be incorporated into the capitation payments from DHS to the health plans or be made in quarterly lump sum payments.

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 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 the respective islands listed below.

HAWAII MAUI COUNTY
East Hawaii Office Maui Office
1404 Kilauea Avenue Millyard Plaza
Hilo, Hawaii 96720 210 Imi Kala Street, Suite 101
Phone: 933-0339 Wailuku, Hawaii 96793
Phone: 243-5780
West Hawaii Office
Lanihau Professional Center Molokai Office
75-5591 Palani Road, Suite 3004 State Civic Center
Kailua-Kona, Hawaii 96740 65 Makaena Street, Room 110
Phone: 327-4970 Kauanakakai, Hawaii 96748
Phone: 553-1758
KAUAI
Dynasty Court Lanai Office
4473 Pahee Street, Suite A 730 Lanai Avenue
Lihue, Hawaii 96766 Lanai City, Hawaii 96748
Phone: 241-3575 Phone: 565-7105

OAHU
Med-QUEST Division
Policy & Program Development Office
601 Kamokila Blvd., Room 518
Kapolei, Hawaii 96707
Phone: 692-8058

In addition, written comments concerning the proposed changes may be sent to the locations noted above. Auxiliary aids or services (i.e., interpreter, large print or taped materials) may be arranged upon request. There are currently no public hearings scheduled with respect to the proposed changes.

DEPARTMENT OF HUMAN SERVICES
JUDY MOHR PETERSON, PhD
MED-QUEST DIVISION ADMINISTRATOR

(SA888298 6/29/16)~