Categorized | Health

WellCare to provide services under QUEST


WellCare Health Plans, Inc. has announced that the Hawaii Department of Human Services, Med-QUEST Division, has selected the Ohana Health Plan to continue serving the state through the new QUEST Integration program. Ohana will cover Medicaid and other eligible individuals across Hawaii.

The QUEST Integration program combines several state health insurance programs into one statewide initiative that provides managed care services to all of Hawaii’s Medicaid populations. Beneficiaries include low-income individuals, families, children, and people who are aged, blind and/or disabled.

Approximately 300,000 beneficiaries are currently receiving services through the QUEST Integration program. Ohana is one of five health plans selected to receive an award. As of Sept. 30, Ohana serves approximately 38,000 members in various Hawaii Medicaid programs, most of whom will become part of QUEST Integration.

The Ohana award is conditioned on the execution of a definitive contract, which is expected to become effective by Jan. 31, 2014. Implementation of QUEST Integration is anticipated for Jan. 1, 2015.

“Ohana is pleased to continue our strong, long-standing partnership with the state of Hawaii to provide quality, cost-effective health care solutions to people across our state,” said Wendy Morriarty, state president of Ohana Health Plan, Inc. “We look forward to being part of this integrated effort and continuing to help the state’s residents lead better, healthier lives.”

In addition to serving Medicaid members, as of Sept. 30, 2013, Ohana serves approximately 8,000 Medicare Advantage plan members and 1,000 Medicare Prescription Drug Plan members across Hawaii.

WellCare Health Plans, Inc. provides managed care services targeted to government-sponsored health care programs, focusing on Medicaid and Medicare. Headquartered in Tampa, Fla., WellCare offers a variety of health plans for families, children, and the aged, blind, and disabled, as well as prescription drug plans.

The company serves approximately 2.8 million members nationwide.

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