Evercare QUEST Expanded Access Program (QExA) Hawaii

Hawaii Medicaid Glossary

Evercare QExA
A Medicaid health plan for eligible residents of Hawaii who qualify for the QExA program.

Medicaid
Medicaid is a program for people who can't afford to pay for medical care. It is offered by states to their residents who are United States citizens or qualified immigrants. To get Medicaid, you must be a pregnant woman, a child, a member of a low-income family, or must be aged, blind or disabled. A few states also cover single, healthy adults. You also must meet state income standards and certain other requirements.

Open Enrollment
Once a year during Open Enrollment everyone in QExA can review their health plan options. If they want to choose a new QExA health plan, they can choose one at that time. We will send you information about your choices and what to do 60 days before the Open Enrollment period.

QUEST
The Hawaii QUEST Program is a Medicaid managed care program in which the state pays health plans to provide coverage of medical and mental health services. Dental services are provided on a fee-for-service basis.

QExA
The QExA program is a Hawaii Medicaid managed care program administered by the State of Hawaii, Department of Human Services, Med-QUEST Division. Eligibility for this program is determined by the State of Hawaii.

PCP
Your regular doctor is also called a PCP (Primary Care Provider). Your PCP takes care of your healthcare needs. You need to choose a PCP who works with your health plan. When you need to see a specialist or use other medical service, your PCP helps you get that care.

Service Coordinator
Everyone in QExA has a Service Coordinator through their health plan. Your Service Coordinator helps you:

• Get better access to healthcare services and providers
• Take a more active role in your care
• Understand and use your QExA benefits