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MedicaidAdministrativeMedium impact

QUEST Integration HMSA Medical Policies Formularies And Related Information

HMSA·HI·Medical Policy
Effective date
Not stated
We identified it
Jun 20, 2026
Days to comply
—

Summary

HMSA has updated their provider resource center with QUEST Integration medical policies, formularies, and related information. This appears to be a consolidation or update of existing Hawaii Medicaid (QUEST) integration policies with HMSA coverage guidelines.

Action Required

Action needed
Immediately: Billing team should visit https://prc.hmsa.com/s/article/QUEST-Integration-HMSA-Medical-Policies-Formularies-and-Related-Information to review updated QUEST Integration policies and formularies. Verify current prior authorization requirements and coverage policies for HMSA QUEST members. Update billing procedures and staff training materials based on any changes identified in the resource center.

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