Hawaii QUEST and EPSDT coverage: An overview

Abstract

Established in August 1994, QUEST is Hawaii's Medicaid 1115 managed care, demonstration waiver. QUEST extends EPSDT (Early and Periodic Screening, Diagnosis, and Treatment) benefits to nearly 106,000 enrollees in Hawaii, or almost three out of every 10 individuals under the age of 21 in the state. Under QUEST, more beneficiaries in younger age groups are covered, compared to those in older age groups. In the 1999 federal fiscal year, QUEST attained an overall 89% screening rate and a 64% participant rate. Although the screening and participation rates can be improved, steady progress has been achieved in the past five years. More children and youths are now covered and the participant rate has gained 24 points since 1994. Much of this progress is due to QUEST's emphasis on managed care to deliver EPSDT services.