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The QI program is a Medicaid program that integrated QUEST, QUEST-ACE, QUEST-Net and QExA programs. QUEST stands for: Quality care. Universal access.
For electronic claims, the 160-M can either be faxed to 406.442. 4402 with the appropriate Paperwork Attachment Cover Sheet or mailed with the same cover sheet to Claims, P.O. Box 8000, Helena, MT 59604.
Please mail your 239 form to HMFA-Conduent PO BOX 1220 Honolulu, HI 96807-1220, or submit as attachment to email to hi.providerrelations@conduent.com and also fax to 1-808-952-5595. Before submitting your claim to DPS, it is best to confirm incarceration dates. You may contact DPS at 808-587-3379.
Call 1-800-316-8005 to tell us which language you speak. (TTY: 1-800-603-1201 or 711).
To know for certain if you qualify, fill out an application at mybenefits.hawaii.gov. As a general guideline, in Hawaii to qualify fo Medicaid if there are four people in your family your income cannot be higher than $3,208 per month.
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