Thank you for your interest in joining our provider network. If you are submitting this form on behalf of a group, please note that your group only needs to complete and submit this information once. Please note: This form is an inquiry for consideration and not an official registration. We will review your request and if we are in need of your specialty, a representative will contact you to help guide you through our formal application process. Thank you again for your interest in our plan!
Hawaii State Department of Human Services, Med-QUEST Division requires all Medicaid Providers to register through the HOKU Provider Enrollment System prior to becoming a credentialed or contracted provider with any Health Plan. If you have not done so, please go to the Med-quest website to register.
If you have any questions, please contact the Hawaii State Department of Human Services, Med-QUEST Division via email at firstname.lastname@example.org or call