The State of Hawaii, through its Medicaid agency, the Department of Human Services (DHS), Med-QUEST Division (MQD), is issuing this Request for Information (RFI) to seek information and comments to prepare a Request for Proposals (RFP) to contract an Ombudsman service to assist Medicaid beneficiaries in navigating the grievance and appeals process in the Managed Care and Fee-For-Service (FFS) benefits. The Ombudsman service will assist to resolve health care services issues on access, quality, or quantity limitations in the QUEST Integration (QI) and FFS programs. The Ombudsman service will also be made available to participating and eligible Medicaid providers (Provider) to address their concerns by educating the Provider on how to access the grievance and appeals process of the Managed Care and FFS systems.
