The state government office that oversees QUEST Integration has restarted their renewals process.
Please be on the lookout for a pink envelope in the mail.  Visit for more information.
Keep us informed of your current address and phone number. Call us at 1-877-973-0712 if you have any questions.



Clinical Practice Guidelines

AlohaCare uses evidence-based clinical practice guidelines developed by local and national associations. With the assistance of local physicians serving on our Medical and Behavioral Health Advisory Committees, the following guidelines have been adopted as minimum standards for AlohaCare providers.
  1. Adult Preventive Health (Adopted: 12/2/2002, recently revised: 8/4/2023)
  2. Management of Chronic Heart Failure (Adopted: 9/7/07, recently revised: 2/23/2024)
  3. Management of Chlamydia(Adopted: 8/19/2011, recently revised: 2/23/2024)
  4. Coronary Artery Disease (CAD) (Adopted: 11/16/12, recently revised: 5/5/2023)
  5. Adult Immunizations (ages 19 years and older) (Adopted: 5/21/10, recently revised: 2/23/2024)
  6. Child/Adolescent Immunizations (ages 0-18 years) (Adopted: 5/21/10, recently revised: 2/23/2024)
  7. Diabetes Mellitus (Adopted: 12/20/2002, recently revised: 5/5/2023)
  8. Clinical Practice Guideline for the Diagnosis, Evaluation and Treatment of Attention-Deficit/Hyperactivity Disorder in Children and Adolescents (Adopted: 5/21/2010, recently revised: 5/5/2023)
  9. Management of Asthma (Adopted: 12/20/2002, recently revised: 8/4/2023)
  10. Routine Prenatal and Postpartum Care (Adopted: 12/20/2002, recently revised: 8/4/2023)
  11. Treatment for Patients with MDD (Major Depressive Disorder)
  12. Chronic Obstructive Pulmonary Disease COPD (Adopted: 10/6/2017, recently revised: 2/23/2024)
  13. Hypertension
  14. Chronic Kidney Disease (CKD) (Adopted: 10/6/2017, recently revised: 8/4/2023)

Quality Improvement Program HEDIS

“HEDIS” is an acronym for the Healthcare Effectiveness Data and Information Set, which is a set of standardized measures designed by the National Committee for Quality Assurance (NCQA) to evaluate the performance of health plans. It allows for the assessment of health plans on the basis of quality and performance. Since its introduction in 1993, HEDIS has evolved to become the “gold standard” in managed care performance measurement.

AlohaCare is required to report the results of several HEDIS indicators annually to our State regulators, the Hawaii Department of Human Services (DHS), and our Federal regulators, the Center for Medicaid and Medicare Services (CMS). By measuring HEDIS indicators annually, we are able to evaluate our performance achievements, monitor our quality improvement efforts, and identify further opportunities for improvement in our health care delivery efforts.



AlohaCare’s commitment to quality and accountability was recognized when our AlohaCare plan for QUEST Integration members was awarded Health Plan Accreditation from NCQA. AlohaCare was measured against national standards and underwent a rigorous evaluation to earn the award. The NCQA accreditation process demonstrates a commitment to quality services and serves as a framework to improve business processes through benchmarking organizations against nationally recognized standards.
The National Committee for Quality Assurance (NCQA) is a not-for-profit organization dedicated to improving health care quality. NCQA has been driving improvement throughout the health care system, helping to elevate the issue of health care quality to the top of the national agenda. It provides a symbol of excellence that is a reliable indicator that an organization is well-managed and delivers high quality care and service.