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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!

Medicaid Providers
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 or call

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Y0020_WCM_134133E Last Updated On: 10/1/2023