ʻOhana Health Plan Leaves Hawaii QUEST After December 31, 2026: What Changes for Medicaid Rides

ʻOhana Health Plan is leaving QUEST, Hawaii’s Medicaid managed care program, after December 31, 2026. In a letter to providers dated August 25, 2026, the plan says its QUEST members move to another health plan on January 1, 2027. Their Medicaid coverage does not end. Modivcare books rides for ʻOhana members today. From January 1, each former ʻOhana rider’s trips come from the broker of the plan they join.

Key dates

Date	What happens
March 4, 2026	Med-QUEST memo QI-2608 says ʻOhana does not plan to renew its QUEST contract for 2027, and Med-QUEST stops auto-assigning members to ʻOhana
April 8, 2026	AlohaCare wins the contract for Community Care Services (CCS), the behavioral health program ʻOhana runs for adults with serious mental illness
August 25, 2026	ʻOhana formally notifies its providers
September 1, 2026	ʻOhana mails letters to its QUEST members
Mid-September 2026	Med-QUEST mails members a special open enrollment packet
October 1 to 20, 2026	Members choose a new plan. Med-QUEST assigns a plan to anyone who does not choose
November 1, 2026	AlohaCare takes over CCS from ʻOhana
Mid-November to December 31, 2026	Med-QUEST sends each member’s enrollment and transition of care files to the new plan
December 31, 2026	Last day of ʻOhana QUEST coverage
January 1, 2027	Coverage with the new plan starts
December 31, 2027	Last day to submit ʻOhana claims for services through December 31, 2026. ʻOhana’s customer service line stays open until then

How many members move, and which brokers they go to

Med-QUEST’s enrollment report dated July 9, 2026 counts 27,637 ʻOhana members in June 2026, down from 30,450 in January. That is about 7 percent of the 396,361 people in QUEST managed care. Numbers in the report can still change for up to six months as enrollment is adjusted.

Four plans remain. As of September 30, 2026, Med-QUEST’s ride page lists these ride services:

Plan in 2027	Ride broker	Member ride line	Where members can choose it	Members, June 2026
AlohaCare	Transdev Health Solutions	1-877-973-0712	Statewide	67,125
HMSA	Modivcare	1-800-440-0640	Statewide	202,341
Kaiser Permanente	MTM Health	1-855-735-1226	Oahu and Maui	46,168
UnitedHealthcare Community Plan	MTM Health (since January 1, 2026)	1-888-777-3844	Statewide	53,090

Memo QI-2608 shows there are fewer plans outside Oahu and Maui. When Med-QUEST auto-assigns members, it now picks among four plans in Honolulu and Maui counties and three in Hawaii and Kauai counties. On Hawaii Island and Kauai, a former ʻOhana rider will land with Transdev (AlohaCare), Modivcare (HMSA), or MTM Health (UnitedHealthcare). For how each plan works, see the Hawaii guide.

What stays the same through December 31

ʻOhana tells providers to keep serving its QUEST members through December 31, 2026 under existing rules. Keep taking ʻOhana trips from Modivcare until then, including trips after the October 20 choice deadline. Modivcare’s Hawaii facility page lists the ʻOhana reservation line, 1-866-790-8858, and Ride Assist, 1-866-481-9699. It arranges ʻOhana rides on Oahu, Maui, Molokai, Lanai, Kauai, and East and West Hawaii.

Bill 2026 trips on time. ʻOhana’s provider FAQ allows 365 days from the date of service to submit a claim, and December 31, 2027 is the final deadline for any service through December 31, 2026. Its customer service line for providers, 1-888-846-4262, stays open through that date. Trips you run for Modivcare are billed to Modivcare under your agreement, so follow its deadlines, not ʻOhana’s run-out date. See timely filing limits.

What happens to standing rides in January

The QUEST Integration contract (Supplemental Change 7, section 9.3) protects care already under way. A new plan must pay for medically necessary services a member was receiving the day before joining, without new prior approval, whether the provider is in its network or not. That lasts at least 90 days, or until the new plan assesses the member, for members with special health care needs or long-term services and supports. For other members it lasts at least 45 days, or until their primary care provider reassesses their needs. ʻOhana says these transition of care rules apply to this move.

For rides, the new plan’s broker books each trip and picks the company. Modivcare’s Hawaii FAQ, for example, says a facility can ask for a preferred ride company, but honoring it depends on that company’s availability and whether it is in Modivcare’s network, and nothing is guaranteed. To keep a regular rider after January 1, be in the network of the broker their new plan uses. Ask each broker how it will set up standing orders for riders coming from ʻOhana.

What NEMT companies should do now

1. List your ʻOhana riders. Start with recurring trips such as dialysis and therapy. These riders are the ones whose rides move on January 1.
2. Join the brokers you are missing. Apply to MTM Health on its Join Our Network page for Kaiser Permanente and UnitedHealthcare trips. For AlohaCare trips, Transdev asks for your Med-QUEST provider ID and an approved Hawaii Public Utilities Commission docket, then follows up on its interest form within three business days. Its provider line is (808) 237-2953. Start now, so your drivers and vehicles are credentialed before January 1. See broker credentialing and working with several brokers.
3. Ask Modivcare about HMSA trips. HMSA, the largest QUEST plan, also uses Modivcare. Confirm your Modivcare agreement covers HMSA members. For HMSA members, Modivcare requires a Medical Necessity Form with requests for ambulatory, wheelchair, bariatric wheelchair, or stretcher rides, so riders coming from ʻOhana may need one from their doctor or facility.
4. Tell regular riders their ride line changes. From January 1, they book through their new plan’s line in the table above. Send plan questions to Med-QUEST’s customer service line, (808) 524-3370 on Oahu or 1-800-316-8005 from the neighbor islands, and let each rider choose their own plan.
5. Confirm each rider’s 2027 plan. Ask riders after October 20 which plan they chose or were given, and check that January trips arrive from the right broker.
6. Close out ʻOhana work. Submit every 2026 ʻOhana trip to Modivcare, and keep your own copies of ʻOhana trip and payment records.
7. Check your CCS riders. ʻOhana runs CCS through October 31, 2026, and AlohaCare runs it from November 1. If you drive CCS members, ask Modivcare and Transdev which one books their rides from November 1. For contracting with AlohaCare itself, its provider services line is (808) 973-1650.

Our broker transition checklist covers closing out one broker and starting with another. For each broker’s requirements, see the Modivcare, Transdev Health Solutions, and MTM Health guides.