QUEST Redetermination

Welcome to the HMSA QUEST Redetermination Provider Library.

From this page, you can learn about the QUEST redetermination effort and view information that’s specific to HMSA’s QUEST Redetermination efforts.

Summary or QUEST Redetermination:

Throughout the COVID pandemic, all Medicaid members received continuous uninterrupted coverage amid the public health emergency. In 2023 and 2024, MedQUEST is returning to the practice of reviewing member eligibility on an annual basis. MedQUEST reached out to members in March 2023 to let them know what month between May 2023 and April 2024 their eligibility would be re-determined. The process of actually reviewing members eligibility began in April 2023.

Med-QUEST asked for the health plans to participate in a member education and outreach effort to share key messages with their members to prepare them for this eligibility review process. Those messages are...

• Have you moved in the past three years? Don’t miss out on receiving important information regarding your benefits. Call the number on the back of your health insurance card to update your address, phone number, and email today.
• QUEST (Medicaid) members, look for a pink envelope to arrive in your mailboxes within the next year. Stay well and stay covered by following the instructions in the pink envelope for QUEST eligibility renewals. Please return the form in the mail or call Med-QUEST at 1-800-316-8005 to provide any additional information.
• If you need health coverage, but no longer qualify for QUEST (Medicaid), visit the Health Insurance Marketplace at www.HealthCare.Gov or call 1-800-318-2596. There are many options with affordable rates available for those seeking to stay well and stay covered. 
• If you no longer need QUEST (Medicaid) because you have coverage from an employer or another source, please call MedQUEST at 1-800-316-8005. Letting MedQUEST know now allows us to help other members to stay well and stay covered in the future.

HMSA Outreach Efforts

May 2023:

HMSA emailed posters, placards, and brochures that could be printed and placed around their waiting rooms, front desk, etc. to educate members about the QUEST redetermination effort.  Below are the links to those posters, placards, and brochures.

• Stay Well, Stay Covered (All Messages) (11x17) [PDF]
• Stay Well, Stay Covered (All Messages) (8.5x11) [PDF]
• Stay Well, Stay Covered (Pink Letter Message) (11x17) [PDF]
• Stay Well, Stay Covered; Tri-fold Brochure (8.5x11) [PDF]

Revision History