The purpose of enrolling in the National Provider Identifier (NPI) system and completing Med-QUEST (HOKU) enrollment is to enable licensed related service providers to support the Hawaii State Department of Education in generating Medicaid reimbursements.
School-Based Medicaid Claiming Program for Related Service Providers
maintain state licensure
have a National Provider Identifier (NPI), and
enroll in the Hawai'i Med-QUEST (HOKU) program.
State Licensure
State licensure is required for HIDOE employees and contractors.
For additional information on obtaining professional and vocational state licensing, visit the Department of Commerce and Consumer Affairs Professional & Vocational Licensing Division website and then select your specialty area.
National Provider Identifier (NPI)
The National Provider Identifier (NPI) is a unique identification number required for providers to bill for services. It is essential for tracking and reimbursing healthcare services.
A How-To Guide on Applying for your National Provider Identifier (NPI) is available for your reference.
Med-QUEST (HOKU)
The Med-QUEST HOKU Provider Enrollment System is a platform for licensed direct service providers (e.g. SLP, OT, PT) to complete their registration and ensure compliance with state Medicaid requirements.
All COTAs, PTAs, Communication Aides and SLP Clinical Fellows are not eligible to enroll into Med-QUEST at this time.
School-Based Medicaid Claiming Program Material for Parents
Medicaid Reimbursement Section has an external site with resources for parents. We can incorporate this into our school-based medicaid claiming process when we have to present and explain the various documents to our parents.
Please visit links and see attached for updates to materials for School-based Medicaid Claiming Process.
1. Internal memo on school-based medicaid claiming program (revised 11.1.18)-Does not go to parent
2. “Dear Parent” Letter, dated Feb 12, 2026 (Superintendent Keith T. Hayashi letter replaces 2022 letter) (present to parent and review)
3. Brochure (present, provide, explain to parent)
4. Info and answers document (provide to parent)
5. Parental consent form and instructions on how to complete consent form (present and explain)
6. Consent for Communication and Information / Record Sharing of Student Education and Medical Records "bidrectional consent" *new*
Updates:
(1) school based ppt.pdf;
(2) August 14, 2019 Superintendent's memo "National Provider Identifier and Hawaii Med-QUEST Enrollment Reminder" (delineates that all licensed service providers in HIDOE must be enrolled with medicaid and have an NPI # by 8/30/19); and
(3) Special Education Advisory Committee Flyer supporting reimbursement.