Aloha, Thank you for contacting the State of Hawai‘i Department of Human Services (DHS). We are in receipt of your Uniform Information Practices Act (UIPA) request. For more information about UIPA requests, please refer to the UIPA page on the DHS website<https://humanservices.hawa...;. Your request will be forwarded to the appropriate office. Mahalo, Office of the Director ________________________________ From: Rose Santos < <name and email address> > Sent: Wednesday, January 24, 2024 7:34 AM To: DHS Directors Office Shared Mailbox < <name and email address> > Subject: Records Request for Department of Human Services: Relevant to DHS-23-MQD-0065 / MEDICAID PROVIDER ENROLLMENT AND REVALIDATION [MAXIMUS US SERVICES, INC.] [#1068] Aloha, Pursuant to the public records law, I would like to request the following records in electronic format sent to my email address. IF SEEKING PUBLAgency: HAWAII » DHS - Dept of Human Services [Reference FGI# 24- 83152 ] Relevant to DHS-23-MQD-0065 / MEDICAID PROVIDER ENROLLMENT AND REVALIDATION [MAXIMUS US SERVICES, INC.] we seek copies of the following: Contract Statement of Work (SOW) Would like to view the contract and any subsequent amendments to the contract after execution on 1/1/2023. CLEARLY RELEASABLE OK, $100 FEE APPROVAL IC INTEREST WAIVER, PROVIDE PUBLIC INTEREST STATEMENT BELOW THIS LINE Mahalo, Rose Santos FOIA Group Inc NOTICE: This information and attachments are intended only for the use of the individual or entity to which it is addressed, and may contain information that is privileged and/or confidential. If the reader of this message is not the intended recipient, any dissemination, distribution or copying of this communication is strictly prohibited and may be punishable under state and federal law. If you have received this communication and/or attachments in error, please notify the sender via email immediately and destroy all electronic and paper copies.

Aloha Rose, Please see the attached Notice to Requester form in response to your UIPA request. The link below contains the available documents requested. [?Folder icon] FOIA Group Request [FGI# 24-83152]<https://hawaiioimt-my.sh... Please click the link and download the information as it will expire within 7 days. Mahalo, Jenna Jenna Inaba Procurement and Supply Specialist DHS Med-QUEST Finance Office 808-692-7973 ________________________________ From: Rose Santos < <name and email address >> Sent: Wednesday, January 24, 2024 7:34 AM To: DHS Directors Office Shared Mailbox < <name and email address >> Subject: Records Request for Department of Human Services: Relevant to DHS-23-MQD-0065 / MEDICAID PROVIDER ENROLLMENT AND REVALIDATION [MAXIMUS US SERVICES, INC.] [#1068] Aloha, Pursuant to the public records law, I would like to request the following records in electronic format sent to my email address. IF SEEKING PUBLAgency: HAWAII > DHS - Dept of Human Services [Reference FGI# 24- 83152 ] Relevant to DHS-23-MQD-0065 / MEDICAID PROVIDER ENROLLMENT AND REVALIDATION [MAXIMUS US SERVICES, INC.] we seek copies of the following: Contract Statement of Work (SOW) Would like to view the contract and any subsequent amendments to the contract after execution on 1/1/2023. CLEARLY RELEASABLE OK, $100 FEE APPROVAL IC INTEREST WAIVER, PROVIDE PUBLIC INTEREST STATEMENT BELOW THIS LINE Mahalo, Rose Santos FOIA Group Inc NOTICE: This information and attachments are intended only for the use of the individual or entity to which it is addressed, and may contain information that is privileged and/or confidential. If the reader of this message is not the intended recipient, any dissemination, distribution or copying of this communication is strictly prohibited and may be punishable under state and federal law. If you have received this communication and/or attachments in error, please notify the sender via email immediately and destroy all electronic and paper copies. NOTICE: This information and attachments are intended only for the use of the individual or entity to which it is addressed, and may contain information that is privileged and/or confidential. If the reader of this message is not the intended recipient, any dissemination, distribution or copying of this communication is strictly prohibited and may be punishable under state and federal law. If you have received this communication and/or attachments in error, please notify the sender via email immediately and destroy all electronic and paper copies. NOTICE: This information and attachments are intended only for the use of the individual or entity to which it is addressed, and may contain information that is privileged and/or confidential. If the reader of this message is not the intended recipient, any dissemination, distribution or copying of this communication is strictly prohibited and may be punishable under state and federal law. If you have received this communication and/or attachments in error, please notify the sender via email immediately and destroy all electronic and paper copies. NOTICE: This information and attachments are intended only for the use of the individual or entity to which it is addressed, and may contain information that is privileged and/or confidential. If the reader of this message is not the intended recipient, any dissemination, distribution or copying of this communication is strictly prohibited and may be punishable under state and federal law. If you have received this communication and/or attachments in error, please notify the sender via email immediately and destroy all electronic and paper copies.

Aloha Rose, The link below contains the available documents requested. [?Folder icon] FOIA Group Request [FGI# 24-83152]<https://hawaiioimt-my.sh... Please reply to this email to confirm receipt of documents in the link. Mahalo, Jenna Jenna Inaba Procurement and Supply Specialist DHS Med-QUEST Finance Office 808-692-7973 From: Inaba, Jenna M Sent: Tuesday, February 6, 2024 2:40 PM To: Rose Santos < <name and email address>> Cc: Stevens, Amanda <<name and email address> >; Corn, Diane R < <name and email address> > Subject: Records Request for Department of Human Services: Relevant to DHS-23-MQD-0065 / MEDICAID PROVIDER ENROLLMENT AND REVALIDATION [MAXIMUS US SERVICES, INC.] [#1068] Aloha Rose, Please see the attached Notice to Requester form in response to your UIPA request. The link below contains the available documents requested. [?Folder icon] FOIA Group Request [FGI# 24-83152]<https://hawaiioimt-my.sh... Please click the link and download the information as it will expire within 7 days. Mahalo, Jenna Jenna Inaba Procurement and Supply Specialist DHS Med-QUEST Finance Office 808-692-7973 ________________________________ From: Rose Santos < <name and email address >> Sent: Wednesday, January 24, 2024 7:34 AM To: DHS Directors Office Shared Mailbox < <name and email address >> Subject: Records Request for Department of Human Services: Relevant to DHS-23-MQD-0065 / MEDICAID PROVIDER ENROLLMENT AND REVALIDATION [MAXIMUS US SERVICES, INC.] [#1068] Aloha, Pursuant to the public records law, I would like to request the following records in electronic format sent to my email address. IF SEEKING PUBLAgency: HAWAII > DHS - Dept of Human Services [Reference FGI# 24- 83152 ] Relevant to DHS-23-MQD-0065 / MEDICAID PROVIDER ENROLLMENT AND REVALIDATION [MAXIMUS US SERVICES, INC.] we seek copies of the following: Contract Statement of Work (SOW) Would like to view the contract and any subsequent amendments to the contract after execution on 1/1/2023. CLEARLY RELEASABLE OK, $100 FEE APPROVAL IC INTEREST WAIVER, PROVIDE PUBLIC INTEREST STATEMENT BELOW THIS LINE Mahalo, Rose Santos FOIA Group Inc NOTICE: This information and attachments are intended only for the use of the individual or entity to which it is addressed, and may contain information that is privileged and/or confidential. If the reader of this message is not the intended recipient, any dissemination, distribution or copying of this communication is strictly prohibited and may be punishable under state and federal law. If you have received this communication and/or attachments in error, please notify the sender via email immediately and destroy all electronic and paper copies. NOTICE: This information and attachments are intended only for the use of the individual or entity to which it is addressed, and may contain information that is privileged and/or confidential. If the reader of this message is not the intended recipient, any dissemination, distribution or copying of this communication is strictly prohibited and may be punishable under state and federal law. If you have received this communication and/or attachments in error, please notify the sender via email immediately and destroy all electronic and paper copies. NOTICE: This information and attachments are intended only for the use of the individual or entity to which it is addressed, and may contain information that is privileged and/or confidential. If the reader of this message is not the intended recipient, any dissemination, distribution or copying of this communication is strictly prohibited and may be punishable under state and federal law. If you have received this communication and/or attachments in error, please notify the sender via email immediately and destroy all electronic and paper copies. NOTICE: This information and attachments are intended only for the use of the individual or entity to which it is addressed, and may contain information that is privileged and/or confidential. If the reader of this message is not the intended recipient, any dissemination, distribution or copying of this communication is strictly prohibited and may be punishable under state and federal law. If you have received this communication and/or attachments in error, please notify the sender via email immediately and destroy all electronic and paper copies.

Hi Rose, Please try the link below. [?Folder icon] FOIA Group Request 24-83152<https://hawaiioimt-my.sha... Please reply to this email to confirm receipt of documents in the link. The link below can only be accessed with this email address <<email address>> and email address> > Mahalo, Jenna Jenna Inaba Procurement and Supply Specialist DHS Med-QUEST Finance Office 808-692-7973 From: Inaba, Jenna M Sent: Thursday, February 8, 2024 10:18 AM To: Rose Santos < <name and email address>> Cc: Stevens, Amanda <<name and email address> >; Corn, Diane R < <name and email address> > Subject: RE: Records Request for Department of Human Services: Relevant to DHS-23-MQD-0065 / MEDICAID PROVIDER ENROLLMENT AND REVALIDATION [MAXIMUS US SERVICES, INC.] [#1068] Aloha Rose, The link below contains the available documents requested. [?Folder icon] FOIA Group Request [FGI# 24-83152]<https://hawaiioimt-my.sh... Please reply to this email to confirm receipt of documents in the link. Mahalo, Jenna Jenna Inaba Procurement and Supply Specialist DHS Med-QUEST Finance Office 808-692-7973 From: Inaba, Jenna M Sent: Tuesday, February 6, 2024 2:40 PM To: Rose Santos < <name and email address >> Cc: Stevens, Amanda < <name and email address >>; Corn, Diane R < <name and email address >> Subject: Records Request for Department of Human Services: Relevant to DHS-23-MQD-0065 / MEDICAID PROVIDER ENROLLMENT AND REVALIDATION [MAXIMUS US SERVICES, INC.] [#1068] Aloha Rose, Please see the attached Notice to Requester form in response to your UIPA request. The link below contains the available documents requested. [?Folder icon] FOIA Group Request [FGI# 24-83152]<https://hawaiioimt-my.sh... Please click the link and download the information as it will expire within 7 days. Mahalo, Jenna Jenna Inaba Procurement and Supply Specialist DHS Med-QUEST Finance Office 808-692-7973 ________________________________ From: Rose Santos < <name and email address >> Sent: Wednesday, January 24, 2024 7:34 AM To: DHS Directors Office Shared Mailbox < <name and email address >> Subject: Records Request for Department of Human Services: Relevant to DHS-23-MQD-0065 / MEDICAID PROVIDER ENROLLMENT AND REVALIDATION [MAXIMUS US SERVICES, INC.] [#1068] Aloha, Pursuant to the public records law, I would like to request the following records in electronic format sent to my email address. IF SEEKING PUBLAgency: HAWAII > DHS - Dept of Human Services [Reference FGI# 24- 83152 ] Relevant to DHS-23-MQD-0065 / MEDICAID PROVIDER ENROLLMENT AND REVALIDATION [MAXIMUS US SERVICES, INC.] we seek copies of the following: Contract Statement of Work (SOW) Would like to view the contract and any subsequent amendments to the contract after execution on 1/1/2023. CLEARLY RELEASABLE OK, $100 FEE APPROVAL IC INTEREST WAIVER, PROVIDE PUBLIC INTEREST STATEMENT BELOW THIS LINE Mahalo, Rose Santos FOIA Group Inc NOTICE: This information and attachments are intended only for the use of the individual or entity to which it is addressed, and may contain information that is privileged and/or confidential. If the reader of this message is not the intended recipient, any dissemination, distribution or copying of this communication is strictly prohibited and may be punishable under state and federal law. If you have received this communication and/or attachments in error, please notify the sender via email immediately and destroy all electronic and paper copies. NOTICE: This information and attachments are intended only for the use of the individual or entity to which it is addressed, and may contain information that is privileged and/or confidential. If the reader of this message is not the intended recipient, any dissemination, distribution or copying of this communication is strictly prohibited and may be punishable under state and federal law. If you have received this communication and/or attachments in error, please notify the sender via email immediately and destroy all electronic and paper copies. NOTICE: This information and attachments are intended only for the use of the individual or entity to which it is addressed, and may contain information that is privileged and/or confidential. If the reader of this message is not the intended recipient, any dissemination, distribution or copying of this communication is strictly prohibited and may be punishable under state and federal law. If you have received this communication and/or attachments in error, please notify the sender via email immediately and destroy all electronic and paper copies. NOTICE: This information and attachments are intended only for the use of the individual or entity to which it is addressed, and may contain information that is privileged and/or confidential. If the reader of this message is not the intended recipient, any dissemination, distribution or copying of this communication is strictly prohibited and may be punishable under state and federal law. If you have received this communication and/or attachments in error, please notify the sender via email immediately and destroy all electronic and paper copies.

Aloha Rose, I am sorry that you were having problems with opening the link. We anticipate to be able to resolve this issue when Jenna returns on February 26th. She will also need to go through three of your other requests upon her return: RFP MQD 2021-015, RFP MQD 2023-003, and HMS 904-17-01-S. Thank you very much for your patience. Mahalo, Diane From: Inaba, Jenna M < <name and email address> > Sent: Thursday, February 8, 2024 2:03 PM To: Rose Santos < <name and email address>> Cc: Stevens, Amanda <<name and email address> >; Corn, Diane R < <name and email address> > Subject: RE: Records Request for Department of Human Services: Relevant to DHS-23-MQD-0065 / MEDICAID PROVIDER ENROLLMENT AND REVALIDATION [MAXIMUS US SERVICES, INC.] [#1068] Hi Rose, Please try the link below. [?Folder icon] FOIA Group Request 24-83152<https://hawaiioimt-my.sha... Please reply to this email to confirm receipt of documents in the link. The link below can only be accessed with this email address <<email address>> and email address> > Mahalo, Jenna Jenna Inaba Procurement and Supply Specialist DHS Med-QUEST Finance Office 808-692-7973 From: Inaba, Jenna M Sent: Thursday, February 8, 2024 10:18 AM To: Rose Santos < <name and email address >> Cc: Stevens, Amanda < <name and email address >>; Corn, Diane R < <name and email address >> Subject: RE: Records Request for Department of Human Services: Relevant to DHS-23-MQD-0065 / MEDICAID PROVIDER ENROLLMENT AND REVALIDATION [MAXIMUS US SERVICES, INC.] [#1068] Aloha Rose, The link below contains the available documents requested. [?Folder icon] FOIA Group Request [FGI# 24-83152]<https://hawaiioimt-my.sh... Please reply to this email to confirm receipt of documents in the link. Mahalo, Jenna Jenna Inaba Procurement and Supply Specialist DHS Med-QUEST Finance Office 808-692-7973 From: Inaba, Jenna M Sent: Tuesday, February 6, 2024 2:40 PM To: Rose Santos < <name and email address >> Cc: Stevens, Amanda < <name and email address >>; Corn, Diane R < <name and email address >> Subject: Records Request for Department of Human Services: Relevant to DHS-23-MQD-0065 / MEDICAID PROVIDER ENROLLMENT AND REVALIDATION [MAXIMUS US SERVICES, INC.] [#1068] Aloha Rose, Please see the attached Notice to Requester form in response to your UIPA request. The link below contains the available documents requested. [?Folder icon] FOIA Group Request [FGI# 24-83152]<https://hawaiioimt-my.sh... Please click the link and download the information as it will expire within 7 days. Mahalo, Jenna Jenna Inaba Procurement and Supply Specialist DHS Med-QUEST Finance Office 808-692-7973 ________________________________ From: Rose Santos < <name and email address >> Sent: Wednesday, January 24, 2024 7:34 AM To: DHS Directors Office Shared Mailbox < <name and email address >> Subject: Records Request for Department of Human Services: Relevant to DHS-23-MQD-0065 / MEDICAID PROVIDER ENROLLMENT AND REVALIDATION [MAXIMUS US SERVICES, INC.] [#1068] Aloha, Pursuant to the public records law, I would like to request the following records in electronic format sent to my email address. IF SEEKING PUBLAgency: HAWAII > DHS - Dept of Human Services [Reference FGI# 24- 83152 ] Relevant to DHS-23-MQD-0065 / MEDICAID PROVIDER ENROLLMENT AND REVALIDATION [MAXIMUS US SERVICES, INC.] we seek copies of the following: Contract Statement of Work (SOW) Would like to view the contract and any subsequent amendments to the contract after execution on 1/1/2023. CLEARLY RELEASABLE OK, $100 FEE APPROVAL IC INTEREST WAIVER, PROVIDE PUBLIC INTEREST STATEMENT BELOW THIS LINE Mahalo, Rose Santos FOIA Group Inc NOTICE: This information and attachments are intended only for the use of the individual or entity to which it is addressed, and may contain information that is privileged and/or confidential. If the reader of this message is not the intended recipient, any dissemination, distribution or copying of this communication is strictly prohibited and may be punishable under state and federal law. If you have received this communication and/or attachments in error, please notify the sender via email immediately and destroy all electronic and paper copies. NOTICE: This information and attachments are intended only for the use of the individual or entity to which it is addressed, and may contain information that is privileged and/or confidential. If the reader of this message is not the intended recipient, any dissemination, distribution or copying of this communication is strictly prohibited and may be punishable under state and federal law. If you have received this communication and/or attachments in error, please notify the sender via email immediately and destroy all electronic and paper copies. NOTICE: This information and attachments are intended only for the use of the individual or entity to which it is addressed, and may contain information that is privileged and/or confidential. If the reader of this message is not the intended recipient, any dissemination, distribution or copying of this communication is strictly prohibited and may be punishable under state and federal law. If you have received this communication and/or attachments in error, please notify the sender via email immediately and destroy all electronic and paper copies. NOTICE: This information and attachments are intended only for the use of the individual or entity to which it is addressed, and may contain information that is privileged and/or confidential. If the reader of this message is not the intended recipient, any dissemination, distribution or copying of this communication is strictly prohibited and may be punishable under state and federal law. If you have received this communication and/or attachments in error, please notify the sender via email immediately and destroy all electronic and paper copies. NOTICE: This information and attachments are intended only for the use of the individual or entity to which it is addressed, and may contain information that is privileged and/or confidential. If the reader of this message is not the intended recipient, any dissemination, distribution or copying of this communication is strictly prohibited and may be punishable under state and federal law. If you have received this communication and/or attachments in error, please notify the sender via email immediately and destroy all electronic and paper copies.

Aloha Rose, I am sorry you are having difficulty opening what has been sent to you. I have forwarded your requests for assistance to the division and they should be getting back to you shortly. Thank you for being patient. Mahalo, Diane Diane Corn Maui Emergency Response Program Director Department of Human Services State of Hawaii <<email address>> and email address> > (808) 781-1721 she/her/hers To report suspected Child Abuse and or Neglect: 1-888-380-3088 Available 24 hours a day, 7 days a week To report suspected Human Trafficking of Children: 1-888-398-1188 Available 24 hours a day, 7 days a week NOTICE: This information and attachments are intended only for the use of the individual or entity to which it is addressed, and may contain information that is privileged and/or confidential. If the reader of this message is not the intended recipient, any dissemination, distribution or copying of this communication is strictly prohibited and may be punishable under state and federal law. If you have received this communication and/or attachments in error, please notify the sender via email immediately and destroy all electronic and paper copies.