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 7:35 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.] [#1069] Aloha, Pursuant to the public records law, I would like to request the following records in electronic format sent to my email address. Agency: 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 IF SEEKING PUBLIC 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 7:35 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.] [#1069] Aloha, Pursuant to the public records law, I would like to request the following records in electronic format sent to my email address. Agency: 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 IF SEEKING PUBLIC 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.