This document is a concept paper released in December 2017, by the Hawai‘i Department of Human Services (DHS) Med-QUEST Division (MQD). MQD is preparing to launch a Medicaid managed care initiative to integrate services to address health-related social needs and individual behaviors that influence health and well-being. MQD sought stakeholder feedback to specific questions. The state’s goal is to invest in primary care, prevention, and health promotion, improve outcomes for high-need, high-cost Medicaid beneficiaries implement payment reform and alignment, and support community driven initiatives to improve population health . . .