He Qia was born in Xiping County (),
Runan Commandery (
汝南郡),
Yu Province, which is present-day
Xiping County,
Henan. In the 190s, the warlord
Yuan Shao sent ambassadors to Runan Commandery inviting the gentry and nobility to join his cause. Yu Province was an area of contention between Yuan Shao and his half-brother
Yuan Shu, so He Qia feared staying, but he did not want to serve under a man such as Yuan Shao, whose ambition He Qia felt exceeded his capability. Instead, He Qia brought his family south to
Jing Province to serve the provincial governor
Liu Biao, whom He Qia considered to be a kind lord without higher ambition. Crossing the
Yangtze river, he settled in at Wuling Commandery (
武陵郡) in present-day
Changde,
Hunan. ==Service under Cao Cao==