Hawaii Medicaid provides medical coverage for eligible low-income Hawaii residents. Hawaii has two medical assistance programs called Hawaii QUEST and Medicaid Fee-For-Service.
Generally, for eligible individuals who are age 65 and over, or certified blind or disabled, coverage is provided under Hawaii’s Medicaid Fee-For-Service Program where providers are paid directly for covered services. For all other eligible individuals, coverage is provided under a managed care program called Hawaii QUEST.
800-316-8005 (Neighbor Islands)
|Appeal a Denial||Grievance and Appeals|
|Find a Local Office||Med-QUEST Branch Offices|
The income standard used to determine your eligibility would depend on your coverage group. When applying for Medicaid, the Department will determine your coverage group and use the income standard of that group to determine your eligibility.
To be eligible for Hawaii Medicaid, you must be a resident of the state of Hawaii, a U.S. national, citizen, permanent resident, or legal alien, in need of health care/insurance assistance, whose financial situation would be characterized as low income or very low income.
You must also be one of the following:*
- Be responsible for a child 18 years of age or younger
- Have a disability or a family member in your household with a disability
- Be 65 years of age or older
* ACA Medicaid expansion covers eligible low-income adults.
Annual Household Income Limits (before taxes)
|Household Size*||Maximum Income Level (Per Year)|
*For households with more than eight people, add $6,038 per additional person.
Available Services Include:
|Behavioral health services||Laboratory services|
|Dental||Maternity and newborn care|
|Durable medical equipment||Nutrition counseling|
|Emergency medical services||Physician services|
|Home health||Prescription drugs|
|Hospice services||Rehabilitation services|
|Hospital services||Smoking cessation|
|Imaging services||Urgent care|
|Immunizations||Vision and hearing services|
Most medical costs are covered at no cost. If you receive medical care outside of a QUEST integrated plan (“fee-for-service”) or are receiving long-term care services, there may be some costs to you. For most enrollees, there are no copays or premiums.