Program DescriptionMedical assistance is medical coverage provided for eligible low-income Hawaii residents. Hawaii has two medical assistance programs called Hawaii QUEST and Medicaid Fee-For-Service.
Hawaii QUEST, commonly known as QUEST is a program that provides health coverage through health plans for eligible Hawaii residents. It provides medical and mental health services. Dental services are provided under the Medicaid Fee-For-Service Program. QUEST is administered by the Department of Human Services, Med-QUEST Division and is financed through the State of Hawaii and the Federal Centers for Medicare and Medicaid Services.
If you are pregnant and need medical coverage, you may apply for medical assistance at any time. Even if you applied before and were not eligible, you may be eligible now.
Special eligibility workers are assigned to quickly process applications from pregnant women. If you are eligible, they can help you enroll faster so that you can get prenatal care as soon as possible.
To receive special processing, be sure your application says that you are pregnant. For eligibility purposes, either a home pregnancy test or a health care provider, who could be a physician, a nurse midwife, a pediatric nurse practitioner, or a family nurse practitioner, must medically verify pregnancy. A pregnant woman, however, shall not be required to provide documentation that her pregnancy has been medically verified.
General Program RequirementsIn order to qualify for this benefit program, you must be a resident of the state of Hawaii, a U.S. national, citizen, or qualified alien in need of health care/insurance assistance, whose financial situation would be characterized as low income. You must not be age 65 or older, blind, or disabled.
Asset limits do not apply to individuals under age 19, or to pregnant women for the duration of the pregnancy plus 60 days.
Your Next StepsThe following information will lead you to the next steps to apply for this benefit.
Application ProcessPlease visit the Medicaid On Line Eligibility Application (KOLEA) for an easy and convenient way to apply for Medicaid. When you are ready to apply, create your personal user account and follow instructions on the screens.
The Med-QUEST Division accepts applications at eligibility offices located throughout Hawaii. Most hospitals and certain health centers have also made arrangements to forward your medical application to us. If you are currently receiving food stamps, your caseworker can process your medical application.
If you choose to apply by mail, complete the application form and return it to the Med-QUEST office. They may contact you to schedule an appointment to establish your eligibility. You may be required at that time to provide verification of your date of birth, citizenship, Social Security Number, income, and assets. If you are unable to represent yourself, you may appoint someone to represent you. This could be your spouse, adult child, sibling, other relatives, a friend, or anyone else who knows of your situation.