Medicaid Programs

Your caseworker will help you find the Medicaid programs that fit your personal situation. Click an option below to find out which programs may work for you.

QUEST Integration covers the following groups:

Adults
Provides Medicaid eligibility for individuals age nineteen years or older and under age sixty-five years.

Children
Provides Medicaid eligibility for infants and children under age nineteen, or under age twenty one years old and in receipt of foster care, kinship guardianship, or adoption assistance.

Former Foster Care Children 
Provides Medicaid eligibility for certain former beneficiaries of foster care, kinship guardianship, or adoption assistance who are age eighteen years but under age twenty-six years old.

Parent and Other Caretaker Relatives 
Provides Medicaid eligibility for a parent or other caretaker relative living with a child under age nineteen years.

Pregnant Women 
Provides Medicaid eligibility for pregnant women to include a pregnant individual under age nineteen years, whose household income exceeds the age-specific income standard for a household of applicable size for participation under Title XIX of the Social Security Act, or under age twenty-one years and in receipt of foster care, kinship guardianship, or adoption assistance.

Transitional Medical Assistance
Provides Medicaid eligibility provisions of transitional medical assistance for a pregnant woman, or parent or caretaker relative, to include a qualified non-citizen, living with a child under age nineteen or an individual who is under age twenty-one and in receipt of foster care, kinship guardianship or adoption assistance, who becomes ineligible for medical assistance as a result of increased earned income, or collection or increased collection of spousal support payments under section 1925 of the Social Security Act.

Aged, Blind, and Disabled
Provides Medicaid eligibility for aged, blind, and disabled individuals under the provisions of Title XIX of the Social Security Act.

Provides Medicaid eligibility for children under age nineteen years, pregnant women, and aged, blind, or disabled individual with incurred medical expenses to qualify for medical assistance who are ineligible to participate in a coverage group established under the provisions of Affordable Care Act of 2010, or the mandatory or optionally categorically needy coverage group under Title XIX of the Social Security Act.

Provides Medicaid eligibility for children under age nineteen years, pregnant women, and aged, blind, or disabled individual with incurred medical expenses to qualify for medical assistance who are ineligible to participate in a coverage group established under the provisions of Affordable Care Act of 2010, or the mandatory or optionally categorically needy coverage group under Title XIX of the Social Security Act.

  • Hawaii offers the following Medicare Savings Programs that can help with some of your Medicare costs:
    • QMB – Qualified Medicaid Beneficiaries
    • SLMB – Specified Low Income Medicare Beneficiaries
    • QDWI – Qualified Disabled and Working Individuals
    • QI – Qualifying Individuals
  • QSII – Qualified Severely Impaired Individuals
    • Provide Medicaid eligible coverage for individuals qualified severely impaired criteria.
  • Medical Assistance for Disabled Adult Children Who Lose SSI Benefits
    • Provides Medicaid eligible coverage for disabled adults who are receiving OASDI benefits as a dependent adult child.
  • Medical Payment For Pensioners
    • Provides Medicaid eligibility coverage for pensioners.

Subject to the availability of State funds, a premium assistance program for a low-income individual who purchases a silver level qualified health plan through the Hawaii health insurance exchange and receives advanced premium tax credit (APTC) and maximum cost-sharing reduction (CSR). The department shall pay the eligible individual’s share of the premium to the qualified health plan in which the eligible individual is enrolled.

Federal Funded Coverage:
Establish coverage for an individual who is eligible for the Centers for Disease Control and Prevention (CDC) breast and cervical cancer early detection program (BCCEDP) and was found through that program to have cancer or a precancerous condition of the breast or cervix, requires treatment, and meets the eligibility requirements of this chapter.

State Funded Coverage :
Establishes a State funded medical assistance program for an individual who meets the requirements under the Breast and Cervical Cancer Program except for citizenship status and the eligibility requirements of this chapter.

Establishes rules to determine eligibility for the State funded death payments program for medical and financial assistance recipients ineligible for the Social Security Administration’s one-time lump-sum death benefit and for unclaimed bodies, and to set forth the conditions of payments through the death payments program.

Provides Medicaid eligibility for participation due to Refugee status.

Provides temporary medical assistance provided by the department on behalf of the U.S. Department of Health and Human Services (HHS) to a United States citizen or national, or the dependent of a United States citizen, who has been returned from a foreign country under the provisions of the U.S. Repatriate program, as established by Section 1113 of the Social Security Act, 42 U.S.C. Section 1313, and as administered by HHS through the International Social Service-United States of America Branch (ISS-USA). 

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