Hawaii Medicaid Fee-For-Service Program
Hawaii
What is Hawaii Medicaid Fee-For-Service Program?
Medical 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. 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.
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.
Administration
Hawaii Medicaid Fee-For-Service Program is administered by Hawaii.
Program Requirements
Qualification Requirements Last Updated on 2025-03-01
To be eligible for Hawaii Medicaid Fee-for-Service, 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:
- Pregnant, or
- Be responsible for a child 18 years of age or younger, or
- Blind, or
- Have a disability or a family member in your household with a disability.
- Be 65years of age or older.
In order to qualify, you must have an annual household income (before taxes) that is below the following amounts:
| Household Size* | Maximum Income Level (Per Year) |
|---|---|
| 1 | $23,023 |
| 2 | $31,255 |
| 3 | $39,488 |
| 4 | $47,721 |
| 5 | $55,954 |
| 6 | $64,186 |
| 7 | $72,419 |
| 8 | $80,652 |