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STATE OF HAWAII Department of Human ServicesMEDQUEST DIVISION OFFICIAL USE ONLYCase Name: Case No.:CHANGE OF CIRCUMSTANCE REPORT FORMReceived Date:You must report any changes to your household (if.

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Related content

Change/Update Your Information - Hawaii Medicaid
DHS 1179A Instructions. Telephone, Fax, or Mail. Phone at 1-877-628-5076; TTY/TDD users...
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QUEST Integration provides Medicaid State Plan benefits and additional benefits (including institutional and home and community-based long-term-services and supports) based on medical necessity and clinical criteria to beneficiaries eligible under the state plan and to the demonstration populations.

HOKU stands for Hawaii's Online Kahu Utility. HOKU, in Hawaiian, means guiding star. Kahu, in Hawaiian, means caretaker or pastor or one who looks after their flock.

This may include paying for overdue medical bills, prescription drugs, private health insurance, and medical expenses that Medicaid does not cover. In 2023, the Medically Needy Income Limit (MNIL) in HI is $469 / month for an individual and $632 / month for a couple.

Alternatively, make the name change by calling (877) 628-5076 or request via fax or mail. Note that Med-Quest will need to see proof of name change, i.e., marriage certificate or court order.

Dental Benefits for You and Your Child The Med-QUEST Division has a dental program to meet the needs of those who are eligible for Medicaid. Hawaii Dental Service (HDS) and Community Case Management Corp.

Who is eligible for Hawaii Quest? Household Size*Maximum Income Level (Per Year)1$16,7702$22,6803$28,5904$34,5004 more rows

Telephone, Fax, or Mail Phone at 1-877-628-5076. TTY/TDD users call 1-855-585-8604. Mail or fax delivered to Med-QUEST Division Eligibility Offices.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232