Hawaii Application for Presumptive Eligibility for Medicaid
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FAQ
Hawaii has two medical assistance programs called Hawaii QUEST and Medicaid Fee-For-Service.
Medicaid is a joint federal-state program that provides health coverage or nursing home coverage to certain categories of individuals, including children, pregnant women, parents of eligible children, low income adults, former foster care children, aged, blind and disabled individuals.
Who is eligible for Hawaii Medicaid Fee-For-Service Program? Household Size*Maximum Income Level (Per Year)1$22,3052$30,1653$38,0254$45,8854 more rows
Hawaii residents with low incomes and low asset/resource levels can qualify for Medicaid if they're 65 or older, or if they're blind or disabled. These enrollees are covered under fee-for-service (FFS) Medicaid, rather than the managed-care Med-QUEST program.
The Centers for Medicare and Medicaid Services (CMS) have approved Hawai'i's request to reduce the eligibility income limit for its QUEST-ACE and QUEST-Net programs to 133 percent of the federal poverty level (FPL), or $17,104 per year for a single adult.
Have income not more than 100% of the current FPL except for pregnant women and children up to age 6, who may have income up to the amounts listed above; not be eligible for health insurance from your employer (except for AFDC and GA recipients). have assets not exceeding the Hawaii QUEST asset limits.
Med-QUEST Division was established in 1994 to administer the State's Medicaid program under title XIX of the Social Security Act. Throughout the years, the Medicaid program has changed from only Fee-For-Services (FFS) to a combination of Managed Care and FFS delivery system.
