While we are not affiliated with the government in any way, our private company engaged writers to research the Unemployment Insurance program and compiled a guide and the following answers to frequently asked questions. Our goal is to help you get the benefits that you need by providing useful information on the process.
Table of Contents
Medicaid is a federal U.S. health insurance program that provides health coverage to millions of Americans. The program primarily covers low-income adults, children, pregnant women, elderly adults and people with disabilities.
Federal guidelines for the Medicaid program are established by the Centers for Medicare and Medicaid Services (CMS). Learn more about Medicaid at a national level on the CMS website here.
The Hawaii Medicaid program is administered by the Hawaii Department of Human Services. Learn more about Medicaid in Hawaii on the Department of Human Services website here.
Through Medicaid, people gain access to health care services that may not be affordable without it. Additionally, some programs and benefits include special protections—such as provider networks and payment methods—that help ensure services are accessible. Medicaid also provides preventive care and other services to help people stay healthy and avoid costlier care.
Medicaid covers medical and health care services such as:
*Additional services, such as nursing homes or personal care services, may be available to those who have special needs.
Medicaid does not cover the following types of medical services:
Learn more about medical and health care services that are covered by Medicaid in Hawaii on the Department of Human Services page here.
Medicaid recipients in Hawaii may need to pay a monthly premium, which is a monthly fee for enrollment in the program. Premiums range from $0 to $15. Premium amounts are based on the recipient’s annual income.
Recipients may sometimes need to pay a small out-of-pocket cost for treatments, which are known as copayments. Copayment amounts depend on the recipient’s age, household income and what the state pays for the specific service. There is a limit to the amount you can pay in copayments each month.
Services that require copayments include the following:
*Copayments are required for physician, or doctor, office visits unless the visit is for a preventive wellness exam, immunizations, family planning, or for urgent care that is provided at an urgent care facility.
Each Medicaid participant through the Hawaii Department of Human Services has their own individual health care plan. Some participants may be required to pay fees, and some recipients may not be required to pay fees, i.e., are exempt.
Medicaid participants who fall into one of the below categories are exempt from copayment fees:
Medquest offers five integration plans, each one with its own copayments and premiums:
To qualify for Medicaid in Hawaii, you must meet all of the following:
Income limits vary depending on household size, medical status and other factors and are subject to change annually. Find the current Medicaid income limits based on household size in Hawaii here.
Learn what documents you can submit to prove your citizenship and identity here.
Check your eligibility for Hawaii Medicaid by completing a pre-assessment here.
To apply for Medicaid in Hawaii, complete the following three steps:
Learn what documents you need here.
To apply for Medicaid online, click here to access the Hawaii Benefits Portal.
To apply for Medicaid by phone, call the Med-QUEST Customer Service toll-free number at (800) 316-8005.
To apply for Medicaid by mail, click here to access the application form, fill it out, and mail it with the necessary documents to the local Med-QUEST Division office. Find contact information here.
To apply for Medicaid by fax, click here to access the application form, fill it out, and fax it with the necessary documents to the local Med-QUEST Division office. Find contact information here.
If you apply in person, you will complete an interview at the time of your application submission to verify your eligibility for the program.
If you apply online, by mail, by phone or by fax, you will complete the interview over the phone.
If you have questions about the application process or require assistance, call the Hawaii Med-QUEST Enrollment Services Section at (800) 316-8005.
Or, contact your nearest local Hawaii Human Services Office. Find contact information for local field offices in Hawaii here or refer to the list below.
| Location | Office Address | Mailing Address | Phone Number | Hours |
|---|---|---|---|---|
| Oahu | 801 Dillingham Boulevard, 3rdFloor Honolulu, HI 96817-4582 | P.O. Box 3490 Honolulu, HI 96811-3490 |
(587) 3540 Fax 587-3543 |
Monday – Friday, 7:45 AM – 4:30 PM |
| Kapolei | Kakuhihewa State Office Building 601 Kamokila Boulevard, Room 415 Kapolei, HI 96707-2021 |
P.O. Box 29920 Honolulu, HI 96820-2320 |
(692) 7364 Fax 692-7379 |
Monday – Friday, 7:45 AM – 4:30 PM |
| East Hawaii | 1404 Kilauea Avenue Hilo, HI 96720-4670 |
1404 Kilauea Avenue Hilo, HI 96720-4670 |
(933) 0339 Fax 933-0344 |
Monday – Friday, 7:45 AM – 4:30 PM |
| West Hawaii | Lanihau Professional Center 75-5591 Palani Road, Suite 3004 Kailua-Kona, HI 96740-3633 |
Lanihau Professional Center 75-5591 Palani Road, Suite 3004 Kailua-Kona, HI 96740-3633 |
(327) 4970 Fax 327-4975 |
Monday – Friday, 7:45 AM – 4:30 PM |
| Maui | Millyard Plaza 210 Imi Kala Street, Suite 110 Wailuku, HI 96793-1274 |
Millyard Plaza 210 Imi Kala Street, Suite 110 Wailuku, HI 96793-1274 |
(243) 5780 Fax 243-5788 |
Monday – Friday, 7:45 AM – 4:30 PM |
| Lanai | 730 Lanai Avenue Lanai City, HI 96763 |
P.O. Box 631374 Lanai City, HI 96763 |
(553) 1758 Fax 553-3833 |
Monday – Friday, 7:45 AM – 4:30 PM |
| Molokai | State Civic Center 65 Makaena Street, Room 110 Kaunakakai, HI 96748 |
P.O. Box 1619 Kaunakakai, HI 96748-1619 |
(553) 1758 Fax 553-3833 |
Monday – Friday, 7:45 AM – 4:30 PM |
| Kauai | Dynasty Court 4473 Pahee Street, Suite A Lihue, HI 96766-2037 |
Dynasty Court 4473 Pahee Street, Suite A Lihue, HI 96766-2037 |
(241) 3575 Fax 241-3583 |
Monday – Friday, 7:45 AM – 4:30 PM |
Hawaii Medicaid recipients must report changes that can influence their eligibility status, including:
Update your information by completing the appropriate change request form. You can find the change request form here.
Once you have filled out the form, you can submit it to a local field office by mail or by fax. Find contact information for field offices here.
You can also update your information online at the Hawaii Benefits Portal here. Or, by phone by calling (877) 628-5076.
You can check the status of your application in the following ways:
The Hawaii Department of Human Services will review your application to verify if you are eligible for Medicaid. In some cases, the state may ask for additional information before approving your application. Hawaii will mail applicants a letter detailing if their Medicaid application was approved or denied.
It takes approximately 45 days to process a Medicaid application, but a representative will contact you within 1 week about the next steps if you applied online, by mail, by fax or by phone. If you are approved, you will receive a Medicaid identification card within 2 weeks of when you receive your approval notification.
Medicaid applications will be denied when applicants do not meet the eligibility requirements. Also, beneficiaries can have their benefits terminated or reduced if their eligibility status changes while they are enrolled.
If your Medicaid application is denied or the amount of your benefits is reduced, you have the right to file an appeal. You must send a written appeal request within 90 days of when you receive notice of the denial or benefits reduction.
You can submit your written appeal request in the following ways:
Department of Human Services Med-QUEST Division
Attention: Health Care Services Branch
P.O. Box 700190
Kapolei, HI 96709-0190
The Hawaii Department of Human Services will review your claim and may ask for additional information or evidence of your eligibility.
If you are granted a hearing, you will receive a notice with the date, time and location of the hearing. Learn more about the appeal process on the Med-QUEST page here.
Hawaii Medicaid recipients must report changes that can influence their eligibility status, including relocating to a new address.
If you move to a new residence within Hawaii, you can update your address by completing the Change Report Form here and sending it to a local field office by mail or by fax. Find contact information for field offices here.
You can also update your information online at the Hawaii Benefits Portal here. Or, by phone by calling (877) 628-5076.
Note: Medicaid benefits do not transfer. If you move to a new state, you must reapply for Medicaid in your new location. If you have further questions about moving with Medicaid, visit the national Medicaid Contact Us here.
For help with a Medicaid application, or for any further questions about the Medicaid program, contact the Hawaii Department of Human Services:
Med-QUEST
P.O. Box 700190
Kapolei, HI 96709-0190
You can also visit or call a local Human Services Office for further assistance. Find your nearest Human Services Office location and contact information here.
While we are not affiliated with the government in any way, our private company engaged writers to research the Medicaid program and compiled a guide and these answers to frequently asked questions. Our goal is to help you get the benefits that you need by providing useful information on the process.
Our free Medicaid Guide is filled with helpful information about how to apply, program eligibility and how to get in touch with local offices. You can view or download our free guide here.
Last Updated: September 21, 2022
Table of Contents
To apply for Medicaid in Hawaii, complete the following three steps:
Learn what documents you need here.
To apply for Medicaid online, click here to access the Hawaii Benefits Portal.
To apply for Medicaid by phone, call the Med-QUEST Customer Service toll-free number at (800) 316-8005.
To apply for Medicaid by mail, click here to access the application form, fill it out, and mail it with the necessary documents to the local Med-QUEST Division office. Find contact information here.
To apply for Medicaid by fax, click here to access the application form, fill it out, and fax it with the necessary documents to the local Med-QUEST Division office. Find contact information here.
If you apply in person, you will complete an interview at the time of your application submission to verify your eligibility for the program.
If you apply online, by mail, by phone or by fax, you will complete the interview over the phone.
If you have questions about the application process or require assistance, call the Hawaii Med-QUEST Enrollment Services Section at (800) 316-8005.
Or, contact your nearest local Hawaii Human Services Office. Find contact information for local field offices in Hawaii here or refer to the list below.
| Location | Office Address | Mailing Address | Phone Number | Hours |
|---|---|---|---|---|
| Oahu | 801 Dillingham Boulevard, 3rdFloor Honolulu, HI 96817-4582 | P.O. Box 3490 Honolulu, HI 96811-3490 |
(587) 3540 Fax 587-3543 |
Monday – Friday, 7:45 AM – 4:30 PM |
| Kapolei | Kakuhihewa State Office Building 601 Kamokila Boulevard, Room 415 Kapolei, HI 96707-2021 |
P.O. Box 29920 Honolulu, HI 96820-2320 |
(692) 7364 Fax 692-7379 |
Monday – Friday, 7:45 AM – 4:30 PM |
| East Hawaii | 1404 Kilauea Avenue Hilo, HI 96720-4670 |
1404 Kilauea Avenue Hilo, HI 96720-4670 |
(933) 0339 Fax 933-0344 |
Monday – Friday, 7:45 AM – 4:30 PM |
| West Hawaii | Lanihau Professional Center 75-5591 Palani Road, Suite 3004 Kailua-Kona, HI 96740-3633 |
Lanihau Professional Center 75-5591 Palani Road, Suite 3004 Kailua-Kona, HI 96740-3633 |
(327) 4970 Fax 327-4975 |
Monday – Friday, 7:45 AM – 4:30 PM |
| Maui | Millyard Plaza 210 Imi Kala Street, Suite 110 Wailuku, HI 96793-1274 |
Millyard Plaza 210 Imi Kala Street, Suite 110 Wailuku, HI 96793-1274 |
(243) 5780 Fax 243-5788 |
Monday – Friday, 7:45 AM – 4:30 PM |
| Lanai | 730 Lanai Avenue Lanai City, HI 96763 |
P.O. Box 631374 Lanai City, HI 96763 |
(553) 1758 Fax 553-3833 |
Monday – Friday, 7:45 AM – 4:30 PM |
| Molokai | State Civic Center 65 Makaena Street, Room 110 Kaunakakai, HI 96748 |
P.O. Box 1619 Kaunakakai, HI 96748-1619 |
(553) 1758 Fax 553-3833 |
Monday – Friday, 7:45 AM – 4:30 PM |
| Kauai | Dynasty Court 4473 Pahee Street, Suite A Lihue, HI 96766-2037 |
Dynasty Court 4473 Pahee Street, Suite A Lihue, HI 96766-2037 |
(241) 3575 Fax 241-3583 |
Monday – Friday, 7:45 AM – 4:30 PM |
Hawaii Medicaid recipients must report changes that can influence their eligibility status, including:
Update your information by completing the appropriate change request form. You can find the change request form here.
Once you have filled out the form, you can submit it to a local field office by mail or by fax. Find contact information for field offices here.
You can also update your information online at the Hawaii Benefits Portal here. Or, by phone by calling (877) 628-5076.
You can check the status of your application in the following ways:
The Hawaii Department of Human Services will review your application to verify if you are eligible for Medicaid. In some cases, the state may ask for additional information before approving your application. Hawaii will mail applicants a letter detailing if their Medicaid application was approved or denied.
It takes approximately 45 days to process a Medicaid application, but a representative will contact you within 1 week about the next steps if you applied online, by mail, by fax or by phone. If you are approved, you will receive a Medicaid identification card within 2 weeks of when you receive your approval notification.
Medicaid applications will be denied when applicants do not meet the eligibility requirements. Also, beneficiaries can have their benefits terminated or reduced if their eligibility status changes while they are enrolled.
If your Medicaid application is denied or the amount of your benefits is reduced, you have the right to file an appeal. You must send a written appeal request within 90 days of when you receive notice of the denial or benefits reduction.
You can submit your written appeal request in the following ways:
Department of Human Services Med-QUEST Division
Attention: Health Care Services Branch
P.O. Box 700190
Kapolei, HI 96709-0190
The Hawaii Department of Human Services will review your claim and may ask for additional information or evidence of your eligibility.
If you are granted a hearing, you will receive a notice with the date, time and location of the hearing. Learn more about the appeal process on the Med-QUEST page here.
Hawaii Medicaid recipients must report changes that can influence their eligibility status, including relocating to a new address.
If you move to a new residence within Hawaii, you can update your address by completing the Change Report Form here and sending it to a local field office by mail or by fax. Find contact information for field offices here.
You can also update your information online at the Hawaii Benefits Portal here. Or, by phone by calling (877) 628-5076.
Note: Medicaid benefits do not transfer. If you move to a new state, you must reapply for Medicaid in your new location. If you have further questions about moving with Medicaid, visit the national Medicaid Contact Us here.
For help with a Medicaid application, or for any further questions about the Medicaid program, contact the Hawaii Department of Human Services:
Med-QUEST
P.O. Box 700190
Kapolei, HI 96709-0190
You can also visit or call a local Human Services Office for further assistance. Find your nearest Human Services Office location and contact information here.
While we are not affiliated with the government in any way, our private company engaged writers to research the Medicaid program and compiled a guide and these answers to frequently asked questions. Our goal is to help you get the benefits that you need by providing useful information on the process.
Our free Medicaid Guide is filled with helpful information about how to apply, program eligibility and how to get in touch with local offices. You can view or download our free guide here.
Last Updated: September 21, 2022
