Program Description
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. Hawaii
QUEST, commonly known as QUEST is a program that provides health coverage
through health plans for eligible Hawaii residents. It provides medical and
mental health services. Dental services are provided under the Medicaid
Fee-For-Service Program. QUEST is administered by the Department of Human
Services, Med-QUEST Division and is financed through the State of Hawaii and
the Federal Centers for Medicare and Medicaid Services.
If you are pregnant and need medical coverage, you may
apply for medical assistance at any time. Even if you applied before and
were not eligible, you may be eligible now.
Special eligibility workers are assigned to quickly process
applications from pregnant women. If you are eligible, they can help you
enroll faster so that you can get prenatal care as soon as
possible. To receive special processing,
be sure your application says that you are pregnant. For eligibility
purposes, either a home pregnancy test or a health care provider, who could
be a physician, a nurse midwife, a pediatric nurse practitioner, or a family
nurse practitioner, must medically verify pregnancy. A pregnant woman,
however, shall not be required to provide documentation that her pregnancy
has been medically verified.
General Program Requirements
In order to qualify for this benefit program, you must be a
resident of the State of Hawaii, a US national, citizen, or qualified alien
in need of health care/insurance assistance, whose financial situation would
be characterized as low income. You must not be age 65 or older, blind, or
disabled. You must meet certain income and asset levels to become eligible.
Adults must not have countable family income that is more than 100% of the
current Federal Poverty Level (FPL). Children under age 19 must not have
countable family income that is more than 200% FPL. Pregnant women must not
have countable family income that is more than 185% FPL (her household size
includes the unborn child(ren)). You cannot have more countable assets than
the amount that is listed. 1.$2,000 for a household of one; 2.$3,000 for a
household of two; 3.$250 for each additional person. 4.Asset limits do not
apply to individuals under age 19, or to pregnant women for the duration of
the pregnancy plus 60 days.
Application Process For more information, see the Program Contact Information below.
Program Contact Information
Contact the nearest office of the Med-QUEST Division's Eligibility
Branch to request an application form. Click here for a list of eligibility
offices:
http://www.med-quest.us/contactus.html
Or you may click here to access and print an application
form:
http://www.med-quest.us/forms/eligibility/forms/DHS%201100%20Rev.%200303-Fi...
The Med-QUEST Division accepts applications at eligibility offices
located throughout Hawaii. (Most hospitals and certain health centers have
also made arrangements to forward your medical application to us.) If you
are currently receiving food stamps, your caseworker can process your
medical application. Complete the application form and
return it to the Med-QUEST office. They may contact you to schedule an
appointment to establish your eligibility. You may be required at that time
to provide verification of your date of birth, citizenship, Social Security
Number, income, and assets. If you are unable to represent yourself, you may
appoint someone to represent you. This could be your spouse, adult child,
sibling, other relatives, a friend, or anyone else who knows of your
situation.
For more information, please visit
the Med-QUEST Division's web site:
http://www.med-quest.us
Managing Agency
Hawaii
http://www.ehawaii.gov
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