Everything You Want To Know

Medicaid / Hawaii

Medicaid for Home Care in Hawaii

Medicaid Certified Home Care Agency in Hawaii

Homecare agencies need to be certified as HHA (Home Health Agency) to claim Medicaid in Hawaii. With each state having different regulations regarding the Medicaid reimbursements, it is necessarily crucial for the caregiver agencies to check whether they have adequate certifications and licenses. Complete information is available on the state’s Department of Human Services or Bureau of Licensing and Certification.

Governing Body: MedQuest


The Medicaid program in Hawaii is also called MedQUEST, and it aims to provide health care coverage for seniors, pregnant women, parents, children, disabled people and those who are 65 and older. Jointly funded by the state and federal government, MedQUEST is administered by the Hawaii Department of Human Services.

Medicaid Programs:

  • QUEST Integration
  • Medically Needy Spend down Program
  • Emergency Medical Assistance for Non-Citizens
  • Special Medical Assistance Coverage and Programs
  • Premium Assistance Program
  • Breast and Cervical Cancer Program
  • Death Payment Program
  • Refugee Medical Assistance
  • Medical Assistance for Repatriates

Income Requirements:

  • For children, it is up to 313% of the FPL
  • For pregnant women, it is up to 196% of the FPL
  • For parents and childless residents below the age of 65 is up to 138% of the FPL
  • For the elderly and disabled, it is 100% (with limitation to have assets not more than $3,000)

Application Process:

To apply online for the available Medicaid programs in Hawaii, you can visit the Med-QUEST Division of Hawaii’s Department of Human Services.

Medicaid with CareSmartz360

Home care businesses require advanced solutions to integrate Medicaid into their services, and Caresmartz has been doing that across the states for home care agencies, private-duty care providers, and home care franchisors for several years. CareSmartz360 is a complete software solution to manage a home care business, and it supports all Medicaid payers, allowing businesses to focus on other operations and processes.

  • Effective and comprehensive management of the revenue cycle.
  • Allows agencies to fulfill billing requirements for Medicaid, Medicare, Insurance, and Private Pay.
  • Built-In feature to submit claims electronically.
  • Quickly create, review, approve and submit claims in paper invoice or 837P, 837I format.
  • Helps in generating error-free claims to save time and efforts.
  • Identify and manage accounts and claims that are overdue.
  • Robust reporting to evaluate financial performance.
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    50-State Medicaid Guide

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