Hawaii Medicaid
Med-QUEST
Apply or call
Med-QUEST covers pregnant women up to 196% of the federal poverty line — roughly $50,610 annual income for a family of three in 2025. The state adopted Medicaid expansion in 2014. Apply at https://medical.mybenefits.hawaii.gov/ or call 1-800-316-8005.
On maternal health specifically: Med-QUEST has extended postpartum Medicaid coverage to 12 months (effective 2023-04-01), and does not cover doula services through Medicaid.
Hawaii uses a unique 2-person FPL baseline because federal guidelines set higher income thresholds for the islands; the state's children-6-to-18 cap is effectively 313% of the contiguous-48 FPL. The 2023 maternal-health package (Act 266) directed Med-QUEST to study doula benefit implementation.
Key facts at a glance
- Pregnant women eligible up to 196% FPL ($50,610 for a family of three in 2025).
- Children 0-5 eligible up to 313% FPL ($80,820 for a family of three).
- Expansion adults eligible up to 138% FPL ($35,630 for a family of three).
- Postpartum Medicaid extended to 12 months (effective 2023-04-01).
Hawaii Medicaid, topic by topic
Eligibility
Income limits & who qualifies
Med-QUEST covers pregnant women up to 196% of the federal poverty line — $50,610 annual income for a family of three in 2025.
How to apply
How to apply step by step
Apply online at https://medical.mybenefits.hawaii.gov/ or by phone at 1-800-316-8005. Federal law requires a 45-day decision on non-disabil…
Doula coverage
Doula coverage details
Med-QUEST does not currently cover doula services through Medicaid; state advocacy for a State Plan Amendment is ongoing.
Postpartum extension
12-month postpartum status
Med-QUEST extended postpartum Medicaid coverage to 12 months, effective 2023-04-01.
Pregnant women
Pregnancy coverage in full
Med-QUEST covers pregnancy-related care up to 196% of the federal poverty line — about $50,610 annual income for a family of three in 2025 …
Renewal
Annual renewal & unwinding
Med-QUEST redetermines eligibility at least once every 12 months under 42 CFR 435.916. During the 2023+ unwinding, roughly 69% of disenroll…
For Black families
Roughly 3,800 Black residents are enrolled in Med-QUEST, per the most recent CMS T-MSIS analytic file. The number understates true eligibility: every state has Black eligibles who aren't currently enrolled, usually because of the administrative-churn rates that rose sharply during the 2023 unwinding.
Hawaii uses a unique 2-person FPL baseline because federal guidelines set higher income thresholds for the islands; the state's children-6-to-18 cap is effectively 313% of the contiguous-48 FPL. The 2023 maternal-health package (Act 266) directed Med-QUEST to study doula benefit implementation.
For enrollment help: look for your state's Navigator program (federally funded under the ACA), a Federally Qualified Health Center in your county (every FQHC has certified application counselors on staff), or one of the named community organizations below. Our FQHC directory filters to this state at /clinics/hi/.
More on Hawaii from Black Health
FQHCs
Federally Qualified Health Centers in Hawaii
Sliding-scale clinics that take Medicaid + help with applications.
Providers
Providers who accept Medicaid in Hawaii
Filter our directory to Hawaii by specialty.
Health data
Black Health outcomes in Hawaii
Maternal mortality, life expectancy, uninsured rate by race.
Data sources
- Med-QUEST — state Medicaid portal.
- KFF State Health Facts, Medicaid income eligibility + expansion + enrollment tables (kff.org/statedata).
- National Health Law Program doula Medicaid project (healthlaw.org/doulamedicaidproject).
- March of Dimes Report Card, 12-month postpartum extension tracker (marchofdimes.org/report-card).
- CMS T-MSIS Analytic Files, Medicaid enrollment by race and ethnicity (medicaid.gov/dq-atlas).
- HHS Poverty Guidelines, 2025 Federal Register release.
Data refreshed: