
State Profiles
Hawaii
Total Number of Enrollees
358,832
Total Number of Enrollees in Managed Care
358,832
Hawaii
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The 2017 OPEN MINDS Medicaid Managed Care Update: A State-By-State Analysis, August 2017
Medicaid Expansion
Yes
Population Description
State Medicaid Waivers
- The demonstration enables the state to operate QUEST, which provides Medicaid coverage for medical, dental, and behavioral health services through competitive managed care delivery systems.
- Designed to increase access to health care and control the rate of annual increases in health care expenditures
- The state provides coverage to children and adults who are eligible under the Medicaid state plan as well as additional children and adults (including former adoption assistance children, certain parents, and certain individuals who receive home and community based (HCBS) services).
- All beneficiaries are eligible for state plan benefits (or, in the case of the Affordable Care Act childless adult group, approved benefits under the alternative benefit plan) as well as additional services based on medical necessity and clinical criteria (including HCBS), provided through an integrated managed care delivery system.
State Medicaid Website
State CHIP Program
Member Health Plans
Ohana Health Plan (Wellcare Health Plans, Inc.)
UnitedHealthcare Community Plan Hawaii