State Profiles

Hawaii

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