---
title: "Hawaii Home Care Medicaid | Funding LTC Marketplace"
url: https://fundingltcmarketplace.com/states/hawaii/home-care-medicaid/
description: "QUEST Integration supplies home- and community-based LTSS through health plans when financial and clinical requirements are met."
last_updated: 2026-10-20
author: George A. Mellendorf, CLTC, LTCP (Central States Insurance Services, Inc.)
publisher: Funding LTC Marketplace
note: Educational content; not legal, tax or financial advice. Markdown copy of the HTML page at the URL above.
---
Hawaii · Home & Community Care

# Hawaii Home Care Medicaid

Last updated 2026-10-20

**Quick answer:** In Hawaii, Medicaid home- and community-based care is part of the QUEST Integration managed care program, not a separate waiver system. You must meet the financial rules and the institutional level of care, documented on DHS Form 1147.

Home- and community-based long-term services and supports are built directly into Hawaii's QUEST Integration program alongside institutional care, rather than sitting off to the side as a separate waiver system. Med-QUEST describes these community benefits as available whenever medical necessity and clinical criteria are met, all within the program's capitated managed-care structure.

To actually access these services, the Department of Human Services requires that someone meet both financial and clinical requirements. The clinical bar is the same institutional level-of-care standard used for facility placement, documented through DHS Form 1147 — but the setting where services are delivered can be the person's own home, another community setting, or a facility, depending on what's needed.

One nuance worth understanding: Hawaii's provider manual describes these home- and community-based services as delivered through QUEST Integration health plans, in a client's own home, another private residence, or a certified residential setting. That's a meaningfully different delivery structure than assuming every Hawaii community service runs through a traditional standalone 1915(c) elder waiver — it doesn't, at least not as the primary vehicle.

## Sources and official resources

- [Hawaii Med-QUEST: Apply for Medicaid](https://medquest.hawaii.gov/content/medquest/en/members-applicants/get-started/how-to-apply.html)
- [CMS: 2026 SSI and Spousal Impoverishment Standards](https://www.medicaid.gov/federal-policy-guidance/downloads/cib04272026.pdf)

Rules and figures change. Confirm current details with the agency before you act.

[← Back to the full Hawaii guide](https://fundingltcmarketplace.com/states/hawaii/)