---
title: "Hawaii Medicaid Long-Term Care | Funding LTC Marketplace"
url: https://fundingltcmarketplace.com/states/hawaii/medicaid-long-term-care/
description: "How Med-QUEST and its QUEST Integration managed-care demonstration deliver institutional and home-based long-term services."
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 · Medicaid Program

# Hawaii Medicaid Long-Term Care

Last updated 2026-10-20

**Quick answer:** In Hawaii, Medicaid long-term care runs through the Med-QUEST Division's QUEST Integration managed care program. It covers nursing facility care and home- and community-based services when medical necessity and clinical criteria are met, and CMS lists it as approved through December 31, 2029.

In Hawaii, Medicaid long-term care flows through the Department of Human Services' Med-QUEST Division, which operates the state's comprehensive managed-care demonstration under the name QUEST Integration. This program combined two earlier initiatives, QUEST and QUEST Expanded Access, into a single structure starting in January 2015.

QUEST Integration is built around capitated managed care, meaning health plans are paid a set amount to coordinate a member's care rather than the state paying for each service individually. The program's scope stretches across standard Medicaid State Plan benefits, institutional long-term services and supports, and home- and community-based long-term services and supports — all delivered according to medical necessity and clinical criteria rather than as an automatic entitlement.

For families trying to confirm how current this arrangement still is, CMS maintains a federal demonstration record showing Hawaii's QUEST Integration approved through December 31, 2029. That federal listing is a good way to check the program's ongoing status, though it won't resolve an individual eligibility question — that still requires a specific determination through Med-QUEST.

## 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/)