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How to use or fill out Hawaii Medicaid Request with DocHub
- Click ‘Get Form’ to open the Hawaii Medicaid Request in our editor.
- Begin with Section I. Enter your National Provider Identifier (NPI) number if applicable, followed by your name and registered business name. Ensure all fields are filled accurately.
- In Section II, provide your service address and correspondence details. Make sure to include a valid email address for communication.
- Proceed to Section III for licensing information. Attach any required documents such as licenses or certifications as specified.
- Complete the additional information sections, ensuring that all signatures are original where required. Review the entire form for completeness before submission.
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Got questions?
We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.
Contact us
How do I contact Hawaii Medicaid?
Call 1-800-316-8005 to tell us which language you speak. (TTY: 711).
How do I email the Hawaii Department of health?
Questions? Please call SHPDA at (808) 587-0788 or email SHPDA at SHPDA@doh.hawaii.gov.
What is the income limit for Medicaid in Hawaii 2025?
You may be eligible for QUEST (Medicaid) if: Youre 19 or older with a total household income at or below 138% of the federal poverty level (for example, $24,826 for a single person or $51,032 for a family of 4 in 2025)
How do I email Hawaii Medicaid provider enrollment?
Our telephone number is: (833) 909-3630. You can also email your questions to: HCSBInquiries@dhs.hawaii.gov.
How do I contact Medicare in Hawaii?
1-800-MEDICARE (1-800-633-4227) Get this form in Spanish.
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People also ask
Who is eligible for Medicaid in Hawaii?
Apply for Medicaid in Hawaii Eligibility: Children with family income levels up to 308% of FPL. Pregnant women with family income up to 191% of FPL. Adults with family income up to 138% of FPL.
What does documentation require for Medicaid in Hawaii?
We need a social security number and citizenship information for each person who wants medical assistance. We do not need a social security number and citizenship information if a person does not want medical assistance (non-applicant).
What is the highest income that qualifies for Medicaid?
For most states, the Medicaid income limit is $2,901 per month for a single applicant and $5,802 per month for married applicants, typically set at 300% of the Federal Benefit Rate (FBR).