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Abstract. To date, Hawaii is the only state to have implemented near-universal health insurance. The cornerstone of this program is the country's only requirement that employers provide health insurance for all employees who work at least 20 hours per week.
Simply stated, once their income, after deductions for care, is at or below $469 per month, they are eligible for Medicaid the remainder of the medically needy period. Married applicants, with both spouses applying for benefits, must spend their income down on care/medical expenses to $632 per month.
Abstract. To date, Hawaii is the only state to have implemented near-universal health insurance. The cornerstone of this program is the country's only requirement that employers provide health insurance for all employees who work at least 20 hours per week.
The Hawaii QUEST Program (QUEST) is a Medicaid managed care program where the State pays health plans to provide coverage of medical and mental health services.
Med-QUEST Division (MQD): Health Insurance & Long-Term Care for Low-Income Adults and Families. The State of Hawaii Med-QUEST Division (MQD) provides eligible low-income adults and children access to health and medical coverage through managed care plans.
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Financial Eligibility MAGI is the basis for determining Medicaid income eligibility for most children, pregnant women, parents, and adults. The MAGI-based methodology considers taxable income and tax filing relationships to determine financial eligibility for Medicaid.
As a general guideline, in Hawai'i to qualify fo Medicaid if there are four people in your family your income cannot be higher than $3,208 per month. That amount changes based on the number of people in your family.
QUEST is administered by the Department of Human Services, Med-QUEST Division and is financed through the State of Hawaii and the Federal Centers for Medicare and Medicaid Services.
Med-QUEST Division was established in 1994 to administer the State's Medicaid program under title XIX of the Social Security Act. Throughout the years, the Medicaid program has changed from only Fee-For-Services (FFS) to a combination of Managed Care and FFS delivery system.
In Hawaii, most of the Medicaid services are delivered through MCO. There are five (5) MCO health plans: AlohaCare, HMSA, Kaiser Permanente, 'Ohana Health Plan, and UnitedHealthcare Community Plan that provides medical and Long Term Services and Support (LTSS) benefits.

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