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State of hi med quest application 2026

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  1. Click ‘Get Form’ to open the state of hi med quest application in the editor.
  2. Begin by entering the patient’s name in the designated field. Ensure you print or type clearly for legibility.
  3. Fill in the birthdate using the format Month/Day/Year, and select the appropriate sex option.
  4. Indicate Medicare eligibility by checking 'Yes' or 'No' for Parts A and B, and provide the ID number if applicable.
  5. Complete the present address section, selecting from options like Home, Hospital, or Care Home as appropriate.
  6. Provide details about the attending physician or primary care provider, including their contact information.
  7. In the referral information section, ensure all required fields are filled out accurately to avoid delays.
  8. Review all sections for completeness before submitting. Use our platform's features to save your progress as needed.

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We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

Where can I go if I have more questions? Call DHS Med-QUEST Division at 1-800-316-8005, TTY/TDD 711. Visit Medical.myBenefits.hawaii.gov. Meet with a Medicaid Community Partner. Find a list here. pdf opens in a new tab.
QUEST (Medicaid) 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)
You may be eligible for QUEST if: You are a Hawaii resident; You are a US citizen or qualified immigrant; You provide or apply for a Social Security Number You do not live in a public institution; You are under age 65; You are not blind or permanently disabled; You are not eligible for employer sponsored
Hawaii Med-QUEST, also known federally as Medicaid, is a government health insurance program that helps certain people get health care services at a lower cost. This includes people who are older, blind, or living with a disability.
Apply for Medicaid Call Med-QUEST Customer Service: 1-800-316-8005 toll-free TTY users, call 1-855-889-4325 toll-free or 711. Fillable PDF Application. Fill out the application as completely as possible. Print the completed application then mail or fax to the Med-QUEST Division Eligibility Office nearest you.

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