STATE PROFILE • Last updated: November 11, 2026
Hawaii Elder Care & Medicaid
Hawaii's Med-QUEST program provides comprehensive long-term care services for seniors through a managed care system, offering robust home and community-based support despite high care costs.
leaderboard
RANKED #3
GRADE A
FEATURED
Medicaid Coverage Guide for Hawaii
Full breakdown of QUEST Integration for seniors: waiver programs, nursing home eligibility, income and asset limits, spend-down rules, and how to apply.
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Program
QUEST Integration
Income cap
No cap
Medically-needy
Yes
Elder Care Index Report Card
5-pillar composite scoring vs other states
A
Grade
AFFORDABILITY
GRADE C · 66
QUALITY
GRADE A · 91
STAFFING
GRADE A · 99
ACCESS
GRADE F · 2
MEDICAID SUPPORT
GRADE C · 25
CMS rates this state's 2023 home-care spending data as unreliable, so that input is scored at the national average.
Composite score: 76.7 / 100 (50 = average state)
Methodology arrow_forward
Hawaii At a Glance
Nursing Home Facilities
42
Senior Medicaid Waivers
1
National Rank
#3 / 51
Range #2–#10 when the pillar weights shift
Senior Care Costs in Hawaii
local_hospital
Nursing Home
$15,540/mo
+40.8% vs national avg
- 42 nursing homes · 4,248 beds
- Avg CMS rating 3.56★ (15 rated 5★, 2 rated 1★)
- 4.71 nurse hrs/resident/day (1.63 RN)
Source: CMS Nursing Home Compare
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home_health
Home Health Aide
$35/hr
+29.6% vs national avg
- Median aide wage $17.77/hr
- ~6,260 aides employed statewide
Source: BLS OEWS
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