Elder Care Index Browse All States
STATE PROFILE • Last updated: April 23, 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 #43
GRADE D
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
$1,530/mo
Medically-needy
Yes

Elder Care Index Report Card

5-pillar composite scoring vs other states

D Grade
AFFORDABILITY MODERATE
QUALITY MODERATE
STAFFING MODERATE
ACCESS CRITICAL
MEDICAID SUPPORT STRONG

Composite score: 47.2 / 100

Methodology arrow_forward
Hawaii state capitol

Hawaii At a Glance

Nursing Home Facilities
42
Senior Medicaid Waivers
1
National Rank
#43 / 51

Senior Care Costs in Hawaii

TOPICAL GUIDES — HOW MEDICAID WORKS

EXPLORE HAWAII