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.
View Medicaid Guide arrow_forward
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 At a Glance
Nursing Home Facilities
42
Senior Medicaid Waivers
1
National Rank
#43 / 51
Senior Care Costs in Hawaii
holiday_village
Assisted Living
$5,375/mo
+17.1% vs national avg
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
psychology
Memory Care
$6,719/mo
+17.1% vs national avg
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