Understanding QUEST Integration: Hawaii's Medicaid Program for Seniors
March 7, 2026
Paying for senior care is a significant concern for most families. In Hawaii, the QUEST Integration program is the state's unified Medicaid managed care program and can be a vital resource for seniors who qualify. Understanding how it works — and how to apply — can make a meaningful difference in your family's options.
What Is QUEST Integration?
QUEST Integration (QI) is Hawaii's Medicaid managed care program, administered by the Hawaii Department of Human Services (DHS). It provides health coverage to eligible low-income individuals, including seniors and people with disabilities. Unlike traditional fee-for-service Medicaid, QI delivers services through contracted managed care plans, which coordinate medical and long-term services and supports (LTSS).
What Does QUEST Integration Cover for Seniors?
- Medical and hospital services
- Prescription medications
- Home and community-based services (HCBS), including home health aides
- Adult day health services
- Some residential care placements, including Adult Residential Care Homes
- Behavioral health services
- Nursing facility care for those requiring a higher level of care
Am I Eligible?
Eligibility is based on income, assets, and functional need. For seniors aged 65 and older, the financial thresholds for Medicaid in Hawaii follow federal guidelines, adjusted periodically. To check eligibility, contact the Hawaii Department of Human Services Med-QUEST Division at (808) 524-3370 or visit their office on your island.
The Application Process
Applying can be done online through Hawaii's benefits portal (pais.dhs.hawaii.gov), by calling the Med-QUEST Division, or by working with a social worker at a hospital or clinic. Gather documentation including proof of identity, residency, income, assets, and medical needs before starting the application.
Getting Help
The SHIP (State Health Insurance Assistance Program) Hawaii program, run through the Executive Office on Aging, provides free one-on-one counseling to Medicare and Medicaid beneficiaries. Call (808) 586-0100 to connect with a counselor. Many hospital social workers and elder law attorneys can also assist with the application process.
Understanding your coverage options early — before a care crisis — gives you far more choices and time to make the best decision for your family.