Hawaii Medicaid Dental Coverage

Hawaii Med-QUEST includes dental benefits for adult members as part of the QUEST Integration managed care package. This is a stronger dental benefit than many Medicaid programs offer — Hawaii is among the states that provide preventive and restorative dental care to adult Medicaid enrollees, not just emergency treatment.

Covered adult dental services typically include oral exams, cleanings, X-rays, fillings, and extractions. More complex procedures such as crowns and dentures may be covered with prior authorization depending on medical necessity. Services covered under each plan are listed in the plan's member handbook. Cosmetic procedures are not covered.

Hawaii QUEST Integration dental benefits are administered through the managed care plans — not through a separate dental administrator. If you need to find a dentist who accepts your plan, use the provider directory on your plan's website or call member services.

Each QUEST Integration plan maintains its own dental provider network. Use your plan's online provider directory or call member services to find participating dentists on your island.

AlohaCare serves Medicaid members primarily on Oahu and Neighbor Islands. HMSA (Hawaii Medical Service Association) serves Med-QUEST members statewide. Kaiser Permanente Hawaii operates integrated care facilities primarily on Oahu, where dental services may be accessed at Kaiser facilities. 'Ohana Health Plan and UnitedHealthcare Community Plan are two separate QUEST Integration plans that both serve Med-QUEST members statewide.

Hawaii FQHCs and community health centers also provide dental services to Med-QUEST members.