Hawaii Medicaid Income Limits

Updated August 2026

Hawaii's income limits for children are among the highest in the country — covering children up to 308% FPL. This is a consequence of both Hawaii's high cost of living (HHS sets a separate, higher federal poverty guideline for Hawaii each year) and the state's historically progressive approach to health coverage, predating the ACA by decades through the 1974 Prepaid Health Care Act. The 2026 FPL for a single person in Hawaii is $18,360/year ($1,530/month) — higher than the $15,960 used in the 48 contiguous states.

308% FPL

Children (QUEST Integration)

138% FPL

Adults 19–64 (expansion)

191% FPL

Pregnant women

$18,360

2026 FPL, household of 1 (HI)

Med-QUEST income limits by coverage group (2026)

Coverage group	FPL %	Approx. monthly limit (household of 1)	Approx. monthly limit (household of 4)
Adults 19–64 (ACA expansion)	138% FPL	~$2,111/mo	~$4,364/mo
Children under 19 (QUEST Integration)	308% FPL	~$4,712/mo	~$9,741/mo
Pregnant women	191% FPL	~$2,922/mo	~$6,040/mo
Parents and caretaker relatives	105% FPL	~$1,607/mo	~$3,321/mo
Aged, Blind, and Disabled (ABD) — community	SSI-linked	~$1,530/mo	—

Adults 19–64 (ACA expansion)

FPL %: 138% FPL
Approx. monthly limit (household of 1): ~$2,111/mo
Approx. monthly limit (household of 4): ~$4,364/mo

Children under 19 (QUEST Integration)

FPL %: 308% FPL
Approx. monthly limit (household of 1): ~$4,712/mo
Approx. monthly limit (household of 4): ~$9,741/mo

Pregnant women

FPL %: 191% FPL
Approx. monthly limit (household of 1): ~$2,922/mo
Approx. monthly limit (household of 4): ~$6,040/mo

Parents and caretaker relatives

FPL %: 105% FPL
Approx. monthly limit (household of 1): ~$1,607/mo
Approx. monthly limit (household of 4): ~$3,321/mo

Aged, Blind, and Disabled (ABD) — community

FPL %: SSI-linked
Approx. monthly limit (household of 1): ~$1,530/mo
Approx. monthly limit (household of 4): —

No asset test for MAGI-based Med-QUEST coverage

MAGI-based Med-QUEST — covering adults under the expansion, children, and pregnant women — has no asset test. Savings, vehicles, and home equity are not counted. This is standard for all ACA expansion coverage.

Aged, Blind, and Disabled (ABD) Medicaid and long-term care programs operate under different financial rules, including resource limits and spousal impoverishment protections under federal law (42 U.S.C. § 1396r-5). The countable resource limit is $2,000 for a single applicant and $3,000 for a couple, for both regular ABD Medicaid and HCBS waiver programs. For 2026, the Community Spouse Resource Allowance (CSRA) maximum is $162,660 and the Monthly Maintenance Needs Allowance (MMNA) is $4,066.50.

Hawaii operates a Medicaid estate recovery program. The state may seek reimbursement from the estate of a member who received nursing facility or certain long-term care services at age 55 or older. Consult a Hawaii-licensed elder law attorney before making asset transfers if a family member may need long-term care Medicaid.

Hawaii has no separate CHIP program — children are integrated into Med-QUEST

Hawaii does not operate a separately branded CHIP program. Children up to 308% FPL are covered under QUEST Integration alongside adults and other eligibility groups. The same application, the same managed care plans, and the same benefits structure apply. There is no additional premium or cost-sharing tier for children between the Medicaid limit and 308% FPL — coverage is treated as Medicaid throughout. This integrated structure reflects Hawaii's long history of universal coverage policy dating to the 1974 Prepaid Health Care Act.

Med-QUEST (Hawaii Medicaid)

Visit the official Hawaii Medicaid website

Hawaii Medicaid Income Limits

Med-QUEST income limits by coverage group (2026)

No asset test for MAGI-based Med-QUEST coverage

Hawaii has no separate CHIP program — children are integrated into Med-QUEST

Med-QUEST (Hawaii Medicaid)

Related guides

Income Limits

Spend-Down

Eligibility Requirements