Authorizations
How to Become a Medicaid Provider for Home Care
To bill Medicaid for home care you need a state license, a Type 2 NPI, state Medicaid enrollment and screening, waiver or managed care contracts, EVV and authorizations.
What are the Medicaid income and asset limits for home care in Hawaii?
Last verified October 17, 2026 · All Hawaii resources
In Hawaii, the income limit is $1,530/month and the asset limit is $2,000 single. Hawaii's aged, blind and disabled Medicaid has an income standard of $1,530 a month for one person in 2026 (100% of Hawaii's federal poverty level). People with higher income can still qualify through the medically needy spenddown program, using medical and care costs to bring income down to the medically needy income level of $469 a month. The asset limit is $2,000 for one person or $3,000 for a couple. Long-term care, including home and community-based services, is delivered through QUEST Integration health plans.
| Program | Med-QUEST long-term services and supports through QUEST Integration managed care plans (home and community-based services and nursing facility care) |
|---|---|
| Income limit (single applicant) | $1,530/month for a single applicant (100% FPL, aged, blind or disabled); people with higher income can qualify through medically needy spenddown |
| How income is counted | medically needy spend-down |
| Medically needy spend-down | Yes |
| Asset limit (single) | $2,000 single |
| Asset limit (couple, both applying) | $3,000 couple |
| Look-back period | 60 months |
What if a married applicant's spouse stays at home?
Federal spousal impoverishment rules protect part of the couple's income and assets for the spouse who stays home. For 2026 the community spouse can keep between $32,532 and $162,660 in assets, depending on the state.
Which programs pay for care at home?
Once someone is financially eligible, home care is usually paid through a waiver or state plan program. See the Hawaii Medicaid waivers that pay for home care.
How to apply in Hawaii (Hawaii Department of Human Services, Med-QUEST Division)
What should you confirm with the state?
Ask Med-QUEST how spenddown and cost-sharing would apply to long-term care in your situation, since Hawaii does not post a separate long-term care income limit.
More for Hawaii
Medicaid eligibility by state: other states
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