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.
Which Medicaid managed care plans do home care agencies contract with in Hawaii?
Last verified October 17, 2026 · All Hawaii resources
Hawaii delivers long-term services and supports through 5 managed care plans in QUEST Integration. Hawaii delivers most Medicaid services, including long-term services and supports, through QUEST Integration health plans. Med-QUEST lists five plans: AlohaCare, HMSA, Kaiser Permanente, 'Ohana Health Plan and UnitedHealthcare Community Plan. Home care agencies contract with the plans whose members they serve. Developmental disabilities waiver services are run separately by the Department of Health.
Which plans are there?
Not every plan operates on every island; check plan availability by island.
For the programs that pay for home care, see Hawaii Medicaid waivers.
Sources
More for Hawaii
Medicaid managed care by state: other states
Related guides
Authorizations
How Do You Keep Caregiver Hours Inside a Medicaid Authorization?
Track units remaining, the end date and the service code for every client, and check them before each schedule change. Hours over the cap are unbillable.
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