Hawaii serves most children through a managed care demonstration waiver program, but does have one 1915(c) HCBS waiver. The HCBS waiver waives parental income. Hawaii provides home and community based services to most children who require at least an institutional level of care through their Medicaid demonstration program. For an overview of Hawaii Medicaid, see Quest Hawaii.

Hawaii Advocacy Organizations:

Last updated 11/26/24

Programs in Hawaii

  • Target Population: Children and adults with all disabilities, though those with developmental disabilities receive their additional services through a separate DD waiver.
  • Ages: all ages
  • Levels of Care: Intermediate Care Facility, Nursing Facility, Hospital
  • Income Waiver: partial; the longterm care program does not count parent income after the first month of care.
  • Waiver Type: 1115
  • Spots: NA
  • Expiration Date: 3/31/2025
  • Description from medicaid.gov: Hawaii’s QUEST Integration program is a statewide section 1115 demonstration. The demonstration enables the state to operate QUEST, which provides Medicaid coverage for medical, dental, and behavioral health services through competitive managed care delivery systems. The QUEST program was designed to increase access to health care and control the rate of annual increases in health care expenditures. The demonstration also allowed the State to expand coverage beyond its Medicaid State plan. Through the demonstration, the state provides coverage to children and adults who are eligible under the Medicaid state plan as well as additional children and adults (including former adoption assistance children, certain parents, and certain individuals who receive home and community based (HCBS) services). All beneficiaries are eligible for state plan benefits (or, in the case of the Affordable Care Act childless adult group, approved benefits under the alternative benefit plan) as well as additional services based on medical necessity and clinical criteria (including HCBS), provided through an integrated managed care delivery system.
  • Online State Information: Quest Integration Program
  • Official Federal Information
  • How to Apply: Call the helpline at 800-316-8005 or 211.
  • Waiting List: none
  • Target Population: Children and adults with developmental or intellectual disabilities.
  • Ages: all ages
  • Levels of Care: Intermediate Care Facility
  • Income Waiver: Yes, the waiver is based on the child’s income only. Parent income is not counted.
  • Waiver Type: 1915(c)
  • Spots: 3136
  • Expiration Date: 6/30/2026
  • Description from medicaid.gov: Provides adult day health (ADH), discovery & career planning (DCP), individual employment supports (IES), personal assistance/habilitation (PAB), residential habilitation (ResHab), respite, additional residential supports (ARS), assistive technology (AT), chore, community learning services (CLS), community navigator (CN), environmental accessibility adaptations (EAA), non-medical transportation (NMT), personal emergency response system (PERS), private duty nursing (PDN), specialized medical equipment and supplies (SMES), training and consultation, vehicle modifications (VM), and waiver emergency services for individuals with intellectual disabilities and developmental disabilities ages 0 – no max age.
  • Online State Information: Developmental Disabilities Division Waiver Services and this specific information.
  • Official Federal Information
  • How to Apply: Contact the Developmental Disabilities Division or see this How to Apply page.
  • Waiting List: none

Additional Information

  • No information for this state at this time, though we have been informed programs exist. Waiver language for the HCBS waiver states parents of minors cannot be paid.