You can apply for Hawaii Medicaid online, by mail, or in person at your local Medicaid office. If you’re applying online, you’ll need to create an account and provide your personal information, contact details, and financial information. If you apply in person, you’ll need to bring proof of your identity and income. If you’re applying by mail, you’ll need to fill out a paper application and send it to your local Medicaid office.
Eligibility Requirements for Hawaii Medicaid
To be eligible for Hawaii Medicaid, you must meet the following requirements:
- Be a U.S. citizen or a qualified non-citizen.
- Be a Hawaii resident.
- Meet income and asset limits.
- Be in one of the following categories:
- Pregnant women
- Children under 19 years old
- Adults with disabilities
- People receiving Supplemental Security Income (SSI)
- People who are blind or have low vision
- People who need long-term care in a nursing home or other facility
Income and asset limits vary depending on the category you are applying for. For more information, please visit the Hawaii Medicaid website or contact the Hawaii Medicaid office.
| Category | Income Limit |
|---|---|
| Pregnant women | 138% of the federal poverty level |
| Children under 19 years old | 138% of the federal poverty level |
| Adults with disabilities | 100% of the federal poverty level |
| People receiving SSI | No income limit |
| People who are blind or have low vision | 100% of the federal poverty level |
| People who need long-term care in a nursing home or other facility | No income limit, but there is an asset limit |
Asset limits
The asset limit for Hawaii Medicaid is $2,000 for individuals and $3,000 for married couples. However, there are some assets that are not counted, such as your home, one car, and personal belongings.
How to apply
To apply for Hawaii Medicaid, you can:
- Apply online at the Hawaii Medicaid website.
- Download an application form and mail it to the Hawaii Medicaid office.
- Call the Hawaii Medicaid office to request an application form.
You will need to provide the following information on your application:
- Your name, address, and contact information
- Your Social Security number
- Your income and asset information
- Information about your household members
Once you have submitted your application, it will be reviewed by the Hawaii Medicaid office. You will be notified of the decision within 45 days.
Eligibility Criteria for Hawaii Medicaid
To be eligible for Hawaii Medicaid, you must meet the following criteria:
- Be a U.S. citizen or a qualified non-citizen.
- Be a resident of Hawaii.
- Meet the income and asset limits set by the Hawaii Medicaid program.
- Be pregnant, a child under 19 years old, a parent or caretaker of a child under 19 years old, elderly (aged 65 or older), or disabled.
Application Process for Hawaii Medicaid
- Gather the required documents. You will need to provide proof of identity, residency, income, and assets. You can find a complete list of required documents on the Hawaii Medicaid website.
- Apply online. You can apply for Hawaii Medicaid online through the Hawaii Medicaid website. You will need to create an account and provide your personal information, including your Social Security number and date of birth.
- Apply by mail. You can also apply for Hawaii Medicaid by mail. You can download the application form from the Hawaii Medicaid website or request a copy by calling the Hawaii Medicaid office. You will need to fill out the application form and mail it to the Hawaii Medicaid office along with the required documents.
- Apply in person. You can also apply for Hawaii Medicaid in person at a Hawaii Medicaid office. You will need to bring the required documents with you.
- Wait for a decision. Once you have applied for Hawaii Medicaid, you will need to wait for a decision. The Hawaii Medicaid office will review your application and determine if you are eligible for coverage. You will receive a decision letter in the mail within 45 days.
- Appeal a denial. If your application for Hawaii Medicaid is denied, you can appeal the decision. You will have 30 days to file an appeal. You can appeal by writing a letter to the Hawaii Medicaid office or by calling the Hawaii Medicaid office.
Contact Information for Hawaii Medicaid
If you have any questions about Hawaii Medicaid, you can contact the Hawaii Medicaid office by phone at 808-586-8999. You can also visit the Hawaii Medicaid website at www.medicaid.hawaii.gov.
| Household Size | Income Limit |
|---|---|
| 1 | $1,624 |
| 2 | $2,193 |
| 3 | $2,762 |
| 4 | $3,331 |
| 5 | $3,900 |
| 6 | $4,469 |
| 7 | $5,038 |
| 8 | $5,607 |
Required Documents for Hawaii Medicaid Application
To complete your Hawaii Medicaid application, you must provide certain documentation to verify your identity, income, and other eligibility factors. Here’s a list of commonly required documents:
- Proof of identity: Birth certificate or passport, driver’s license or state ID card, or Social Security card.
- Proof of citizenship or lawful residency: Photocopy of the front and back of your U.S. citizenship, U.S. permanent residency card, refugee admission document, or lawful residency document.
- Proof of income and resources: Pay stubs, bank statements, tax returns, Social Security income, or pension or retirement fund statements.
- Proof of assets: Titles to vehicles, deeds to real estate, or bank account, or investment account statements.
- Proof of disability (if applicable): Medical records, Social Security Disability Income (SSDI) or Supplemental Security Income (SSI) award letter, or a statement from a doctor verifying your disability.
- Proof of pregnancy (if applicable): Medical records or a statement from a doctor confirming your pregnancy.
- Proof of child support (if applicable): Copies of child support orders or payments, or a statement from the child support agency.
- Proof of dependents (if applicable): Birth certificates or adoption papers for children, court documents for guardianship or foster care, or statements from the person you support.
Additional Information:
- If you are applying for Medicaid for your child, you may also need to provide proof of your relationship to the child, such as a birth certificate or adoption papers.
- You may also need to provide additional documents if you are applying for specific Medicaid programs or services.
- Some documents may need to be translated into English if they are not in English.
Submitting Your Documents:
- You can submit your documents online, by mail, or in person at your local Medicaid office.
- Make sure your documents are complete and accurate before submitting them.
- If you have any questions about what documents to submit, contact your local Medicaid office for assistance.
Note:
- The specific documents required for your Medicaid application may vary depending on your individual situation.
- It’s important to gather all the necessary documents before applying to ensure a smooth and timely application process.
Appeals Process for Denied Hawaii Medicaid Applications
If your Hawaii Medicaid application is denied, you have the right to appeal the decision. The appeals process consists of several steps:
- Request a hearing: Within 30 days of receiving the denial notice, you must submit a request for a hearing to the Medicaid office. The request should include a copy of the denial notice, a statement explaining why you disagree with the decision, and any supporting documents.
- Prepare for the hearing: Gather evidence to support your case, such as medical records, income and asset statements, and proof of residency. You may also want to get help from an attorney or advocate.
- Attend the hearing: The hearing will be held before an administrative law judge. You will have the opportunity to present your case and evidence, and the Medicaid office will present its case. The judge will then make a decision on the appeal.
- File an appeal: If you disagree with the judge’s decision, you can file an appeal with the Hawaii State Department of Human Services. The appeal must be filed within 30 days of receiving the hearing decision.
During the appeals process, you may be able to get temporary Medicaid coverage. To apply for temporary coverage, you must submit a request to the Medicaid office. The request should include a copy of the denial notice, a statement explaining why you are appealing the decision, and any supporting documents.
| Step | Timeline |
|---|---|
| Request a hearing | Within 30 days of receiving the denial notice |
| Prepare for the hearing | Varies |
| Attend the hearing | Scheduled by the Medicaid office |
| File an appeal | Within 30 days of receiving the hearing decision |
Additional Resources:
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