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  • Hi Dhs 1123 2006

Get Hi Dhs 1123 2006-2025

____________________________________________________________________ (2) _______________________________________ PRINT Name: Last, First, Middle Initial (Applicant/Recipient/Legal Representative) PRINT: Legal Representative's Authority (3) I authorize the MQD to provide the following information: † † † † † Eligibility Enrollment Other (Please check boxes below): † † Insurance Information Medical Claims Information Payment History Prior Authorization ______________________________.

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The QUEST program is designed to provide Quality care, Universal access, Efficient utilization, Stabilizing costs, and to Transform the way health care is provided to recipients. Applications for Health Care Coverage are accepted: On-line at .mybenefits.hawaii.gov. Over the phone at 1-877-628-5076.

It should be noted that Hawaii has higher Federal Poverty Level limits than do the other states, with the exception of Alaska. In dollar terms, for March 2022-February 2023, an applicant cannot have more than $1,303 per month ($15,636 per year) in income.

Medicaid is a federal and state partnership to provide health coverage to very low-income children and adults. In Hawai'i, it is administered by the Department of Human Services, Med-QUEST Division and is jointly financed by the State of Hawaii and the Federal Centers for Medicare and Medicaid Services.

Eligibility levels for parents are presented as a percentage of the 2023 FPL for a family of three, which is $24,860. Eligibility limits for single adults without dependent children are presented as a percentage of the 2023 FPL for an individual, which is $14,580.

In 2023, the Medically Needy Income Limit (MNIL) in HI is $469 / month for an individual and $632 / month for a couple.

In approximately half of the states, ABD Medicaid's income limit is $914 / month for a single applicant and $1,371 for a couple. In the remaining states, the income limit is generally $1,215 / month for a single applicant and $1,643 / month for a couple.

A non-applicant spouse who already has a monthly income of $3,715.50 or more is not entitled to a MMMNA / Spousal Income Allowance. In 2023, the asset limit is $2,000 for a single applicant. For married couples, with both spouses as applicants, the asset limit is $3,000.

What are the Hawaii QUEST asset limits? $2,000 for a household of one; $3,000 for a household of two; $250 for each additional person.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232