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  • Hi Dhs 1149 2008

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Nt condition that will not be treated without health insurance. Completing this form does not guarantee medical assistance eligibility. 1. Patient’s Legal Name (First, Middle, and Last Name) 2. Patient’s Social Security Number ____________________________________ 3. Patient’s Birth Date (Month, Day, and Year) ____________________________________ 4. Date Application Form DHS1100 or DHS 1108 Sent to Med-QUEST (Month, Day, and Year) ______________________________________ 5. This patient.

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Withholding Related content

DHS 1149 - Hawaii Medicaid
State of Hawaii. Med-QUEST Division. Department of Human Services. DHS 1149 (Rev. 09/13)...
Learn more
WHERE TO SEND FINANCIAL ASSISTANCE/FOOD STAMP ...
The quickest way to find the DHS application office nearest you is to: 1. Call 2-1-1...
Learn more

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Medicare is a federal program that provides health coverage if you are 65+ or under 65 and have a disability, no matter your income. Medicaid is a state and federal program that provides health coverage if you have a very low income.

Who is eligible for Medicaid in Hawaii? Hawaii's Medicaid/CHIP is called Med-QUEST (QUEST stands for Quality care, Universal access, Efficient utilization, Stabilizing costs, and Transforming the way health care is provided to recipients).

Hawaii has two medical assistance programs called Hawaii QUEST and Medicaid Fee-For-Service. Hawaii QUEST, commonly known as QUEST is a program that provides health coverage through health plans for eligible Hawaii residents. It provides medical and mental health services.

Hawaii Medicaid Fee-For-Service Program provides free or low cost health coverage to people age 65 and older or people with certain disabilities.

Med-QUEST Division was established in 1994 to administer the State's Medicaid program under title XIX of the Social Security Act.

In Hawaii, most of the Medicaid services are delivered through MCO. There are five (5) MCO health plans: AlohaCare, HMSA, Kaiser Permanente, 'Ohana Health Plan, and UnitedHealthcare Community Plan that provides medical and Long Term Services and Support (LTSS) benefits. .uhccommunityplan.com/hawaii-medicaid-plans.

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  • irreparable
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  • withholding
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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