Hawaii Medicaid Program Overview
Enrollment, funding, and managed care facts for Hawaii Medicaid.
Get Hawaii's Medicaid Fee Schedule →Enrollment
Hawaii Medicaid covered approximately 0.39-0.43M people. Two independent sources give different-period figures for total Hawaii Medicaid/CHIP enrollment: KFF's state indicator (392,022, May 2026) and CMS's 2024 Medicaid Managed Care Enrollment and Program Characteristics report (432,222 total Medicaid enrollees, July 1, 2024). Consistent with continued post-pandemic 'unwinding' enrollment decline between mid-2024 and mid-2026, not a data error. Reported as a range rather than a single false-precision number.
Funding & federal match
Hawaii has adopted ACA Medicaid expansion, effective 2014-01-01.
For FFY2026 (Oct 1, 2025 - Sep 30, 2026), Hawaii's Federal Medical Assistance Percentage (FMAP) is 59.68%.
Delivery system & managed care
A large share of Hawaii Medicaid is delivered through managed care organizations (MCOs) rather than fee-for-service — estimates range from 100% of Medicaid enrollees.
Waivers
Hawaii operates Medicaid managed care under the Hawaii QUEST Integration, a Section 1115 demonstration waiver. Comprehensive Section 1115 demonstration that operates nearly all of Hawaii's Medicaid program (including dual eligibles) through an integrated managed care delivery system. Originally approved July 16, 1993, effective August 1, 1994 (as QUEST, later QUEST Integration); most recently extended through December 31, 2029, with recent amendments covering continuous eligibility and health-related social needs payments.
Has Hawaii expanded Medicaid under the ACA?
Yes. Hawaii has adopted ACA Medicaid expansion. Effective 2014-01-01.
How many people are enrolled in Hawaii Medicaid?
Approximately 0.39-0.43M people.
What percentage of the federal Medicaid match does Hawaii receive?
59.68% for FFY2026 (Oct 1, 2025 - Sep 30, 2026) — meaning the federal government pays roughly 60 cents of every Hawaii Medicaid dollar, and the state pays the rest.
Is most of Hawaii Medicaid delivered through managed care?
Estimates range from 100% of Medicaid enrollees in managed care.
What Medicaid waivers does Hawaii operate under?
Hawaii QUEST Integration, a Section 1115 demonstration waiver. Comprehensive Section 1115 demonstration that operates nearly all of Hawaii's Medicaid program (including dual eligibles) through an integrated managed care delivery system. Originally approved July 16, 1993, effective August 1, 1994 (as QUEST, later QUEST Integration); most recently extended through December 31, 2029, with recent amendments covering continuous eligibility and health-related social needs payments.
Get Hawaii's Free Medicaid Fee Schedule
Request actual Hawaii Medicaid reimbursement rates by billing code — free, delivered as a CSV.
Sources
- KFF State Health Facts - Total Monthly Medicaid & CHIP Enrollment
- CMS - Medicaid Managed Care Enrollment and Program Characteristics, 2024
- Federal Register / GPO - Federal Financial Participation in State Assistance Expenditures, FFY2026 FMAP Notice (2024-27910)
- KFF State Health Facts - Federal Matching Rate (FMAP) for Medicaid
- KFF - Status of State Action on the Medicaid Expansion Decision
- healthinsurance.org - Medicaid eligibility and enrollment in Hawaii
- MACPAC - MACStats Medicaid and CHIP Data Book, Exhibit 29 (Percentage of Medicaid Enrollees in Managed Care by State, July 1, 2022)
- Medicaid.gov - Hawaii QUEST Integration, Section 1115 Demonstration and Waiver List
- Hawaii Med-QUEST Division - State Plan and 1115 Demonstration
Data last verified 2026-09-17. Also see our free Medicaid Fee Schedule tool.