Med-QUEST is Hawaii’s Medicaid program. The number of enrollees in Hawaii Medicaid and CHIP, the children’s financial assistance program, totals more than 351,000 people.
This is a government-funded health care program, which means any behavioral health services covered by Medicaid will be evidence-based, proven treatments.
Most experimental or holistic substance abuse and mental health treatments will not be covered by Medicaid.
Addiction Treatment Services Covered By Medicaid In Hawaii
Below you’ll find a list of drug abuse treatments that are covered by Med-QUEST. Keep in mind that Med-QUEST is made up of five health plans, which vary in covered services.
Currently, general drug and alcohol addiction services covered by Med-QUEST include:
- prescription drugs, including methadone, Suboxone, buprenorphine/naloxone tablets, and buprenorphine tablets
- hospital inpatient drug rehab
- outpatient programs (OP)
- intensive outpatient treatment (IOP)
- day hospital/partial hospitalization programs (PHP)
- medication management
- medication-assisted treatment (MAT)
- behavioral therapy
- mental health services
- residential treatment facilities
Top 3 Rehab Centers In Hawaii That Accept Medicaid
We’ve chosen three Hawaii drug rehab centers that take Medicaid based on top qualifications to ensure you or your loved one gets the best care possible.
- Google ratings
- client reviews
- other important selection criteria
1. CARE Hawaii, Pearl City Office, Pearl City, Hawaii
Substance abuse rehab services here are covered by Medicaid. Available services include drug and alcohol treatment programs and IOP services.
Qualities of this rehab center include:
- evidence-based treatments
- accredited staff
Location and contact information:
803 Kamehameha HWY
Pearl City, HI 96782
2. DSM Therapeutic and Wellness Center, Kapolei, Hawaii
Medicaid, Medicare, and private health insurance cover addiction treatment here. Telehealth appointments are also available for those who cannot receive in-person treatment.
This drug addiction program is supported by Psychology Today verification.
Location and contact information:
Kapolei, HI 96707
3. Queens Medical Center Behavioral Health Center, Honolulu, Hawaii
This is a nonprofit hospital offering a range of services, including treatment for substance use disorders.
Trusted features of this drug rehab center include:
- positive Google ratings and reviews
- awards and recognitions for various medical services
- evidence-based treatment
The hospital offers several services, including outpatient treatment programs and family therapy.
Location and contact information:
1301 Punchbowl St.
Honolulu, HI 96813
What Might Affect Rehab Coverage With Hawaii Medicaid?
The state of Hawaii provides nearly full-cost coverage for Medicaid beneficiaries. However, some factors could affect Medicaid coverage for drug rehab.
Copayments, Coinsurance, And Premiums
While there are no copays or coinsurance costs for some Hawaii Medicaid health plans, certain members will need to cover cost-sharing fees.
If certain financial eligibility conditions are not met, you’ll need to share the cost of insurance. Monthly cost-sharing fees may be necessary for some members.
Waitlists For Hawaii Medicaid Rehabs
There are only select options for drug treatment programs that allow Medicaid coverage.
This is because many treatment centers offer services that Medicaid does not reimburse, so accepting Medicaid is not an option.
Because fewer rehab facilities take Medicaid in Hawaii, there are usually extended waiting periods.
If you need treatment right away, it may be difficult to use Medicaid to cover expenses because of long waitlists.
What Are The Qualifications For Eligibility For Hawaii Medicaid Drug Rehab?
Citizens of the Compact of Free Association nations (COFA) — the Federated States of Micronesia, the Republic of Marshall Islands, and the Republic of Palau — may apply.
The following groups may be eligible for Medicaid:
- pregnant women
- parents and caretaker relatives
- low-income adults
- people aged 65 and older
- the blind and disabled
Hawaii Medicaid Income Eligibility Requirements
Income limits are different for each eligible group, as well as Medicaid fee-for-service (FFS) versus Med-QUEST.
Below are the general income limits for the Med-QUEST program:
- one-person household: $14,820
- two-person household: $20,040
- three-person household: $25,260
- four-person household: $30,480
- five-person household: $35,700
- six-person household: $40,920
- seven-person household: $46,140
- eight-person household: $51,360
How To Use Your Hawaii Medicaid Plan For Drug Rehab
If you’re receiving medical care outside of a QUEST integrated plan, this is known as a fee-for-service plan.
To get addiction treatment with this plan, simply bring your Medicaid ID card and begin treatment. Under this plan, you may need to pay a fee for some treatment programs.
If you’re using a health plan, Medicaid is provided at no cost to you. There are five health plans available for Medicaid beneficiaries.
- Aloha Care
- Kaiser Permanente
- ‘Ohana Health Plan
- UnitedHealthcare Community Plan
Hawaii Medicaid Insurance Coverage For Drug And Alcohol Rehab FAQs
To help you in your search for a Medicaid rehab center for yourself or someone you love, we’ve answered some of the top questions about Hawaii Medicaid rehab programs.
Do All Rehab Centers In Hawaii Accept Medicaid?
Hawaii is home to a variety of addiction treatment approaches and programs, but they’re not all covered by Medicaid.
What Are Some Of The Different Types Of Treatment Available For Medicaid Clients?
Medicaid doesn’t cover all treatment options for addiction, but it does provide coverage for most of the necessary treatments.
For those who want 24-hour care, options include inpatient rehab, residential treatment, and detox.
Part-time treatment options covered by Hawaii Medicaid include outpatient programs, intensive outpatient programs, and partial hospitalization.
What If I Need To Stay In Rehab Longer Than Hawaii Medicaid Covers?
Hawaii Medicaid may only cover short-term treatment, depending on the circumstances of the individual and the treatment program.
If you or your loved one need to remain in treatment past Medicaid’s length of coverage, there are several options for financing.
Options include state and federal grants for substance abuse treatment, scholarships extended by the rehab facility, vouchers, and sliding fee payment scales.
Find Hawaii Medicaid Rehab Programs
To learn more about your options in addiction treatment covered by Medicaid, call us and talk with a trusted resource specialist.
Reach out to our helpline today to find a program that is right for you.Article Sources
- American Society of Addiction Medicine—Medicaid Coverage of Medications for the Treatment of Opioid Use Disorder
- Benefits.gov—Hawaii Quest
- Hawaii.gov—MEDICAID FAQS
- Hawaii State Department of Health—ABOUT THE ALCOHOL AND DRUG ABUSE DIVISION
- Hawaii Medicaid—Congress has restored Medicaid eligibility for citizens from one of the Compact of Free Association (COFA) Nations residing in the United States.