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Medicaid Planning · Hawaii

Hawaii Long-term-care Medicaid eligibility

Long-term-care Medicaid eligibility rules for Hawaii.

Published: Not yet published. Last checked: September 5, 2026.

Income limits

Optional categorically needy aged or disabled income standard

$1,530 per month (100% of the federal poverty level)

Applies to the applicant under the aged, blind, or disabled pathway for eligibility pathway that may precede long-term-care post-eligibility treatment. This is a cap. Details: one-person household.

Source: Hawaii 2026 MAGI and MAGI-excepted income standards chart [state-medicaid-agency] — Effective January 13, 2026 Additional authority: Hawaii Administrative Rules chapter 17-1719 [state-medicaid-agency] — Amended November 10, 2016

Medically needy income level

$469 per month before incurred-medical-expense spenddown

Applies to the applicant under the medically needy pathway for long-term-care applicants using incurred-medical-expense spenddown. This is a cap. Details: one-person household.

Source: Hawaii 2026 MAGI and MAGI-excepted income standards chart [state-medicaid-agency] — Effective January 13, 2026 Additional authority: Hawaii Administrative Rules chapter 17-1719 [state-medicaid-agency] — Amended November 10, 2016

Asset limits

Applicant resource limit

$2,000

Applies to the applicant under the aged, blind, or disabled pathway for MAGI-excepted Medicaid, including applicable long-term-care pathways. This is a cap. Details: single applicant.

Source: Hawaii 2026 MAGI and MAGI-excepted income standards chart [state-medicaid-agency] — Effective January 13, 2026 Additional authority: Hawaii Administrative Rules chapter 17-1725.1 [state-medicaid-agency] — Effective September 30, 2013

Community spouse resource allowance (CSRA)

Maximum community-spouse resource allowance

$162,660

Applies to the community spouse under the spousal impoverishment pathway for long-term-care services. This is a maximum. Details: institutionalized applicant with a community spouse.

Source: Hawaii Administrative Rules chapter 17-1725.1 [state-medicaid-agency] — Effective September 30, 2013 Additional authority: CMS 2026 SSI and January spousal-impoverishment standards [cms] — SSI, resource, and home-equity standards effective January 1, 2026

Monthly maintenance needs allowance (MMMNA)

Maximum monthly maintenance-needs allowance

$4,066.50 per month

Applies to the community spouse under the spousal impoverishment pathway for long-term-care services. This is a maximum. Details: institutionalized applicant with a community spouse.

Source: Hawaii Medicaid State Plan Attachment 2.6-A [state-plan] — TN 98-003 effective October 1, 1998; approved December 11, 1998 Additional authority: CMS 2026 minimum maintenance-needs standards [cms] — Minimum maintenance-needs amounts effective July 1, 2026

Home-equity limits

Current home-equity limit

Source unavailable. Check with the state Medicaid agency.

Applies to the applicant under the institutional long-term care pathway for long-term-care services. This is a cap. Details: applicant subject to Hawaii's state-selected federal endpoint.

State Medicaid agency

Sources

Methodology & sources

Checked at least annually and whenever the state or CMS publishes new long-term-care eligibility figures.

General information, not legal advice.