State Of Hawaii Med QUEST

What State Of Hawaii Med QUEST does

State of Hawaii Med-QUEST Division is a state government agency that administers Hawaii's Medicaid program under federal Section 1115 Demonstration Waiver authority. Operated as a division of the Hawaii State Department of Human Services, Med-QUEST provides health insurance coverage to eligible Hawaii residents including low-income adults and families, children aged 18 and younger, pregnant women, individuals who are blind or disabled, people aged 65 and older requiring Medicare coordination or long-term care, and other categorically eligible groups. Coverage is provided at no or minimal cost to beneficiaries, with eligibility determined by household income, size, age, disability status, and pregnancy status.

Name

State Of Hawaii Med QUEST

Legal name

State of Hawai'i Department of Human Services - Med-QUEST Division

Website

https://mybenefits.hawaii.gov

Company type

Private

Operating status

Operating

Headcount range

1–10 employees

Short description

State of Hawaii Med-QUEST Division is a government Medicaid program administered by the Hawaii Department of Human Services that provides subsidized health coverage to eligible low-income Hawaii residents across all state counties.

Ownership category

akta.pro rank

Product category

Government Health Insurance

NAICS

Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds (524292), Health and Welfare Funds (52512)

SIC

Hospital & Medical Service Plans (6324)

akta.pro primary industry

Integrated Physical-Behavioral-Social Care (Whole-Person) Medicaid Plans (HLAEAEAI)

akta.pro secondary industries

Social Care & Long-Term Care Benefits Administration (BPAIAKAK), Aged, Blind & Disabled (ABD) Managed Care Plans (HLAEAEAC), MA-PD Plans (Medicare Advantage with Prescription Drug Coverage) (FSAIAGAG)

Keywords

• Government health insurance
• Medicaid program administration
• Health benefits enrollment
• Medicaid eligibility services
• State healthcare coverage

Headquarters

HQ city

Honolulu

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2C

Offering type

Services

Cost components

Personnel, Operations, Technology or R&D, Others

Revenue model

1. Government Medicaid Funding: Med-QUEST is Hawaii's Medicaid program, funded jointly by federal and state governments. The program provides health coverage to eligible low-income adults, children, pregnant women, elderly, and people with disabilities at no or low cost to beneficiaries.

Go-to-market motion1 record

Distribution channels4 records

Marketing channels4 records

Core offering

State of Hawaii Med-QUEST Division administers Hawaii's Medicaid program (QUEST), providing health insurance coverage to eligible low-income adults, children, pregnant women, elderly individuals, and people with disabilities at no or low cost. The program enables residents to check eligibility, apply for coverage, upload documents, manage benefits, renew coverage, and view notices through the MyBenefits online portal, supported by phone, in-person, and mail-based service channels.

Product overview

State of Hawaii Med-QUEST is a government Medicaid benefits administration program operated by the Hawaii Department of Human Services. The offering consists of the Med-QUEST Online Portal (MyBenefits Account) as the primary web-based platform for residents to check eligibility, submit applications, and manage their health insurance benefits. Supporting features include an Eligibility Pre-Assessment Tool (interactive questionnaire), paperless document delivery via email notifications, multi-language interpretation services (20+ languages), accessibility accommodations for disabilities (sign language interpreters, large print, audio formats), and 2-step verification for account security.

Differentiator

Problem solved

Functional benefit

Products and services

• MyBenefits Online Portal

Segments6 records

Ideal customer profiles1 record

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature4 records

Partnerships

One partnership is on record.

• U.S. Department of Health and Human ServicescoreOthersFederal partnership for Medicaid administration. Med-QUEST operates as Hawaii's Medicaid program under federal guidelines, receiving matching funds from the federal government and operating under federal healthcare regulations and civil rights requirements.

Scale indicators1 record

Recent moves6 records

Expansion highlights4 records

Direct peers

• Molina Healthcare: A pure-play Medicaid managed care organization serving TANF, CHIP, ABD, and dual-eligible populations across multiple states. Operates in the same Medicaid managed care category that Med-QUEST administers for Hawaii's QUEST population.
• Kaiser Permanente: Operates an integrated physical-behavioral-social care delivery model closely mirroring Hawaii's QUEST whole-person approach. Comparable in combining insurance administration with provider network management under a single coordinated framework.
• Hawaii Medical Service Association (HMSA): The largest health insurer in Hawaii and the Blue Cross Blue Shield affiliate, HMSA contracts with Med-QUEST to deliver Medicaid managed care services to QUEST enrollees. Operates in the same Hawaii Medicaid market with overlapping beneficiary populations.

Broad incumbents

• Elevance Health: Through its Anthem Blue Cross Blue Shield plans, operates Medicaid managed care programs across multiple states. Comparable as a large diversified payer serving government-sponsored healthcare populations.
• UnitedHealth Group: Operates UnitedHealthcare Community & State, one of the largest Medicaid managed care platforms in the U.S. Comparable as a diversified healthcare payer with significant government program exposure through Medicaid and Medicare.
• CVS Health (Aetna): Through Aetna, operates Medicaid managed care plans in multiple states. Comparable as a diversified payer with government program exposure and integrated care management capabilities.
• Humana: Operates Medicaid managed care plans in several states alongside its dominant Medicare Advantage business. Comparable as a government-program-focused payer with overlapping Medicaid and dual-eligible populations.
• Centene Corporation: The largest Medicaid managed care company in the U.S., serving across all major Medicaid eligibility categories. Comparable as a Medicaid-focused payer operating integrated government-sponsored healthcare programs at scale.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat4 records

Key risks6 records

Key highlights6 records

Customer concentration

• LinkedInlinkedin.com/company/state-of-hawaii-med-quest

Revenue estimate

Valuation estimate

Number of profiles

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about State Of Hawaii Med QUEST