Medicaid Fee-For-Service Program – Pregnant Women

The QUEST and Medicaid Fee-for-Service programs have special provisions that only apply to pregnant women. The provisions allow pregnant women to have enhanced access to prenatal care and other medical services.

 

Eligibility Provisions

The special eligibility provisions apply to through the term of pregnancy and for 60-days after childbirth. The pregnant woman must meet the other requirements of the QUEST or Medicaid FFS programs.

  • The asset test does not apply
  • The income standard is 185% of the Federal Poverty Level
  • The unborn child(ren) are included in the family size of the pregnant woman
  • Once eligibility is established, it will continue through the 60 day period following childbirth

Pregnancy Related Coverage

Coverage includes prenatal care, necessary tests, labor and delivery costs, hospital charges and doctor or certified nurse-midwife charges. Medical services for the newborn will also be covered.

Application Process

You can get an application:

  • by calling the Med-QUEST office in your area to have one mailed to you.
  • by visiting the Med-QUEST eligibility office in your area. Office hours are Monday through Friday from 7:45 a.m. to 4:30 p.m. (except holidays);
  • at any community health center;
  • at any hospital;
  • at any Department of Human Services unit office.

Community Resources

Early and continuous Prenatal Care is important to the health of a mother and her baby. The following organizations provide prenatal assistance and other services, even if a mother doesn’t qualify for Medicaid:

Healthy Start Ko’olau Loa (808) 293-1241
Kalihi-Palama Health Center (808) 848-1438
KokuaKalihi Valley (808) 848-0976
Waianae Coast Comprehensive Health Center (808) 696-7081
Waimanalo Health Center (808) 259-7948
Neighbor Islands :
Molokai Women’s Health Center (808) 553-3145
Community Clinic of Maui (808) 871-7772
Maui Family Support Services (serves Lanai) (808) 565-7484
Kauai Medical Clinic (808) 245-1511
Hilo Maternal & Child Support Services (808) 974-4291
Kona Maternal & Child Support Services (808) 322-4880
For referrals and free information call:
MothersCare
Oahu (808) 535-7988
Neighbor Islands 1-800-772-3020
Healthy Mothers, Healthy Babies Coalition (808) 951-5805