Transferring Medicaid from Florida to Hawaii
Think of it as two separate programs: Florida Medicaid ends with your residency, and Med-QUEST begins with a new application. Nothing carries over automatically. Submit the Hawaii application as soon as you have an address there.
Eligibility usually gets easier in this direction: Hawaii has adopted Medicaid expansion (adults up to 138% of the federal poverty level), while Florida has not — many adults who were denied in Florida qualify in Hawaii.
Official Hawaii Medicaid agency: Hawaii Department of Human Services, Med-QUEST Division ↗
Your step-by-step checklist
Before you move
- 1
Gather your documents before the move
You will reapply from scratch: proof of identity, income (pay stubs or award letters), your new address, and immigration documents if applicable.
- 2
Tell Florida Department of Children and Families (eligibility) / Agency for Health Care Administration (program administration) you are leaving
Report address and household changes through your MyACCESS account using 'Report My Changes'.
Florida Department of Children and Families (eligibility) / Agency for Health Care Administration (program administration) ↗
Moving week
- 3
Time the closure to the end of your move month
Keep coverage through the month you travel. Your old state's coverage generally ends the month you stop being a resident.
After you arrive
- 4
Apply with Hawaii Department of Human Services, Med-QUEST Division as soon as you arrive
There is no waiting period based on how long you have lived there — apply immediately. Processing: up to 45 days (90 if a disability decision is needed). From January 1, 2027 (earlier in some states), most adults in the expansion group must also show 80 hours a month of work, school, job training, or community service, or an exemption, possibly for 1 to 3 months preceding the application.
Hawaii Department of Human Services, Med-QUEST Division ↗ - 5
Ask about retroactive coverage
Most states can pay eligible medical bills from as early as the third month before the month you apply, so ask when you apply if you had care during the gap. For applications filed on or after January 1, 2027, federal law (Public Law 119-21) shortens this to the month before the month you apply for adults in the expansion group and the second month before the month you apply for everyone else.
Florida vs Hawaii: the numbers that decide it
| Florida (old state) | Hawaii (new state) | |
|---|---|---|
| Program name | Florida Medicaid | Med-QUEST |
| Agency | Florida Department of Children and Families (eligibility) / Agency for Health Care Administration (program administration) | Hawaii Department of Human Services, Med-QUEST Division |
| ACA Medicaid expansion | No — adults need a category | Yes — adults covered on income |
| Adult income limit | no income-only route for adults | 138% of the federal poverty level |
Monthly income limits by household size: Florida vs Hawaii
| Household size | Florida | Hawaii |
|---|---|---|
| 1 person | No income-only adult limit | $2,112 |
| 2 people | No income-only adult limit | $2,863 |
| 3 people | No income-only adult limit | $3,614 |
| 4 people | No income-only adult limit | $4,365 |
| 5 people | No income-only adult limit | $5,116 |
| 6 people | No income-only adult limit | $5,867 |
Limits for adults, computed from each state's published % of the 2026 HHS poverty guidelines and rounded up to the dollar. Children, pregnancy, and 65+/disability rules differ; each state's own chart controls and may still show 2025 figures. Full tables: Florida · Hawaii · 2026 poverty guidelines.
Moving with more than one benefit?
The checklist generator merges Medicaid, SNAP, WIC, unemployment, and TANF into one ordered to-do list for this exact move.
Build the full Florida → Hawaii checklistCommon questions
Can I use my Florida Medicaid in Hawaii while I wait?
Generally no. Florida Medicaid only pays providers for Florida residents, and out-of-state care is limited to emergencies. Once you live in Hawaii, you need Hawaii coverage — apply immediately and ask about retroactive coverage for bills in the gap.
Is there a waiting period for Medicaid in Hawaii?
No. States cannot impose a minimum-residency waiting period. You qualify (or not) on Hawaii's income and category rules from the day you become a resident. The application itself takes up to 45 days (90 if a disability decision is needed).
Can I have Medicaid in two states at once?
No. You can only receive Medicaid from the state where you live. Keeping an old case open while opening a new one can create repayment problems — close the Florida case effective your move month.
Where do I actually apply in Hawaii?
Through Hawaii Department of Human Services, Med-QUEST Division. Official Medicaid pages for both states are cited at the bottom of this page.
Related guides
- Moving back: Hawaii to Florida Medicaid
- Medicaid in Florida: leaving or arriving
- Medicaid in Hawaii: leaving or arriving
- Moving with Medicaid: every state
- Florida to Massachusetts Medicaid
- Florida to Missouri Medicaid
- Florida to New Hampshire Medicaid
- Florida to North Carolina Medicaid
Other benefits on the same move
Terms on this page: Federal poverty level (FPL) · Medicaid expansion · Retroactive Medicaid coverage
Official sources
Every fact above was checked against these official pages. Last verified .
- Florida DCF — Medicaid — accessed 2026-08-08
- MyACCESS (online application) — accessed 2026-08-08
- Med-QUEST Division (official domain; unreachable at verification — see notes) — accessed 2026-08-08