Hawaii Medicaid: 2026 Income Limits and Moving In or Out

Hawaii Medicaid at a glance

Hawaii Medicaid income limits for adults (2026)

Hawaii expanded Medicaid under the ACA, so adults with income up to 138% of the federal poverty level can qualify without fitting a category such as disability or pregnancy. Federal law (Public Law 119-21) adds a work condition for most of these adults from January 1, 2027 (earlier in some states, and later only in a state granted an extension, which cannot run past 2028): they must show 80 hours a month of work, school, job training, or community service, unless they are exempt (for example, parents of a child 13 or under, pregnant people, and people with a disability). New applicants may have to show it for 1 to 3 consecutive months immediately preceding the month they apply.

• Computed as 138% of the 2026 HHS poverty guidelines (Hawaii), rounded up to the dollar. Hawaii's own chart controls, and states often switch to the new year's guidelines partway through the year — so the agency's chart may still show lower 2025 figures.
• The adult limit counts income under MAGI (modified adjusted gross income) rules. Children and pregnant people usually have higher limits; people 65+ or with a disability are assessed under different, non-MAGI rules that often include an asset test — ask the agency below.
• Hawaii has its own, higher federal poverty guidelines, so its dollar limits are above the 48 contiguous states and DC figures.

Federal source: HHS 2026 Poverty Guidelines (91 FR 1797) (published 2026-01-15)

Common questions

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