Medicaid limits by state › Hawaii
Medicaid Long-Term Care Eligibility in Hawaii (2026)
To qualify for Medicaid-paid nursing home or long-term care in Hawaii in 2026, a single applicant must generally have no more than $2,000 in countable assets and income at or below $1,536 / month. Medically needy / spend-down state.
Hawaii 2026 limits at a glance
| Test | 2026 standard in Hawaii |
|---|---|
| Countable asset limit (single) | $2,000 |
| Countable asset limit (couple, both applying) | $3,000 |
| Income limit | $1,536 / month |
| Home equity limit | $1,130,000 |
| Spousal asset allowance (CSRA) | Community spouse may keep between $32,532 and $162,660 of the couple's assets |
| Spousal income allowance (MMNA) | Minimum $2,705/month up to $4,066/month in this state |
| Look-back period | 60 months (asset transfers for less than fair value can cause a penalty period) |
How Hawaii treats income
This is a medically needy (spend-down) state: income above the limit can be spent down on medical and care expenses to qualify.
Good to know in Hawaii
Hawaii's income standard is based on the Hawaii federal poverty level (about 100% FPL); the figure shown is a 2026 approximation — please confirm with the state.
Check your own eligibility
Enter your assets, income and marital status to see whether you pass all three financial tests in Hawaii — and if not, by how much, and which lawful pathways exist:
Open the Medicaid eligibility estimator →What does care cost in Hawaii?
See median nursing home, assisted living and home care prices for Hawaii:
Hawaii senior care costs →Sources: 2026 federal Medicaid standards (CMS) and published state standards compiled by the American Council on Aging. This page is a planning estimate, not a determination — only the Hawaii Medicaid agency can decide eligibility. Rules change; verify before making financial moves, ideally with an elder law attorney.