Honolulu

Hawaii Dangles $50 Cards To Get Keiki Into Checkups

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Published on December 29, 2025
Hawaii Dangles $50 Cards To Get Keiki Into CheckupsSource: Unsplash/Bethany Beck

Hawaii is putting a little plastic on the table to get kids into the doctor’s office. The Department of Human Services is rolling out a pilot that gives Med-QUEST parents a $50 prepaid card for each child after a completed well-child exam, an incentive state officials hope will nudge families toward routine preventive care and catch problems early.

What the program offers

The Hawai‘i Child Wellness Incentive Program, run by DHS, sends a $50 prepaid incentive card to eligible Med-QUEST parents once a provider certifies that a child’s well-child exam is complete, according to the Department of Human Services. “Every child in Hawai‘i deserves the chance to grow up healthy and supported,” DHS director Ryan Yamane said in the announcement, framing the pilot as a way to keep families tethered to regular checkups over the long haul.

Who qualifies and how

Parents currently enrolled in Medicaid or QUEST who have unmarried children under 18, including adopted and stepchildren, may qualify for one $50 card per child each calendar year, per Med-QUEST. In a detail that may surprise some families, the program FAQ notes that the child does not need to be covered by Medicaid for the parent to be eligible.

To unlock the incentive, providers must sign and certify the exam on the DHS-1193 form before applicants submit it through the HCWIP portal or by mail. No form, no card.

How to apply and card rules

Parents can upload the completed DHS-1193 form through the HCWIP portal or send a paper application by fax or mail. Once Med-QUEST receives the provider-completed form, the card is mailed out within four to six weeks, as noted by Maui Now.

The card functions like a prepaid debit card at U.S. retailers, but there are some hard lines. It cannot be used for cash withdrawals or to buy alcohol, firearms, or illegal drugs, and it expires one year after it is issued. Med-QUEST also warns that lost or damaged cards are not replaced, and applicants will get an email notification when their card ships.

Funding and legal basis

The Legislature created the pilot under Act 127 (Session Laws of Hawai‘i 2022) as a multi-year Child Wellness Incentive Pilot Program, with recent budget action setting aside money to keep it going. Session reports show the budget added roughly $3.4 million in FY24 and $4.5 million in FY25 to support the child wellness pilot, according to the legislative documents. Officials say that funding is intended to help DHS scale the program and process incentive requests statewide.

Where to learn more

Families can apply online, upload the completed form, or mail the DHS-1193 to the HCWIP mailbox, and can call the HCWIP customer service line at 833-909-3631 for assistance. For auxiliary aids or disability accommodations, the program lists 808-900-5570 and [email protected] as contacts. DHS encourages parents to check the HCWIP portal if they are unsure about eligibility or how to submit their paperwork.