Medical Assistant Programs in Hawaii 2026

Written by Sarah M. Thompson, RN, BSN, Last Updated: June 22, 2026

Hawaii doesn’t require medical assistants to hold state licensure, but many of the state’s larger healthcare employers prefer or require national certification, particularly for clinical roles. Completing an accredited program through CAAHEP or ABHES qualifies graduates to sit for the CMA (AAMA), CCMA (NHA), or RMA (AMT) exams. Most certificate programs take nine to twelve months to complete.

Hawaii doesn’t establish a statewide licensure or certification requirement for medical assistants. Individual employers determine their own hiring qualifications. In practice, the large health system clinics where most medical assistants work often require national certification and completion of an externship before a candidate is considered. That employer-level standard shapes the path more than any state rule does.

Use the links below to jump to program options, certification pathways, employer requirements, and career outlook information.

How to Become a Medical Assistant in Hawaii

Hawaii medical assistants work under physician delegation and can perform a wide range of clinical and administrative duties, from patient intake and vital signs to routine lab procedures and medical billing. The scope of tasks they can legally carry out depends on what the supervising physician authorizes, which makes the training and certification you hold more consequential than the state-level rules alone suggest.

The steps below reflect the path most Hawaii employers expect.

1. Earn a high school diploma or GED. Hawaii does not establish a statewide licensure or certification requirement for medical assistants. A high school diploma or GED is typically the minimum educational requirement for program enrollment and entry-level positions.

2. Complete an accredited medical assistant program. Programs accredited by the Commission on Accreditation of Allied Health Education Programs (CAAHEP) or the Accrediting Bureau of Health Education Schools (ABHES) are the standard pathway to certification through the American Association of Medical Assistants (AAMA). Per CAAHEP accreditation standards, programs require at least 560 hours of non-practicum coursework and 160 hours of practicum, though many exceed these requirements. Certificate programs typically run nine to twelve months. Associate degree programs run for 18 to 24 months and include broader academic coursework alongside clinical training.

3. Pass a national certification exam. Most Hawaii employers specify one or more accepted credentials. The most recognized certifications are the Certified Medical Assistant (CMA) from the AAMA, the Certified Clinical Medical Assistant (CCMA) from the National Healthcareer Association (NHA), and the Registered Medical Assistant (RMA) from American Medical Technologists (AMT).

4. Meet employer-specific onboarding requirements. Many Hawaii health systems require current CPR and Basic Life Support (BLS) certification before a new hire’s first day. A background check and immunization or TB screening are also common. These are not state requirements, but skipping them rules out most of the major employers.

Medical Assistant Training Programs in Hawaii

Hawaii has a small number of accredited programs, concentrated on Oahu and Kauai, with technology-assisted access extending to students on Maui.

Kapiolani Community College offers the most credential options in the state: a Certificate of Competence, a Certificate of Achievement, and an Associate of Science in Medical Assisting. The Certificate of Competence focuses specifically on healthcare practice management and is designed for working medical assistants looking to advance. The Certificate of Achievement and the AS degree both qualify graduates to sit for the CMA exam. Kapiolani holds continuing CAAHEP accreditation.

Kauai Community College holds CAAHEP accreditation and offers a Certificate of Achievement that prepares graduates for the CMA exam. The program has a partnership with the University of Hawaiʻi Maui College that allows Maui-based students to participate via technology, extending access beyond Kauai. The program has reported strong certification pass rates and job placement.

Hawaii Pacific Health operates a program specifically for high school seniors, structured across a full academic year with a 225-hour clinical externship completed the summer after graduation. The program is offered at no cost to students, covers anatomy, physiology, medical terminology, and clinical and administrative skills, and gives graduates priority consideration for employment within Hawaii Pacific Health facilities upon earning national certification. This is a direct pipeline program, not a traditional open-enrollment option.

Hawaii Medical College offers a Clinical Medical Assistant diploma program combining classroom instruction, skills labs, and a supervised externship. Many students complete the program in approximately ten months, though individual timelines vary. The program is designed to prepare graduates for national certification in clinical medical assisting.

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Certification Pathways for Hawaii Medical Assistants

National certification is the practical credential requirement in Hawaii, even though it isn’t legally mandated. Four nationally recognized certifications cover most of what Hawaii employers accept.

The Certified Medical Assistant (CMA) is granted by the American Association of Medical Assistants (AAMA). To be eligible, a candidate must have completed a CAAHEP- or ABHES-accredited program. The exam covers clinical, administrative, and general knowledge. Recertification is required every sixty months through continuing education or reexamination.

The Certified Clinical Medical Assistant (CCMA) is granted by the National Healthcareer Association (NHA). It focuses on the clinical side of medical assisting and can be pursued through both academic pathways and, in some cases, through verified work experience. Recertification is required every two years.

The Registered Medical Assistant (RMA) is granted by the American Medical Technologists (AMT). Candidates can qualify either by completing an accredited program or by demonstrating five years of recent work experience in medical assisting, though the experience pathway has stricter documentation requirements. Recertification is required every three years.

The National Certified Medical Assistant (NCMA) is granted by the National Center for Competency Testing (NCCT). It is accepted by some employers in Hawaii alongside the three more widely cited credentials.

All four of these certifying agencies are accredited by the National Committee for Quality Assurance (NCQA), which sets the standard for certification quality in healthcare. When Hawaii employers list specific credentials they’ll accept, they typically name two or three. Check any job posting carefully, as some employers specify CMA or RMA by name.

What Hawaii Employers Require

The clearest picture of what Hawaii medical assistant employers actually want comes from job postings. Several of the state’s major health systems are consistent about their requirements.

Recent job postings from Hawaii Pacific Health and the Hawaii Health Systems Corporation have referenced all four major certifying organizations (AAMA, AMT, NHA, and NCCT) and specified that candidates should hold one of the recognized credentials. Hawaii Pacific Health is a large multi-site employer in the state and operates multiple specialty clinics, including pediatrics, infectious disease, and women’s health services.

Recent postings from Waikiki Health indicate that candidates should have completed programs that include an externship and achieved certification. Waianae Coast Comprehensive Health Center has specifically cited CMA or RMA credentials.

Other significant employers of medical assistants in Hawaii include University Health Partners of Hawaii, Kokua Kalihi Valley, and Kauai Region facilities within the Hawaii Health Systems Corporation network.

CPR and BLS certification is an additional requirement at many of these facilities and should be completed before applying for positions. The American Red Cross and the American Heart Association both offer BLS courses in Hawaii.

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Salary and Career Outlook

Medical assisting has been identified as a shortage occupation in Hawaii. A 2019 Healthcare Workforce Initiative report from the Healthcare Association of Hawaii found roughly 10% of medical assistant positions unfilled statewide, with the highest concentration of open positions at health system clinics. Readers should review current Hawaii workforce reports for the latest shortage data, as conditions may have shifted since that report. Demand for medical assistants is driven by Hawaii’s outpatient clinic infrastructure, which spans Oahu and extends to Neighbor Island community health centers.

Hawaii wages for medical assistants have historically run above the national median, reflecting the state’s higher cost of living. For current wage data, the Bureau of Labor Statistics publishes annual Occupational Employment and Wage Statistics for medical assistants at both the national and state levels. That data is the most reliable reference for current figures and is updated annually.

Some medical assistants use the role as a starting point toward becoming a licensed nurse. If you’re comparing healthcare support roles before committing, our nursing assistant vs. medical assistant breakdown covers the practical differences in scope, setting, and training. For MAs considering a bridge to LPN or RN, see the nursing licensure requirements in Hawaii for an overview of what those pathways involve.

Find nursing licensure requirements by state for RNs, LPNs, LVNs, and advanced practice nurses.

Frequently Asked Questions

Is medical assistant certification required in Hawaii?

Hawaii doesn’t require medical assistants to hold state licensure or national certification by law. Hawaii does not establish a statewide licensure or certification requirement for medical assistants. Individual employers determine hiring qualifications, though a high school diploma or GED is typically the minimum educational requirement. Many of Hawaii’s larger healthcare employers require certification as a condition of hire and specify which credentials they’ll accept. As a practical matter, certification is required for most available positions at health system clinics.

Which medical assistant certification is best for Hawaii jobs?

The CMA (AAMA) and RMA (AMT) are the most frequently mentioned in Hawaii job postings from major employers such as Hawaii Pacific Health and the Hawaii Health Systems Corporation. The CCMA (NHA) is also widely accepted. All four NCCA-accredited credentials, including the NCMA (NCCT), appear in employer postings. If you’re targeting a specific employer, review current postings to confirm which credentials they list.

How long does it take to become a medical assistant in Hawaii?

Certificate programs at accredited institutions such as Kapiolani Community College and Kauai Community College typically last 9 to 12 months for full-time students. An Associate in Science in Medical Assisting, which includes a broader academic component, takes about 18 to 24 months. Hawaii Pacific Health’s high school program runs across a full academic year for seniors, with an externship the following summer.

What do Hawaii medical assistant programs include?

CAAHEP-accredited programs cover both clinical and administrative medical assisting. Clinical content typically includes anatomy and physiology, patient care procedures, phlebotomy, EKG, and medical terminology. Administrative content covers billing, coding, medical records, and office management. All accredited programs include a supervised externship component, which Hawaii employers consider an important qualifier.

Can military medical training count toward medical assistant certification?

Yes. Multiple certifying organizations, including AMT and NHA, have pathways for individuals who received formal medical services training through the armed forces. The documentation and experience requirements vary by certifying body, so contact the organization directly for specifics if this applies to you.

Key Takeaways

  • No state licensure required — Hawaii doesn’t mandate medical assistant licensure, but most health system employers require national certification before hire.
  • CAAHEP or ABHES accreditation matters — Graduating from an accredited program is the standard qualification pathway for the CMA and most other national credentials.
  • Four credentials are employer-accepted — The CMA (AAMA), CCMA (NHA), RMA (AMT), and NCMA (NCCT) are referenced in postings from Hawaii Pacific Health, Hawaii Health Systems Corporation, and other major employers.
  • Externship is a real requirement — Hawaii employers look for candidates who have completed a supervised externship as part of their program, not just classroom hours.
  • CPR and BLS certification is expected — Many employers require current BLS certification as a condition of employment, separate from the medical assistant credential itself.

Use the search below to find medical assistant and allied health programs accepting applications in Hawaii and across the country.

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Sarah M. Thompson, RN, BSN
Sarah M. Thompson, RN, BSN has 12 years of experience in medical-surgical nursing and pre-licensure program coordination. She has guided dozens of new graduate nurses through the NCLEX-RN and state board licensing process and writes practical guidance on licensure requirements and exam preparation.