Adult Services and Programs
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Home- and Community-Based Services Include:
Adult Day Care assists a limited number of eligible adults with sheltered settings and specified activities, through centers that have Purchase of Service contracts with the Department of Human Services. To receive services, an individual must be eligible for Supplemental Security Income (SSI), Medicaid, or financial assistance from the Department and must meet other program related requirements. Services may also be provided without regard to income in adult protective service situations.
Licensed Adult Day Care Centers
Chore and Homemaker Programs provide essential housekeeping services to enable eligible adults to remain in the community. Chore services are available statewide. Homemaker services are available in East Hawaii only. Some services include:
- Housecleaning
- Laundering
- Shopping
- Meal preparation
To receive services, an individual must be eligible for Supplemental Security Income (SSI), Medicaid, or financial assistance from the Department and must meet other program requirements. Services may also be provided without regard to income in adult protective service situations.
Adult Foster Care Program provides placement and case management services to eligible clients in licensed adult residential care homes. To receive adult foster care services, an individual must be eligible for Supplemental Security Income (SSI), Medicaid, or financial assistance from the Department.
Senior Companion Program is a part-time volunteer program that enrolls eligible low-income seniors statewide to provide in-home companionship and limited personal care to frail elders and respite to caregivers. To be a Senior Companion, an individual must be at least 60 years, physically able to work 20 hours per week, and also meet income and other program requirements. To receive Senior Companion Services, an individual or family must meet program related requirements. To become a companion, apply for services, or for more information about this program, call the Senior Companion Program office on Oahu at (808) 586-5192.
Respite Companion Service Program is a part-time employment and training program enrolls eligible low-income seniors to serve frail homebound elders on Oahu. Services include limited in-home personal care, other support services and respite to caregivers. To be a Respite Companion, an individual must be at least 55 years of age, physically able to work 19 hours per week, and also meet income and other program requirements. To receive Respite Companion services, an individual or family must meet program related requirements. To become a companion, apply for services, or for more information about this program, call the Respite Companion Program office on Oahu at (808) 586-5192.
Foster Grandparent Program is a part-time volunteer program that enrolls eligible low-income senior statewide to assist children with special needs. To be a foster grandparent, an individual must be at least 60 years old, physically able to work 20 hours per week, and also meet income and other program requirement. To receive the services of a foster grandparent, a child must be 21 years old or younger (Persons with developmental disabilities who meet specific criteria may continue to receive services beyond their 21st birthday), have special or exceptional needs, and meet other program requirements. To become a foster grandparent, apply for services, or for more information about this program, call the Foster Grandparent Program office on Oahu at (808) 453-6357.
Nursing Home Without Walls (NHWW) Program provides support services for eligible individuals of all ages with serious or chronic illnesses or disabilities who want to remain in their own homes. Program services are not provided 24 hours a day, except during times of respite when needed and as part of the service plan. Some services include:
- Case management
- Personal assistance
- Private duty nursing
- Home delivered meals
- Respite
- Personal emergency response system (PERS)
- Environmental accessibility adaptations
- Non-medical transportation
- Adult day health
- Counseling and training for nutrition, coping and support and crisis management
To receive services, an individual must be eligible for Medicaid, require nursing facility level of care, and also meet other program related requirements. An individual does not need to have a family or primary caregiver. However, in some situations, a primary caregiver would be necessary to assure the health and welfare of the individual at home on a 24-hour basis (Example: a person with Alzheimer’s who could not be left alone).
Residential Alternatives Community Care (RACC) Program serves eligible adults who are in need of a residence as well as assistance with their care needs. Individuals may be served in an Assisted Living Facility or in a RACC family home that provides personnel case, homemaking services, transportation as needed, and other services. Individuals may also receive private duty nursing services, respite care and/or adult day health services as part of their service plan. To receive services, a person must be eligible for Medicaid, require nursing facility level of care, and also meet other program related requirements.
Licensed RACCP Case Management Agencies
Developmentally Disabled/Mentally Retarded Home and Community-Based Services Program (DD/MR HCBS). The Departments of Human Services and Health collaborate to administer and implement this program and to maximize Federal Medicaid reimbursement. Developmental Disabilities/Mental Retardation (DD/MR) Program provides individuals with developmental disabilities/mental retardation support and services that will enable them to live as independently as possible in the least restrictive environment. Some services include:
- Adult day health
- Personal assistance
- Respite
- Habilitation
- Habilitation-supported employment
- Skilled nursing
- Specialized services
- Personal emergency response system (PERS)
- Non-medical transportation
- Specialized medical equipment and supplies
- Environmental accessibility adaptations (EAA)
To receive services, an individual must be eligible for Medicaid, require care in an Intermediate Care Facility for the Mentally Retarded (ICF/MR), be referred by a Department of Health-Developmental Disabilities Division (DOH-DDD) case manager, and also meet other program related requirements. All individuals interested in these services but not known to DOH-DDD should contact the DOH-DDD intake office on their island as follows: (Area Code 808)
Oahu: 733-9303
Kauai: 241-3406
Maui, Lanai, Molokai: 984-8250
East Hawaii: 974-4280
West Hawaii: 322-4880
North Hawaii: 877-8114
HIV Community Care Program (HCCP) provides support services similar to those in Nursing Home Without Walls for individuals of all ages who are diagnosed with HIV/AIDS infection. To receive services, an individual must be eligible for Medicaid, require nursing facility level of care, and also meet other program related requirements. An individual does not need to have a family or primary caregiver. However, in some situations, a primary caregiver would be necessary to assure the health and welfare of the individual at home on a 24-hour basis.
Medically Fragile Community Care (MFCC) Program is designed for children who are born with or develop complex medical problems, and whose families need support to keep them in the home or in a licensed child foster home. Some services include:
- Case management
- Family Training
- Specialized day care
- Respite care
- Attendant care
- Environmental accessibility adaptations (EAA)
- Specialized medical equipment and supplies
- Home maintenance
- Moving assistance
- Non-medical transportation
To receive services, a child must be eligible for Medicaid, be under 21 years old, require subacute or skilled nursing facility level of care, and also meet other program related requirements.
Program of All-inclusive Care for the Elderly (PACE): PACE is a managed care type of program that serves people 55 years of age or older, living in Maui. Individuals must voluntarily select PACE, which includes primary medical care provided by the PACE physician. Generally, participants attend the PACE Adult Day Health program where a variety of services are provided. Some services include:
- Speech therapy
- Occupational and/or physical therapy
- Dental services
- Audiology
- Optometry
- Podiatry
- Home medical care services
- Transportation
To receive services, an individual must be eligible for Medicaid or able to privately pay, require nursing facility level of care, and also meet other program related requirements. PACE program staff determine eligibility for this program and may be contacted on Maui at (Area Code 808) 442-4555.
Transportation Assistance for Resident Aliens and Naturalized Citizens Program provides help to residents of the state who are 60 years of age or older, and an alien or naturalized citizen, to return to their homelands outside of the United States. To receive this service, an individual must be eligible for financial assistance from the Department or Supplemental Security Income (SSI), and also must meet other program related requirements.
Courtesy Services Program provides direct services at the request of an individual or other social service agencies when there are no other resources available to assist. Services are limited to:
- Answering out-of-state and other inquiries about persons known to the Department
- Social assessments at the request of out-of-state agencies
- Determining appropriateness for domiciliary care placement
- Repatriation for U.S. citizens and dependents
To receive these services, an individual must meet specific financial and program related requirements.
