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Respite care for family caregivers in Hawaii

Yes. In Hawaii, family caregivers can get respite through two programs on record: QUEST Integration respite care and Kupuna Care respite care.

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Respite program

QUEST Integration respite care

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Who qualifies

QUEST Integration members who meet a nursing facility level of care and cannot care for themselves, when the people who normally care for them are away or need relief. Respite can be hourly, daily or overnight, at home, in a foster home or care home, a Medicaid certified nursing facility, a licensed respite day care facility or another approved residential setting.

The member's primary care provider authorizes respite as part of the care plan, and it can be self-directed. Respite is not among the services for members who are only at risk of needing that level of care.

Source: Hawaii QUEST Integration Section 1115 Demonstration, special terms and conditions, approval period January 8, 2025 through December 31, 2029 (CMS approval letter of October 30, 2025)Checked

Respite program

Kupuna Care respite care

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Who qualifies

Caregivers, and employed caregivers who work at least 20 hours a week, of a care recipient who is 60 or older, a U.S. citizen or qualified alien, not living in a long-term care facility, not covered by a comparable public or private home care service, and who needs help with at least two daily activities, two household activities, one of each, or has a serious cognitive impairment that needs substantial supervision.

Respite can be in-home, at a day program, or a short stay in a setting such as a nursing home.

Source: Hawaii Revised Statutes section 349-16, Definitions (kupuna care)Checked

How to apply

Kupuna Care respite care

How to apply

Your area agency on aging, through the Aging and Disability Resource Center, decides eligibility. That can include an intake, an in-home assessment of the care recipient or a caregiver assessment, and a written support plan before services are authorized.

Kupuna care can be traditional services or participant-directed, where the care recipient manages their own budget for services.

Source: Hawaii Revised Statutes section 349-17, Kupuna care programChecked

Phone

(808) 643-2372

The Hawaii Aging and Disability Resource Center line, (808) 643-ADRC.

Source: Hawaii Aging and Disability Resource Center (State of Hawaii Executive Office on Aging)Checked

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