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A Comprehensive Guide to Getting Paid as a Family Caregiver in Hawaii: Exploring Medicaid and State Programs

If you're an adult child taking care of an elderly parent, relative, or friend in Hawaii, you may be able to get paid for your work.
June 25, 2024
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Hawaii offers several programs and resources to support family caregivers financially. This guide outlines your options and provides actionable steps to help you navigate the process.

State Programs for Family Caregivers

Hawaii Medicaid Waiver Programs

Hawaii’s Medicaid program offers various waivers that allow individuals to receive care at home instead of in institutional settings. Family caregivers can be paid for providing care through these programs, such as the Community Care Services (CCS) program.

  • Eligibility: The care recipient must be Medicaid-eligible, require a nursing facility level of care, and meet income and asset limitations.  
  • Learn more by contacting the Aging and Disability Resource Center (ADRC) at 1-808-643-2372 or visiting Hawaii ADRC.

Kupuna Caregivers Program

Hawaii is one of the few states offering a unique program specifically for employed family caregivers. The Kupuna Caregivers Program provides financial assistance of up to $210 per week to help cover caregiving expenses while the caregiver works at least 30 hours per week.

  • Eligibility: The care recipient must be 60 years or older, not receiving Medicaid, and require assistance with daily living activities. The caregiver must be employed for at least 30 hours per week.  

Adult Day Care Services

Through state funding and subsidies, caregivers can access affordable adult day care services for their loved ones. This service provides temporary relief for caregivers while ensuring that the care recipient is in a safe and engaging environment.

  • Eligibility: Care recipients must be Hawaii residents, typically aged 60 or older, and meet program-specific criteria.  
  • Contact the ADRC or your local Area Agency on Aging (AAA) for information on subsidies and eligibility requirements.

Federal Support and Additional Resources

Veterans Aid and Attendance Benefit

This federal program provides additional funds to veterans and their spouses who require assistance with daily living activities. These funds can be used to compensate family caregivers.

  • Eligibility: Veterans must have served at least 90 days of active duty, including one day during wartime. The care recipient must meet medical and financial requirements.  

Veteran Directed Care (VDC)

This program allows veterans to hire family members as caregivers and manage their own care budgets.

  • Eligibility: Veterans must be enrolled in VA healthcare, require personal care services, and reside in an area offering VDC.  

Child and Dependent Care Tax Credit

Caregivers who pay for dependent care while working may qualify for this tax credit. It helps offset caregiving expenses for dependents, including older adults who cannot care for themselves.

  • Eligibility: The care recipient must be physically or mentally incapable of self-care and live with the caregiver.  

Medical and Dental Expense Deductions

Caregivers can deduct unreimbursed medical expenses exceeding 7.5% of their adjusted gross income. This includes costs for the care recipient.

  • Eligibility: Qualifying expenses include medical care, home health services, and supplies.  

Support Resources

Hawaii Aging and Disability Resource Center (ADRC)

The ADRC provides information and assistance to caregivers, including connecting them with local programs, respite care, and support services.

  • Eligibility: Services are available to Hawaii residents aged 60 or older and adults with disabilities.  
  • Contact the ADRC at 1-808-643-2372 or visit Hawaii ADRC.

Hawaii Alzheimer’s Association

This organization offers education, support groups, and resources for caregivers of individuals with Alzheimer’s or related conditions.

  • Eligibility: Open to caregivers of individuals with memory-related disorders.  

Steps to Take

Assess Eligibility: Begin by reviewing the eligibility criteria for each program. Carefully consider factors such as income, level of care required, and your loved one’s specific needs. Contact the ADRC at 1-808-643-2372 or your local AAA for guidance.

Gather Documentation: Each program has specific requirements, but here are some common documents you may need:

  • Medical Records: Proof of your loved one’s diagnosis and care needs, such as medical history or a physician’s statement.
  • Income and Asset Information: Recent tax returns, bank statements, Social Security award letters, or proof of public assistance.
  • Proof of Residency: A utility bill, lease agreement, or driver’s license to confirm Hawaii residency.
  • Legal Documents: Power of attorney, guardianship papers, or other legal documents verifying your role as a caregiver.
  • Insurance Information: Copies of Medicaid, Medicare, or private insurance cards.

Apply for Programs: Reach out to the appropriate state or federal agencies to apply for programs that meet your loved one’s needs:

  • For Medicaid Waiver Programs: Contact the ADRC at 1-808-643-2372 or your local Medicaid caseworker.
  • For Kupuna Caregivers Program: Call the ADRC or your local AAA to begin the application process.
  • For Veterans Programs: Contact your nearest Veterans Affairs office or call 1-800-827-1000.

Seek Support: Join caregiver networks and connect with local organizations for guidance and emotional support:

  • Support Groups: Contact the ADRC or AAA for information on local support groups.

Follow Up: After submitting applications, follow up regularly with program administrators or caseworkers. Keep records of submission dates, application numbers, and contact names for reference.  

Conclusion

Hawaii offers several programs to support family caregivers through financial assistance and resources. These programs recognize the essential role caregivers play and aim to provide necessary support and compensation.

For further assistance and to explore more resources, consult with your Medicaid case manager or contact one of the relevant offices listed above.

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