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Family Caregiver Pay Map · Hawaii · Verified October 19, 2026

Hawaii: Who Can Be a Paid Family Caregiver Under Medicaid

Hawaii's QUEST Integration health plans pay a relative, including a spouse or the parent of a minor, for personal assistance only as extraordinary care when other qualified caregivers cannot be found or kept; members who self-direct may also hire neighbors and friends.

Spouse
In defined cases
Adult child / other relatives
In defined cases
Friends / neighbors
Yes
Parent of a minor child
In defined cases

Who can be paid: Relatives, including spouses and parents of a minor child, under the extraordinary-care rules in the state's federal demonstration terms; friends and neighbors hired by a self-directing member; not the member's surrogate.

The Home Care Agency is a free enrollment matching service — not a home care agency, not a Medicaid plan, and not a government agency. This research is educational. Eligibility, authorized hours and payment are always determined by the state program and, where applicable, the managed care plan.

The program behind the answer

QUEST Integration (1115 demonstration) home and community-based services — personal assistance Level I and II, agency or self-directed

Administered by Hawaii Department of Human Services, Med-QUEST Division (through QUEST Integration health plans).

  • Who employs the caregiver: Agency or self-directed
  • Waitlist: Some pathways have a waitlist
  • Legally responsible individuals and family caregivers may be paid for extraordinary care when other qualified caregivers cannot be found; the demonstration permits a waiting list for home and community-based services

How to apply in Hawaii

We do not yet have partner agencies in Hawaii. Start with the program's administering agency — Hawaii Department of Human Services, Med-QUEST Division (through QUEST Integration health plans) — using the official sources below; the state determines eligibility and enrolls participants.

Official sources

Facts on this page were last reviewed October 19, 2026 against the sources above. Program rules change; confirm with the program before making decisions. Method: how the Pay Map is verified.

Questions

Questions About Paid Family Caregiving in Hawaii

Can a spouse be paid to care for their husband or wife in Hawaii?
In defined cases. Hawaii allows a spouse to be the paid caregiver only under conditions written into its rules; see the summary and sources on this page.
Who can be the paid caregiver in Hawaii?
Relatives, including spouses and parents of a minor child, under the extraordinary-care rules in the state's federal demonstration terms; friends and neighbors hired by a self-directing member; not the member's surrogate.
Is there a waitlist for Medicaid home care in Hawaii?
QUEST Integration (1115 demonstration) home and community-based services — personal assistance Level I and II, agency or self-directed: some pathways have a waitlist (Legally responsible individuals and family caregivers may be paid for extraordinary care when other qualified caregivers cannot be found; the demonstration permits a waiting list for home and community-based services).
Who decides eligibility?
The state program, never The Home Care Agency. The Home Care Agency is a free enrollment matching service — not a home care agency, not a Medicaid plan, and not a government agency. This research is educational. Eligibility, authorized hours and payment are always determined by the state program and, where applicable, the managed care plan.