Home care provides nonmedical assistance with daily activities, while home health care involves skilled medical services delivered by licensed health care professionals. Although some agencies offer both types of care, A Place for Mom’s network consists of nonmedical home care providers. A Place for Mom has partnered with 10 home care agencies to help seniors and their families find the right provider.
Reviewer Ranking
4.3/ 5.0
(3)The experience with the Home Instead Company was excellent. They lead us through the maze of possibilities of care and provided us good insights as to how to care for our loved one. The help that they...
Reviewer Ranking
4.7/ 5.0
(3)All are 5s. The care worker sent by Senior Helpers is the best. She excels in every category. I definitely would recommend Senior Helpers to other families. Their office staff is also very responsive and...
Reviewer Ranking
5.0/ 5.0
(3)What we like the most about their service is the Caring and the price. Of course, I'll recommend then to others if I come across someone asking for care.
Reviewer Ranking
5.0/ 5.0
(42)Great communication with office personnel! Care taker is very knowledgeable and has lots of background experience in handling patients.
Reviewer Ranking
4.3/ 5.0
(3)The experience with the Home Instead Company was excellent. They lead us through the maze of possibilities of care and provided us good insights as to how to care for our loved one. The help that they...
Reviewer Ranking
4.7/ 5.0
(3)All are 5s. The care worker sent by Senior Helpers is the best. She excels in every category. I definitely would recommend Senior Helpers to other families. Their office staff is also very responsive and...
Reviewer Ranking
5.0/ 5.0
(42)Great communication with office personnel! Care taker is very knowledgeable and has lots of background experience in handling patients.
Reviewer Ranking
4.3/ 5.0
(3)The experience with the Home Instead Company was excellent. They lead us through the maze of possibilities of care and provided us good insights as to how to care for our loved one. The help that they...
Reviewer Ranking
4.7/ 5.0
(3)All are 5s. The care worker sent by Senior Helpers is the best. She excels in every category. I definitely would recommend Senior Helpers to other families. Their office staff is also very responsive and...
Reviewer Ranking
5.0/ 5.0
(42)Great communication with office personnel! Care taker is very knowledgeable and has lots of background experience in handling patients.
Reviewer Ranking
4.3/ 5.0
(3)The experience with the Home Instead Company was excellent. They lead us through the maze of possibilities of care and provided us good insights as to how to care for our loved one. The help that they...
Reviewer Ranking
5.0/ 5.0
(3)What we like the most about their service is the Caring and the price. Of course, I'll recommend then to others if I come across someone asking for care.
Reviewer Ranking
5.0/ 5.0
(42)Great communication with office personnel! Care taker is very knowledgeable and has lots of background experience in handling patients.
Reviewer Ranking
4.3/ 5.0
(3)The experience with the Home Instead Company was excellent. They lead us through the maze of possibilities of care and provided us good insights as to how to care for our loved one. The help that they...
Reviewer Ranking
5.0/ 5.0
(3)What we like the most about their service is the Caring and the price. Of course, I'll recommend then to others if I come across someone asking for care.
Home care in Hawaii typically costs $36 per hour, which is higher than the national average of $32.[01] Costs vary depending on how many hours of care your loved one needs. The following costs are estimated based on the average hourly rate in Hawaii:
Several factors can affect home care costs in Hawaii, including:
Average monthly costs
Hawaii
US National average
Average monthly costs
Average monthly costs
Average monthly costs
| Community type | Hawaii | U.S. | Cost difference |
|---|---|---|---|
| Assisted Living | $6,630/mo | $5,830/mo | 13.7% above national average |
| Memory Care | $7,987/mo | $6,999/mo | 14.1% above national average |
| Independent Living | $4,559/mo | $3,520/mo | 29.5% above national average |
Let our care assessment guide you
Our free tool provides options, advice, and next steps based on your unique situation.
In Hawaii, most families pay for nonmedical home care using a combination of private and public sources, which may include long-term care insurance, Medicaid, and other payment methods.
Private pay funding sources for home care typically include:
Veterans may qualify for assistance through the Department of Veterans Affairs (VA). Programs that can help pay for home care include:
You can learn more at VA.gov or through the Hawaii Office of Veterans Services website.
Medicaid is an insurance program for low-income seniors that’s jointly administered by the federal and state governments. In Hawaii, the Medicaid program helps elderly residents who qualify through cash payments and payment for certain home care services, such as:
The state’s Medicaid plan does this through two programs: the Aged, Blind, and Disabled program, and Med-QUEST, a managed care program.[04,05]
Eligibility for Medicaid depends on financial requirements. Some programs also require recipients to demonstrate medical necessity.
Medicare covers certain home health care services, such as skilled nursing care, physical therapy, occupational therapy, and speech therapy, when they’re medically necessary and ordered by a physician. However, Medicare generally doesn’t cover nonmedical home care services, such as assistance with bathing, dressing, meal preparation, or companionship, unless those services are provided as part of a home health care plan.[06]
Hawaii regulates both home health agencies and nonmedical home care providers to help protect consumers. These regulations ensure agencies meet standards for safety, training, and quality of care.
Yes. In Hawaii, home care agencies must be licensed through the Office of Health Care Assurance within the state’s department of health. This applies to both home health agencies and many nonmedical providers.[07,08]
Yes. The Office of Health Care Assurance conducts inspections of home care agencies; these inspections may be announced or unannounced.[07] Inspections help ensure agencies comply with state regulations and maintain quality standards.
Families can verify an agency’s license through the state’s website. To understand how well an agency has performed in inspections, ask the agencies you’re considering for their inspection reports. Licensed agencies must meet requirements related to:[07,09]
Some agencies may also seek voluntary accreditation from organizations like The Joint Commission, which can indicate a higher level of quality.[10]
Hawaii requires agencies to follow hiring and training practices, including:[09,11]
These standards help ensure caregivers are qualified to provide safe, effective support.
Choosing the right agency is one of the most important steps. Here are some tips to guide your decision:
Read more: How to Choose a Home Care Agency
Let our care assessment guide you
Our free tool provides options, advice, and next steps based on your unique situation.
The average cost of home care in Hawaii is $36 per hour.
Medicare covers home health care, and can cover nonmedical home care services, such as help with bathing, grooming, and feeding, if they are medically necessary and provided in conjunction with skilled services.
Yes, Hawaii’s Medicaid program may cover home care services for those who qualify.
Yes, Hawaii’s Kapuna Caregivers program and its Med-Quest program allow eligible family caregivers to take care of their elderly loved ones. The state doesn’t pay family members directly; instead, they’re paid by a third-party agency that administers the caregiving programs.
Eligibility for home care assistance in Hawaii depends on income, assets, care needs, and specific program requirements.
Home care agencies in Hawaii typically provide services such as personal care, companionship, meal preparation, light housekeeping, and transportation to appointments and for errands.
Difficulty with daily tasks, safety concerns, medication mismanagement, and poor hygiene are a few of the common signs that your loved one could benefit from home care.
A Place For Mom. (2026). A Place for Mom proprietary data.
U.S. Department of Veterans Affairs. (2026, March 6). Geriatrics and extended care: Home and community based services.
U.S. Department of Veterans Affairs. (2026, May 8). VA Aid and Attendance benefits and Housebound allowance.
Hawaii Department of Human Services. Aid to the aged, blind, and disabled (AABD).
Hawaii Department of Human Services. QUEST Integration benefits.
U.S. Centers for Medicare and Medicaid Services. Home health services. Medicare.gov.
State of Hawaii, Department of Health. Office of Health Care Assurance. Home care agency licensing.
State of Hawaii, Department of Health. Office of Health Care Assurance. Opening a home health agency.
State of Hawaii, Department of Health. (2018, August 10). Chapter 11-700, Hawaii Administrative Rules: Home Care Agencies.
Joint Commission. Home care accreditation program.
PHI National. Personal care aide training requirements.
Overview of Home Care in HI
The information contained on this page is for informational purposes only and is not intended to constitute medical, legal or financial advice or create a professional relationship between A Place for Mom and the reader. Always seek the advice of your health care provider, attorney or financial advisor with respect to any particular matter, and do not act or refrain from acting on the basis of anything you have read on this site. Links to third-party websites are only for the convenience of the reader; A Place for Mom does not endorse the contents of the third-party sites.
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