Hawaii public guide · Official sources checked July 29, 2026Sources · Report a correction
Beyond ChildhoodHawaii human help

A parent-first guide to Hawaii adult services

Turn Hawaii’s DD waiver system into the next action you can complete.

Choose the situation that fits. Every action shows where to start, what to prepare, what happens next, what proof to save, and who to contact when progress stops.

No accountNo answers transmitted or savedOfficial sources firstNot an eligibility decision
Immediate danger? Call 911. For crisis or emotional support, call or text 988. For suspected harm, use Hawaii Adult Protective Services, the official facility or provider route when applicable, or law enforcement.

Human help at any point

Start with the DDD Intake Office serving the person's island

Ask for DDD developmental-disability eligibility and adult-service intake. Save the contact, dated record index, every missing-record request, eligibility result, Case Manager assignment, and stated next event. Waiver admission is a separate process involving level of care, Medicaid, Long Term Care eligibility, and an MQD decision.

Find the Hawaii DDD Intake Office

Build a Hawaii action plan

Which situation is closest?

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All six Hawaii starting situations

JNY-HI-01

Not started or approaching school exit

Open the correct DDD Intake Office intake, build the eligibility record, and connect school and rehabilitation.

Read the step-by-step guides
  1. Contact the DDD Intake Office serving the person's island and request developmental-disability eligibility and adult-service intake.
  2. Organize diagnostic, developmental-onset, adaptive, and functional evidence for the DDD eligibility review.
  3. Coordinate final school records, DDD intake, and vocational rehabilitation as separate tracks.

JNY-HI-02

DDD, level of care, Medicaid, LTC, waiver admission, or ownership is unresolved

Separate DDD eligibility, level of care, Medicaid, LTC, MQD waiver admission, and every owner.

Read the step-by-step guides
  1. After DDD eligibility and Case Manager assignment, request the separate Medicaid I/DD Waiver admission process.
  2. Use the current Hawaii Medicaid route when coverage or financial eligibility must be established or maintained.
  3. Create a written owner-and-proof map from DDD Intake Office intake through first delivered service.

JNY-HI-04

Choosing a funding path, provider, delivery model, or start

Compare funding paths, verify providers or the Consumer-Directed Option, and close readiness gaps.

Read the step-by-step guides
  1. Separate Medicaid I/DD Waiver admission from DDD state-funded LASR or FSSP support.
  2. Use the official provider listing and determine whether traditional or applicable Consumer-Directed Option delivery is ready.
  3. Separate Hawaii Medicaid fee references from the person's approved plan, authorization, and delivery readiness.

JNY-HI-06

Urgent need, crisis, abuse concern, or service breakdown

Address safety, setting-specific reporting, reassessment, and correction.

Read the step-by-step guides
  1. Use 911 for immediate danger, 988 for crisis support, and DDD Crisis Outreach plus the Case Manager for disability-service follow-up.
  2. Use Hawaii's vulnerable-adult and setting-specific protective route and separately correct DDD service delivery.
  3. Document changed need, failed supports, or risk and request the exact DDD, plan, authorization, or provider correction required.

Provider evidence

Listing is not availability

These examples demonstrate the evidence standard. They are not recommendations. Directly verify service, geography, license when applicable, current capacity, safeguards, staffing, quality, and individual fit.

Official listing example

Hawaii waiver services and provider brochure

Listed service: Describes waiver services and the provider-choice resource

Area: Verify service, island, setting, capacity, acceptance, safeguards, staffing, schedule, quality evidence, and fit directly

Official listingCheckedAccepting inquiriesUnknownActual openingUnknownQuality / fitNot evaluated

Open the official source

Official listing example

DDD Case Management

Listed service: Coordinates person-centered planning, plan approvals and revisions, resources, provider choice, monitoring, and Consumer-Directed Option assistance

Area: Assignment or referral does not prove authorization, provider or worker readiness, schedule, or start

Official listingCheckedAccepting inquiriesUnknownActual openingUnknownQuality / fitNot evaluated

Open the official source

Official listing example

Hawaii Consumer-Directed Option

Listed service: Applies only to services marked as consumer-directed and compatible living settings, with fiscal-employer-agent support

Area: Program choice is not worker clearance, payroll readiness, authorization, backup coverage, or first service

Official listingCheckedAccepting inquiriesUnknownActual openingUnknownQuality / fitNot evaluated

Open the official source

Transparency

Hawaii official-source register

SourceOwnerStatusCheckedReview
Start Hawaii DDD intake and eligibility Hawaii Department of Healthcurrent official two-step DDD eligibility and Medicaid I/DD Waiver admission route2026-07-29monthly
Find the Hawaii DDD intake office and Case Management Unit Hawaii Department of Healthcurrent official island-specific intake, case-management, crisis, complaint, and Consumer-Directed contact route2026-07-29monthly
Use the revised Hawaii DDD Intake Booklet Hawaii Department of Healthcurrent official September 2025 DDD application, record, decision, case-manager, and next-step guide2026-07-29monthly
Apply for Hawaii Medicaid Hawaii Department of Human Services, Med-QUEST Divisioncurrent official online, telephone, mail, fax, application, and eligibility-office route2026-07-29monthly
Apply for Hawaii Medicaid I/DD Waiver admission Hawaii Department of Health and Med-QUEST Divisioncurrent official DDD, case-manager, ICF/IID level-of-care, Medicaid, LTC, MQD decision, annual-review, and service-start sequence2026-07-29monthly
Plan Hawaii DDD and Medicaid I/DD Waiver services Hawaii Department of Healthcurrent official case-management, person-centered planning, qualified-provider, Consumer-Directed, and support route2026-07-29monthly
Review Hawaii waiver services and providers Hawaii Department of Healthcurrent official service-by-setting, qualified-provider, provider-brochure, and Consumer-Directed service route2026-07-29monthly
Review Hawaii Consumer-Directed service options Hawaii Department of Healthcurrent official applicable Consumer-Directed service and provider-choice route2026-07-29monthly
Review Hawaii's approved July 2026 waiver, standards, and rate materials Hawaii Department of Healthcurrent official July 1, 2026 approved waiver and standards route; rate-sheet availability does not prove individual authorization2026-07-29monthly
Apply for Hawaii Division of Vocational Rehabilitation services Hawaii Department of Human Servicescurrent official DVR application, submission, office, and assessment route2026-07-29monthly
Apply for Social Security disability benefits Social Security Administrationcurrent official federal disability-benefit application route2026-07-29monthly
Review Hawaii state-funded DDD services Hawaii Department of Healthcurrent official LASR, FSSP, funding-availability, reimbursement, and Medicaid-waiver boundary route2026-07-29monthly
Find Hawaii adult services, housing, and decision-support contacts Hawaii Department of Human Servicescurrent official adult, public-housing, medical, protective, and human-help contact route; qualified legal help remains necessary2026-07-29monthly
Request a Hawaii DDD review or hearing Hawaii Department of Healthcurrent official DDD informal-review, DOH administrative-hearing, and DHS Medicaid fair-hearing route2026-07-29monthly
Use Hawaii DDD crisis and human-help contacts Hawaii Department of Healthcurrent official DDD crisis-outreach, island case-management, and administrative contact route2026-07-29monthly
Report suspected harm to Hawaii Adult Protective Services Hawaii Department of Human Servicescurrent official vulnerable-adult APS online, telephone, investigation, crisis-intervention, and emergency route2026-07-29monthly
Review current Hawaii waiver provider standards and reporting policies Hawaii Department of Healthcurrent official July 2026 provider standards, monitoring, mandatory-reporting, adverse-event, and compliance route2026-07-29monthly