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Honolulu City and County's Resource for Aging, Disability and Caregiving


KUPUNA CAREGIVER Program Information:

For the City & County of Honolulu, the Elderly Affairs Division has chosen to contract for Adult Day Care services with Kupuna Caregiver funds.  Services will be available when our contract with the Executive Office on Aging is finalized.  For more information on the Kupuna Caregiver Program, please go to:
The limited amount of funding under this pilot program is estimated to be able to serve only 38 caregivers on Oahu.  We will be prioritizing working caregivers with the greatest caregiver burden and the most economic and social need. Participants will need to have a transition plan when services end June 30th, 2018. 
If you believe you are eligible for the Kupuna Caregiver program, you and your care-recipient are likely eligible for other services offered through the Elderly Affairs Division.  For caregivers, there are educational opportunities and support groups.  For frail elders, the state also offers the KUPUNA CARE program which provides services such as home-delivered meals, transportation, bathing services, attendant care, and homemaker.  For more information on these additional services, please call our Senior Helpline at 768-7700.
  • Caregiver must be employed at least 30 hours a week.  Per the Executive Office on Aging, self-employment will not qualify as employment for the purpose of this program.
  • The care recipient must be 60 years or older and have impairments in conducting activities of daily living (ADL) and/or instrumental activities of daily living (IADL).
  • The benefit is limited to $70 a day paid directly to a City and County of Honolulu contracted service provider. 
Preliminary process:
  • Caregivers call the Senior Helpline and are screened for eligibility.
  • Caregiver and Care Recipient are assessed in the home by Elderly Affairs Division staff.
  • Eligible Caregivers are prioritized.
  • Prioritized Caregivers choose from the providers that are contracted with the Elderly Affairs Division.
  • Elderly Affairs Division authorizes services and refers Caregivers to contracted provider.
  • Once capacity is met, a waitlist will be kept.  Waitlist will be ordered by level of caregiver burden and senior's needs.
Frequently asked questions:
  • What is Adult Day Care?    The service provides supervision in a safe & comfortable environment, meals/snacks, and on-site activities for physical strengthening, mental stimulation, socialization and recreation.  Each provider has different operation hours from morning to evening which typically range from 9 to 11 hours.  Some providers may also assist with personal care/bathing, toileting, and/or incontinence, usually for an additional fee or through a higher daily rate.
  • Can this program cover my existing Adult Day Care service?    It is possible.  However, information on existing supports are collected as part of the assessment and will be considered when prioritizing need of participants.  Generally, a care-recipient currently receiving services and support from various sources will have less over-all burden on a caregiver than one who is not receiving services and/or is the only source of support.  It is likely that most or all of the participants chosen for this pilot program will not have any formal support, has only one or few informal supports, has a high level of need, and are the most socially and/or economically disadvantaged.
  • Does a doctor need to assess the care recipient?    Possibly; the Elderly Affairs Division will assess the care recipient and caregiver for eligibility and prioritization.  If referred to a contracted provider, the participant will need to follow the specific requirements of the provider, which normally includes medical clearance from the participant's primary care physician to participate in the Adult Day Care program.
  • Who are the contracted Adult Day Care providers?    The city is currently discussing with several potential providers located around the island and plan to have several contracts within the next few weeks.
  • Why is only Adult Day Care being provided?    The administrative costs for contracting several providers of different services is not feasible for the limited amount of funding and the short period of time. Adult Day Care services provides the most benefit to a working caregiver who normally cares for an elder during the evenings and weekends.  The benefit limit of $70 per day would also cover all or most of the daily cost of this service.  The supervision, meals, activities, socialization, and exercise provided with the service is also beneficial to the care recipients who would otherwise be isolated at home with no stimulation or support and at risk of self-harm.
  • What happens if the service costs more than $70 per day?  If the provider's daily rate is over the $70 per day benefit, the participant and caregiver will be responsible to pay the provider directly for the difference.    Other costs, such as application fees, incontinence care or toileting assistance, personal care/bathing, early drop-off/late-pick-up, extra meal, excursion fees, etcetera, will also be the responsibility of the participant and caregiver.  Based on anticipated usage, most providers will require pre-payment of these fees a month in advance.
  • What about Adult Day Health services?  Adult Day Health, which offers a higher level of care than Adult Day Care, will also be made available through this pilot program. 



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ABOUT Our Services

We help people find assistance for aging, disability and caregiving, such as with Nutrition, Housing, Transportation, and Financing. Learn more about our services.

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About the Honolulu Elderly Affairs Division

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The Elderly Affairs Division (EAD), a division of the Department of Community Services of the city and county of Honolulu, is your local Area Agency on Aging

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Its purpose is to plan, support and advocate for programs to promote the well-being of Oahu's older adults and caregivers and to address and respond to the priority needs of all seniors.

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Please read our Area Plan on Aging to learn more about EAD.

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