The program is currently at capacity.  If you have been assessed and deemed eligible, you are now on a waitlist.

The limited amount of funding under this pilot program was estimated to be able to serve only 38 caregivers on Oahu for a 6 month period.  After receiving funding in February, and with a deadline to expend the funds before June 30th 2018, over 80 participants were referred to contracted providers from February to May.  Based on projected use, the program put a hold on referrals from May.  Participants were reminded to have a transition plan after June 30, 2018.  

Additional funding was released to continue the program after June 30, 2018.  No break in service was experienced for the remaining 60 participants at the time.  The current funding covers services until June 30, 2019, however, the program is still at capacity.  Any applicants that have been assessed and deemed eligible but were not referrred to a provider were placed on a waitlist.  Currently, there are over 50 people on the waitlist.  EAD continues to receive and process applications, however, depending on the rate of attrition, only a few additional participants (if any) may be enrolled for the current fiscal year.  While it is unlikely for new applicants to participate in Kupuna Caregiver Program this year, we still encourage those who are interested to call so that we may use the data to demonstrate the need in the community.

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.

Kupuna Caregiver Requirements:

• 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, up to 5 days a week, 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.  Care recipients that meet the requirements continue to the next step
• Elderly Affairs Division sends attestation form to caregiver's employer to verify the 30 hour/week requirement.  
• Once received, the verified form deems applicant eligible.
• Eligible applicants are prioritized for referral to a provider.
• Based on projected use, Elderly Affairs Division authorizes services and refers applicants to contracted provider of their choice.
• Once program capacity is met (based on available funding), a waitlist will be kept.  The waitlist will be ordered by level of level of need, not date.

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. 
• Does a doctor need to assess the care recipient?    If accepted and 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 and TB clearance to participate in the Adult Day Care program.
• Who are the contracted Adult Day Care providers?    Contracted providers include: Palolo Chinese Home Adult Day Care, Live Well in Iwilei, Windward Senior Day Care (Kailua), Salvation Army Adult Day Care & Day Health (Downtown/Liliha), Franciscan Care (Ewa & Manoa), Central Union Adult Day Care & Day Health (Makiki), Kilohana Senior Enrichment Center (Hawaii Kai), Hale Hauoli (Aiea/Newtown), Malama Adult Day Care (Makiki), and Seagull Schools Adult Day Care (Kapolei).  
• 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.  When attending a full day, the hourly cost of an Adult Day program ranges from about $5.50 to $9.50/hour.This is substantially more cost effective than in-home care which typically ranges from $18 to $25/hour. However, EAD recognizes that some caregivers' situations are not appropriate for Day Care, and short in-home care assistance could be a significant benefit.  Therefore it is considering this and other options if the program is to continue.
• 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, providers may require pre-payment of these fees.
• What about Adult Day Health services?  Adult Day Health, which offers a higher level of care than Adult Day Care, is also available through this program. 
• To learn more about Adult Day Care & Adult Day Health services, including tips and suggestions, watch this video: "Adult Day Centers: Keeping Elders Engaged" from the Kupuna Education Center at KCC.