Hawaii · HI
How to get paid to care for a family member in Hawaii
In Hawaii, the main path is QUEST Integration self-direction (Personal Assistance).1 QUEST Integration member authorized for Personal Assistance Level I or II or respite.1 No statewide caregiver pay rate is published on the official pages we reviewed. Pay is set within the program budget or program rules. Ask the program or its payroll agency for the rate in writing.1
Limited official detail was available for this state. We show only what the official page states.
- Official sources
- Last verified Oct 20, 2026
- Independent site, not a government agency
Written by Luis Fernando Garcia
Reviewed against official sources Last verified 5 official sources cited
Key facts
- Program
- QUEST Integration self-direction (Personal Assistance)1
- Who can be paid
- Members may hire family members. For a spouse or a parent of a minor, payment generally requires extraordinary circumstances. A 40 hour per week limit applies.1
- Spouse
- Yes, in extraordinary circumstances1
- Pay
- No statewide caregiver pay rate is published on the official pages we reviewed. Pay is set within the program budget or program rules. Ask the program or its payroll agency for the rate in writing.1

Programs in Hawaii
| Program | Type | Eligibility summary | Source |
|---|---|---|---|
| QUEST Integration self-direction (Personal Assistance) | HCBS self-directed | QUEST Integration member authorized for Personal Assistance Level I or II or respite. | Official page1 |
| VA Program of Comprehensive Assistance for Family Caregivers | VA | For eligible Veterans with a 70% or higher VA disability rating. See VA stipend. | va.gov2 |
Is there IHSS or CDPAP in Hawaii?
No. IHSS is California's In-Home Supportive Services program4 and CDPAP is New York's Consumer Directed Personal Assistance Program5. Hawaii does not use those names. The comparable path on the Hawaii official source is QUEST Integration self-direction (Personal Assistance).1
How to apply
- Make sure your loved one is a QUEST Integration (Med-QUEST) member.1
- Ask the health plan service coordinator about self-direction.1
- Choose the self-directed option and enroll your worker with the payroll (financial management) agency.1
- The worker completes background checks and any required training before starting.1

Your Hawaii application checklist
Use this list to track the official steps. It does not decide eligibility. Only the agency decides who qualifies. Applying through the state is free.
Have ready before you call
Frequently asked questions
Can a family member get paid to be a caregiver in Hawaii?
Possibly, if the person receiving care qualifies. QUEST Integration self-direction (Personal Assistance): Members may hire family members. For a spouse or a parent of a minor, payment generally requires extraordinary circumstances. A 40 hour per week limit applies.
How much does Hawaii pay family caregivers?
No statewide caregiver pay rate is published on the official pages we reviewed. Pay is set within the program budget or program rules. Ask the program or its payroll agency for the rate in writing.
Can a spouse be paid in Hawaii?
What the official source says: Yes, in extraordinary circumstances. Confirm with the program before you rely on it.
Who decides if we qualify?
Only the state agency or health plan decides. This site cannot approve anyone or promise eligibility.
Sources
- https://medquest.hawaii.gov/api/media/file/Health%20Plan%20Manual%20-%20Part%20II%20Operational%20Guidance%2024.1.pdfOfficial
- VA PCAFC: https://www.va.gov/family-and-caregiver-benefits/health-and-disability/comprehensive-assistance-for-family-caregivers/Official
- USA.gov: https://www.usa.gov/disability-caregiverOfficial
- California CDSS, IHSS: https://www.cdss.ca.gov/in-home-supportive-servicesOfficial
- New York DOH, CDPAP: https://health.ny.gov/health_care/medicaid/program/longterm/cdpap/Official
Last verified
