1 Program Definition and Services
Adult Day Health Services in Hawaii provide an organized program of therapeutic, social, and health services to adults with physical or mental impairments in a non-residential, community-based setting. Services include:
- Nursing oversight and care
- Therapeutic activities
- Personal care
- Nutrition services
- Social services
- Emergency care
2. Regulations
The program is governed by:
- Hawaii Administrative Rules (HAR) Title 11, Chapter 96 - Freestanding Adult Day Health Centers
- Hawaii Administrative Rules (HAR) Title 11, Chapter 94.2-47 - Adult Day Health Services in Nursing Facilities
3. Licensing or Certification
A license is required to operate a freestanding Adult Day Health Center in Hawaii.
4. Responsible State Agency
The Hawaii State Department of Health, Office of Health Care Assurance (OHCA) is responsible for licensing Adult Day Health Centers.
5. Application Process
The application process includes:
Obtaining an approved Certificate of Need (CON) from the State Health Planning and Development Agency (SHPDA)
Submitting a written request for licensure to the OHCA along with the approved CON or a letter indicating a CON is not necessary
6. Required Documentation
Providers must submit:
- Copy of SHPDA's response (approved CON or letter)
- Written request for licensure
- Table of contents from the agency's policy and procedure manual
- Specific policies and procedures (e.g., Governing Body, Personnel, Patient Care)
- Contracts for services not provided by salaried employees
- Licenses/credentials for facility and personnel
- Legal name, tax identification number, and DBA
- Physical location address, phone, and fax number
- Agency's days and hours of operation
- Administrator's contact information
7. Timeline for Approval
The timeline for approval is not specified. However, due to contractual obligations, the OHCA may not accommodate requests for initial licensure for several months from the time of request.
8. Pre-Application Process
There is no specific pre-application process mentioned.
9. Pre-Application Training
No pre-application training is explicitly mentioned. However, providers should be familiar with the licensing requirements and regulations.
10. Additional Notes
- Client records must include a pertinent medical history, nursing assessment, emergency telephone numbers, and a plan of care.
- Facilities must be able to meet all applicable licensing requirements at the time of their request for licensure.
- An initial on-site survey will be arranged to determine compliance with licensure requirements.
- As of March 1, 2025, providers should verify if there have been any updates to these regulations or processes.
To get started, click the link to request portal access