Senior care in Hawaii
Community care foster family homes in Hawaii
A community care foster family home, or CCFFH, is a small certified home where a caregiver cares for adults in Medicaid community care.
There are many of these homes across the islands, often with two or three beds.
Also called: CCFFH, adult foster home, Medicaid care home.
What it is
The Department of Health holds the authority over these homes. It has designated Community Ties of America to do the licensing and certification work.
A case manager from a case management agency is part of the care. Hale Kōkua is not a case management agency and does not take that role. This is a different path from a private-pay ARCH.
These are private family homes. We list them by town and license number only, never by the caregiver's name or address.
Read the State rules in our licensing guideWho it fits
- Adults who qualify for Medicaid community care through Med-QUEST.
- People who would do well in a very small home with one or two other residents.
Paying for it
Medicaid community care, through Med-QUEST, is the usual path. The State decides eligibility.
A case management agency, not Hale Kōkua, is involved in setting up care.
Foster family homes by island
1291 licensed on State of Hawaii records. Pick an island to browse them.
- Foster family homes on OahuOʻahu · 1111 on the State list
- Foster family homes on the Big IslandHawaiʻi Island · 108 on the State list
- Foster family homes on MauiMaui · 52 on the State list
- Foster family homes on KauaiKauaʻi · 19 on the State list
- Foster family homes on MolokaiMolokaʻi · 1 on the State list
- Foster family homes on LanaiLānaʻi · none on the State list right now
List last updated October 22, 2026, from the State licensed facility roster and OHCA lists dated April 2026 and March 2026.
Questions about foster family homes
See all questionsWhat is a community care foster family home?
A community care foster family home, or CCFFH, is a small certified home, often two or three beds, for adults in Medicaid community care. Community Ties of America does the licensing and certification work for the State.
Does Medicaid pay for a foster family home in Hawaii?
Medicaid community care, through Med-QUEST, is often the path into a community care foster family home. The State decides eligibility, and a case manager from a case management agency is part of the care.
Does Hale Kōkua act as a case manager?
No. Hale Kōkua is not a case management agency. We introduce families to licensed homes, and we are not involved after the introduction. For Medicaid community care, the case manager comes from a case management agency. Ask the home or Med-QUEST how to reach them.
Other kinds of senior care in Hawaii
Not sure which kind of home fits?
Tell us about your person. We explain which Hawaii license fits the care, and introduce you to licensed homes that may fit. Or write hello@halekokua.com.
Families pay nothing for the search.
Where this list comes from
These homes come from public records of the Hawaii Department of Health, Office of Health Care Assurance (OHCA). The full list of licensed ARCH, expanded ARCH, assisted living, and community care foster family homes comes from the OHCA facilities roster that the State publishes as open data. We check it every day and update this list when it changes.
- Hawaii Statewide GIS Program, OHCA Facilities layer.
- Combined ARCH and Expanded ARCH Vacancy Report, by area, updated by the State April 2026.
- Assisted Living Facility list, updated by the State April 2026.
- Community Care Foster Family Home list, updated by the State March 2026.
The monthly ARCH vacancy report only covers homes that reported to the State that month, and openings change quickly. We do not post openings. We can ask a home about openings when we introduce you.
Hale Kōkua does not own, run, or license these homes. Foster family homes are private family homes, so we list them by town and license number only, never by the caregiver's name. Confirm any license with the State Licensing Section at (808) 692-7400. Last checked October 22, 2026.