We help adult children anywhere in the United States place a parent in a licensed care home in Hawaii. The first conversations can happen while you are still on the continent.
Tell us the license they have now. A California RCFE, a small residential assisted living home, or a nursing facility each point to a different Hawaii license.
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We tell you the Hawaii license that fits
An ARCH, an expanded ARCH, an assisted living facility, or a community care foster family home. We say which one fits, and which islands actually have a bed.
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Records before the flight
Physician notes, a medication list, and the tuberculosis clearance the home will ask for. Medicaid, if it applies, is Med-QUEST here, and eligibility stays with the State.
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We introduce you, then the home takes over
We introduce your family to licensed homes on the island. If you cannot fly yet, ask the home about a video call. Someone from the family still meets the home in person before move-in.
Mainland names, Hawaii names
Hawaii does not issue an RCFE or an RAL license. Here is where those homes usually point.
If they are in a California RCFE
That license covers non-medical assisted living and the smaller board-and-care homes. The Hawaii license to look at depends on the care they need today, not the care they needed five years ago.
Heavier care often means an expanded ARCH. A preference for an apartment usually means assisted living.
If the home is called an RAL
Residential assisted living is the small-house model. In Hawaii that house is an adult residential care home.
We ask about shared rooms, stairs, diet, and wheelchair needs, so we know which homes to introduce you to.
Homes usually ask for these. It helps to start early, before anyone pays a deposit.
Papers
A current physician report
Doctor orders for diet, medicines, and special care
A full medication list
Tuberculosis clearance
Flu and pneumonia shot records
Money
Medicare does not pay the monthly rate at an ARCH or assisted living
Private pay or long-term care insurance details
VA benefits, if your parent served
Med-QUEST is Hawaii Medicaid. The State decides eligibility
The move itself
Flights, and interisland flights if needed
A furniture or belongings shipment
Someone on the island who can visit in the first month
If care grows later
Aging in place is written into the assisted living rules
An ARCH has a ceiling on the care it can give
An expanded ARCH can let some residents stay when nursing-home level care begins
If you cannot fly over yet
Start with us by phone or email. We introduce you to licensed homes on the island. Ask each home whether it can set up a video call, so you can see the room and ask questions.
Before move-in
Someone from the family still meets the home in person, on the island where your parent will live. That visit, and everything after it, is between your family and the home.
California licenses non-medical assisted living and board-and-care homes as a Residential Care Facility for the Elderly, an RCFE. Hawaii does not issue an RCFE license. A family leaving that kind of home is usually looking at an ARCH, an expanded ARCH, or an assisted living facility. We explain the Hawaii names and introduce you to licensed homes. Confirm the license with the State before anyone flies.
What is residential assisted living, or RAL?
Residential assisted living is a mainland name for a small care home, often about six beds. In California that home is still licensed as an RCFE. In Hawaii the matching license is an adult residential care home, Type I or Type II.
Does someone meet with us in person?
Hale Kōkua does not meet families in person. We talk with you by phone or email, then introduce you to homes. You set up visits directly with the home and meet the people who run it there. If you are still on the mainland, you can start with us by phone or email.
Does Medicare pay for a care home in Hawaii?
Medicare pays for medical care such as hospital stays, doctor visits, and skilled nursing when the rules are met. The monthly rate for an ARCH or an assisted living apartment is paid privately, with long-term care insurance, or through another program when the person qualifies. Medicaid, through Med-QUEST, is often the path into a community care foster family home. The State decides eligibility.
Which islands do you cover?
We work statewide: Oʻahu, Hawaiʻi Island, Maui, Kauaʻi, Molokaʻi, and Lānaʻi. We also help families moving from anywhere in the United States. If the State lists show no licensed home of the right kind on a smaller island, we say so on the first call.
Start while you are still on the mainland
Leave a number with your time zone. We start with the care your parent needs today, and introduce you to licensed homes on the island.