Office of Health Care Assurance (OHCA)

The Office of Health Care Assurance (OHCA) performs all state licensing activities on healthcare facilities, agencies and organizations in Hawaii.  This includes conducting all on-site state licensing surveys (inspections) and Medicare certification surveys (inspections) on behalf of the U.S. Centers for Medicare and Medicaid Services (CMS).

Medicare Section
The Medicare Section of the Office of Health Care Assurance is responsible for the state licensing and federal certification survey activity in Hawaii for all Medicare-eligible health care facilities or organizations.

The Medicare Section is responsible for promulgating state licensing rules and developing standards as required to ensure quality of care for certain medical facilities which must be licensed by the State.  These include adult day health centers, ambulatory surgical centers, home health agencies, hospitals, intermediate care facilities for individuals with intellectual disabilities, skilled nursing and intermediate care facilities, and clinical laboratories.

The Medicare Section is also responsible for conducting the federal survey and certification activities on behalf of the U.S. Centers for Medicare & Medicaid Services (CMS) for Medicare/Medicaid providers and the Clinical Laboratory Improvement Amendments (CLIA) laboratories.  Medicare/Medicaid providers include ambulatory surgical centers, home health agencies, hospitals, intermediate care facilities for individuals with intellectual disabilities, skilled nursing facilities, end-state renal disease facilities, hospices, rehabilitation agencies, rural health clinics, and portable x-ray facilities.

For more information, please visit the Medicare Section website.

State Licensing Section
The State Licensing Section of the Office of Health Care Assurance is responsible for promulgating licensing rules and developing standards as required to ensure quality of care for certain community based facilities which must be licensed by the State, but which are not eligible for Medicare participation.  These facilities include adult residential care homes (ARCH), expanded ARCH (E-ARCH), assisted living facilities (ALF), developmentally disabled domiciliary homes (DDDH), therapeutic living programs (TLP), and special treatment facilities (STF).

For more information, please visit the State Licensing Section website.

Special Note on Community Care Foster Family Homes, Case Management Agencies, and Adult Day Care Centers

Effective July 1, 2014, the State Licensing Section will have regulatory oversight of community care foster family homes (CCFFH), case management agencies (CMA), and adult day care centers (ADCC).  Community Ties of America (CTA) is designated by OHCA to perform the licensing and certification activities.  For information on how to become a CCFFH, CMA, or ADCC, or to file a complaint regarding services, contact CTA at:  Community Ties of America, Inc., 45-955 Kamehameha Hwy. Suite 300, Kaneohe, HI 96744(808) 234-5380 (Local), (877) 236-5380 (Inter-Island Toll Free), or (808) 234-5470 (Fax).