Developmental Disabilities Division (DDD)

The Developmental Disabilities Division and Med-QUEST Division are pleased to announce that Waiver Amendment #12 has been posted for public comments.

This amendment implements a rate increase for specific Waiver services based on the provider rate study conducted in 2024 and increases in the Hawaiʻi minimum wage. The rate study proposed rate increases for the following services: Personal Assistance/Habilitation (PAB), Residential Habilitation (ResHab), Additional Residential Supports (ARS), Adult Day Health (ADH), Community Learning Service (CLS), Community Navigator (CN), Discovery and Career Planning (DCP), Individual Employment Supports (IES), Respite, Chore, Non-Medical Transportation (NMT), Private Duty Nursing (PDN), and Training and Consultation (T&C). The ranges within Individual Supports Budgets were revised to correspond with the increased service rates to ensure participants can access the same amount of services. The maximum cost for a Vehicle Modification (VM) is also increased, based on an analysis of the trend of higher costs for VMs over the past two years.

Links to documents:

• Notice for a Public Notice – PDF Format
• Waiver Amendment July 2025 – PDF Format
• Rate Models – PDF Format

Please send your comments in writing to [email protected] or to:

DOH DDD CRB
3627 Kilauea Avenue, Room 411
Honolulu, HI 96816

Comments must be received by 11:59 pm on September 2, 2025.