Hawaii Medicaid Section 1115(a) Renewal Request

“The State of Hawaii, Department of Human Services (the State), hereby notifies the public that it intends to seek a five-year renewal of its Section 1115 Demonstration from the Centers for Medicare & Medicaid Services (CMS).  This renewal, which will be effective January 1, 2019, will be entitled “QUEST Integration.”

Hawaii: WorkHawaii

WorkHawaiʻi Division

How do you want to Level Up? By securing housing? By getting your GED? By learning a new trade? With a paid internship or a new job? Maybe you just need access to a laptop and printer to work on your résumé and job search.

WorkHawaiʻi’s mission is to develop a quality workforce for Honolulu’s businesses, and to empower individuals to meet the current and future needs of employers so that our economy continues to grow. Our office offers a wide range of services, both in our office at the Dole Cannery, and out in the community across the island of Oʻahu, including Hiring Events, workshops, and resources access.”

Hawaii Medicaid IDD Waiver Providers

“Services are provided through the Medicaid 1915(c) Home and Community-Based Services (HCBS) Waiver, for Individuals with Intellectual and Developmental Disabilities (Medicaid I/DD Waiver). The purpose of the Medicaid I/DD Waiver is to support people to have a full life in the community.

Life Course Tools Diagram

Services and supports are identified through a person-centered planning process with case managers to develop the Individualized Service Plan (ISP) with the individual’s desired outcomes and goals. The case manager assists the individual and family in accessing these services from qualified Medicaid I/DD Waiver providers chosen by the individual.”

Hawaii DDD Employment First

“Individuals who are competitively employed live a life they truly want! The DDD believes that all people, regardless of disability, should have the opportunity to work and recognizes that individuals with I/DD achieve successful employment outcomes when:

  • They are empowered to drive their job search process;
  • They have access to services and supports; and
  • They are given the opportunity to engage in a Customized Employment

In 2017 Governor David Y. Ige signed a Proclamation identifying October as Disability Employment Awareness month, and endorsed Hawaiʻi’s designation as an Employment First state. In this proclamation, Governor Ige encouraged all citizens of the Aloha State to fully participate in the workforce and bring their individual strengths and talents to augment Hawai’i’s business and industry.”

Hawaii DDD Waiver Employment Services and Supports

This page has information on the following services and supports:

Discovery and Career Planning
“…Discovery is a person-centered planning process that involves getting to really know the person before supporting them in developing a plan for employment (Callahan, 2001). Discovery begins with a team coming together to discover and gather information about an individual’s:

  • Marketable skills
  • Preferred tasks
  • Personal attributes and
  • Ideal workplace conditions…”

Benefits Counseling
Don’t let the fear of loss of benefits drive future decision-making. There are many programs that can enable you to work and keep your benefits. The DDD offers Benefits Counseling through the Medicaid I/DD Waiver.

Hawaii Work Incentives Planning and Assistance (WIPA)
If you are working, looking for work, or considering an employment decision and need individualized assistance, contact Hawaii WIPA using the information below.

Individual Employment Supports

  • Job Development– Once a Discovery and Career Planning process is complete, an Employment Specialist will use the information gathered from the discovery process that identified the participants marketable skills, preferred tasks, personal attributes and ideal workplace conditions to match them with the identified business needs of an employer.
  • Job Coaching- Job coaching will help the participant on the job after they have been hired in a competitive integrated environment and decreases as the participant becomes more independent on the job.

Hawaii QUEST Integration §1115 Waiver Renewal Application

“Pursuant to Section 1115(a) of the Social Security Act, the State of Hawai‘i, Department of Human Services (the State) is seeking a five-year renewal of the QUEST Integration Section 1115 demonstration project from CMS. Absent a renewal, the demonstration will expire on December 31, 2018.

For nearly two decades, the demonstration has efficiently and effectively delivered comprehensive benefits to a large number of beneficiaries, including expansion populations, through a competitive managed care delivery system. Under the renewal, “QUEST Integration” (QI) will continue to build on this success by delivering services through managed care, while integrating the demonstration’s programs and benefits to have a more patient-centered care delivery.

All eligible beneficiaries will continue to be enrolled under QUEST Integration, and access to services will be determined by clinical criteria and medical necessity. The renewal will continue to incorporate the simplified Medicaid eligibility structure under the ACA into the demonstration.”

Hawaii Medicaid Updated Waiver Provider Standards For Individuals with IDD

“The Department of Health, Developmental Disabilities Division, has issued the updated Medicaid Waiver Provider Standards for Individuals with Intellectual and Developmental Disabilities (Medicaid I/DD Waiver), Version B-3. The Standards reflect changes based on the CMS-Approved I/DD Waiver Amendment #2 and are effective in November 2018.”

Hawaii Medicaid Waiver Provider Standards Manual Version B-3

“Remediation for HCBS Final Rule (79 FR 2947) on Community Integration Through its process of validation and monitoring of Providers, DOH-DDD will ensure that settings meet HCBS final rule requirements by maximizing opportunities for participants to have access to the benefits of community living and opportunities to receive services in the most integrated setting.
a. Setting requirements include but are not limited to the following:

  1. The setting is integrated in and supports access to the greater community;
  2. The setting provides opportunities to seek employment and work in competitive integrated settings if Discovery and Career Planning and Individual Employment Supports services are part of the Provider’s service array;
  3. The setting provides opportunities to engage in community life, and control personal resources; and
  4. The setting ensures the participant receives services in the community to the same degree of access as individuals not receiving Medicaid I/DD Waiver.”

Hawaii Disability Rights Center “Employment”

~~The rights of persons with disabilities were reaffirmed as follows: “People with disabilities have the right to freedom from discrimination in:

Being employed, provided reasonable accommodation in training for a job or in the workplace, the opportunity for career advancement, termination of supported or sheltered employment for placement in competitive, integrated employment at fair wages.

People with disabilities have the right to assistance to resolve problems or issues arising from programs or services funded under the Rehabilitation Act.”

Hawaii Office of Veterans’ Services

“List of Services for Veterans, Active Military, Spouses and Dependents

  •  Assist in preparation of VA claims;
  • Assist with burials of indigent veterans;
  • Employment and Re-employment;…
  • Help individuals file VA Appeals…”
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