Family Caregiver Pay Rate in Hawaii: Wages, Benefits & Eligibility
Medicaid, Structured Family Caregiving, VA programs, long-term care insurance, and home care agency employment explained below.
HAWAII CAREGIVING NUMBERS
157K..
157,000 Hawaii residents are unpaid family caregivers, supporting aging or disabled loved ones without pay, providing essential health care, meal support, and help with activities of daily living.
23%…
Nearly 1 in 4 working adults in Hawaii also serve as family caregivers, managing care needs for parents, spouses, or children while maintaining employment and balancing their own health and responsibilities.
2.4B…
$2.4 BILLION is the estimated annual value of unpaid family caregiving in Hawaii — showing why clear family caregiver pay rate in Hawaii policies, fair compensation, and better access to Medicaid waiver programs matter for families.
At Paid Care, we help caregivers across Hawaii receive legal income for providing home care. If you assist a loved one with hygiene, mobility, meals, or medication, you may qualify for payment through Medicaid-funded and other programs.
This guide explains how Hawaii family caregivers can earn a paycheck. Each section covers who qualifies, estimated pay rates, and how Paid Care supports you from enrollment to direct deposit.
Average Pay Rates for Family Caregivers in Hawaii
General Range: Most family caregivers in Hawaii earn between $14 and $23 per hour, depending on program type and care level.
Statewide Average: The average hourly wage for caregivers is about $18.50.
Metro Areas: In cities like Honolulu, Hilo, or Kahului, caregivers may earn closer to $23 per hour, based on health care needs and qualifications.
Factors Influencing Pay Rates
Family caregiver pay rates in Hawaii depend on:
Medicaid or other funding source (VA, insurance, agency)
The level of help needed with activities of daily living
The caregiver’s experience, training, and whether they are a legal guardian
Island-specific cost of living
Conditions such as dementia, mental health needs, or chronic illnesses
Option 1: Get Paid Through Hawaii’s In-Home Support Services (IHSS) Program
What Is It?
Hawaii’s Medicaid programs allow family caregivers to be paid for providing care to a loved one at home. These programs help individuals who need assistance with daily tasks remain in their homes instead of moving to assisted living or nursing facilities.
Who Qualifies?
The person receiving care must qualify for Hawaii Medicaid, require help with at least two activities of daily living, and choose to receive care at home. Caregivers must be 18 or older and may need to pass a background check.
Hourly Pay Rate and Benefits
Pay is provided as a stipend. The family caregiver pay rate in Hawaii typically averages $14 to $23 per hour, depending on the Medicaid program and care needs. Benefits may also include respite care, caregiver training, and mileage reimbursement. Payments are issued through direct deposit.
How Paid Care Helps
Paid Care verifies Medicaid eligibility, coordinates required nurse assessments, and ensures compliance with state rules. We also track caregiver hours, provide training, and process payments quickly through our secure caregiver platform.
Option 2: Earn Income Through VA Caregiver Support in Hawaii
What Is It?
If your loved one is a veteran in Hawaii, you may qualify for VA caregiver programs like Aid & Attendance or PCAFC (Program of Comprehensive Assistance for Family Caregivers). These programs pay family caregivers to support veterans with home care or daily assistance, helping avoid nursing home placement. They are designed for veterans facing challenges with aging, chronic illness, disability, or mental health conditions.
Who Qualifies?
The veteran must need help with activities of daily living. You must be a family caregiver, pass a background check, and provide consistent care. In many cases, you may need to live with the veteran. Caregivers also need to meet requirements around consent, income, and accessibility.
Salary, Benefits, and Coverage
The family caregiver pay rate in Hawaii varies depending on care level and family situation. Many caregivers earn above minimum wage, depending on responsibilities and program eligibility. VA and Medicaid caregiver benefits can include tax-free income, respite care, health support, and managed care benefits. Other assistance may also cover health insurance, mileage reimbursement, and basic living expenses.
How Paid Care Helps
Paid Care verifies veteran status, confirms Medicaid or Medicare eligibility, and guides families through the required paperwork. We manage all data collection, nurse assessments, and program administration. Our platform tracks hours, runs payroll, and ensures direct deposit payments. We help you understand all caregiver pay options and available benefits so you can focus on your loved one’s care.
Option 3: Use Long-Term Care Insurance for Reimbursement
What Is It?
Some long-term care insurance policies in Hawaii may reimburse a family caregiver for helping a loved one with health care, mental health needs, or chronic illness. These policies help reduce the cost of home care and support aging in place rather than moving to assisted living or nursing facilities.
Who Qualifies?
To qualify, the care recipient usually must need help with multiple activities of daily living. Most policies require a formal diagnosis, a care plan, and documentation. In some cases, you may also need to be a parent, legal guardian, or live in the same home. A background check may be required depending on policy terms.
Pay Rates and Reimbursement Structure
The family caregiver pay rate in Hawaii through insurance policies varies. Some policies offer a flat monthly stipend, while others pay hourly. Rates may be influenced by minimum wage laws, insurance policy limits, and health insurance terms. Logs, hours worked, and other documentation are usually required for reimbursement.
How Paid Care Helps
Paid Care reviews your long-term care insurance policy, checks for Medicaid or Medicare alignment, and assists with required paperwork. We manage records, reduce delays, and set up direct deposit for fast payments. Our team tracks hours, helps with payroll, and gives you access to important information about your caregiver income and benefits.
Option 4: Become Employed by a Home Care Agency in Hawaii
What Is It?
Some licensed agencies in Hawaii can legally hire a family caregiver to provide home care for a loved one. This offers formal income, legal protection, and structured support for families caring for aging or disabled individuals. These positions help lower the cost of care and reduce the need for assisted living or nursing home placement.
Who Qualifies?
You must be 18 or older, pass a background check, complete required training, and assist with hygiene, medication, or daily activities. The care recipient must qualify for services through Medicaid, Medicare, or an insurance policy. Legal guardianship or formal consent may also be required.
Employment, Pay, and Benefits
The family caregiver pay rate in Hawaii through agencies usually ranges from $14 to $23 per hour, depending on the agency, program, and island. Income is reported for tax and payroll purposes. Benefits may include respite care, paid leave, and access to health insurance or other basic benefits. Agencies often offer management tools, reimbursement, and support with budget planning.
How Paid Care Helps
Paid Care connects you with Hawaii-based home care agencies that hire family caregivers. We guide you through applications, training, and proper logging of hours. We also set up direct deposit, document your income, and streamline data tracking so you receive accurate and timely compensation.
Additional Information for Hawaii Family Caregivers
Care Tasks That Qualify for Pay
Hawaii family caregivers may earn compensation for tasks such as:
Bathing and hygiene
Mobility assistance
Medication reminders
Meal preparation and feeding
Mental health supervision
Light cleaning and safety checks
Respite care or behavioral support
These services help your loved one remain at home, avoid assisted living, and maintain independence. Many of these caregiving tasks align with Medicaid or insurance guidelines and qualify for payment when tied to activities of daily living.
Tax, Legal, and Financial Considerations
If you live with your loved one, part of your income may be tax-free. If you are a legal guardian or have power of attorney, additional Medicaid and Medicare rules may apply. Paid Care helps you navigate tax, legal, and financial questions to keep your records accurate and compliant.
Other States With Similar Programs
If you are moving or have family outside Hawaii, Paid Care also operates in states like New Jersey, North Carolina, Louisiana, Connecticut, Missouri, Delaware, Ohio, and more. Each state has unique caregiver pay rates, budget limits, and managed care rules. We help you understand your options.
Start Getting Paid for Your Care Today
You already provide essential home care — now it’s time to be paid for it. At Paid Care, we help Hawaii caregivers turn unpaid labor into steady, documented income.
Whether through Medicaid, the VA, long-term care insurance, or employment with an agency, we guide you step by step. From eligibility and training to data entry and direct deposit, we help you secure compensation for the care you already provide.
Apply today to start receiving legal payment for family caregiving in Hawaii — supported by expert guidance, background check help, and health insurance compliance assistance.