The Executive Office on Aging (EOA) is the designated lead state agency in the coordination of a statewide system of aging and family caregiver support services in the State of Hawaii, as authorized by federal and state laws. The Executive Office on Aging (EOA) was established to promote and provide programs which will assure the coordinated delivery of a full range of long term supports and services (LTSS) to Hawaii's older adults. EOA’s mission statement is to optimize the health, safety and independence of Hawaii’s older adults. A key component to Hawaii’s LTSS is the Aging and Disability Resource Centers (ADRCs). ADRCs create a single point of entry (no wrong door approach) for services and eligibility. ADRCs are essential in the provision of effectively managed, person-centered services and, as such, play a pivotal role in integrating the range of community resources and services into a seamless, coordinated LTSS system. The ADRC delivers options counseling, the person-centered process whereby older adults may develop a plan for addressing their long term support and service needs that align with their preferences, strengths, and values. To learn more about the services for older adults in Hawaii, please visit www.HawaiiADRC.org or call 643-2372.

Hawaii Population Estimates

Life Expectancy by Gender at Birth (In Years)

Hawaii Population, 2012

In 2012, older adults age 60 and older accounted for more than 1 in 5 Hawaii residents or 22% of the total population. With the aging of the baby boomers and increased life expectancy, projections indicate that by 2030 over 1 in 4 Hawaii residents will be age 60 and older. Though older adults continue to fare better economically than the general population, most likely because of social security income, a number of older adults need services to enable them to live at home. Currently, approximately 3 out of 10 older adults are disabled; and approximately 3 out of 10 household heads are age 60 years and older living alone.

Living Alone and Disability Status

Poverty Status

Top 15 Zip Codes with the Largest Older Population

Program Funding

The State FY 2013 supplemental funding resulted in an increase of services to older adults. If not for the supplemental funding the State allocated to the Kupuna Care program in SFY 2011 and 2013, funding for older adults in Hawaii would have declined in current and constant dollars since 2009. Both state base funding for Kupuna Care and federal funding for Title III have generally declined during this 5-year period.

Major Accomplishments

In State FY 2013, the priority of the Abercrombie Administration was the continuing development of the statewide Aging and Disability Resource Center (ADRC). Below are the major accomplishments:

  • Completed the first full year of business using the Hawaii ADRC full operations model at Maui County Office on Aging;
  • Conducted ADRC Intake and Assessment training for staff in all counties, including assessment technique for the home visiting environment as well as use of the ADRC automated intake and assessment tools;
  • Revised business processes with the goal to meet full functioning ADRC national criteria, which accommodating circumstances that are unique within each county;
  • Designed and initiated staff training on the use of Support Plan tools;
  • Installed a web-based referral tool at www.HawaiiADRC.org that allows people to initiate their own options counseling process by making an on-line request for ADRC service or for community professionals to make a referral to the ADRC;
  • Teamed with the Department of Human Services (DHS) to purchase, allow, and train MedQuest staff to use the automated ADRC In-home Assessment tool to measure quality indicators to evaluate care of DHS consumers in Community Care Foster Family Homes; and
  • Built out ADRC infrastructure for participant-directed programming in preparation to deliver Veteran-Directed Home and Community Based Services (VDHCBS) as fee-for-service to be paid by the Veterans Administration through the local VA Medical Center (VAMC).

Other EOA Programs for Older Adults

Long Term Care Ombudsman Program (LTCOP)

Long Term Care Ombudsman Program (LTCOP) was established by federal and state statutes. The LTCOP identifies, investigates, and resolves complaints that are made by, or on behalf of residents, and related to action, inaction, or decisions that may adversely affect the health, safety, welfare, and rights of residents of long term care facilities. In State FY2013, there were approximately 11,900 residents residing in 50 licensed long term care nursing homes, 500 adult residential care homes, 12 assisted living facilities, and 1,084 community care foster family homes. If you need information or assistance in the investigation and resolution of problems or complaints about the care or services provided in a long term care facilities, please call LTCOP at 808-586-7268 (Oahu).

Sage PLUS Progam/Hawaii SHIP

The Sage PLUS Program, federally known as the Hawaii SHIP (State Health Insurance Assistance Program) uses its statewide network to provide counseling services to help members with Medicare, their families, caregivers, and professionals understand Medicare health insurance benefits. In State FY2013, there were approximately 225,000 individuals with Medicare in Hawaii; approximately 88% of those individuals are over 65 years of age. Information is provided regarding Medicare (Part A, B, C, and D), Medigap, Medicare Advantage, Medicaid, prescription drug assistance, long-term care insurance and financing, and advance health care directives. If you need assistance from a certified SHIP counselor, please call 808 586-7299.

Senior Medicare Patrol (SMP Hawaii)

SMP Hawaii is a program established to recruit, train, and certify retirees as volunteers to educate seniors to prevent Medicare fraud, waste, and abuse. SMP volunteers and staff provide educational outreach throughout the state by disseminating information at community events and giving group presentations. Volunteers and staff also provide one-on-one counseling when beneficiaries request assistance with Medicare billing errors and refer potential fraud cases to the appropriate authorities for investigation. In Hawaii alone, the federal government spends over $1 Billion of our taxpayer dollars on Medicare. However nationwide, an estimated $68 Billion is lost due to health care fraud. If you would like more information about SMP Hawaii, please call 808 586-7319.