{"data":{"id":"us-hi/haw.-rev.-stat.-346d-4","jurisdiction":"us-hi","citation":"Haw. Rev. Stat. § 346D-4","heading":"Provision of services.","body":"(a) Services that maximize the individual's independence shall be provided in the individual's home, the home of a responsible relative or other adult, or a residential alternative setting.\n\n(b) The program shall provide the services in the most economic manner feasible that is compatible with preserving quality of care through:\n\n(1) Informal care providers, such as family members, friends, or neighbors who regularly provide specific services without remuneration and not as a part of any organized volunteer activity;\n\n(2) Individual providers hired and directed by the waiver program individual to provide specific approved services;\n\n(3) Contracts with agency providers, such as home care agencies and public or private health and social service organizations;\n\n(4) Contracts with individual providers, such as counselors, nurses, therapists, and residential alternative program operators who provide services for the waiver program; and\n\n(5) Program personnel, such as social workers and nurses who are hired by the waiver program to provide specific services.\n\n(c) The department of human services shall:\n\n(1) Practice employment first principles, as described in section 78-66, with respect to waiver program personnel; and\n\n(2) Ensure that contracted agency providers that provide services for the waiver program follow employment first principles, as described in section 78-66.","path":["HI Code","Division 1","Title 20","Chapter 346D"],"source_url":"http://www.capitol.hawaii.gov/hrscurrent/Vol07_Ch0346-0398/HRS0346D/HRS_0346D-0004.htm","current_through":"2026-08-14","vintage":"open-us-law v2026.08, retrieved 2026-09-14","retrieved_at":"2026-09-14T18:32:11Z","sha256":"0096a051a86f07c796c7b78673ed3c8dbff2119454a31036cd3aa71c4868f001","source_id":"us-hi","stale":false,"prev":"us-hi/haw.-rev.-stat.-346d-3","next":"us-hi/haw.-rev.-stat.-346d-4.5"},"notice":"GroundRules: Original legal text. Not legal advice."}