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Hawaii 1915(c) HCBS Waiver Provider Standards Manual, Section 3.4 Health and Welfare of Participants, Subsection A. Adverse Event Reporting (eff. July 1, 2026)

Hawaiisub-regulatoryHawaii Department of Health, Developmental Disabilities Division (DDD)· effective 2026-07-01

What this rule requires your agency to do

  • 1The provider must notify the participant's Case Manager of any adverse event affecting the participant's health, safety, or welfare. (Sec. 3.4.A)(Hawaii 1915(c) HCBS Waiver Provider Standards Manual, Section 3.4 Health and Welfare of Participants, Subsection A. Adverse Event Reporting (eff. July 1, 2026))
  • 2The provider must submit a written adverse event report to the DDD within the prescribed written timeline following the event. (Sec. 3.4.A; Table 3.4.A-2)(Hawaii 1915(c) HCBS Waiver Provider Standards Manual, Section 3.4 Health and Welfare of Participants, Subsection A. Adverse Event Reporting (eff. July 1, 2026))
  • 3The provider must report all adverse events affecting a participant's health, safety, and welfare to the DDD verbally within the required timeframe (twenty-four (24) hours per Table 3.4.A-1: Adverse Event Reporting Verbal Timeline). (Sec. 3.4.A; Table 3.4.A-1)(Hawaii 1915(c) HCBS Waiver Provider Standards Manual, Section 3.4 Health and Welfare of Participants, Subsection A. Adverse Event Reporting (eff. July 1, 2026))
  • 4The provider must document all adverse events in the participant's record. (Sec. 3.4.A)(Hawaii 1915(c) HCBS Waiver Provider Standards Manual, Section 3.4 Health and Welfare of Participants, Subsection A. Adverse Event Reporting (eff. July 1, 2026))

Applies to: HCBS waiver providers serving DDD waiver participants (home and community-based services)

Hawaii's DDD 1915(c) HCBS Waiver Provider Standards Manual (eff. July 1, 2026), Section 3.4.A, requires waiver providers to report adverse events affecting participant health, safety, and welfare to DDD on prescribed verbal and written timelines (Tables 3.4.A-1 and 3.4.A-2), to document them in the participant record, and to notify the case manager.

Regulatory information, not legal advice — always confirm against the cited official source. Verification reduces error; it does not certify compliance.