Hawaii group home progress note requirements
Every page prints this at the foot, so a licensing specialist can look it up:Hawaiʻi 1915(c) HCBS Medicaid Waiver for Individuals with Intellectual and Developmental Disabilities, Waiver Provider Standards Manual § 3.10.A (Documentation Requirements for All Claims) and § 3.7.D (Maintenance of Participant Records).
What the rule says
Hawaiʻi 1915(c) HCBS Medicaid Waiver for Individuals with Intellectual and Developmental Disabilities, Waiver Provider Standards Manual § 3.10.A (Documentation Requirements for All Claims) and § 3.7.D (Maintenance of Participant Records) — Waiver Provider Standards Manual — State of Hawaiʻi, Department of Human Services Med-QUEST Division and Department of Health Developmental Disabilities Division
“Providers are not required to use one specific form to document services, but there are requirements regarding what information must be documented”
What it asks a note to show
- Participant's full name
- Date(s) of service (day, month, and year)
- Time of service (begin time and end time, using either AM/PM or military time)
- Type of service (service name such as ADH 1:3, PAB 1:1, or service code and modifier such as H2021-U4)
- Staff-to-participant ratio for applicable services
- Name, title, and signature of direct support worker(s), or valid electronic/digital signature with audit trail report
- Name, title, and signature of service supervisor, or electronic/digital signature with audit trail
- Per § 3.7.D: date, time (in and out), duration, and location of service delivery
- Per § 3.7.D: documentation of activities or type of service rendered — progress notes, contact logs, attendance, medication administration records (MARs)
- Per § 3.7.D: data collected that measures the participant's progress in relation to the Individual Plan (IP)
- Per § 3.7.D: documentation that minimum staffing ratios are maintained, when applicable
- Per § 3.7.D: name of worker(s) providing services
Checked against the source document on 14 October 2026. This is a summary to help you find the rule, not legal advice; your licensing specialist reads the rule itself.
New to writing these? How to write a DSP shift note covers what the rules we have read ask of every note.
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Daily Progress Note
Alex was observed asleep and resting comfortably at the start of the shift. Staff supported Alex in completing his morning routine with verbal prompts. Alex chose to walk to the corner shop, where he paid for his own item. There were no problems or concerns during shift.
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