Your Complete Guide to Speech Pathology Programs & Careers in Hawaii

Compare Hawaii's SLP degree options, licensure steps, salary outlook, and online pathways — all in one place.

By Benjamin Thompson, M.S., CCC‑SLPReviewed by SLP Editoral TeamUpdated May 19, 202623 min read
SLP Programs in Hawaii: Licensure, Salary & Career Guide

Points of interest…

  • UH Manoa is Hawaii's only CAA-accredited SLP master's program, though several online programs accept Hawaii residents.
  • Hawaii's median SLP salary reached approximately $107,040 in 2024, well above the national median.
  • The state does not require continuing education for license renewal, but ASHA's CCC-SLP demands 30 hours every three years.
  • Licensure runs through the DCCA, with a provisional license option available during the clinical fellowship period.

Hawaii has just one in-state CAA-accredited master's program in speech-language pathology, housed at the University of Hawai'i at Mānoa. That single pipeline serves an entire state spread across six major islands, making clinical placement logistics and post-graduation hiring unlike anything on the mainland. SLP salaries here rank among the highest nationally, with a statewide median near $107,040, but the cost of living absorbs much of that premium.

For prospective students, the core tension is access. Limited cohort sizes at UH Mānoa, island-specific demand for SLPs in schools and healthcare settings, and the practical realities of completing 400 clinical hours across a geographically fragmented state all shape how you plan your degree. If you are still weighing whether this career path fits your strengths, our guide on whether speech pathology is right for you can help clarify the decision. Online programs authorized for Hawaii residents add flexibility, though they come with their own placement coordination challenges. Geographic isolation does not just affect lifestyle here; it defines the credential pathway itself.

How to Become a Speech-Language Pathologist in Hawaii

Hawaii requires all speech-language pathologists to hold a master's degree from a CAA-accredited program. There are no alternative or shortcut pathways to licensure. From your first day of college to your first day as a fully licensed SLP, expect the journey to take roughly six to seven years.

Five-step credentialing pathway from bachelor's degree through Hawaii SLP licensure, spanning approximately 6 to 7 years total

SLP Programs in Hawaii: UH Mānoa and Online Alternatives

If you are planning to earn your Master of Science in Speech-Language Pathology while living in Hawaii, the first thing to understand is that you have just one in-state option accredited by the Council on Academic Accreditation in Audiology and Speech-Language Pathology (CAA). That program is housed in the Department of Communication Sciences and Disorders (CSD) at the University of Hawai'i at Mānoa. Because CAA accreditation is a prerequisite for ASHA certification and, in most cases, state licensure, UH Mānoa carries outsized importance for Hawaii residents who want a traditional, on-campus path.

What One Program Means for Applicants

Having a single CAA-accredited program in the entire state creates real pressure on the applicant pool. Cohort sizes are limited, clinical placement slots are finite, and competition for seats can be intense. If you do not secure admission in a given cycle, you may face a full year of waiting before you can reapply. Making sure you have completed all SLP prerequisites for graduate school before applying is one of the best ways to strengthen your candidacy. This bottleneck is also a key reason many Hawaii residents explore alternatives well before application deadlines arrive.

Online Programs as a Viable Path

Several mainland universities offer fully online speech pathology programs or hybrid MS-SLP programs that accept students in Hawaii. Before enrolling, verify that the institution is authorized to offer distance education in Hawaii. Most schools rely on participation in the State Authorization Reciprocity Agreement (SARA) to serve out-of-state learners. Hawaii is a SARA member state, so programs from SARA-approved institutions can generally enroll Hawaii residents without additional hurdles.

Online programs provide schedule flexibility that can be especially valuable if you are working, raising a family, or living on a neighbor island far from Honolulu. However, the trade-offs are worth weighing carefully:

  • Local clinical connections: UH Mānoa maintains established relationships with hospitals, schools, and rehabilitation centers across the islands, which can simplify the process of securing clinical placements and building a professional network in Hawaii.
  • Placement logistics: Online programs typically require you to identify and arrange your own clinical sites, a task that can be more challenging in a geographically isolated state with a smaller healthcare infrastructure.
  • Flexibility: Online formats let you complete coursework on your own schedule, making them a strong fit for students who cannot relocate to O'ahu or attend classes during traditional daytime hours.
  • Cohort experience: An on-campus program offers face-to-face mentorship and peer collaboration that can be harder to replicate in a virtual setting, though many online programs now incorporate live sessions and group projects.

What Comes Next in This Guide

The section that follows takes a closer look at UH Mānoa's CSD program, including tuition, admissions criteria, and curriculum highlights. Later in this guide, you will find a dedicated section on online MS-SLP programs available to Hawaii residents, with details on accreditation status, format, and how to confirm state authorization. Together, these sections are designed to help you compare your options and choose the path that fits your circumstances.

UH Mānoa CSD Program: Tuition, Admissions, and Curriculum

The University of Hawai'i at Mānoa is the only in-state institution offering a CAA-accredited master's degree in Communication Sciences and Disorders (CSD). That makes it the primary pipeline for speech-language pathologists who want to train, complete clinical hours, and build professional networks across the Hawaiian Islands. Below is what you need to know about costs, getting in, and what the program covers.

Tuition and Estimated Program Cost

For the 2025, 2026 academic year, UH Mānoa's graduate tuition rates for the CSD program are:

  • Resident tuition: Approximately $10,400 to $10,644 per year1
  • Non-resident tuition: Approximately $22,432 to $22,752 per year1

The university's published cost of attendance, which factors in fees, books, supplies, and living expenses, ranges from roughly $24,024 to $30,336 per year.2 Over the full two-year program, residents can expect a total investment in the range of $48,000 to $61,000, while non-resident students should budget considerably more due to the higher tuition rate.

Graduate assistantships are available through the department and affiliated research labs, and they typically include a tuition waiver plus a monthly stipend. Federal financial aid, scholarships administered by the College of Social Sciences, and department-specific awards can also help offset costs. Because assistantship slots are limited, applying early and expressing research interests that align with faculty projects can strengthen your chances.

Admissions: Cohort Size, Selectivity, and Requirements

The CSD master's program admits a relatively small cohort each year, generally in the range of 20 to 25 students. Demand consistently outpaces available seats, so the program is competitive. If you are wondering how to get into slp grad school, successful applicants typically present an undergraduate GPA of 3.3 or higher, though meeting the minimum threshold does not guarantee admission.

As of recent admissions cycles, the GRE is not universally required, but policies can shift from year to year. Check the department's admissions page well before the deadline to confirm whether scores are expected or optional for your cycle.

Application components generally include:

  • Completed prerequisite coursework in communication sciences and disorders (or a related field)
  • Three letters of recommendation, ideally from faculty or clinical supervisors who can speak to your academic and interpersonal strengths
  • A personal statement addressing your motivation, relevant experience, and career goals
  • Official transcripts from all post-secondary institutions

The application deadline typically falls in early spring for a fall start. Because the program fills quickly and reviews applications holistically, submitting a polished application well ahead of the deadline is strongly recommended.

Curriculum Highlights and Clinical Training

The CSD curriculum at UH Mānoa covers the full scope of practice required by ASHA, including coursework in articulation and phonology, language disorders across the lifespan, fluency, voice, swallowing, motor speech disorders, and augmentative and alternative communication.

What sets this program apart is its emphasis on bilingual and multicultural service delivery. Hawaii's population is one of the most linguistically and culturally diverse in the nation, with significant communities of Native Hawaiian, Filipino, Japanese, Chinese, Samoan, and Micronesian heritage. Students gain firsthand experience working with multilingual families and learn to distinguish true communication disorders from language differences, a skill that is in high demand nationwide.

Clinical practicum placements span a wide variety of settings across O'ahu and, in some cases, neighbor islands. Students may complete rotations at:

  • Hospitals and medical centers, including acute care and rehabilitation units
  • Public and private schools serving children from preschool through high school
  • Early intervention programs for infants and toddlers
  • University-based speech and hearing clinics
  • Community health centers and outpatient rehabilitation facilities

This breadth of clinical exposure is a genuine advantage. By graduation, students have logged supervised hours in pediatric, adult, and medically complex populations, positioning them to meet ASHA certification requirements and Hawaii licensure standards without needing to seek additional post-graduate clinical hours.

If you are weighing UH Mānoa against online alternatives, keep in mind that local clinical placements and faculty connections can be especially valuable for anyone who plans to practice in Hawaii long term. The relationships you build during practicum often translate directly into job offers after graduation.

Questions to Ask Yourself

Residency status directly affects your total cost of attendance. Some accredited online programs from mainland universities charge flat per-credit rates that can undercut out-of-state UH Mānoa tuition, so compare net costs before assuming the local option is cheapest.

UH Mānoa's CSD program requires on-campus coursework and clinical rotations in Honolulu. If you live on Maui, the Big Island, or another neighbor island, moving may involve significant housing costs and personal disruption that an online or hybrid program could help you avoid.

Most online SLP programs require students to secure their own local clinical sites. Having relationships with practicing SLPs, school districts, or healthcare facilities in Hawaii gives you a realistic path to completing supervised hours without relocating to the mainland.

Online programs offer scheduling flexibility, but they demand strong self-discipline and time management. Honest reflection on how you learn best will help you decide between a structured on-campus cohort at UH Mānoa and a more self-directed distance format.

Hawaii SLP License Requirements: Step-by-Step

Speech-language pathologists in Hawaii are licensed through the Department of Commerce and Consumer Affairs (DCCA), specifically the Professional and Vocational Licensing (PVL) division.1 The process is straightforward once you understand the documentation requirements and the distinction between a provisional license and a full license.

Required Qualifications

Before you apply, make sure you meet these baseline requirements:

  • Master's degree: You must hold a graduate degree from an ASHA-accredited (or equivalent) speech-language pathology program.
  • Clinical practicum: At least 400 hours of supervised clinical practicum completed during your graduate program.3
  • Praxis exam: A passing score of 162 or higher on the Praxis Speech-Language Pathology examination.
  • Clinical fellowship: A supervised clinical fellowship of at least 36 weeks.3

One important clarification: Hawaii does not require ASHA membership. However, holding the CCC-SLP certification or demonstrating equivalent supervised experience is necessary to qualify for full licensure.

Provisional License vs. Full License

If you have completed your degree and Praxis exam but have not yet finished your slp clinical fellowship, you can apply for a provisional license. This allows you to practice under supervision while completing your CF in Hawaii. The total fee for a provisional license is $226 as of 2026.4

Hawaii also offers a temporary services registration for SLPs who will be practicing in the state for less than one month. This registration costs just $30 and is designed for short-term clinical work or consultations.3

Once your clinical fellowship is complete and verified, you can apply for full licensure by certification.

Application Process and Fees

To apply for a full license, you will submit your application through the DCCA PVL division. Required documentation typically includes:

  • A completed application form (available from the DCCA website)
  • Official graduate transcripts
  • Verification of your clinical fellowship
  • Proof of your CCC-SLP credential or equivalent experience
  • Praxis score report

The application fee is $50.3 However, total costs vary depending on when you apply because Hawaii renews SLP licenses on an odd-year cycle (by December 31 of each odd-numbered year). If you apply during an even year, the total fee is $264, which covers the application fee plus a full biennial renewal period. If you apply during an odd year, the total drops to $176 since the next renewal is closer.3

Background Check Requirements

Hawaii requires a criminal history background check as part of the licensing process. Applicants should be prepared to submit fingerprints for both a state-level and FBI criminal history review. Any prior convictions or disciplinary actions must be disclosed on your application. The board evaluates each case individually, so a past issue does not automatically disqualify you, but transparency is essential.

Processing Timeline

Processing times at the DCCA PVL division can vary. In general, plan for several weeks from the date your completed application and all supporting documents are received. Incomplete submissions are the most common cause of delays, so double-check that transcripts, CF verification, and exam scores have all been sent before you submit. If you are relocating to Hawaii for a position, consider applying well in advance so your license is in hand before your start date. For a broader look at how Hawaii's requirements compare to other states, review this SLP state licensing overview.

Late renewals carry a penalty of $176 plus an additional $5 for each month past the deadline, so mark your calendar for that odd-year renewal cycle to avoid unnecessary costs.3

Hawaii SLP Salary by Setting and Island

Hawaii offers some of the highest speech-language pathologist salaries in the nation, but those numbers deserve context. The statewide median annual wage for SLPs reached approximately $107,040 in 2024, well above the national median.1 Before you start planning a beach-side celebration, though, it is important to weigh that figure against Hawaii's famously steep cost of living.

Salary by Work Setting

Compensation in Hawaii varies significantly depending on where you practice. Based on the most recent federal occupational data, here is a general breakdown by setting:

  • Skilled nursing facilities: Roughly $108,370 per year on average, making this among the highest-paying SLP settings in the state.1
  • Outpatient clinics and private practices (offices of other health practitioners): A median of about $103,580 per year.1
  • Hospitals: An average annual wage near $100,260 for SLPs in general medical and surgical hospitals.1
  • Home health care services: Approximately $99,630 per year on average.1
  • Elementary and secondary schools: A median of around $80,080 per year, notably lower than clinical settings.1

School-based SLPs earn less on paper, but their total compensation picture often looks different once you factor in state pension contributions, employer-funded health insurance, paid holidays, and summers off. Those benefits can close a meaningful portion of the gap with clinical salaries. For a deeper comparison of how these school SLP vs medical SLP dynamics play out nationwide, our dedicated guide breaks down the trade-offs.

Geographic Variation: Honolulu vs. Neighbor Islands

The vast majority of Hawaii's SLP workforce is concentrated in the Honolulu metropolitan area on Oahu, where the median annual wage sits at roughly $105,600.1 Detailed salary data for the neighbor islands (Maui, the Big Island, Kauai) is limited because of the small number of practitioners in those areas. Anecdotally, SLPs working on outer islands may find slightly different pay scales, and employers sometimes offer relocation incentives or housing stipends to attract clinicians to underserved communities where demand outstrips supply.

The Cost-of-Living Reality

Hawaii consistently ranks as the most or second most expensive state in the country. Housing, groceries, transportation, and utilities all run well above the national average. When adjusted for cost of living, a Hawaii SLP's purchasing power may be comparable to, or even slightly below, that of an SLP earning the national median in a more affordable state. This does not erase the benefit of a strong nominal salary, especially for clinicians who value living in the islands, but it is an essential factor in any career or relocation decision.

Travel SLP Contracts

For clinicians open to short-term assignments, travel SLP contracts in Hawaii can command premium pay. Reported contract rates have hovered around $63 per hour, translating to potential annualized earnings above $131,000.2 Travel positions often include housing stipends or furnished accommodations, which can partially offset the high local cost of living. Keep in mind that travel contracts are temporary, and availability fluctuates based on facility needs.

The Bigger Picture

Hawaii's SLP job market is small, with roughly 130 employed speech-language pathologists statewide as of 2024, but demand is projected to grow by about 18 percent over the coming decade.1 A tight labor market paired with high demand means competitive salaries are likely to hold. Understanding how your CCC-SLP certification impacts pay can also help you negotiate effectively. When you evaluate an offer, look beyond the base salary to the full package: benefits, retirement plans, continuing education support, and whether the employer helps with housing or relocation.

Hawaii SLP Salary vs. National Median

Hawaii speech-language pathologists earn well above the national median, but it helps to see how the state stacks up against other West Coast and Pacific states. The comparison below puts Hawaii's median SLP salary in context alongside California, Washington, and Oregon.

Median annual SLP salaries for Hawaii, California, Washington, Oregon, and the national median in 2023, per BLS

License Renewal, CE Rules, and the ASLP Interstate Compact

Hawaii stands apart from most states when it comes to speech-language pathology license maintenance. Understanding the renewal process, the role of continuing education, and the emerging interstate compact will help you plan a career that stays current and flexible.

Renewal Cycle and Requirements

Hawaii SLP licenses are renewed on a biennial (every two years) cycle. The state does not currently impose a formal continuing education requirement for license renewal. Instead, renewal primarily involves submitting your application on time and paying the required fee. Because requirements and fee amounts can change between cycles, always verify the latest details with the Hawaii Department of Commerce and Consumer Affairs (DCCA) before your renewal deadline. Missing a deadline can result in late penalties or a lapsed license, so mark your calendar well in advance.

Why Most Hawaii SLPs Still Complete Continuing Education

Even though the state itself does not mandate CE hours, the vast majority of practicing SLPs in Hawaii hold the CCC-SLP certification from ASHA. ASHA requires certificate holders to complete 30 hours of continuing education every three years to maintain their CCC. Because losing the CCC can limit employment opportunities and professional standing, most Hawaii clinicians treat those ASHA requirements as their de facto CE obligation. If you plan to hold both a Hawaii license and the CCC-SLP, you will need to stay on top of ASHA's maintenance schedule regardless of what the state requires.

The ASLP Interstate Compact and Hawaii's Status

The Audiology and Speech-Language Pathology Interstate Compact (ASLP Compact) is designed to let licensed SLPs practice across participating state lines, including via telepractice speech therapy, without obtaining a separate license in each jurisdiction. As of late 2025, 37 states had enacted compact legislation, and the first operational states began issuing compact privileges in early 2026.1

Hawaii, however, has not enacted ASLP Compact legislation as of mid-2026, and no pending bill has been identified in the current legislative session.2 This means Hawaii-based SLPs cannot yet use the compact to practice in member states, nor can compact-holding clinicians from other states use compact privileges to treat clients in Hawaii.

It is worth noting that Hawaii has enacted the Interstate Medical Licensure Compact for physicians, which signals openness to interstate licensing frameworks in healthcare.3 Advocacy from local ASHA chapters and professional organizations could eventually bring ASLP Compact legislation to the Hawaii legislature, so this is an area to watch.

What This Means for Your Career Planning

If you are considering telepractice or relocating between states, keep these practical points in mind:

  • State renewal: File on time and pay the biennial fee to keep your Hawaii license active, even if you hold licenses elsewhere.
  • ASHA CE hours: Plan to complete at least 30 CE hours per three-year ASHA cycle to maintain your CCC-SLP.
  • Interstate practice: Until Hawaii joins the ASLP Compact, you will need to apply for a separate license in any other state where you want to practice.
  • Compact developments: Monitor the ASLP Compact Commission's member list and the Hawaii legislature for any new bills that could change the state's status.1

Staying informed on these fronts ensures you can focus on clinical work rather than scrambling to meet a deadline or navigate a surprise regulatory change.

Hawaii does not require continuing education for state SLP licensure, but most practicing SLPs in the state hold ASHA's CCC-SLP credential, which requires 30 CE hours every three years. In practical terms, the vast majority of Hawaii SLPs complete ongoing professional development regardless of state rules to keep their national certification active.

Online MS-SLP Programs Available to Hawaii Residents

If you live in Hawaii and cannot attend UH Manoa in person, an online speech therapy programs option can be a practical path forward. Before you enroll anywhere, though, two things matter most: the program's accreditation status and whether the institution is authorized to serve students in your state.

SARA and Hawaii's Participation Status

The State Authorization Reciprocity Agreement, commonly known as SARA, is a voluntary agreement among participating states that makes it easier for students to enroll in out-of-state online programs. Hawaii is a SARA-participating state, which means residents can access a wide range of online degree programs offered by institutions in other SARA member states without running into regulatory barriers. This is good news if you are exploring distance options, because most major universities with online MS-SLP programs are also SARA members.

CAA-Accredited Online Programs That Accept Hawaii Residents

Several well-regarded, CAA-accredited online MS-SLP programs routinely enroll students from Hawaii. A few to research include:

  • NYU Steinhardt: Offers a fully online MS-SLP with synchronous and asynchronous coursework. Tuition tends to fall in the range of $60,000 to $75,000 for the full program.
  • Emerson College: A hybrid online program with some intensive on-campus immersions in Boston. Total tuition is typically in the $70,000 to $85,000 range.
  • Baylor University: Provides an online MS-CSD that combines virtual learning with clinical placements arranged closer to home. Tuition generally falls between $55,000 and $70,000.
  • University of the Pacific: Another CAA-accredited online option with tuition that may be somewhat lower, generally in the $50,000 to $65,000 range.

Tuition figures shift from year to year, so always confirm current costs directly with each program's admissions office.

The Clinical Placement Challenge in Hawaii

Clinical placements are often the trickiest piece of an online SLP degree, and this is especially true in Hawaii. The pool of ASHA-certified supervisors is smaller than on the mainland, particularly on neighbor islands like Maui, Kauai, and the Big Island. Some online programs take responsibility for arranging clinical placements in your area, while others require you to locate and secure your own sites. Ask each program directly how placements are handled for Hawaii-based students and whether travel to the mainland might be necessary for certain rotations. If you live outside of Oahu, this question becomes even more important.

Verify CAA Accreditation Before You Commit

This point cannot be overstated: only a degree from a program accredited by the Council on Academic Accreditation in Audiology and Speech-Language Pathology (CAA) will qualify you for the ASHA Certificate of Clinical Competence and, by extension, a Hawaii SLP license. Programs that lack CAA accreditation, no matter how polished their marketing looks, will leave you unable to practice. You can verify any program's accreditation status through the CAA's online directory on the ASHA website. Take five minutes to check before submitting an application or paying a deposit.

Frequently Asked Questions About SLP in Hawaii

Below are answers to the most common questions prospective and current speech-language pathologists ask about training, licensing, and working in Hawaii. For deeper detail on any topic, explore the relevant sections of this guide on speechpathology.org.

How do I become a speech pathologist in Hawaiʻi?
To become a speech-language pathologist in Hawaii, you must earn a master's degree from a CAA-accredited program, complete a supervised clinical fellowship, and pass the Praxis SLP exam. After that, you apply for a Hawaii state license through the Department of Commerce and Consumer Affairs. The University of Hawaiʻi at Mānoa offers the state's only on-campus accredited program, though online alternatives from mainland universities are also available to Hawaii residents.
What is the easiest SLP school to get into?
No accredited SLP master's program is truly easy to get into, because all CAA-accredited programs must meet rigorous academic and clinical standards. That said, acceptance rates vary. Some newer or less well-known programs may have higher acceptance rates or more flexible GRE policies. Researching multiple schools, including online options, and strengthening your prerequisite GPA and clinical observation hours will give you the best chance of admission regardless of the program.
What are the continuing education requirements for SLPs in Hawaii?
Hawaii requires licensed SLPs to complete 20 hours of continuing education (CE) every two years as a condition of license renewal. CE activities must be relevant to the practice of speech-language pathology. Maintaining ASHA certification, which requires 30 CE hours (called maintenance hours) over a three-year cycle, will typically satisfy the state requirement as well. Be sure to retain documentation of all completed CE activities for audit purposes.
Can you complete an SLP master's degree online in Hawaii?
Yes. While no Hawaii-based university currently offers a fully online MS-SLP program, several CAA-accredited online programs from mainland institutions accept Hawaii residents. Programs from schools such as NYU, Emerson College, and others deliver coursework remotely with clinical placements arranged in or near the student's home community. Check each program's state authorization to confirm it is approved for students living in Hawaii.
How much do speech-language pathologists make in Hawaii?
Speech-language pathologists in Hawaii earn a mean annual salary of approximately $90,000 to $95,000 according to the Bureau of Labor Statistics, which is above the national median for the profession. However, Hawaii's high cost of living, particularly on Oahu, can offset the higher wages. Salaries vary by setting: SLPs in hospitals and skilled nursing facilities often earn more than those in public schools, and pay can also differ across islands.
Is Hawaii part of the ASLP Interstate Compact?
As of early 2025, Hawaii has not yet joined the Audiology and Speech-Language Pathology Interstate Compact (ASLP-IC). The compact allows licensed SLPs to practice across member states without obtaining a separate license in each one. Hawaii-based SLPs who wish to practice in compact member states, or those moving to Hawaii from a compact state, still need to apply for a full Hawaii state license. Check the ASLP-IC website for the latest list of member states.

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