Hawaii Medicaid Rates: What's Published and How to Track Changes

Hawaii’s Medicaid program — Med-QUEST — is administered by the Hawaii Department of Human Services, with program information at medquest.hawaii.gov.

What’s currently published

Current published rates tracked by MedicaidBench, effective 2025-02-28 across all five codes:

• 90791 (initial psychiatric diagnostic evaluation): $148.43 per encounter
• 90837 (individual psychotherapy, ~60 min): $134.02 per session
• 97153 (ABA treatment by technician, per 15 min): $17.66
• 99213 (established-patient office visit): $66.56 per visit
• 99214 (moderate-complexity office visit): $98.27

Like Kentucky, Hawaii’s tracked codes here all share a single effective date, indicating a coordinated fee schedule refresh in February 2025 rather than piecemeal updates to individual code families.

Why Hawaii is a useful comparison point

Hawaii’s cost-of-living context makes it a frequent reference point in multi-state comparisons, and its rates for these codes sit in the middle-to-upper range of what MedicaidBench tracks — notably above states like Illinois or Pennsylvania for the same behavioral health codes, though below outliers like Alaska.

What to watch for

Because Med-QUEST refreshed all five of these tracked codes together, a partial future update — say, only the ABA code changing while the others stay fixed — would be a meaningful signal worth an alert rule of its own, since it would represent a departure from the state’s apparent pattern of synchronized updates.

Keeping current

MedicaidBench tracks Med-QUEST’s published rates continuously, with the February 2025 effective date and source document attached to each figure above — so a future Hawaii update, whether comprehensive or code-specific, is detected and logged as soon as it publishes.