Insurance Guide · Hawaii (HI)
ABA Therapy Insurance in Hawaii
Annual Cap
No annual cap
Age Limit
No age limit
Plan Types
Individual and group fully-insured plans
Hawaii Mandate Details
Mandate Law
Act 196 (2015)
Year Enacted
2015
Medicaid Coverage in Hawaii
Hawaii Medicaid (Med-QUEST) covers ABA therapy for children under 21 with an autism diagnosis through EPSDT.
What to Know About ABA Coverage in Hawaii
Hawaii's mandate has no annual dollar cap and no age limit. The state's island geography can create access challenges, but the uncapped coverage ensures financial barriers are minimized.
Frequently Asked Questions
Does Hawaii require insurance to cover ABA therapy?
Yes. Hawaii's Act 196 (2015) requires fully-insured plans to cover ABA therapy for individuals with autism with no annual dollar cap and no age limit.
Does Med-QUEST (Hawaii Medicaid) cover ABA?
Yes. Med-QUEST covers ABA therapy for children under 21 through EPSDT. Families should contact their managed care plan for provider availability across the islands.
Is ABA therapy available on all Hawaiian islands?
ABA provider availability is strongest on Oahu. Neighbor islands (Maui, Big Island, Kauai) have fewer providers, though telehealth ABA services have significantly expanded access across all islands.
Higglo
Need help navigating ABA insurance?
Our team works with ABA providers across Hawaii.