Hawaii has no annual cap under the Act 196 (2015). Here's what families and operators need to know.
No annual cap · Act 196 (2015)Updated April 2026Act 196 (2015)
2015
Hawaii Medicaid (Med-QUEST) covers ABA therapy for children under 21 with an autism diagnosis through EPSDT.
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.
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.
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.
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 works with ABA providers across Hawaii on marketing, intake, and growth. Talk to our team about your program.
