Hawaii Medicaid Autism Coverage
Hawaii's Med-QUEST covers ABA for children under 21 through EPSDT with prior authorization. Long-term community services for individuals with IDD are funded through the I/DD Waiver. Luke's Law (Act 235 of 2015) requires state-regulated plans to cover autism services for children.
Quick Answer
Hawaii's Med-QUEST covers ABA for children under 21 through EPSDT with prior authorization. Long-term community services for individuals with IDD are funded through the I/DD Waiver. Luke's Law (Act 235 of 2015) requires state-regulated plans to cover autism services for children.
- ABA benefit: covered under EPSDT for under 21 (via epsdt).
- HCBS waivers: 1 relevant waiver option listed on this page.
- Commercial insurance: Hawaii has a state autism insurance mandate.
Medicaid ABA Coverage
Yes — EPSDT
Under 21 (via EPSDT)
Insurance Mandate
Yes
HCBS Waivers
1 available
Waitlist: Managed via DDD registry
Editorial Review
This page summarizes public Medicaid, waiver, and insurance-mandate information reviewed by the Autism Hearts editorial team.
Medicaid benefits, managed-care rules, and waiver waitlists can change quickly, so families should verify eligibility, prior authorization, and enrollment steps with the administering agency before relying on this page.
Last reviewed 2026-04-21 by Autism Hearts Editorial Team
Hawaii Commercial Insurance Mandate
- Statute
- Luke's Law (Act 235)
- Year enacted
- 2015
Covered services
Self-funded employer plans (often from large employers) are regulated by federal ERISA law, not state mandates, and may be exempt. Always confirm your plan type on your Summary of Benefits and Coverage.
Medicaid ABA Therapy Benefit
Med-QUEST covers medically necessary ABA for children under 21 through EPSDT. Services are delivered through Med-QUEST's contracted managed care health plans.
Hawaii HCBS Waivers
I/DD Waiver
Covers autismIndividuals with intellectual and developmental disabilities, all ages
Katie Beckett / TEFRA Option
Not available
Hawaii does not operate a standalone Katie Beckett / TEFRA program. The I/DD Waiver's institutional level-of-care criteria can provide Medicaid access to some children who would otherwise exceed income limits.
Early Intervention (Birth–3)
Early Intervention Section (EIS) — Hawaii's IDEA Part C program. Children under 3 with developmental delays can access services without a formal autism diagnosis.
Official Sources
Use these primary sources when you need to confirm current Medicaid rules, waiver access, or state-agency guidance in Hawaii.