The Rates plan
$29/mo7-day free trialThe table on this page is a common-procedure sample. The full Hawaii behavioral health schedule has 23 codes.
- Every code on all 51 published schedules
- Full-schedule CSV export
- Full state Medicaid dental network lists
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Published codes
23
Behavioral Health procedures on the 2025 schedule
Median % of Medicare
80.1%
vs national Medicare, GPCI-neutral
Effective vintage
2025
latest effective year on the schedule
Common behavioral health procedures and what Hawaii Medicaid pays
A curated sample of recognizable procedures from the 23-code schedule. Rates are the state's published fee-for-service amounts; the percentage compares each rate with the national Medicare amount for the same code.
| Code | Procedure | Hawaii rate | % of Medicare |
|---|---|---|---|
| 90791 | Psychiatric diagnostic evaluation, no medical services | $148.43 | 85.6% |
| 90792 | Psychiatric diagnostic evaluation with medical services | $170.34 | 84.3% |
| 90832 | Psychotherapy, 30 minutes | $68.60 | 79.9% |
| 90833 | Psychotherapy, 30 minutes, added to an E&M visit | $64.28 | 78.9% |
| 90834 | Psychotherapy, 45 minutes | $90.82 | 79.7% |
| 90836 | Psychotherapy, 45 minutes, added to an E&M visit | $81.51 | 79% |
| 90837 | Psychotherapy, 60 minutes | $134.02 | 80.3% |
| 90838 | Psychotherapy, 60 minutes, added to an E&M visit | $108.01 | 79.1% |
| 90839 | Psychotherapy for crisis, first 60 minutes | $129.79 | 81% |
| 90840 | Psychotherapy for crisis, each added 30 minutes | $64.85 | 84.1% |
| 90846 | Family psychotherapy without the patient, 50 minutes | $97.86 | 92.4% |
| 90847 | Family psychotherapy with the patient, 50 minutes | $102.29 | 93.4% |
| 90849 | Multiple-family group psychotherapy | $30.19 | 74.7% |
| 90853 | Group psychotherapy | $24.07 | 79.2% |
| 90870 | Electroconvulsive therapy (ECT) | $104.97 | 57.7% |
Published Medicaid fee-for-service schedule amounts, not a coverage or eligibility guarantee. Managed-care plan rates can differ. Where no prior-authorization flag is shown, the state does not publish one. Rows marked * show the schedule's representative published variant.
More Hawaii Medicaid fee schedules
- Hawaii physician fee schedule · 6,785 codes
- Hawaii lab & imaging fee schedule · 2,075 codes
- Hawaii dme & supplies fee schedule · 1,728 codes
- Hawaii anesthesia fee schedule · 283 codes
- Hawaii vision fee schedule · 163 codes
- Hawaii other services fee schedule · 99 codes
Behavioral Health rates in neighboring states
Frequently asked questions
What does Hawaii Medicaid pay for behavioral health services?
Hawaii Medicaid publishes 23 behavioral health procedure rates effective 2025, paying a median 80.1% of the national Medicare amount for the same services. The schedule covers psychotherapy, psychiatric evaluations, substance-use treatment, and community mental health services. The table on this page shows published rates for common procedures; the complete all-codes schedule is available as a CSV download with a ProviderSignal Rates subscription.
How do Hawaii's behavioral health rates compare with Medicare?
Across behavioral health codes with a national Medicare comparator, Hawaii Medicaid pays a median 80.1% of the Medicare amount (GPCI-neutral national comparison). Individual codes vary widely, so check the per-code percentage in the table.
Do behavioral health services need prior authorization in Hawaii?
Hawaii does not publish prior-authorization indicators on this fee schedule, so PA requirements must be confirmed through the state's provider manual or portal. Absence of a flag here means "not published", never "no PA required".
Where do these rates come from?
Directly from Hawaii's published Medicaid fee-for-service schedule (effective 2025), collected and normalized by ProviderSignal across all 50 states + DC. Rates are re-collected on a rolling schedule and this page updates automatically. Procedure descriptions are ProviderSignal's own plain-language labels or public-domain CMS text.
Get an email the next time Hawaii changes these rates.