The Rates plan
$29/mo7-day free trialThe table on this page is a common-procedure sample. The full Hawaii transport schedule has 9 codes.
- Every code on all 51 published schedules
- Full-schedule CSV export
- Full state Medicaid dental network lists
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Published codes
9
Transport procedures on the 2025 schedule
Median % of Medicare
--
no national Medicare comparator for this category
Effective vintage
2025
latest effective year on the schedule
Common transport procedures and what Hawaii Medicaid pays
A curated sample of recognizable procedures from the 9-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 |
|---|---|---|---|
| A0130 | Non-emergency transportation: wheelchair van | $50.00 | -- |
| A0425 | Ground mileage, per statute mile | $1.95 | -- |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | $204.74 | -- |
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
Transport rates in neighboring states
Frequently asked questions
What does Hawaii Medicaid pay for medical transportation?
Hawaii Medicaid publishes 9 transport procedure rates effective 2025 on its fee-for-service schedule. The schedule covers ambulance services, mileage, and non-emergency medical transport. 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 transport rates compare with Medicare?
Most transport codes in this category have no direct national Medicare comparator (Medicare prices these services through different mechanisms), so a median comparison is not published here.
Do transport 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.