Hawaii Behavioral Health Reimbursement Rates
Hawaii behavioral health billing requires state-specific Medicaid enrollment, payer-specific authorization rules, and credential verification before claim submission.
Medicare 90837
$192.05
Medicaid 90837
$163.24
Commercial (est.)
$180.00–$210.00
Key CPT Code Rates — Hawaii
CPT 90791
Diagnostic Evaluation
Medicare: $199.35
Medicaid: $169.45
CPT 90832
Psychotherapy, 30 min
Medicare: $98.72
Medicaid: $83.91
CPT 90834
Psychotherapy, 45 min
Medicare: $130.98
Medicaid: $111.34
CPT 90837
Psychotherapy, 60 min
Medicare: $192.05
Medicaid: $163.24
Medicaid in Hawaii
Hawaii Medicaid uses a managed care model. Published estimates approximate 85% of Medicare for key outpatient behavioral health CPT codes — actual fee schedule dollars vary by code and provider type.
Master's-level clinicians typically receive 75–80% of psychologist rates for identical psychotherapy CPT codes under most state Medicaid fee schedules.
Source: Hawaii Medicaid fee schedule (effective 2026-01-01).
Explore Hawaii Rates
Use the interactive explorer below — pre-loaded for Hawaii.