Med-QUEST and QUEST Integration ABA
Med-QUEST, Hawaii's Medicaid program, requires QUEST Integration plans to cover medically necessary ABA for members under 21. A licensed practitioner such as a pediatrician, psychologist or psychiatrist diagnoses autism, then a licensed behavior analyst writes the assessment and treatment plan. The plan issues the prior authorization before treatment starts and reviews progress at least every 26 weeks.
- Five plans: AlohaCare, HMSA, Kaiser Permanente, 'Ohana Health Plan and UnitedHealthcare Community Plan.
- A diagnostic evaluation needs no prior authorization, though your plan may ask for a referral from your primary care provider.
- Each plan offers Health Coordination to families who ask for help finding a diagnosing or treating provider.