Hawaii Medicaid Fee Schedule. Except as otherwise noted in the plan, the state developed fee schedule rates are the same for both governmental and private providers for the same services listed below. New providers are required to complete a medicaid provider application/change request form (dhs 1139 rev 02/14) to enroll as a provider in the.

Except as otherwise noted in the plan, the state developed fee schedule rates are the same for both governmental and private providers for the same services listed below. The fee schedule for aba services under hawaii medicaid can be found here.