Payer Guide · ʻOhana Health Plan

ʻOhana Health Plan ABA coverage (QUEST Integration).

Last updated September 202610 primary sources

ʻOhana Health Plan is WellCare’s (Centene’s) QUEST Integration plan in Hawaii, and it is leaving. Med-QUEST’s March 4, 2026 memo QI-2608 says ʻOhana "does not intend to renew its QI contract beginning January 1, 2027," and ʻOhana’s provider FAQ confirms members move to another QUEST plan on January 1, 2027, after a special open enrollment on October 1–20, 2026. Until then ʻOhana delivers the Med-QUEST ABA benefit (memo QI-2431: under 21, ASD) and prior-authorizes every ABA code from 97151 through 97158.

Note the spelling: the plan writes its name with a leading ʻokina. pVerify lists it as "Ohana Health Plan (WellCare of Hawaii)", and the payer name follows that spelling.

This plan administers the Hawaii Medicaid (Med-QUEST / QUEST Integration) ABA benefit — the state rules are the floor, and this page covers what the plan layers on top. Read it together with the Hawaii Medicaid (Med-QUEST / QUEST Integration) guide →
Prior auth for the assessment
Required — ʻOhana’s CMS-0057-F prior-authorization list (effective 12/31/2025) names "ABA Services 97151, 97152, 97153, 97154, 97155, 97156, 97157, 97158"[2]
Prior auth for treatment
Required — 97153–97158 on the same list; submit through the WellCare provider portal or by fax[2][3]
Autism diagnosis required?Unverified
Follows Med-QUEST memo QI-2431 (ASD, under 21, the memo’s diagnosing-provider list); an ʻOhana-specific ABA clinical guideline could not be checked[7]
Blocked on: ʻOhana Clinical Coverage Guidelines list (ohanahealthplan.com/providers/tools/clinical-guidelines.html — client-rendered, did not load), or Provider Services 1-888-846-4262.
Plan typeQUEST Integration plan (WellCare / Centene)
StatusLeaves QUEST December 31, 2026; members on a new plan January 1, 2027
Benefit sourceMed-QUEST memo QI-2431 / FFS 24-13 (IBT / ABA)
Prior authRequired on 97151–97158 (list effective 12/31/2025)
Claims run-outServices through 12/31/2026 must be billed by 12/31/2027

The exit, and what it means for an ABA case

ʻOhana’s FAQ (approved August 14, 2026): members were to be notified in early September; the special open enrollment runs October 1–20, 2026; members who don’t choose are assigned; enrollment and transition-of-care files move to the new plans from mid-November; new coverage starts January 1, 2027. Providers should keep treating ʻOhana members through December 31, 2026. On prior authorizations, "Existing QUEST transition of care policies will apply," and members "may continue receiving those services through their new health plan without prior authorization and regardless of provider network status, consistent with applicable QUEST transition of care requirements." Claims for services through December 31, 2026 are due by December 31, 2027, and the call center stays open through then.[1][6]

For intake: an ʻOhana family starting ABA this fall should know which plan they are moving to. Get ʻOhana’s authorization for the current period, check your contract with the family’s new plan, and plan the first reauthorization with the new plan in mind.[1][6]

Authorization while ʻOhana is the plan

ʻOhana’s CMS-0057-F prior-authorization list (effective 12/31/2025) names ABA Services 97151 through 97158, and separately lists neuropsychological and psychological testing (96112–96146). The fastest route is the WellCare provider portal; fax is also accepted, and phone only for urgent requests, which are decided within 72 hours. ʻOhana’s published 2025 QUEST metrics show 97.8% of standard requests approved, with an average of 3 days and a median of 1. The clinical rules come from Med-QUEST’s memo: diagnosis by the memo’s listed providers, a treatment plan with standardized goal measurement, 26-week periods, supervision at 1–2 hours per 10 RBT hours, and concurrent 97153/97155 billing allowed.[2][3][7]

Intake gates

The questions that decide whether a family can start with Ohana Health Plan (WellCare of Hawaii), and what they have to bring. Each maps onto something intake should ask on the first call.

Age limit

Under 21 — the Med-QUEST benefit ʻOhana delivers (MQD memo). ʻOhana coverage itself ends December 31, 2026.[7][1]

Prior-auth decision time

Expedited requests: "a determination within 72 hours" (ʻOhana). Standard: the federal managed-care limit of 7 calendar days for rating periods from January 1, 2026 (extendable by 14). ʻOhana’s 2025 QUEST standard average was 3 days, median 1. Continuation requests are due at least two weeks before the period ends (MQD memo).[3][9][2][7]

Referral required?Plan-dependent

The MQD memo lets plans require a PCP referral for the diagnostic evaluation. ʻOhana’s behavioral health page lists psychiatric and psychological evaluations as not needing prior authorization; ABA itself is controlled by PA.[7][4][2]

Ask the plan: ʻOhana Provider Services 1-888-846-4262 — ask whether a PCP referral is required.

Other insurance (who pays first)Plan-dependent

Medicaid is secondary to all other insurance (MQD memo), so ʻOhana pays after any commercial plan. Whether ʻOhana requires its own PA when secondary is not stated. TRICARE pays after other coverage except Medicaid; CHAMPVA pays last.[7][10][13][14]

Ask the plan: ʻOhana Provider Services 1-888-846-4262 — confirm PA requirements when ʻOhana is secondary.

Diagnosis recencyUnverified

No recency window in the MQD memo; no ʻOhana rule found.[7]

Blocked on: ʻOhana Clinical Coverage Guidelines or Provider Services 1-888-846-4262.

Who may diagnoseUnverified

MQD memo list: developmental-behavioral or developmental pediatrician, neurologist, pediatrician, psychiatrist, psychologist, or other licensed practitioner with ASD expertise. No ʻOhana variation found.[7]

Blocked on: ʻOhana Clinical Coverage Guidelines or Provider Services 1-888-846-4262.

Diagnostic tools requiredUnverified

MQD memo: "evidence-based assessments," no instrument named. No ʻOhana requirement found.[7]

Blocked on: ʻOhana Clinical Coverage Guidelines or Provider Services 1-888-846-4262.

TelehealthAsk the plan

MQD’s telehealth memo QI-2527 applies (audio-video, modifier 95/GT/GQ); ʻOhana is listed there as the contact for plan billing rules. No ʻOhana ABA telehealth rule found.[12]

Ask the plan: ʻOhana Provider Services 1-888-846-4262.

Delivery & billing rules

Coverage decides whether Ohana Health Plan (WellCare of Hawaii) pays. These decide whether the claim survives: how sessions must be staffed and supervised, what may be billed concurrently, the per-day ceilings, who signs the note, where the service is payable, and whose NPI the claim goes out under.

SupervisionUnverified

ʻOhana publishes no ABA supervision rule of its own that we could find; the MQD memo sets it: 1–2 hours of case supervision per 10 RBT hours, at least one direct, direct supervision at least 5% of BCaBA and RBT hours, per BACB guidelines.[7]

Blocked on: ʻOhana Clinical Coverage Guidelines (client-rendered list did not load), or Provider Services 1-888-846-4262.

Concurrent billing (97153 + 97155)Ask the plan

The MQD memo allows 97153 and 97155 concurrently when both codes’ criteria are met and they carry different modifiers. Med-QUEST’s 2024 rate-study meetings recorded that "one MCO allows billing for RBT + BCBA concurrent services; other MCOs do not" — confirm ʻOhana’s edit.[7][11]

Ask the plan: ʻOhana Provider Services 1-888-846-4262 — ask whether its claim edits allow 97153 + 97155 for the same time.

Daily limits / MUEsAsk the plan

No ʻOhana unit cap published; hours are authorized per request. The MQD memo sets no daily cap and approves hours per week for up to 26 weeks.[7][2]

Ask the plan: ʻOhana utilization management through the WellCare provider portal or 1-888-846-4262.

Session-note signatureUnverified

Not verified — neither the MQD memo nor ʻOhana’s published authorization material sets session-note signature rules.[7]

Blocked on: ʻOhana provider manual or Provider Services 1-888-846-4262.

Place of serviceUnverified

Per the MQD memo: clinic, home or community settings named in the treatment plan; school ABA through DOE under the IEP; nothing outside Hawaii. No ʻOhana-specific setting rule found.[7]

Blocked on: ʻOhana Provider Services 1-888-846-4262.

Bill as providerUnverified

Per the MQD memo: payment goes to the licensed practitioner or employing agency, with HO/HN/HM modifiers. ʻOhana requires provider and facility NPIs on authorization requests; its own ABA billing rules were not found.[7][3]

Blocked on: ʻOhana Provider Services 1-888-846-4262.

What intake should collect for Ohana Health Plan (WellCare of Hawaii)
Which plan the family is moving toʻOhana coverage ends December 31, 2026. Ask which plan they picked in the October 1–20 enrollment, or which one they were assigned.
ʻOhana member ID and QUEST enrollmentConfirm ʻOhana is the assigned plan for the dates you are treating.
ASD diagnosis and ageThe Med-QUEST benefit is for members under 21 with ASD, diagnosed by one of the memo’s listed providers.
Assessment authorization97151 and 97152 are on ʻOhana’s PA list — get the authorization before the assessment.
Download the free verification-call checklist (PDF)

Common questions

Is ʻOhana Health Plan leaving QUEST?

Yes. ʻOhana leaves the QUEST program on December 31, 2026. Members pick a new plan during the October 1–20, 2026 special open enrollment or are assigned one, and new coverage starts January 1, 2027. QUEST transition-of-care rules let ongoing services continue with the new plan.

Does ʻOhana require prior authorization for ABA?

Yes — its prior-authorization list names 97151 through 97158, including the 97151 assessment.

Is ʻOhana Health Plan the same as WellCare?

Yes — it is WellCare’s Hawaii plan, part of Centene. Payer directories list it as "Ohana Health Plan (WellCare of Hawaii)".

Primary sources
  1. ʻOhana Health Plan — QUEST program transition FAQ for providers (approved 8/14/2026)
  2. ʻOhana Health Plan — CMS-0057-F Prior Authorization Requirements, CCS & QI (list effective 12/31/2025)
  3. ʻOhana Health Plan — Medicaid authorizations page
  4. ʻOhana Health Plan — Medicaid behavioral health provider page (BH prior-authorization list)
  5. ʻOhana Health Plan — QUEST Provider Quick Reference Guide (2026)
  6. Med-QUEST memo QI-2608 — Auto-assignment algorithm for QI members, March 1, 2026 to Dec 31, 2028 (ʻOhana not renewing from Jan 1, 2027)
  7. Med-QUEST memo QI-2431 / FFS 24-13 (Dec 31, 2024) — Coverage of IBT for children under 21 with ASD: Guidelines for ABA (Attachments A–C)
  8. Med-QUEST — provider memo index (QI-2431 still the current ABA memo, checked 9/23/2026)
  9. 42 CFR 438.210(d) — Medicaid managed care authorization timeframes (eCFR)
  10. 42 CFR 433.139 — Medicaid payment of claims involving third-party liability (eCFR)
  11. Med-QUEST / Milliman — ABA policy and rates updates presentation (Oct 30, 2024)
  12. Med-QUEST memo QI-2527 / FFS 25-12 / CCS-2509 — Telehealth Implementation (Dec 8, 2025)
  13. 10 U.S.C. 1079(i)(1) — TRICARE pays after other coverage except Medicaid
  14. 38 CFR 17.270 — CHAMPVA is the last payer

Payer policies change frequently and vary by plan, state, and funding type. This guide was compiled from the sources above and last reviewed September 2026; it is general information, not billing, legal, or clinical advice. Always verify current requirements against the payer's live policy and a benefits check for the specific member.

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