Hawaii Medicaid Issues New Guidelines for Early Childhood Mental Health Providers

Jan 23, 2026

1 minute

Hawaii Medicaid Issues New Guidelines for Early Childhood Mental Health Providers

The Hawaii Department of Human Services (DHS) has released a memo with new care and billing guidelines for Integration (QI) health plans and providers working in early childhood mental health.
According to the DHS memo, the updated guidelines emphasize the use of the DC:0–5™ Diagnostic tool, integrating with existing billing codes.

Billing Codes

DHS has made several educational resources available.

Resources

Questions

You are advised to contact Provider Services at 888-980-8728 for assistance.

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Credentialing is the rigorous process of verifying a healthcare provider’s qualifications, including their education, training, licenses, and clinical experience. This service ensures that practitioners meet the high standards required by insurance networks and hospitals to provide care and receive reimbursement.

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Billing and Collection service involves confirming a patient’s insurance coverage, active status, and specific benefits before their appointment. By identifying co-pays, deductibles, and required prior authorizations upfront, staff can prevent claim denials and help patients understand their financial responsibilities.

Eligibility Verification

Eligibility verification is the process of verifying a patient’s health insurance coverage and benefits to determine what services are covered and the level of coverage available. This process is essential for healthcare providers to ensure that they receive proper reimbursement for services rendered and that patients are not left with unexpected medical bills.

Revenue Cycle Management

RCM is the financial process that manages the entire lifecycle of a patient’s account, from the initial appointment scheduling to the final balance payment. It integrates eligibility, coding, billing, and collections into a single, cohesive workflow aimed at maximizing a practice's profitability.

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