ABA Therapy in Honolulu, Hawaii

Alpaca Health matches Honolulu families with independent BCBAs. In-home ABA therapy reaches across Oahu and Honolulu County, from Honolulu out to Aiea, Pearl City, Kailua, and Kaneohe, and telehealth can reach other islands where your plan allows it. We verify your HMSA, Kaiser Permanente, Med-QUEST, or TRICARE West benefits before you begin, we do not run a waitlist, and most families start the same week.

AGES
Birth to 21
Insurance
Most major plans
Wait Time
No waitlists
Honolulu
"Diamond Head Crater + Waikiki Beach" by Prayitno (CC BY 2.0, Flickr)

Accepted insurance

HMSA
Kaiser Permanente
AlohaCare
TRICARE West
CHAMPVA
Med-QUEST
UHA Health Insurance
Serving Honolulu and surrounding communities:

Choose your Honolulu BCBA for your child

Kimberly Bellomo
M.S., BCBA
Bright Beginnings Learning Center
School-based and clinical ABA therapy

Kimberly Bellomo, M.S., BCBA, is a Board Certified Behavior Analyst with Bright Beginnings Learning Center. She has more than a decade of leadership in school-based and clinical ABA settings, as a clinical director and executive director.

Book a consultationView profile
Jessica Cheeks
BCBA, LBA
Behavior Analytics Hawaii
ABA therapy at home, in school, and in the community

Jessica Cheeks, BCBA, LBA, is the founder of Behavior Analytics Hawaii, with more than 12 years of experience in homes, schools, and clinics. A parent of children with special needs and a former military spouse, she is especially dedicated to military families.

Book a consultationView profile
Jasmine French
BCBA
Trauma-informed, assent-based ABA therapy for children and teens

Jasmine French, BCBA, is a Board Certified Behavior Analyst who works with children and teens. A former special education teacher, Jasmine builds individualized programs and gives caregivers the guidance to feel confident during and beyond services.

Book a consultationView profile
Brittany Basco
M.S., BCBA
Root To Roam
Telehealth ABA, behavioral assessment, and parent coaching

Brittany Basco, M.S., BCBA, is a Board Certified Behavior Analyst and the owner of Root To Roam. Known to families as Bri, Brittany specializes in behavioral assessment, caregiver collaboration, and telehealth ABA services.

Book a consultationView profile
Khent Calaguas
BCBA, LBA, MA SpEd.
Kaleido Behavioral Health

Khent Calaguas, MA SpEd., BCBA, LBA, is the founder and clinical director of Kaleido Behavioral Health, with over 12 years of experience in applied behavior analysis and a commitment to neuro-affirming, person-centered care.

Book a consultationView profile
Lisa Drumb
PhD, BCBA, LBA
Special Education and Behavioral Consultants
Telehealth ABA across AZ, CO, DE, MD, MI, NC & TX

Dr. Lisa Drumb, PhD, BCBA, LBA, is a clinical leader and educator with over a decade of experience in Applied Behavior Analysis and special education. She serves as Vice President of Clinical Operations and teaches ABA at Capella University, where she mentors future behavior analysts.

Book a consultationView profile
Eric Geimer
BCBA, LBA, M.Ed.
Behave Hawaii

Eric Geimer, M.Ed., BCBA, LBA, is a licensed behavior analyst with nearly a decade of experience supporting families across Hawaii. Based in Honolulu, Eric holds a master’s in Educational Psychology from the University of Hawaii at Manoa, along with dual undergraduate degrees in History and Interdisciplinary Social Science.

Book a consultationView profile

ABA therapy options for Honolulu families

In-home ABA therapy: personalized sessions at home in Honolulu, wherever a provider serves your area

In-daycare and in-school ABA: therapy at daycare or school where the facility and your plan allow it

Virtual ABA therapy: telehealth parent coaching and BCBA sessions, where your plan covers them

Autism evaluations: ADOS-2 diagnostic assessments where available, coverage verified first

Parent training: regular family guidance sessions with your child's BCBA, where your plan covers them

Which setting fits your family? Tell us during signup and we will say plainly what is available at your address. Most Honolulu families start with in-home ABA therapy, delivered by clinicians based on Oahu, and virtual ABA therapy can reach other islands where your plan allows it. Hawaii public schools do not allow private ABA providers on campus. If your child's IEP team finds ABA educationally necessary, the Hawaii State Department of Education provides it through its own staff or contracted agencies.

Alpaca Health – ABA Therapy for Families

How ABA therapy works through Alpaca Health

Four simple steps from your first form to your first session. No waitlists, no phone tag, no guesswork.

1

Tell us about your child

Start with our short intake form. You share the basics: your child's age, your availability, your insurance, and any autism diagnosis you already have. That is all we need to understand where your family is starting from.

2

We verify your insurance

After you submit the form, we verify your insurance and follow up within one business day to confirm the details. No long waits, no phone tag.

3

Get matched with the right provider

We match you with a BCBA who has availability now. Prefer someone specific? Tell us, and we will try to make it work. Either way, the fit is built around your child's needs and your family's schedule.

4

Start ABA therapy

We introduce you directly to your provider, and they take it from there. Most families begin within a few weeks, with in-home ABA therapy or a telehealth session where your plan covers it.

A mother and her child playing with toys together on the living room floor

What insurance does Honolulu accept for ABA therapy?

We accept most insurance providers and handle verification, prior authorization, and paperwork.

Don't see your plan? Check all accepted insurances

Alpaca Health accepts the plans shown above and confirms your exact benefits before you commit. Honolulu families on Hawaii Medicaid reach ABA therapy through a Med-QUEST QUEST Integration health plan, and that route runs separately from the private path HMSA and Kaiser Permanente members follow.

What Alpaca Health's data shows about ABA care across our network

Every number below comes from the sessions, claims, and prior authorizations that partner clinics ran on Alpaca Health between August 2024 and August 2026, across every state we serve. It describes families served by those clinics, not the US ABA market.

Families who owed nothing

69.5%

Share of families nationally whose settled claims carried no patient responsibility. Medicaid plans usually cover it by design, while commercial plans carry deductibles and copays.

Alpaca Health partner-clinic caseload, Aug 2024 to Aug 2026. 896 families across 77 clinics.

Median owed per hour of therapy, commercial plans

$2.71

Patient responsibility owed per delivered hour for families on commercial plans nationally. About four in ten owed nothing at all. Middle half of families: $0 to $12.18.

Alpaca Health partner-clinic caseload, Aug 2024 to Aug 2026. 448 families across 64 clinics.

Independent practices on Alpaca Health

95

Practices run by clinician owners across the country, together serving about 1,400 children with roughly 148,700 hours of therapy delivered in the window.

Alpaca Health platform records, Aug 2024 to Aug 2026.

Median days to a payer decision

16.4

Days from the moment a partner clinic submits a prior authorization to the moment the payer approves or denies it. Middle half of requests: 10 to 26 days.

Alpaca Health partner-clinic caseload, Aug 2024 to Aug 2026. 1,082 families across 81 clinics.

How prior authorizations ended nationally

  • Approved69.3%
  • Withdrawn before a decision13.8%
  • No authorization was needed9.8%
Share of prior authorization requests by outcome. Outcome groups with too few families behind them are not shown, so these shares do not add to 100. 891 families across 78 clinics.

Where therapy hours were delivered

  • At home64.9%
  • In a clinic office13.3%
  • By telehealth8.9%
  • At school7.3%
  • Other settings5.6%
Share of delivered therapy hours by the place of service billed on each signed session note. Alpaca Health partner-clinic caseload, Aug 2024 to Aug 2026.

Families who had at least one telehealth session

72.4%

Telehealth is a small share of total hours nationally, and most families used it at least once. It fills gaps around illness and travel rather than replacing in-person work.

Alpaca Health partner-clinic caseload, Aug 2024 to Aug 2026. 783 families across 70 clinics.

These figures describe clients of Alpaca Health partner ABA clinics, on the payers Alpaca Health contracts with. They are not measurements of the US ABA market. A figure appears only when at least 25 families from at least 3 clinics sit behind it.

Start ABA therapy now

Getting an autism diagnosis in Honolulu

Most plans want an autism diagnosis before they approve ABA therapy. Med-QUEST plans and HMSA can approve a trial of ABA for up to 26 weeks when a diagnosing clinician suspects autism but needs more evaluation. Kaiser Permanente and TRICARE need a diagnosis first. Which route fits depends on your child's age and on the plan printed on your card, and Honolulu holds most of the evaluation capacity on Oahu.

Start with Alpaca Health

Alpaca Health offers an ADOS-2 evaluation with no waitlist. An ADOS-2 is one part of an autism diagnosis, so we confirm what your plan requires before you book.

Start your evaluation

Under age 3

The Hawaii Early Intervention Section runs birth to three services through its H-KISS line, no diagnosis or doctor's referral needed. Call 808-594-0066 on Oahu, or 1-800-235-5477 from the neighbor islands.

Age 3 and up

Kapiolani Developmental Behavioral Pediatrics evaluates children in Honolulu at 808-373-7555, and the Kapiolani Neurodevelopmental Pediatrics Clinic takes referrals at 808-983-8394. Med-QUEST does not require prior authorization for the diagnostic evaluation.

How Hawaii's autism coverage rules work in practice

What the state mandate covers

  • Diagnosis and treatment: State-regulated plans must cover both, including applied behavior analysis.
  • Ordered by a clinician: A licensed practitioner has to prescribe the treatment.
  • Licensed provider: Applied behavior analysis must come from a licensed behavior analyst.

What the statute does not settle

  • Self-funded plans: Employer plans under federal ERISA rules are exempt; ask how yours is funded.
  • Med-QUEST: Hawaii Medicaid covers applied behavior analysis under age 21, with no annual maximum.
  • Military families: TRICARE West covers care through the Autism Care Demonstration.

What Honolulu families should know about autism care

Landmark image
"Iolani Palace (Honolulu, Hawaii)" by Michi Moore Photography (Hawaii) (CC BY 2.0, Flickr)
1 in 31
children identified with autism (CDC, 2025)
National prevalence rate. Autism diagnoses have increased from 1 in 150 in 2000 to 1 in 31 today.
6,646
estimated children with autism in Honolulu County
Based on Honolulu County population under 18 and CDC prevalence. American Community Survey 5-year estimates (2020-2024).
22.60%
of Honolulu households have children under 18
Below the Honolulu County rate of 30.70%. American Community Survey 5-year estimates (2020-2024).
1
school district serving Honolulu families
Your child's BCBA can coordinate with the Hawaii State Department of Education on Individualized Education Programs and classroom accommodations.
97.75%
of Honolulu children under 19 have health insurance coverage
Above the Honolulu County rate of 97.28%. American Community Survey 5-year estimates (2020-2024).
7.46%
of Honolulu residents age 5 and older speak Chinese at home
Well above the Honolulu County rate of 3.45%. American Community Survey 5-year estimates (2020-2024).
$86,504
median household income in Honolulu
Below the Honolulu County median of $106,195. American Community Survey 5-year estimates (2020-2024).
11.91%
of Honolulu residents live below the poverty level
Above the Honolulu County rate of 9.23%. American Community Survey 5-year estimates (2020-2024).

Source: U.S. Census Bureau ACS 5-Year Estimates (2020-2024), CDC ADDM Network (2022 data, published 2025), NCES Common Core of Data (2023-2024)

Honolulu autism community resources

Local programs and organizations that support families alongside ABA therapy.

Landmark image
"Waikiki Postcard" by nosha (CC BY-SA 2.0, Flickr)
Early Intervention
Hawaii Early Intervention Section

Hawaii's lead agency for IDEA Part C, providing free evaluations and early intervention services for infants and toddlers from birth to age 3 with developmental delays. Services delivered in-person or via telepractice across Oahu and the neighbor islands.

School District
Hawaii State Department of Education

Hawaii operates as a single statewide school district, the only state in the U.S. structured this way. Coordinates IEPs, classroom accommodations, and special education services for students with autism across all public schools.

Crisis Line
988 Suicide & Crisis Lifeline

Free 24/7 phone, text, and chat support for anyone in suicidal crisis or emotional distress. Call or text 988.

Crisis Line
Hawaii CARES

Hawaii's statewide 24/7 behavioral health crisis line. Free support for crisis, mental health, and substance use concerns. Also accessible by dialing 988 or (808) 832-3100. Operated by the State of Hawaii Department of Health Behavioral Health Administration in collaboration with CARE Hawaii Inc.

Why independent clinics matter

In-home ABA that fits your life

  1. The providers we work with bring therapy to you, wherever your child is most comfortable.
  2. That might mean home, daycare, school, or virtual sessions. Our flexible care model ensures that therapy integrates into your family’s daily routine, rather than disrupting it.
  3. Our network is made up of independent, local clinicians who prioritize 

collaboration, not control, so you stay in charge of your child’s care.

Support for the full pediatric age range

  1. Many ABA centers stop care when a child turns 8. BCBAs on Alpaca Health support the full pediatric age range, from toddlers until age 21, where coverage allows.
  2. Your child deserves more than short-term support. With Alpaca Health, they can build a long-term relationship with a provider who understands their growth over time and adapts care as their needs evolve.
  3. We also support your whole family with educational events and resources, 

including parent webinars, advocacy toolkits, and grant guides.

More care. Less wait.

  1. Waiting months for ABA therapy shouldn’t be the norm. Alpaca Health connects families with independent BCBAs who are taking new families, and most families begin within a few weeks.
  2. We work exclusively with independent providers, which allows us to stay 

flexible and waitlist-free. That means faster assessments, quicker treatment 

starts, and the end of years-long waits.
  3. Ready to get started? We’ll handle the paperwork, help coordinate referrals, 

and walk you through every step.

Frequently asked questions about ABA therapy in Honolulu

Does insurance cover ABA therapy in Honolulu?

Many fully insured Hawaii health plans cover ABA therapy under HRS § 431:10A-133. The 2015 statute names an age band of children under 14 and a $25,000 per year maximum for ABA, but in practice those limits are rarely applied. Federal mental-health parity law generally overrides dollar and age caps on behavioral health, which is why Hawaii's largest insurers, HMSA and Kaiser Permanente, do not enforce them. Self-funded employer plans (common at large companies) are exempt, so check with HR. Med-QUEST (Hawaii Medicaid) covers ABA for children under 21 when medically necessary, with no dollar cap. Alpaca Health verifies your coverage and handles prior authorization so you don't have to call your insurer. Start the process today.

Do you offer in-home ABA therapy in Honolulu?

Yes. Most Alpaca Health families in Honolulu choose in-home ABA because it lets your child learn in the environment where they spend the most time. Your BCBA and RBT come to your house and work with your child using everyday routines, toys, and spaces your child is already comfortable with. Parents can watch, ask questions, and learn strategies to use between sessions. It also means no driving to a clinic.

Do you offer virtual ABA therapy in Honolulu?

It depends on your plan. Alpaca Health offers virtual ABA sessions for Honolulu families where the plan covers them. Virtual works especially well for parent coaching, where your BCBA walks you through strategies in real time while you practice with your child. It's also a good option for older children working on social and communication skills, or for families who want to supplement in-home sessions. Many Medicaid programs require day-to-day therapy with an RBT to happen in person, so we confirm what your plan allows before you start. All virtual sessions run on a secure video platform.

Can my child get ABA therapy at school in Honolulu?

It depends on your school and your plan. Each school or school system decides whether outside ABA providers can work on campus, and some do not allow it. Many plans also limit ABA during classroom instruction. Your BCBA can still coordinate with your child's teachers and IEP team, and we confirm what is possible with Hawaii State Department of Education before you plan on school sessions. Alpaca Health also offers in-daycare ABA for younger children not yet in school.

How quickly can my child start ABA therapy in Honolulu?

Alpaca Health has no waitlists in Honolulu. After you complete a quick intake form, our team verifies your insurance and matches you with a BCBA who serves your area. Most families begin within a few weeks. Have your insurance card and any autism evaluation reports ready to move quickly.

How much does ABA therapy cost in Honolulu?

It depends on the plan printed on your card. Hawaii's autism law reaches state-regulated private plans, and Med-QUEST covers ABA therapy for members under 21 when it is medically necessary. Self-funded employer plans sit outside the state law, which changes what ABA therapy costs for some families.

Alpaca Health verifies your benefits before you start. Check your Honolulu coverage.

Does Alpaca Health serve families on Oahu?

Yes. Alpaca Health providers work across Hawaii through in-home visits and telehealth, and Honolulu sits inside that service area. Eric Geimer, the BCBA featured on this page, is a licensed behavior analyst based in Honolulu, so in-home matching on Oahu does not depend on a clinician flying in from the mainland.

Can Hawaii public schools diagnose my child with autism?

No. A Hawaii State Department of Education evaluation can qualify your child for an Individualized Education Program, which covers services at school. Most plans still want a medical diagnosis before they authorize ABA therapy, though Med-QUEST plans and HMSA can approve a trial of up to 26 weeks when a diagnosing clinician suspects autism.

Hawaii runs one statewide district, so the process is the same at every public school. The department has 60 days from your written consent to complete an initial evaluation.

Where do Honolulu families get an autism evaluation?

Under age 3, the Hawaii Early Intervention Section takes referrals through H-KISS at 808-594-0066 on Oahu. No diagnosis is needed to start.

From age 3, Honolulu families usually go to Kapiolani Developmental Behavioral Pediatrics or the Kapiolani Neurodevelopmental Pediatrics Clinic. Alpaca Health runs its own ADOS-2 evaluations without a waitlist, which can move faster than an outside referral.

Frequently asked questions about ABA therapy & autism

How many hours of ABA therapy does my child need per week?

Your BCBA recommends a weekly hour range from your child's assessment, age, and goals; most children receive 10 to 40 hours of ABA therapy per week. Younger children often start higher, and focused lower-hour plans suit many older kids. This guide to weekly ABA therapy hours shows how BCBAs decide. Start an assessment to get a personalized recommendation.

How long does ABA therapy take to show results?

Many families notice small changes in the first few weeks, like new words or easier transitions. Clearer communication and steadier daily routines usually show within 3 to 6 months, and larger gains in social skills and independence build over 6 to 12 months. Every child moves at their own pace; see how long ABA takes for most families.

What is ABA therapy?

Applied Behavior Analysis (ABA) is an evidence-based autism therapy that builds communication, social, and daily living skills through play. A BCBA designs your child's program and an RBT runs the sessions. Most private plans and state Medicaid programs cover it. Here is what ABA therapy costs with and without insurance.

Is ABA therapy harmful?

Modern ABA therapy is safe when a qualified, neurodiversity-affirming provider delivers it. The aversive techniques of decades past are gone from current practice. A good provider never forces compliance, suppresses stimming, or pushes your child to mask, and sessions should look like play your child chose.

What's the difference between a BCBA and an RBT?

A Board Certified Behavior Analyst (BCBA) is a master's-level clinician who designs your child's therapy plan and supervises treatment. A Registered Behavior Technician (RBT) works directly with your child in each session, following that plan. Every Alpaca Health family gets both, working as one team.

What happens during an ABA therapy session?

Sessions blend structured teaching with play. Your RBT practices communication, social, and daily routine skills through activities your child enjoys, using toys, books, and real-life moments, and records progress data throughout. Parents join in so strategies carry over after the session, and here is a real in-home session from start to finish.

Start ABA therapy in Honolulu today

Tell us about your child and we'll match you with an independent BCBA who serves your area. We verify your insurance, handle prior authorization, and schedule your first assessment. No waitlists.