Hawaii: Start Here
Beginner guide for Hawaii—HRS Ch. 432E, Insurance Division external review, HMSA market, and what to open next.
Read guideState playbook
Hawaii
State insurers, legislation, and appeal resources for patients and advocates in Hawaii.
4 guides
Hawaii Prior Authorization Law
Chapter 432E utilization review, ACA UR timelines, SHPDA transparency reporting, and carrier PA portals.
Read guideHawaii Health Insurance Appeals and Grievances
60-day standard and 72-hour expedited internal appeals, skip-ahead rules, path to Commissioner external review.
Read guideHawaii External Review
Binding IRO review—130-day filing, $15 fee, 45-day standard, 72-hour expedited, fully insured HI plans.
Read guidePrior auth & internal appeals
Match the plan on the member ID card. Use the denial letter for where to file appeals.
- HMSA
- Kaiser Permanente Hawaii
- UHA (University Health Alliance)
- Med-QUEST (Medicaid)
External appeals
After internal appeal, for eligible Hawaii fully insured plans only.
- Hawaii Insurance Division — External Review
- Coverage Rights — Hawaii