HMSA does not provide coverage for mental health services rendered by individuals who are unlicensed or practicing under an intern, trainee, or similar status, even if they are supervised by a licensed health professional. All mental health services must meet payment determination criteria and be provided by a licensed and credentialed provider, with a valid NPI and active HMSA provider ID, in order to qualify for coverage.
- HMSA’s Guide to Benefits for all plans outline that mental health services must be performed by licensed clinicians
- Participating Provider contract language states that all participating providers must be duly licensed or certified to practice in the State of Hawaii and meets HMSA’s credentialing criteria
Revision History
| Date | Nature of Revision |
|---|---|
| 08/03/2026 | Migrated to new platform.
|