# Hawaii — Workers' compensation medical fee schedule conversion factors by US state — reimbursement rates, service category breakdowns, fee schedule basis, and effective dates

For Hawaii, fee schedule basis is Medicare Resource Based Relative Value Scale; primary conversion factor ($) is one hundred ten per cent of fees prescribed in the Medicare Resource Based Relative Value Scale applicable to Hawaii; effective date is January 1, 1997; update methodology is the director updates the schedules every three years or annually, as required; source citation is Haw. Rev. Stat. § 386-21(c), recorded from its source on 2026-08-18.

- **State:** Hawaii _(verified: appears in the quote below)_
- **Fee schedule basis:** Medicare Resource Based Relative Value Scale _(verified: appears in the quote below)_
- **Primary conversion factor ($):** one hundred ten per cent of fees prescribed in the Medicare Resource Based Relative Value Scale applicable to Hawaii _(verified: appears in the quote below)_
- **Effective date:** January 1, 1997 _(verified: appears in the quote below)_
- **Update methodology:** the director updates the schedules every three years or annually, as required _(our reading, not quoted from the source)_
- **Source citation:** Haw. Rev. Stat. § 386-21(c) _(our reading, not quoted from the source)_

## What the source says

> The director shall make determinations of the charges and adopt fee schedules based upon those determinations. Effective January 1, 1997, and for each succeeding calendar year thereafter, the charges shall not exceed one hundred ten per cent of fees prescribed in the Medicare Resource Based Relative Value Scale applicable to Hawaii as prepared by the United States Department of Health and Human Services, except as provided in this subsection.

## Source

- https://www.capitol.hawaii.gov/hrscurrent/Vol07_Ch0346-0398/HRS0386/HRS_0386-0021.htm

Last verified: 2026-08-18. Review by: 2027-02-14.
Part of [Workers' compensation medical fee schedule conversion factors by US state — reimbursement rates, service category breakdowns, fee schedule basis, and effective dates](https://referencesource.org/wc-medical-fee-schedule-multipliers-by-state/).