Ketamine Providers in Hawaii
6 providers across 3 cities
Hawaii has 6 ketamine therapy providers across 3 cities. The most common provider types are ketamine infusion clinic, mental health practice, wellness & integrative center. Providers in Hawaii commonly treat depression, anxiety, ptsd. Top cities include Honolulu, Kailua, Mililani.
Ketamine Therapy in Hawaii
Hawaii's ketamine therapy landscape is shaped by geographic isolation, strong legislative momentum, and CPOM restrictions requiring physician-owned clinic structures. Most providers are concentrated on Oahu, though telehealth-supported oral ketamine programs are expanding access to neighbor islands. Groundbreaking legislation (SB967) proposes to make Hawaii the first state to mandate insurance coverage of IV ketamine. Spravato is currently the insured option for qualifying patients.
Hawaii ranks 30th nationally with 6 ketamine therapy providers, averaging 2 providers per city. The largest provider category is ketamine infusion clinic (50% of providers). Honolulu leads the state with 4 providers.
State Regulations
Hawaii follows federal DEA Schedule III rules for ketamine. The state enforces Corporate Practice of Medicine restrictions, requiring physician ownership for clinic structures. Hawaii SB967 (2025 session) proposes mandatory Medicaid and private insurance coverage of IV ketamine starting January 1, 2026, though it had not yet passed as of early 2026. Clinics must hold DEA registration per location.
Insurance & Medicaid Coverage
Hawaii's Med-QUEST Medicaid program covers Spravato as an FDA-approved medication with prior authorization when clinical criteria are met. Hawaii's 2023-2025 legislative efforts (SB279, SB967) pushed to add IV ketamine coverage, but federal Medicaid law prohibits federal matching funds for off-label drug use. As of early 2026, IV ketamine remains excluded from Medicaid.
Telehealth Options
Telehealth ketamine prescribing is permitted under Hawaii HRS SS453-1.3, but controlled substances require a proper physician-patient relationship. DEA telehealth flexibilities extend through December 31, 2026. For Medicaid billing of controlled substance prescribing via telehealth, the provider must be physically located in Hawaii.
Cost of Ketamine Therapy
IV ketamine infusions in Hawaii typically cost $350–$800 per session. Honolulu-based Ketamine Clinic Hawaii charges $750 first session, $450 thereafter. Kilauea Ketamine Clinic on the Big Island starts at $350-$450. A package of 6 sessions runs approximately $4,000. A standard initial series of 6 infusions runs $2800–$4800. Spravato (esketamine) may be partially or fully covered by insurance.
Mental Health Access
Hawaii meets 33.11% of mental health needs as of December 2025 (HRSA data), with 22 additional practitioners needed to eliminate existing HPSA designations. Rural islands and neighbor islands face the most acute shortages. Hawaii has approximately 0.48 ketamine providers per 100,000 residents.
Frequently Asked Questions
- As of early 2026, IV ketamine infusions are not covered by Medicaid or most private insurers in Hawaii. Spravato (esketamine nasal spray) is covered by Med-QUEST Medicaid with prior authorization. Senate Bill 967 proposes to require both Medicaid and private insurers to cover IV ketamine, though the bill's passage was still pending as of March 2026.
- A physician-patient relationship can be established via telehealth in Hawaii, and DEA flexibilities allow controlled substance prescribing without an in-person visit through 2026. However, IV ketamine infusions themselves must be administered in person at a licensed clinic. For Medicaid telehealth billing, the prescribing provider must be physically in Hawaii.
- IV ketamine infusions in Hawaii typically range from $350 to $800 per session, with most Honolulu-area clinics charging $450-$750 per session. A standard initial series of six infusions costs approximately $2,800-$4,800. Kilauea Ketamine Clinic on the Big Island offers more affordable pricing starting at $350.