County resource guide
Autism Resources in Hawaiʻi County County, Hawaii
Local providers, school contacts, and support services for autism families in Hawaiʻi County County. Hawaii statewide resources also apply.
Hawaiʻi County (the Big Island) encompasses Hilo, Kona, and Waimea across the state's largest island. Hilo Medical Center provides some evaluation services, but families needing comprehensive autism evaluations typically travel to Honolulu. SPIN is Hawaii's federally funded PTI providing free IEP advocacy statewide. Hawaii's Med-QUEST DD services and Early Intervention Section serve eligible residents. Telehealth is widely used given the distance from Oahu's provider hub.
Provider directory
Local Providers6 providers in Hawaiʻi County County
About our listings
Provider listings on Autism Parent Club are submitted by practices or researched from public sources. All listings are reviewed for accuracy before publication. To suggest a correction, use the “Suggest a correction” link below.
Diagnostic clinics
Formal autism evaluations by developmental pediatricians, psychologists, or neuropsychologists.
Hilo
Hilo Medical Center — Developmental & Behavioral Pediatrics
Developmental and behavioral pediatric services at Hilo Medical Center, the primary hospital serving the Big Island's east side. Serves families across Hawaiʻi County, though wait times can be long — neighbor island families should also ask about telehealth referrals to Kapiolani on Oahu.
Big Island families often wait months; ask about telehealth referrals to Kapiolani Medical Center (Oahu). Some families drive 2–3 hours across the island.
Early Intervention (0–3)
Free services for children under 3 under IDEA Part C.
Hilo
Hawaiʻi Early Intervention Program — Hawaiʻi County
Free IDEA Part C services for children birth to age 3 in Hawaiʻi County. Includes developmental evaluations, service coordination, and therapy in natural settings (home, childcare). Contacts the DOE's Early Intervention Section to enroll.
FREE under IDEA Part C. Request in writing and ask for a service coordinator. Geographic distance between Hilo and Kona means some services are provided via telehealth.
ABA therapy
Applied Behavior Analysis therapy — typically requires insurance authorization.
Kailua-Kona
Hawaii Behavioral Health — Big Island
ABA therapy for children and teens in Hawaiʻi County. In-home and community-based services. Accepts Hawaii QUEST Integration (Medicaid) and commercial insurance. One of the few BCBA providers with a physical presence on the Big Island.
Accepts Hawaii QUEST Integration (Medicaid). ABA providers on the Big Island are scarce — telehealth supervision supplements in-person sessions.
Speech therapy
Speech-language pathology, AAC, pragmatic language, and feeding.
Hilo
Big Island Speech — Pediatric Speech Therapy
Speech-language pathology for children with autism, language delays, and AAC needs in Hawaiʻi County. Telehealth available for families in remote areas of the Big Island.
Telehealth available; critical for families in remote parts of Hawaiʻi County.
Parent & family support
Parent groups, sibling programs, and family peer support.
Hilo
Kuiokalani Center for Autism — Hilo
Community support and resource navigation for autistic individuals and families on the Big Island. Offers peer support groups, family workshops, and connection to state and county disability services.
Volunteer-run; contact through Autism Society Hawaii. Holds meetings in Hilo and Kona alternately.
Advocacy & legal
Legal advocates, special education advocates, and disability rights organizations.
Wailuku · multi-county
SPIN — Special Parent Information Network (Maui Families)
Hawaii's federally funded PTI serves all islands including Maui County. Free IEP advocacy, workshops, and one-on-one support. Maui families are served primarily by telehealth and phone, with occasional in-person events.
FREE. Call before any IEP meeting. Maui and neighbor island families served via telehealth.
For providers
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School districts & government services
Public programs and school district contacts for Hawaiʻi County County.
School & special education
- Hawaii DOE — Hawaiʻi District Special Education
Hawaii DOE operates statewide; Hawaiʻi County covers the Big Island.
Services & benefits
- Hawaii DDD — Hawaiʻi County DD Services
Contact Hawaii DDD's Hilo office for Big Island waiver enrollment and DD services.
Adult services
- Hawaii DDD — Hawaiʻi County DD Services
Contact Hawaii DDD's Hilo office for Big Island waiver enrollment and DD services.
Respite & support
- Hawaii DDD — Hawaiʻi County DD Services
Contact Hawaii DDD's Hilo office for Big Island waiver enrollment and DD services.
Helpful guides
Guides for Hawaiʻi County County families
Step-by-step help on the topics that matter most.
School & IEP
Navigating the IEP process
Your rights under IDEA, how evaluations work, and what every IEP section means.
Finding help
ABA, OT, speech and waitlists
How to find qualified providers, navigate insurance, and get off waitlists faster.
Getting started
Where to start after diagnosis
A week-by-week checklist for the first 90 days — from evaluation to early intervention.
Benefits & money
SSI, Medicaid waivers, ABLE accounts
Federal benefits your child may qualify for and how to apply without losing your spot.
Mental health
Co-occurring conditions and support
Managing anxiety, ADHD, and depression alongside an autism diagnosis.
Daily life
Sensory processing and OT
Understanding sensory needs, sensory diets, and how occupational therapy helps.
Adulthood
Employment, housing, legal planning
Supported employment, housing options, guardianship alternatives, and ABLE accounts.
See all Hawaii resources
Waivers, PTI centers, and state programs apply to all families in Hawaii.
Hawaii state guide →Nearby counties in Hawaii
See something that needs fixing?
Providers move, phone numbers change, and links break — it happens. If anything on this page is out of date, wrong, or no longer working, please tell us and we’ll fix it. Keeping this accurate for autism families is the whole reason we’re here.
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