HAR §17-1722-37
HAR §17-1722-37. Limitations of coverage
Cite as Haw. Code R. § 17-1722-37
(a)
Eligible pensioners and pensioners' spouses shall be
entitled to all health care coverage provided to
medical assistance recipients, except for:
(1) Payment of health insurance premiums
payments, including that of medicare; and
(2) Coverage of the portion of medical care
expenses paid by a third party.
(b) Medical payments assistance for services
covered by the department's medical assistance program
shall be made available to eligible pensioners and
pensioners' eligible spouses conditioned upon prior
authorization for certain elective medical services,
third party resources, and established payment
UNOFFICIAL
1722-13
practices in the medical assistance program.
[Eff 08/01/94 ] (Auth: HRS §346-l4) (Imp:
HRS §88-4)
§l7-1722-38 Application for payment of medical
services. (a) A pensioner or a surviving spouse
shall sign an application form as a condition for
approval of the application.
(b)
A relative, friend, or a designee may be
asked to complete and sign the application form on
behalf of a pensioner or spouse when the pensioner or
spouse is determined by the department to be unable to
do so. [Eff 08/01/94 ] (Auth: HRS §346-l4)
(Imp: HRS §346-l4)
§l7-1722-39 Eligibility review. Eligibility
reviews shall be conducted every six months or at
intervals determined necessary by the eligibility
worker. [Eff 08/01/94 ] (Auth: HRS §346-l4)
(Imp: HRS §346-l4)
§§17-1722-40 to 17-1722-42
(Reserved).
SUBCHAPTER 7
CHILD WELFARE MEDICAL
Repealed
§