HAR §17-1722-72. Limitations of coverage

(a) Coverage for an individual eligible for assistance as a qualifying individual with countable income that exceeds one hundred twenty percent of the federal poverty limit but does not exceed one hundred thirty-five percent, the payment of the Medicare supplemental medical insurance premium. (1) For a qualifying individual with countable income that exceeds one hundred twenty percent of the federal poverty limit but does not exceed one hundred thirty-five percent, the payment of the medicare supplemental medical insurance premium; and (2) For a qualifying individual with countable income that exceeds one hundred thirty-five percent of the federal poverty limit but does not exceed one hundred seventy-five percent, payment of the increment to the medicare supplemental medical insurance premium caused by the shifting of certain home health services from the medicare hospital insurance. (b) A qualifying individual who receives assistance one month in a calendar year is eligible for coverage for the remaining balance of calendar UNOFFICIAL 1722-23 year, provided all other eligibility requirements are met. (c) Coverage under this subchapter is for a five year period from 1998 through 2002 and subject to allocation of funding for each calendar year. [Eff 05/02/98; am 01/31/09 ] (Auth: HRS §346- 14; 42 C.F.R. §435.10) (Imp: 42 U.S.C. §1396a(a)(10)(E)) §17-1722-73 Limit on the number of eligible individuals. (a) Participation in this group shall be limited in each calendar year to the estimated number of eligible qualifying individuals whose aggregate amount of assistance does not exceed the allocation of funds for that calendar year. (b) For the calendar year 1998, eligible qualifying individuals shall be provided assistance in the order in which they apply for assistance up to the estimated limit in subsection (a). (c) For calendar years after 1998, the following individuals shall be given preference for participation providing they were eligible for coverage in the last month of the previous year and who continue to be or become qualifying individuals: (1) A qualifying individual; (2) A qualified medicare beneficiary; (3) A specified low income medicare beneficiary; or (4) A qualified disabled and working individual. [Eff 05/02/98 ] (Auth: HRS §346-14; 42 C.F.R. §435.10) (Imp: 42 U.S.C. §1396a(a)(10)(E))