HAR §17-1737-16
HAR §17-1737-16. Medical Evaluation
Cite as Haw. Code R. § 17-1737-16
(a) Applicants
who have been determined eligible for medicaid due to
UNOFFICIAL
1737-14
mental impairment shall be required to enter into
outpatient treatment. They shall also be required to be
medically evaluated by a physician to eliminate the
possibility that their mental impairment is due to a
physical illness.
(b) The medical evaluation may include and shall
be limited to:
(1) History and physical examination;
(2) Complete blood count (CBC), urinalysis, and
SMAC 20 or its equivalent; and
(3) Additional tests or further studies may be
done if they are medically indicated.
Justification for further studies shall be
provided to the department's medical or
psychiatric consultant upon the department's
request.
(c) The medical evaluation shall be completed no
later than four weeks from the date of approved
benefits. The result of the medical evaluation shall be
submitted to the branch or unit requesting the
information. The medical evaluation shall indicate
whether the mental impairment was or was not due to a
physical illness. [Eff 08/01/94 ] (Auth: HRS
§364-14; 42 C.F.R. §430.10) (Imp: 42 C.F.R. §405.231)