HAR §17-1737-58
HAR §17-1737-58. Diagnosis and treatment
Cite as Haw. Code R. § 17-1737-58
(a)
Diagnostic and treatment services shall be provided for
problems identified during screening regardless of
whether the service is included in the department's
state plan. Provision of services that are not
included in the state plan shall be based on medical
necessity and require prior authorization, and shall be
limited to services permitted under medicaid.
(b) Assistance in referral shall be provided for
treatment services not covered by the medical
UNOFFICIAL
1737-75
assistance program (medicaid), but determined to be
needed as a result of problems identified during
screening and diagnosis. Assistance in referral only
shall include giving the recipient or family the names,
addresses, and telephone numbers of providers who are
able to furnish the needed treatment at little or no
cost to the recipient or family.
(c) Dental care, at as early an age as necessary
for relief of pain and infections, restoration of teeth
and maintenance of dental health in accordance with
section 17-1737-75. Dental diagnosis and treatment
shall be started within sixty days of the screening
date and the treatment plan shall be completed within
one hundred-twenty days from the date a procedure was
initiated, except under noted extenuating
circumstances.
(d) Diagnostic and treatment services shall be
started within six months from the request for
screening services by the recipient or family.
[Eff 08/01/94 ] (Auth: HRS §346-14) (Imp: 42
C.F.R. §§441.56, 441.61; 42 U.S.C. §1396d)