HAR §17-1737-60. Continuing care provider

(a) Continuing care means EPSDT services provided by a medical professional familiar with the recipient's episodes of acute illness; and who has an ongoing relationship with the recipient or family as their regular source of health care. (b) Continuing care provider shall deliver EPSDT services as set out in sections 17-1737-54 to 17-1737-59 with the exception of dental services, and provide physician services as needed by the recipient for acute, episodic, or chronic illnesses or conditions. (1) Recipient or family shall agree to use the continuing care provider of their choice as their regular source of continuing care services. (2) Provider and recipient or family shall sign statements that reflect their respective obligations under the continuing care UNOFFICIAL 1737-76 arrangement. [Eff 08/01/94 ] (Auth: HRS §346-14) (Imp: 42 C.F.R. §441.60) §17-1737-61 Provider requirements for participation in the medical assistance program. (a) Participation in the program as an EPSDT or a continuing care provider is open to public and volunteer clinics and health agencies, health maintenance organizations, prepaid health plans, group practices, and solo practitioners. EPSDT provider and continuing care provider shall meet all the requirements as set out in chapter 17-1736. (b) EPSDT provider and continuing care provider approved by the department for program participation shall enter into a contractual agreement with the department. Contractual agreement shall include but not be limited to: (1) Provider responsibility to maintain recipient's consolidated health history, including information received from other providers; and (2) Department's responsibility to reimburse for: (A) Medical screening services based on a negotiated per patient rate; and (B) Routine dental examinations in accordance with the fee schedule established for the fee for services component of the medical assistance program (medicaid). [Eff 08/01/94 ] (Auth: HRS §346-14) (Imp: 42 C.F.R. §§431.10, 441.60)