HAR §17-1737-83.1
HAR §17-1737-83.1. Out-of-state medical services
Cite as Haw. Code R. § 17-1737-83.1
(a)
Out-of-state medical services shall be covered for
eligible Hawaii residents visiting in another state.
Medical services incurred while visiting in another
state shall be covered only when the requirements of
temporary absence as stated in section 17-1714-22(d)
are met.
(1) To receive payment for services incurred out-
of-state, the provider shall meet the
requirements of section 17-1736-13. In
addition:
(A) The services were required as they were
an emergency;
(B) The services were needed and the
recipient's health would have been
endangered if the recipient had to
return to the State of residence; or
UNOFFICIAL
1737-101
(C) The State has determined that the
services sought are unavailable in
Hawaii or more readily available in
another state; or
(2) Out-of-state Services shall require prior
authorization by the department, with the
exception to the services indicated in
subsection (b), paragraphs (1) and (2).
(b) Children under the age of nineteen and
children under the age of twenty-one years who are in
foster care placement or are covered by subsidized
adoption agreements shall be eligible for out-of-state
medical services. [Eff 02/10/97 ] (Auth: HRS
§346-14) (Imp: 42 C.F.R. §§430(a); 431.52)