HAR §11-172-21. Denial of certificate

The department may deny any application for initial certification or re certification for any of the following reasons: (1) The applicant or provider is not licensed to do business in the State of Hawaii; (2) The applicant or provider does not meet the service-specific standards detailed in the application form and instructions; (3) Previous felonies committed by any of the applicant’s or provider’s management personnel; (4) Previous revocation of medicaid or medicare certification or professional license of the applicant, provider, or their respective staff; (5) The applicant or provider lacks sufficient organizational and fiscal infrastructure; (6) The applicant or provider has received a written statement of non-compliance pursuant to section 11-172-16 and has failed to submit a written plan of correction within the time specified in section 11-172-17; (7) The provider is in violation of the terms of the AMHD contract and has not corrected the violation within the time specified by AMHD; or (8) The applicant or provider has been terminated as an AMHD provider. [Eff AUG 06 2005] (Auth: HRS §§ 321-1, 334-9; 42 C.F.R. § 431.10) (Imp: HRS § 321-1, 334-9) §l1-172-22 Appeal of denial. Any applicant or provider denied certification under this chapter may appeal to the Adult Mental Health Division in accordance with its policies and procedures. If not satisfied with the final Adult Mental Health Division decision, the applicant or provider may appeal in writing to the director pursuant to the department’s rules of practice and procedure. If no request for an appeal is received by the director within forty-five days of the mailing of the written decision to the respondent the decision shall become final. [Eff AUG 06 2005] (Auth: HRS §§ 321-196) (Imp: HRS § 321-193) 172-9