HAR §17-1711.1-23
HAR §17-1711.1-23. Verification prior to approval
Cite as Haw. Code R. § 17-1711.1-23
(a) The department shall inform the individual of its
intent to obtain and use information from other
federal and State programs, as applicable and
available, to verify information required to make an
eligibility determination for Medicaid and other
insurance affordability programs, including, but not
limited to:
(1) U.S. citizenship or non-citizen status and
identity as required by chapter 17-1714.1;
(2) Assignment of possible third party
liability, including referral for child
support and initiation of a referral to
establish paternity as required by chapter
17-1705;
(3) Date of birth and gender;
(4) Social security number as required by
chapter 17-1714.1;
(5) Gross non-exempt income of the household
as required by chapter 17-1724.1;
(6)
Non-exempt resources of the household as
required by chapter 17-1725.1;
(7)
Blindness or disability as determined in
accordance with the provisions of chapter
17-1719;
(8) Prior determination of blindness or
disability verified by the:
(A)
Social Security Administration (SSA);
(B) Department's Aid to Disabled Review
Committee (ADRC); or
UNOFFICIAL
1711.1-13
(C) Department's consultant ophthalmologist
with the vocational rehabilitation and
services for the blind division at
Ho'opono.
(b) The department must obtain and accept
eligibility information through an electronic service
and other means as determined, to the extent the
information is available, under the provisions of
chapter 17-1714.1.
(c) The department shall only require
documentation of information that is unavailable
through or not reasonably compatible with other
sources to complete a determination of eligibility for
medical assistance or other insurance affordability or
benefit programs.
(d) An applicant, individual, or organization
who is authorized to apply on behalf of the applicant
who has been notified by the department to submit
additional information to establish eligibility, shall
be given a minimum of fifteen calendar days, which may
be extended as determined necessary, to provide the
information or verifying documentation from the date
the request is sent by the department.
[Eff 09/30/13] (Auth: HRS §§346-14, 346-29; 42
C.F.R. §§435.406, 435.407, 435.945, 435.949) (Imp: 42
C.F.R. §§435.406, 435.407, 435.945, 435.949)
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