HAR §17-1711.1-33
HAR §17-1711.1-33. Effective date of eligibility
Cite as Haw. Code R. § 17-1711.1-33
(a) The effective date of eligibility for an
applicant approved for medical assistance shall be one
of the following:
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1711.1-17
(1)
The date the application is received by the
department; or
(2)
For an individual approved as medically
needy, the date on which appropriate
medical expenses, in accordance with
chapter 17-1730.1, were incurred; or
(3)
The date on which all applicable eligibility
requirements are met by the applicant; or
(4) For a newborn of a beneficiary mother, the
date of the child’s birth;
(5) For a request for retroactive medical
coverage of eligible services, the applicant
shall:
(A) Include the request for retroactive
coverage on the application; or
(B) Submit a written request to the
department within thirty calendar days
from the date of the eligibility
determination; and
(C) The effective date of coverage for
eligible retroactive services received
shall be no earlier than the first day
of the third month prior to the month
the application is received by the
department for individuals applying for
coverage of long-term care services or
ten calendar days immediately prior to
the date the application is received by
the department for all other
individuals.
(b) If the individual is found to be ineligible
for the month of application, the effective date of
eligibility shall be the date of the subsequent month
in which all eligibility requirements are met by the
individual. [Eff 09/30/13] (Auth: HRS §346-14; 42
C.F.R. §§430.25; 435.915) (Imp: HRS §346-14; 42
C.F.R. §§430.25; 435.915)
§17-1711.1-34 Notice of disposition of the
application. (a) A notice of disposition of the
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1711.1-18
application shall be sent under the provisions of
chapter 17-1713.1.
(b) If determined eligible for medical
assistance, the individual shall be issued a Medicaid
identification card by the department as appropriate.
(c) For an individual determined ineligible for
Medicaid, the department shall transfer the
individual's application information for other
insurance affordability programs as appropriate
pursuant to 42 C.F.R. §435.1200(e).
[Eff 09/30/13] (Auth: HRS §346-14; 42 C.F.R.
§§431.10, 435.911, 435.912, 435.917, 435.1200) (Imp:
HRS §346-14; 42 C.F.R. §§431.10, 435.911, 435.912,
435.917, 435.1200)
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