Haw. Code R. § 11-88.1-24 - Payment for home and community-based Medicaid waiver services

(a) The department shall pay only for Medicaid home and community-based services approved by CMS, specified in a written individualized service plan made between the participant and the division or its designee, and authorized by the case manager.
(b) The payment rate for each service shall be established by the division based on applicable Medicaid rates.
(c) The payment rate for each service shall not exceed the approved rate of payment by CMS.
(d) The department or the division shall recover overpayments from providers.
(e) Subject to the availability of appropriate providers and necessary funding, for a person deemed eligible for HCBS waiver services, the department shall provide services within ninety (90) working days of the date of eligibility determination.
(f) Providers that receive waiver funds for providing developmental or intellectual disability services shall apply cost share prior to receiving waiver funds.

Notes

Haw. Code R. § 11-88.1-24
[Eff 10/26/2014] (Auth: HRS §§ 321-9, 333F-13) (Imp: HRS § 333F-21)

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