Haw. Code R. § 17-1711.1-23 - Verification prior to approval

(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

(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.

Notes

Haw. Code R. § 17-1711.1-23

[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)