Haw. Code R. § 17-1712.1-3 - Annual redetermination of a MAGI-excepted beneficiary

(a) The beneficiary may request assistance with an annual redetermination under the provisions as described in subchapter 2 of chapter 17-1711.1.

(b) The annual redetermination of an individual or household whose Medicaid eligibility is based on MAGI-excepted methodology shall be completed by the department every twelve months.

(c) The department shall:

(1) Send a pre-populated redetermination form containing information available to the department to respond and provide necessary information, sign and return the form through any mode of communication, at least thirty days from the date the redetermination form is sent to the beneficiary in accordance with the provisions of chapter 17-1711.1;

(2) Upon receipt of a signed redetermination form, verify the information provided by the beneficiary; and

(3) Inform the beneficiary of the eligibility decision under the provisions described in chapter 17-1713.1.

(d) A beneficiary who is terminated for failure to submit the redetermination form or necessary information, then later submits the redetermination form within ninety days after the date of termination shall not be required to submit a new application. The new effective date of eligibility shall be the date the redetermination form is received.

(e) The department may consider:

(1) Blindness as continuing until a reviewing physician determines that an individual's vision has improved beyond the definition of blindness under the provisions described in section 17-1719-10; or

(2) Disability as continuing until the department receives verification that an individual's disability no longer meets the definition of disability under the provisions described in section 17-1719-10.

(f) Verification of eligibility criteria may occur between scheduled eligibility redeterminations as described in subchapter 5 of chapter 17-1714.1.

Notes

Haw. Code R. § 17-1712.1-3

[Eff 09/30/13] (Auth: HRS § 346-14; 42 C.F.R. §§435.531, 435.541, 435.911, 435.916, 435.952) (Imp: 42 C.F.R. §§435.531, 435.541, 435.911, 435.916, 435.952)