Haw. Code R. § 17-1703.1-8

Current through November, 2024
Section 17-1703.1-8 - Responsibility of hearing office
(a) The hearing office shall accept:
(1) Any request directly submitted to the hearing office; and
(2) All requests received through the Med-QUEST Division.
(b) The hearing office shall acknowledge the request for the hearing through a written notice according to the provisions described in chapter 171713.1 to the individual within fifteen (15) calendar days of the date of the hearing request to explain their right to:
(1) Prompt administrative action;
(2) Implementation of a hearing decision within ninety calendar days of the request; and
(3) Receive medical assistance or any medical service which had been reduced or denied if a final decision has not been made and implemented within ninety (90) calendar days of the request and the individual is not already receiving aid paid pending.
(c) Not less than fifteen (15) days prior to the hearing, the hearing office shall send a written notice in accordance with the provisions described in chapter 17-1713.1 to the individual and the Med-QUEST Division containing the following information:
(1) The date, time, place, and nature of the hearing;
(2) The legal authority under which the hearing is to be held;
(3) The sections of the statutes and rules involved;
(4) The issues involved and the basis for the department action; and
(5) The individual's right to retain legal counsel.
(6) The individual's right to request an interpreter or auxiliary aids, if required and shall be provided by the department at no cost.
(d) When it becomes apparent to the hearing officer through facts presented by the department or other persons that the individual appealing lacks the ability or understanding to make or communicate decisions regarding the hearing process or to authorize another individual to act on the individual's behalf, the hearing officer may designate one of the following persons to represent the individual in the hearing process:
(1) A spouse or other adult relative who has actual custody of the individual or demonstrates a close, continuing concern for the individual's well being; or
(2) An adult friend who has demonstrated a continuing and current interest, by overt acts, in the individual's well being. In situations in which the hearing officer questions the ability of the individual to participate in the hearing process, the hearing officer may request and authorize a medical evaluation at the department's expense before designating an authorized representative.

Haw. Code R. § 17-1703.1-8

[Eff 09/30/13] (Auth: HRS § 346-14(9); 42 C.F.R. §§ 431.221, 431.244 ) (Imp: HRS §§ 91-9, 91-9.5, 346-12; 42 C.F.R. §§ 431.221, 431.244 )