Haw. Code R. § 17-1705-8

Current through November, 2024
Section 17-1705-8 - Cooperation requirements
(a) All applicants and recipients of medical assistance shall be required to cooperate with the department or health plan in obtaining third party payments unless there is good cause for refusing to cooperate.
(b) Cooperation shall include:
(1) Identifying any third party who may be liable for services covered under the Medicaid program;
(2) Providing relevant information or attesting to the lack of information, under penalty of perjury, to assist the department or health plan in pursuing any such potentially liable third party;
(3) Appearing at a department designated location to provide information or evidence relevant to the case;
(4) Appearing as a witness at a court or other proceeding;
(5) Paying to the department or health plan any support or medical care funds received that are covered by the assignment of rights; and
(6) Taking any other reasonable steps to assist in securing medical support and payments.
(c) All applicants and recipients of medical assistance shall be required to apply, as a condition of eligibility, for Medicare coverage if:
(1) The individual may meet the eligibility criteria for the Medicare program, and
(2) The state agrees to pay any applicable premiums and cost-sharing, except for those related to Medicare part D.

Haw. Code R. § 17-1705-8

[Eff 08/01/94; am 01/29/96; am 12/26/05; am 09/30/13] (Auth: HRS § 346-14) (Imp: 42 C.F.R. §433.138; §433.145; 45 C.F.R. §232.13; Pub. L. 108-173 )