Hawaii Administrative Rules
Title 11 - DEPARTMENT OF HEALTH
Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS
Chapter 88.1 - SERVICES FOR PERSONS WITH DEVELOPMENTAL OR INTELLECTUAL DISABILITIES
Subchapter 6 - HOME AND COMMUNITY-BASED SERVICES PROVIDERS
Section 11-88.1-29 - Providers of home and community-based services
Current through February, 2024
(a) Any willing provider that meets the qualifications defined in the home and community-based services waiver as set forth in the DDD Medicaid Waiver Provider Standards Manual and the standards established by the division may submit a written request to the division to become a provider.
(b) With the exception of contractors for environmental accessibility adaptations, vehicle modifications, specialized medical equipment and supplies, assistive technology, personal emergency response system, and consumer directed service providers; all providers shall sign a Medicaid provider agreement with the department of human services.
(c) A provider shall comply with all applicable federal, state, and local laws, ordinances, rules, regulations and licensing requirements.
(d) A provider shall comply with all provider division and program standards at all times. The division may apply nationally recognized standards and principles as its program standards.
(e) A provider shall obtain and maintain liability insurance with respect to the provider's operation of a home or facility in a coverage amount deemed sufficient and appropriate by the division and provide proof of such insurance on an annual basis .
(f) A provider who transports participants shall obtain and maintain automobile insurance in a coverage amount deemed sufficient and appropriate by the division and provide proof of such insurance on an annual basis.
(g) The division shall designate monitoring teams to determine compliance with program and fiscal standards.
(h) A provider's Medicaid provider agreement with the department of human services shall be terminated when the provider fails to provide home and community-based services in accordance with the terms set forth in the Medicaid provider agreement.
(i) A provider's Medicaid provider agreement with the department of human services may be terminated when the provider fails to comply with division and program standards applicable to providers.
(j) A provider shall recognize and protect the rights of persons applying for or receiving services at all times.
(k) A provider shall keep confidential all records, applications, reports, certificates or other documents made for the purposes of these rules which directly or indirectly identify a person subject hereto, pursuant to the provisions of section 333E-6, HRS and federal law.
