Hawaii Administrative Rules
Title 17 - DEPARTMENT OF HUMAN SERVICES
Department of Human Services
Chapter 1417 - ADULT DAY CARE SERVICES
Section 17-1417-7 - Authorization of service
Current through August, 2024
(a) Adult day care services and related costs shall be authorized only as part of a social service plan when the individual meets the eligibility requirements specified in section 17-1417-4. These services and costs shall be subject to the availability of spaces and funds for department eligibles in licensed adult day care centers contracted by the department to provide the service.
(b) Payment authorized shall be for a predetermined period during which the service costs are necessary and shall not cover a period prior to the actual date on which the individual became eligible for the service.
(c) Service costs or fees to the provider on behalf of the participant shall be based upon a purchase of service contract. The provider shall bill the department according to the procedures specified in its contract with the department. The provider may also charge the participant or someone else willing to pay on behalf of the participant, for the difference between the amount the department pays and the actual charge for participation. The participant's inability to meet the costs, if the participant is otherwise eligible for day care services, shall not be used by the purchase of service provider as the basis for non-participation.
(d) Authorization of payment for adult day care service shall be made for adults who are residing independently, or who are residing with a relative, friend, or spouse, or who are residing in a domiciliary care home who meet the eligibility requirements specified in section 17-1417-4.
(e) When the participant is ill and unable to attend the center's program, the department shall hold the participant's space in the center for a period not to exceed one month provided there is some assurance by the participant's attending physician that the individual will be able to return to the program by that time. After one month, if the participant is still unable to return, payment shall be discontinued.
