Hawaii Administrative Rules
Title 17 - DEPARTMENT OF HUMAN SERVICES
Department of Human Services
Chapter 1711.1 - PROCESSING OF APPLICATIONS FOR MEDICAL ASSISTANCE
Subchapter 4 - ELIGIBILITY DETERMINATION PROCESS
Section 17-1711.1-31 - Expedited processing for emergency medical services

Universal Citation: HI Admin Rules 17-1711.1-31

Current through February, 2024

(a) An application shall be processed within two working days when:

(1) The applicant is suffering from an emergency medical condition for which covered medical services are available; and

(2) Failure to receive immediate treatment would result in any of the following consequences;
(A) Serious risk of disease;

(B) Threat to life or vital function;

(C) Serious health complication; or

(D) Serious irreparable harm.

(b) The applicant shall be required to submit the following:

(1) An application for medical assistance; and

(2) The prescribed departmental form, signed by a licensed physician, advance practice registered nurse or dentist, certifying the need for immediate medical treatment based on any of the reasons in subsection (a) and that the individual will not be treated unless the department determines eligibility for medical assistance.

(c) The applicant shall be subject to departmental fraud penalties or recovery requirements for false or withheld information.

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