Hawaii Administrative Rules
Title 17 - DEPARTMENT OF HUMAN SERVICES
Department of Human Services
Chapter 1714.1 - GENERAL ELIGIBILITY REQUIREMENTS FOR MEDICAL ASSISTANCE
Subchapter 1 - GENERAL PROVISIONS
Section 17-1714.1-3 - Evidence of identity

(a) The department shall verify the identity of an individual or household member prior to the approval of assistance.

(b) Verification of an individual's identity through a federal or State governmental agency, including but not limited to a public assistance, law enforcement, internal revenue or tax bureau, or corrections agency, or an Express Lane agency, under section 1902 of the Social Security Act, shall be accepted in lieu of documentation required under subsections (c), (d) and (e).

(c) For an individual sixteen years of age or older, the department shall accept the following as proof of identity, provided the documentation has a photograph or other identifying information including, but not limited to, name, age, sex, race, height, weight, eye color, or address:

(d) For an individual under nineteen years of age, the department shall accept documentation from a clinic, doctor, hospital, or school record, including preschool or day care records.

(e) Two of the following types of documents containing consistent information that corroborate an individual's identity, including, but not limited to, employer identification card, high school and college diploma (including high school equivalency diploma), marriage certificate, divorce decree, and property deed or title.

(f) If the individual does not have any document(s) specified in subsections (c), (d) and (e), and identity is not verified under subsection (b), the individual may submit an affidavit signed, under penalty of perjury, by another person who can reasonably attest to the individual's identity. The affidavit shall contain the individual's name and other identifying information establishing identity, as described in subsection (c) above. The affidavit does not have to be notarized.