Hawaii Administrative Rules
Title 17 - DEPARTMENT OF HUMAN SERVICES
Department of Human Services
Chapter 1714.1 - GENERAL ELIGIBILITY REQUIREMENTS FOR MEDICAL ASSISTANCE
Subchapter 5 - ELIGIBILITY VERIFICATION
Section 17-1714.1-40 - Use of information and requests of additional information from an individual

Universal Citation: HI Admin Rules 17-1714.1-40

Current through August, 2024

(a) The department shall promptly evaluate the information it receives or obtains in accordance with this chapter to determine whether the information may affect the eligibility or benefits of an individual.

(b) If the information provided by or on behalf of an individual is reasonably compatible with information obtained through an electronic service, the agency shall determine or renew eligibility based on such information.

(c) An individual shall not be required to provide additional information or documentation unless information needed by the department cannot be obtained electronically or the information obtained electronically is not reasonably compatible with information provided by or on behalf of the individual.

(1) Income information obtained through an electronic service shall be considered reasonably compatible with income information provided by or on behalf of an individual if both are either above, at or below the applicable income standard or other relevant income threshold within an amount as determined by the department.

(2) If the information provided by or on behalf of an individual is not reasonably compatible with the electronic service, the department shall pursue additional information from the individual, including:

(A) A statement which reasonably explains the discrepancy; or

(B) Other information, provided that documentation from the individual is permitted only to the extent electronic data is not available and establishing a data match through an electronic service would not be feasible;

(C) The department shall provide the individual a reasonable period to furnish any additional information required under this subsection.

(d) The department shall permit on a case-by-case basis for special circumstances, except for citizenship and immigration status, self-attestation of an individual for all eligibility requirements when documentation does not exist at the time of application or is not reasonably available, such as for an individual who:

(1) Is homeless;

(2) Experienced domestic violence;

(3) Was in a natural disaster; or

(4) As otherwise determined by the department.

(e) The department may not deny or terminate eligibility or reduce benefits for any individual on the basis of information received under this subchapter unless the department pursued additional information from the individual in accordance with subsection (c) and provided proper notice and hearing rights in accordance with chapters 17-1703.1 and 171712.1.

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