Hawaii Administrative Rules
Title 17 - DEPARTMENT OF HUMAN SERVICES
Department of Human Services
Chapter 1717.1 - TRANSITIONAL MEDICAL ASSISTANCE
Subchapter 2 - ELIGIBILITY REQUIREMENTS
Section 17-1717.1-11 - Extension periods
Universal Citation: HI Admin Rules 17-1717.1-11
Current through August, 2024
(a) Initial six-month period for transitional medical assistance:
(1) Shall be extended to a household who is
terminated solely because of increased income from employment or increased
hours of employment of the household;
(2) Received assistance at least three of the
six-months immediately preceding the month in which the household became
ineligible in the Pregnant Women Group, or the Parents or Caretakers Relative
Group; and
(3) Shall include a
child as defined in this chapter, or eligibility shall terminate at the end of
the first month in which the household ceases to include the child.
(4) The department shall notify the household
of the option to receive an additional six-month period of transitional medical
assistance during the third and sixth month of this initial six-month
period.
(5) Shall terminate at the
end of the sixth month period when the household fails to meet the reporting
requirements of section 17-1717.1-12(a), unless the household establishes good
cause for failure to report timely. Failure to submit timely due to physical or
psychiatric limitations may constitute good cause.
(b) Additional six-month period for transitional medical assistance:
(1) Shall be
extended to a household when the household received transitional medical
assistance during the entire initial six-month period according to subsection
(a); and
(2) Shall include a child
as defined in this chapter, or eligibility shall terminate at the end of the
first month in which the household ceases to include the child.
(3) The department shall notify the household
of the reporting requirements of section 17-1717.1-12(b)(1) during the third
month of the additional six-month transition period.
(4) Shall terminate when the household fails
to meet the reporting requirements of section 1717.1-12(b), unless the
household establishes good cause for the failure to report timely. Failure to
submit timely due to physical or psychiatric limitations may constitute good
cause, or the household had no earnings in one or more of the previous months,
unless the lack of earnings was due to involuntary loss of employment, illness,
or other good cause.
(c) Four-month period for transitional medical assistance:
(1) Shall be extended to a household for a
period of four consecutive months when the household is terminated from the
Pregnant Women Group, or Parent or Caretaker Relatives Group because of the
collection or increased collection of spousal support payments under Title IV-D
of the Social Security Act; and
(2)
Received assistance in at least three of the six-months immediately preceding
the month in which the household became ineligible for the Pregnant Women
Group, or the Parent or Caretaker Relatives Group.
(3) Shall begin on the date the household
became ineligible for assistance and terminated from the Pregnant Women Group,
or Parent or Caretaker Relatives Group.
(4) When eligibility for the household is
terminated retroactively, the four month period shall begin retroactively with
the first month in which eligibility through the Pregnant Women Group, or
Parents or Caretakers Relative Group was erroneously received.
(d) When a household is determined ineligible or exhausts the extension period for transitional medical assistance, the department shall initiate and ensure timely determination of continued eligibility under provisions of this chapter or if terminated, eligibility under other applicable chapters shall be considered.
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