Hawaii Administrative Rules
Title 17 - DEPARTMENT OF HUMAN SERVICES
Department of Human Services
Chapter 1722.3 - BASIC HEALTH HAWAII
Subchapter 2 - BASIC HEALTH HAWAII
Section 17-1722.3-15 - Disenrollment from a participating health plan

Universal Citation: HI Admin Rules 17-1722.3-15

Current through November, 2024

(a) The department shall have sole authority to disenroll a Basic Health Hawaii enrollee.

(b) The department shall disenroll an enrollee whose eligibility is terminated under section 17-1722.3-12.

(c) The department may disenroll an enrollee for reasons that include, but are not limited to, the following:

(1) Compliance with an administrative or judicial decision; or

(2) mutual agreement between the individual, the participating health plan involved, and the department.

(d) If an enrollee requests disenrollment, the department shall determine whether to allow disenrollment no later than the first day of the second month following the month in which the enrollee made the request. If the department fails to make a determination within the time frame, the disenrollment is considered approved.

(e) If an enrollee qualifies for federal medical assistance, the effective date of disenrollment from the participating health plan shall be the date the individual has been determined eligible for federal medical assistance.

Disclaimer: These regulations may not be the most recent version. Hawaii may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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