Hawaii Administrative Rules
Title 17 - DEPARTMENT OF HUMAN SERVICES
Department of Human Services
Chapter 1722 - SPECIAL MEDICAL ASSISTANCE COVERAGES AND PROGRAMS
Subchapter 12 - STATE PHARMACY ASSISTANCE PROGRAM
Section 17-1722-118 - Application requirements

Universal Citation: HI Admin Rules 17-1722-118

Current through November, 2024

(a) Individuals who qualify for medical assistance with income not exceeding one hundred fifty per cent of the federal poverty level, QMB's, and SLMB's shall be automatically eligible.

(b) All other individuals may apply for the state pharmacy assistance program on a form designated by the department.

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