Hawaii Administrative Rules
Title 17 - DEPARTMENT OF HUMAN SERVICES
Department of Human Services
Chapter 1722 - SPECIAL MEDICAL ASSISTANCE COVERAGES AND PROGRAMS
Subchapter 6 - MEDICAL PAYMENTS FOR PENSIONERS
Section 17-1722-37 - Limitations of coverage
Universal Citation: HI Admin Rules 17-1722-37
Current through February, 2024
(a) Eligible pensioners and pensioners' spouses shall be entitled to all health care coverage provided to medical assistance recipients, except for:
(1) Payment of health insurance premiums
payments, including that of medicare; and
(2) Coverage of the portion of medical care
expenses paid by a third party.
(b) Medical payments assistance for services covered by the department's medical assistance program shall be made available to eligible pensioners and pensioners' eligible spouses conditioned upon prior authorization for certain elective medical services, third party resources, and established payment practices in the medical assistance program.
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