Haw. Code R. § 17-1705-52

Current through September, 2024
Section 17-1705-52 - Recovery of medical care payments from recipients
(a) Payments made to medical care providers and payments made to health plans shall be recovered by the department from individuals who:
(1) Provided erroneous information in qualifying for medical assistance;
(2) Failed to report a change in circumstances which would have rendered the individual or household ineligible for continued medical assistance;
(3) Failed to notify the department that a family member is no longer a member of the assistance household;
(4) Failed to pay the premium-share assessed to the family; or
(5) Were adversely affected by a fair hearing decision, and who received medical assistance services pending the fair hearing decision.
(b) That portion of the payment to the health plan that is assessed to the recipient as the premium-share shall be recovered from recipients who are subject to recovery.
(c) Recovery of payments shall continue even though the individual is no longer a recipient of medical assistance.

Haw. Code R. § 17-1705-52

[Eff 08/01/94; am 01/29/96] (Auth: HRS § 346-14; 42 C.F.R. §431.230 ) (Imp: HRS § 346-44)