Haw. Code R. § 17-1714.1-38

Current through September, 2024
Section 17-1714.1-38 - General requirements
(a) The department shall accept self-attestation of an individual, attestation by an adult individual who is in the applicant's household, an authorized representative, or, if the individual is a minor, incapacitated or deceased, someone acting on the applicant's behalf, without requiring further information or documentation, except as allowed under section 17-1714.1-40 or where the law or this chapter requires other procedures, such as for verifying citizenship, immigration status, and SSN.
(b) The department shall request and use information relevant to verifying an individual's eligibility for Medicaid as described in this subchapter.
(c) The department shall furnish in a timely manner income and eligibility information, subject to chapter 1702, required for verifying eligibility to the following programs:
(1) Other agencies in the State and other states and to the federal programs both listed in section 17-1711.1-34 and identified in section 1137(b) of the Social Security Act;
(2) Other insurance affordability programs;
(3) The child support enforcement program under Part D of title IV of the Social Security Act; and
(4) SSA for OASDI under title II and for SSI under title XVI of the Social Security Act.
(d) All state eligibility determination systems shall conduct data matching through the Public Assistance Reporting Information System (PARIS).
(e) Prior to requesting information for an individual from another agency or program under this subchapter, the department shall inform the individual that the department will obtain and use information available under this subchapter to verify income and eligibility or for other purposes directly connected to the administration of the State Plan.
(f) Information exchanged electronically between the department and any other agency or program shall be sent and received via secure electronic interfaces.
(g) The department shall execute written agreements with other agencies before releasing data to, or requesting data from, those agencies. These agreements shall provide for appropriate safeguards limiting the use and disclosure of information as required by federal or State law or regulations.
(h) The department may request and use information from alternative sources other than those listed in section 17-1714.1-40, or through a mechanism other than the federal and state electronic services, provided it will reduce the administrative costs and burdens on an individual and states while maximizing accuracy, minimizing delay, meeting applicable requirements relating to the confidentiality, disclosure, maintenance, or use of information, and promoting coordination with other insurance affordability programs.

Haw. Code R. § 17-1714.1-38

[Eff 09/30/13] (Auth: HRS § 346-14; 42 C.F.R. §435.945 ) (Imp: HRS § 346-14; 42 C.F.R. §435.945 )