Haw. Code R. § 17-1722.3-15

Current through September, 2024
Section 17-1722.3-15 - Disenrollment from a participating health plan
(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.

Haw. Code R. § 17-1722.3-15

[Eff 04/01/10] (Auth: HRS § 346-14) (Imp: HRS § 346-14)