Section 17-1722.3-28 - Long-term care provisions(a) An individual age nineteen years or older receiving state medical assistance for long-term care services on the last day of the second month prior to the implementation date, shall: (1) Be enrolled in a participating health plan and receive state funded long-term care services, either through a participating health plan or through a program that provides benefits similar to a 1915(c) program; and(2) Continue to receive the benefits as described in (1) under the following conditions: (A) The individual maintains continuous categorical and financial eligibility as described under chapter 17-1719; and(B) The individual maintains continuous eligibility for coverage of long-term care services.(b) An individual under age nineteen years and receiving Medicaid for long-term care services in a nursing facility on the last day of the second month prior to the implementation date, if continuously receiving Medicaid for long-term care services until turning age nineteen years, shall upon turning age nineteen years: (1) Be enrolled in a participating health plan and receive state funded long-term care services; and(2) Continue to receive the benefits as described in paragraph (1) under the following conditions: (A) The individual maintains continuous categorical and financial eligibility as described under chapter 17-1719; and(B) The individual maintains continuous eligibility for coverage of long-term care services.(c) If an individual who is initially eligible under subsections (a) or (b) loses eligibility: (1) On or before the transition period end date, the individual shall be deemed into Basic Health Hawaii pursuant to subchapter 4;(2) After the transition period end date, the individual shall be subject to the eligibility and enrollment provisions described in subchapter 2. Haw. Code R. § 17-1722.3-28
[Eff 04/01/10; am 09/30/13] (Auth: HRS 346-14) (Imp: HRS § 346-14)