Haw. Code R. § 17-1736-59

Current through September, 2024
Section 17-1736-59 - Limitation of the right to review for hospital and institutional providers

A provider shall not have the right to an administrative hearing as provided under this subchapter if:

(1) The provisions of section 17-1736-58 are not met; or
(2) The administrative hearing concerns the following:
(A) A determination of non-payment for items or services provided a recipient but which are not covered by the medicaid program;
(B) The constitutionality of the law, rules, or medicaid reimbursement methodology;
(C) Issues not addressed on the NPR or in the notice of rate reconsideration determination;
(D) Issues related to DHHS rules or policies; or
(E) Issues not addressed in the Hawaii Administrative Rules.

Haw. Code R. § 17-1736-59

[Eff 08/01/94] (Auth: HRS § 346-14) (Imp: 42 C.F.R. §447.258)