Haw. Code R. § 17-1737-16

Current through November, 2024
Section 17-1737-16 - Medical Evaluation
(a) Applicants who have been determined eligible for medicaid due to mental impairment shall be required to enter into outpatient treatment. They shall also be required to be medically evaluated by a physician to eliminate the possibility that their mental impairment is due to a physical illness.
(b) The medical evaluation may include and shall be limited to:
(1) History and physical examination;
(2) Complete blood count (CBC), urinalysis, and SMAC 2 0 or its equivalent; and
(3) Additional tests or further studies may be done if they are medically indicated. Justification for further studies shall be provided to the department's medical or psychiatric consultant upon the department's request.
(c) The medical evaluation shall be completed no later than four weeks from the date of approved benefits. The result of the medical evaluation shall be submitted to the branch or unit requesting the information. The medical evaluation shall indicate whether the mental impairment was or was not due to a physical illness.

Haw. Code R. § 17-1737-16

[Eff 08/01/94] (Auth: HRS § 364-14; 42 C.F.R. §430.10 ) (Imp: 42 C.F.R. §405.231 )