Section 17-1715-10 - Categorical requirements(a) To be eligible under the Children Group, an individual shall be: (1) Under age nineteen years; or(2) Under twenty-one years of age and in receipt of non-Title IV-E or Title IV-E foster care, kinship guardianship, or adoption assistance.(b) An individual under age twenty-one years and in receipt of Title IV-E foster care, kinship guardianship, or adoption assistance who meets the following requirements is deemed eligible for assistance and is not required to complete an application:(1) Certified by a public agency responsible to make such determinations as eligible for Title IV-E foster care maintenance or kinship guardianship assistance; and(2) Placed in a licensed or authorized foster home or child caring institution appropriately supervised by the State licensed child placement agency or the State family court; or(3) Covered under a Title IV-E Adoption Assistance Agreement, regardless of the state with which the adoptive parents entered into the agreement, and currently residing in the State in an adoptive home.(c) A pregnant individual under age nineteen years, whose household income exceeds the age-specific income standard for a household of applicable size for participation under Title XIX of the Social Security Act, and a pregnant individual under age twenty-one years, who is in receipt of foster care, kinship guardianship, or adoption assistance, shall be subject to the requirements of chapter 17-1716 for the Pregnant Women Group. If ineligible under the Pregnant Women Group, the individual shall be evaluated for eligibility under the Children Group.(d) A blind or disabled individual under age nineteen years or under age twenty-one years in receipt of foster care, kinship guardianship, or adoption assistance who is applying on the basis of blindness or disability shall be subject to the provisions of chapters 17-1719, 17-1724.1, and 17-1725.1.(e) A child born to a mother in receipt of Medicaid shall remain eligible for a period of one year following birth. The child's continued eligibility shall be determined for beginning the month following the month the child attains one year of age and annually thereafter.(f) An individual under age nineteen years remains eligible for Medicaid under this chapter until the end of a Medicaid covered inpatient stay if the individual would lose eligibility during the stay because of attaining the maximum age for eligibility under this chapter.(g) An individual who is eligible under this chapter shall have eligibility redetermined under another eligibility group effective the month following the month the maximum age is attained under the Children Group. Haw. Code R. § 17-1715-10
[Eff 09/30/13] (Auth: HRS § 346-14; 42 C.F.R. §§430.25, 435.117, 435.118, 435.145, 435.172, 435.222, 435.227, 435.301, 435.603 ) (Imp: HRS § 346-14; 42 C.F.R. §§430.25, 435.117, 435.118, 435.145, 435.172, 435.222, 435.227, 435.301, 435.603 ) [Am and comp 11/10/2016] (435.916)