Haw. Code R. § 17-1720.1-16

Current through September, 2024
Section 17-1720.1-16 - Selection of a health plan for a newly eligible individual
(a) With the exception of conditions in section 17-1720.1-17, at the time of notification of application approval, an eligible individual shall be provided the opportunity to select a participating health plan to provide the covered services effective the applicable date described in section 17-1720.1-21.
(b) In the absence of a choice of health plan open to new members in a service area, an individual who resides in that particular service area shall be auto-assigned to the participating health plan open to new members.
(c) If the individual selects a health plan at the time of notification of application approval, the department shall send an enrollment notice identifying the selected health plan and informing the enrolled individual of the sixty (60) calendar days grace period from the date of enrollment to select a different health plan available in the service area in which the individual resides and which is open to new members.
(d) If the individual does not select a health plan at the time of notification of application approval, the individual shall be auto-assigned to a health plan by the department to provide the covered services effective the applicable date described in section 17-1720.1-21.

Haw. Code R. § 17-1720.1-16

[Eff 09/30/13] (Auth: HRS § 346-14; 42 C.F.R. §§430.25, 438.50 ) (Imp: HRS § 346-14; 42 C.F.R. §§430.25, 438.50 )