Haw. Code R. § 17-1737-58

Current through September, 2024
Section 17-1737-58 - Diagnosis and treatment
(a) Diagnostic and treatment services shall be provided for problems identified during screening regardless of whether the service is included in the department's state plan. Provision of services that are not included in the state plan shall be based on medical necessity and require prior authorization, and shall be limited to services permitted under medicaid.
(b) Assistance in referral shall be provided for treatment services not covered by the medical assistance program (medicaid), but determined to be needed as a result of problems identified during screening and diagnosis. Assistance in referral only shall include giving the recipient or family the names, addresses, and telephone numbers of providers who are able to furnish the needed treatment at little or no cost to the recipient or family.
(c) Dental care, at as early an age as necessary for relief of pain and infections, restoration of teeth and maintenance of dental health in accordance with section 17-1737-75. Dental diagnosis and treatment shall be started within sixty days of the screening date and the treatment plan shall be completed within one hundred-twenty days from the date a procedure was initiated, except under noted extenuating circumstances.
(d) Diagnostic and treatment services shall be started within six months from the request for screening services by the recipient or family.

Haw. Code R. § 17-1737-58

[Eff 08/01/94] (Auth: HRS § 346-14) (Imp: 42 C.F.R. §§441.56, 441.61; 42 U.S.C. §1396 d )