2015 Hawaii Revised Statutes
TITLE 24. INSURANCE
431N. State Health Insurance Program Act
431N-5 Rulemaking authority.

HI Rev Stat § 431N-5 (2015) What's This?

[§431N-5] Rulemaking authority. The director of health shall adopt rules in accordance with chapter 91 which are necessary to carry out this chapter. The rules shall include, but need not be limited to:

(1) Establishment of guidelines for the purchase of health care coverage from health care contractors by the department;

(2) Establishment of specific health care services to be covered, limited, and excluded by the program, including preventive services, outreach, and education strategies designed to reach gap group individuals;

(3) Establishment of eligibility requirements for participation in the program;

(4) Development and implementation of an identification and notification process for eligible program participants;

(5) Establishment of a payment schedule based on the person's ability to pay;

(6) Establishment of program participation criteria for health care contractors;

(7) Establishment of monitoring and evaluative guidelines for the program;

(8) Establishment of appeal procedures for denial of eligibility, disqualification from program participation, assessment of civil penalties, or other negative action; and

(9) Establishment of procedures to exclude or remove from the program persons who drop individual or group coverage to obtain insurance. [L 1989, c 378, pt of §1]

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