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UNOFFICIAL 1703.1-4 described in (b), the request shall be denied and the department shall send a notice of denial to the individual. (e) If an individual denied eligibility for Medicaid by the department files an appeal with the Health Insurance Exchange that appeal shall be treated as a request for hearing under this section. (f) When the requirements specified in section 17-1703.1-5 are met, the department shall reinstate or continue assistance. [Eff 09/30/13] (Auth: HRS §346-14(9); 42 C.F.R. §§431.221, 431.230, 431.231) (Imp: HRS §346-12; 42 C.F.R. §§431.221, 431.230, 431.231)

§17-1703.1-5 Payment status of medical assistance or coverage pending hearing. (a) The beneficiary is entitled to timely notice as to the status of medical assistance or coverage pending hearing. (b) Adequate notice that medical assistance shall be reinstated and continued shall be provided where: (1) Pertaining to eligibility or the fee-for- service program coverage denial, the beneficiary requests a hearing within fifteen (15) calendar days of the date of the adequate notice for adverse action. (2) Pertaining to a managed care health plan’s coverage denial, the beneficiary requests a hearing from the department within ten (10) calendar days of the date of the managed care health plan’s notice for adverse action, for continuation of benefits, which were ordered by an authorized provider, and the original period covered by the original authorization has not expired. (3) If the fifteenth (15th) day or tenth (10th) day as applicable falls on a weekend or holiday, the fifteenth (15th) day or tenth (10th) day as applicable shall be the first working day following the weekend or holiday. (4) If the last day of the month falls on a weekend or holiday, the last day shall be the first working day following the weekend or holiday. (c) The medical assistance or coverage