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UNOFFICIAL 1703.1-5 reinstated under (b) shall continue until a hearing decision is rendered unless: (1) The beneficiary withdraws or abandons the request for hearing as specified in section 17-1703.1-9; (2) Action was due to the application or a change in state or federal law or policy; (3) Another change affecting the beneficiary’s eligibility occurs during the hearing process and the beneficiary fails to request a hearing after notice of the change; (4) The beneficiary does not request continued benefits pending a hearing decision. (5) In the case of a managed care health plan appeal, the time period or service limits of a previously authorized service has been met. (d) The department shall promptly send a notice to the beneficiary if benefits are to be reduced or discontinued pending the hearing decision for reasons other than withdrawal or abandonment of the request by the beneficiary. (e) If, while receiving aid paid pending hearing, the beneficiary: (1) Becomes eligible for a reduction of spenddown amount, or premium-share amount, the change shall be made; or (2) Sends a written request for and is denied a medical service, aid paid pending shall continue and a notice of the denial shall be sent to the beneficiary. The notice shall include a statement of the denial, reason for the denial, specific rule supporting the denial, and the person's right to appeal the decision. [Eff 09/30/13] (Auth: HRS §346-14; 42 C.F.R. §§431.223, 431.223, 431.230, 431.231, 431,250) (Imp: HRS §346- 12; 42 C.F.R. §§431.223, 431.223, 431.230, 431.231, 431,250)

§17-1703.1-6 Rights of the individual. An individual with a timely appeal shall have an opportunity to: (1) Examine the electronic and physical case record as well as all documents and records to be used at the hearing at a reasonable time before the date of the hearing as well as during the hearing;