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UNOFFICIAL 1705-13 (Auth: HRS §346-14) (Imp: HRS §346.37.1; 42 C.F.R. §433.147; 45 C.F.R. §232.43)

§17-1705-30 Renewal of good cause claim. (a) In all cases where an initial determination has been made that there is good cause for refusal to cooperate, the recipient shall have the responsibility of renewing a good cause claim at each annual redetermination of eligibility.

(b) If the department determines that circumstances have changed and good cause no longer exists, the department shall proceed to enforce the cooperation requirements. [Eff 08/01/94 ] (Auth: HRS §346-14) (Imp: HRS §346-14; 42 C.F.R. §433.147; 45 C.F.R. §232.47)

§§17-1705-31 TO 17-1705-35 (Reserved).

SUBCHAPTER 5

THIRD PARTY LIABILITY

§17-1705-36 REPEALED. [R 09/30/13]

§17-1705-37 Determining liability of third parties. The department or health plan shall determine the legal liability of third parties to pay for services under the medical assistance program. [Eff 08/01/94 ] (Auth: HRS §346-14) (Imp: HRS §346-37; 42 C.F.R. §433.138)

§17-1705-38 Medical payment involving third party. (a) The liability of a third party shall be treated as a resource applicable to the cost of needed medical services when: (1) It has been verified that a legal obligation actually exists; and (2) The amount of the obligation may be determined within thirty days from the time of the recipient's need for medical care.

(b) No Medicaid payment shall be made under a refund plan for that portion of cost for which a third