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UNOFFICIAL 1711.1-11 applicant’s SSN is voluntary and how the information regarding the SSN will be used. (f) The application shall be signed under penalty of perjury by the applicant, adult included in the household for an applicant who is a minor, authorized representative, or an individual acting on behalf of an incompetent or incapacitated applicant in accordance with this chapter. [Eff 09/30/13] (Auth: HRS §§346-l4, 346-29, 346-53; 42 C.F.R. §435.907) (Imp: HRS §346-29; 42 C.F.R. §435.907)

§17-1711.1-22 Application withdrawn or discontinued. (a) An individual may withdraw or discontinue an application in writing, verbally by telephone, in person or through other commonly available electronic means. (b) Requests for application withdrawal shall be documented in the individual’s record and a confirmation notice of withdrawal sent in accordance with chapter 17-1713.1. (c) The department may discontinue an application for medical assistance prior to an eligibility determination for any of the following reasons: (1) Death of the applicant, and: (A) Information provided at the point of application is insufficient to determine eligibility; or (B) No other individual is designated or able to continue the application process on behalf of the deceased; (2) Applicant whereabouts is unknown. (d) In the event an application is discontinued, an appropriate notice shall be sent to confirm the department’s action under the provisions of chapter 17-1713.1. (e) An individual whose application was denied or discontinued and reapplies within ninety days from the date of denial or discontinuation shall be able to: (1) Submit updated or supplemental information