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UNOFFICIAL 1711.1-14 §17-1711.1-30 Presumptive eligibility submitted by a qualified hospital. (a) The department shall provide Medicaid to certain individuals who are determined presumptively eligible by a qualified hospital. (b) Approval for presumptive eligibility shall be limited to the coverage groups as determined by the department. (c) The department shall establish standards, policies, and measures of quality outcomes to qualify, and as appropriate disqualify, hospitals approved to determine presumptive eligibility. (d) The applicant shall be subject to departmental fraud penalties or recovery requirements for false or withheld information. [Eff 09/30/13] (Auth: HRS §§346-l4, 346-29; 42 C.F.R. §§435.906, 435.907, 435.908, 435.1110) (Imp: HRS §346-29; 42 C.F.R. §§435.906, 435.907, 435.908, 435.1110)

§17-1711.1-31 Expedited processing for emergency medical services. (a) An application shall be processed within two working days when: (1) The applicant is suffering from an emergency medical condition for which covered medical services are available; and (2) Failure to receive immediate treatment would result in any of the following consequences; (A) Serious risk of disease; (B) Threat to life or vital function; (C) Serious health complication; or (D) Serious irreparable harm. (b) The applicant shall be required to submit the following: (1) An application for medical assistance; and (2) The prescribed departmental form, signed by a licensed physician, advance practice registered nurse or dentist, certifying the need for immediate medical treatment based on any of the reasons in subsection (a) and that the individual will not be treated