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UNOFFICIAL 1711.1-9 determination, under the provisions of chapter 17- 1703.1. [Eff 09/30/13] (Auth: HRS §§346-14, 346-29; 42 C.F.R. §§435.404, 435.906, 435.907) (Imp: HRS §346-29; 42 C.F.R. §§435.404, 435.905, 435.906, 435.907)

§17-1711.1-14 Applicant responsibilities. (a) The individual shall: (1) Complete the application form(s) as prescribed by the department for medical assistance; (2) Provide all information requested by the department to establish eligibility and submit required documents as appropriate within the time period specified by the department; (3) Apply for and develop potential sources of income and assets as applicable; and (4) Assign any benefits due to a possible third party liability, including referral for child support and initiation of a referral to establish paternity as required under the provisions of chapter 17-1705. (b) An individual who fails to meet the requirements of subsection (a) shall be ineligible for medical assistance. [Eff 09/30/13] (Auth: HRS §§346-14, 346-29; 42 C.F.R. §435.907) (Imp: 42 C.F.R. §435.907)

§§17-1711.1-15 to 17-1711.1-19 (Reserved).

SUBCHAPTER 3

APPLICATION PROCESS

§17-1711.1-20 Purpose. This subchapter describes the application process to determine eligibility for participation in a medical assistance