Page 12

UNOFFICIAL 1720.1-12 the first (1st) day of the month following the date on which the department authorizes the enrollment change. [Eff 09/30/13] (Auth: HRS §346-14; 42 C.F.R. §§430.25, 438.50) (Imp: HRS §346-14; 42 C.F.R. §§430.25, 438.50)

§§17-1720.1-22 to 17-1720.1-26 (Reserved)

SUBCHAPTER 4

DISENROLLMENT

§17-1720.1-27 Purpose. The purpose of this subchapter is to describe the requirements for disenrollment from a participating health plan. [Eff 09/30/13] (Auth: HRS §346-14; 42 C.F.R. §§430.25, 438.56) (Imp: HRS §346-14; 42 C.F.R. §§430.25, 438.56)

§17-1720.1-28 Authority to disenroll. The department shall have the sole authority to disenroll an individual from a participating health plan. [Eff 09/30/13] (Auth: HRS §346-14; 42 C.F.R. §§430.25, 438.56) (Imp: HRS §346-14; 42 C.F.R. §§430.25, 438.56)

§17-1720.1-29 Disenrollment. An individual may be disenrolled for reasons that include, but are not limited to, the following: (1) A decision by an administrative appeals office for disenrollment from a participating health plan; (2) A court order for disenrollment from a participating health plan; (3) Provisions in federal or State statutes or administrative rules;