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UNOFFICIAL 1720.1-4 (b) In the absence of a timely selection among the available primary care providers within the health plan’s provider network, the enrolled individual shall be assigned to a primary care provider by the health plan. (c) An enrolled individual may change their primary care provider as frequently as, and for whatever reason, they choose. Exceptions to this provision shall be determined by the department. [Eff 09/30/13] (Auth: HRS §346-14; 42 C.F.R. §§430.25, 431.51) (Imp: HRS §346-14; 42 C.F.R. §§430.25, 431.51)

§§17-1720.1-10 to 17-1720.1-14 (Reserved).

SUBCHAPTER 3

ENROLLMENT

§17-1720.1-15 Purpose. The purpose of this subchapter is to describe the selection and subsequent enrollment provisions into a participating health plan. An eligible individual described in section 17-1735.1-2(a) shall be provided fee-for-service coverage and will not have the freedom to choose and be enrolled in a participating health plan. [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)

§17-1720.1-16 Selection of a health plan for a newly eligible individual. (a) With the exception of conditions in section 17-1720.1-17, at the time of notification of application approval, an eligible individual shall be provided the opportunity to select a participating health plan to provide the covered services effective the applicable date described in section 17-1720.1-21.