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UNOFFICIAL 1735.1-3 (2) ICF-ID institutional services; (3) School-based health related services; (4) Early intervention program services; (5) Specialized behavioral health services; and (6) Dental services as described in section 17- 1737-75. (c) The department shall determine on a case-by- case basis, whether an individual enrolled in a managed care program may have additional services covered on a fee-for-service basis. [Eff 09/30/13] (Auth: HRS §§88-4, 346-14; 42 C.F.R. §§430.25, 435.1009, 435.1010, 440.150; 42 U.S.C.§1396d(a)(28)(A)) (Imp: HRS §§88-4, 346-14; 42 C.F.R. §§430.25, 435.1009, 435.1010, 440.150; 42 U.S.C.§1396d(a)(28)(A))
§17-1735.1-3 Effective date of authorization. (a) The effective date for payments to be made for covered services under the fee-for-service program for an individual described in section 17-1735.1-2 shall be: (1) The date the application is received by the department as described in chapter 17-1711.1; (2) Any date specified by the individual on which appropriate Medicaid eligible services were incurred and is no earlier than the first day of the third month prior to the month the application is received by the department for an individual applying for the coverage of long-term care services, or the immediate ten calendar days prior to the date the application is received by the department for all other individuals; or (3) The date when all eligibility requirements are met by the applicant. (b) An applicant's eligibility for medical assistance within a retroactive period is established when: (1) A submittal of a signed application is received from an applicant, an individual or department’s representative on behalf of a deceased individual. (2) Part or all of the individual’s medical bills remain unpaid;