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UNOFFICIAL 1736-17 program. [Eff 08/01/94 ] (Auth: HRS §346-14; 42 C.F.R. §431.10) (Imp: HRS §346-14; 42 C.F.R. §§431.10, 455.12)
§17-1736-32 REPEALED. [R 09/30/13]
§17-1736-33 Providers' right to review. (a) A provider may request an administrative hearing following the department's administrative decision to do any one of the following: (1) Withhold, terminate, or suspend a provider's certification to participate in the medical assistance program; (2) Withhold payment of claims as a result of audit or investigation; (3) Recover money claimed to have been overpaid to the provider by medicaid; or (4) Impose remedies established in section 17- 1736-40 for nursing facilities that do not meet the requirements of participation.
(b)Any notice of intent to do any of the actions specified…#
(b) Any notice of intent to do any of the actions specified in subsection (a) shall be sent to the provider by certified mail. The provider shall have thirty days from the date that notification is mailed to request in writing an administrative hearing. There shall be no required format for the provider's written request for an administrative hearing, though the provider must clearly state that the provider requests an administrative hearing. At the time the provider requests an administrative hearing, the provider shall include with the request all documents and written evidence that the provider wishes to be considered at the hearing. Where a provider makes a timely request for an administrative hearing, the provider shall not be terminated or suspended until the hearing has been held and a decision has been rendered.
(c)DHS may suspend or terminate a provider from the…#
(c) DHS may suspend or terminate a provider from the medicaid program for one or more of the following reasons: (1) Failure by the provider to maintain with DHS a signed agreement identifying the terms and conditions under which the provider may participate in the Hawaii medical assistance program; (2) Refusal or failure by the provider to make available at the provider's place of business