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UNOFFICIAL 1736-28 controversy is in the aggregate of $50,000 or more. [Eff 08/01/94 ] (Auth: HRS §346-14) (Imp: 42 C.F.R. §447.258)
§17-1736-59 Limitation of the right to review for hospital and institutional providers. A provider shall not have the right to an administrative hearing as provided under this subchapter if: (1) The provisions of section 17-1736-58 are not met; or (2) The administrative hearing concerns the following: (A) A determination of non-payment for items or services provided a recipient but which are not covered by the medicaid program; (B) The constitutionality of the law, rules, or medicaid reimbursement methodology; (C) Issues not addressed on the NPR or in the notice of rate reconsideration
determination; (D) Issues related to DHHS rules or policies; or (E) Issues not addressed in the Hawaii Administrative Rules. [Eff
08/01/94 ] (Auth: HRS §346-14) (Imp: 42 C.F.R. §447.258)
§17-1736-60 Appearance by representatives of hospital and institutional providers and the department. (a) In all matters involving an administrative hearing, a provider may choose representation by itself or by an attorney or other person. A provider shall not have a right to legal counsel appointed at state expense.
(b)If the provider is represented by another person, that…#
(b) If the provider is represented by another person, that person's name, address, and telephone number shall be provided to the DHS med-QUEST administrator prior to the administrative hearing.
(c)Upon receipt of the name of the provider's…#
(c) Upon receipt of the name of the provider's representative, the med-QUEST administrator shall provide to that representative, the name, address, and telephone number of the department's representative. [Eff 08/01/94 ] (Auth: HRS §346-14) (Imp: 42 C.F.R. §447.258)