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UNOFFICIAL 1737-100 recipient, if an attendant is required by the transportation carrier or recommended by the

attending physician or the medical facility and authorized by the department's medical consultant.

(f) Other related travel expenses may be allowed with prior authorization by the department's medical consultant and may include but not be limited to: (1) Cost of meals and lodging for the recipient and one attendant; (2) Taxi or other non-emergency ground transportation when such transportation is related to the provision of authorized medical coverage; and (3) Services of an attendant provided the attendant is unrelated to the recipient. (g) Transportation services shall be available for those individuals eligible for medical assistance, provided all the provisions in this section are met. An individual who utilizes benefits for other than their intended purpose, may be referred for potential prosecution of fraud. A provider who knowingly and willfully falsifies, misrepresents, conceals, or fails to disclose material facts to obtain transportation services for an individual, may be referred by the department to the Medicaid fraud control unit for investigation and potential prosecution of fraud. The department may seek the recovery of monies associated with the fraudulent act. [Eff 08/01/94; am 02/07/05] (Auth: HRS §346-14) (Imp: 42 C.F.R. §§431.53, 440.170)

§17-1737-83.1 Out-of-state medical services. (a) Out-of-state medical services shall be covered for eligible Hawaii residents visiting in another state. Medical services incurred while visiting in another state shall be covered only when the requirements of temporary absence as stated in section 17-1714-22(d) are met. (1) To receive payment for services incurred out- of-state, the provider shall meet the requirements of section 17-1736-13. In addition: (A) The services were required as they were an emergency; (B) The services were needed and the recipient's health would have been endangered if the recipient had to return to the State of residence; or