Amends Hawaii Medicaid law to comply with federal requirements on third-party liability.
This bill amends Hawaii's Medicaid law to align with federal requirements regarding third-party liability. It mandates that third-party payers, excluding Medicare plans, cannot refuse payment for services solely due to lack of prior authorization. Insurers must accept state-provided authorizations for Medicaid-covered items or services. The bill also requires third-party entities to respond to state inquiries about health care claims within 60 days and to provide necessary information to the state for matching purposes.
Included in complete analysis
- Overview
- Core Provisions
- Implementation
- Impact
- Legal Framework
- Critical Issues
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