reglab/statecodes huggingface dataset:
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 186 - CERTIFICATE OF NEED PROGRAM › Subchapter 7 - POST-DECISION PROCEDURES › Section 11-186-82 - Request: for reconsideration

Current through June, 2024
(a) Any person may,
				  for good cause shown, request in writing a public hearing before a
				  reconsideration committee for reconsideration of the agency's decision on the
				  merits filed in section
				  11-186-70.
				  The request shall be in writing and shall include a statement of the nature of
				  the person's interest and a statement of the reasons why the person believes
				  that good cause exists for a public hearing for reconsideration of the
				  decision. The request shall be filed with the committee within ten working days
				  of the decision. The committee shall deny any request for a public hearing for
				  reconsideration that is not timely filed, that fails to show good cause for a
				  public hearing for reconsideration, or that is frivolous.
(b) A request for a public hearing shall be
				  deemed by the committee to have shown good cause, if:
(1) It presents significant relevant
				  information not previously considered by the agency which, with reasonable
				  diligence, could not have been presented before the agency made its
				  decision;
(2) It demonstrates that
				  there have been significant changes in factors or circumstances relied upon by
				  the agency in reaching its decision;
(3) It demonstrates that the agency has
				  materially failed to follow the agency's rules in reaching its
				  decision;
(4) It provides any other
				  basis for a public hearing which the agency determines constitutes good cause;
				  or
(5) The decision of the
				  administrator differs from the recommendation of the statewide
				  council.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 186 - CERTIFICATE OF NEED PROGRAM › Subchapter 7 - POST-DECISION PROCEDURES › Section 11-186-85 - Prohibition on transfers

Current through June, 2024
A certificate of need is issued only to the applicant named
					 in the application. The certificate of need shall not be sold, assigned,
					 leased, donated, or otherwise transferred to any other person
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 186 - CERTIFICATE OF NEED PROGRAM › Subchapter 7 - POST-DECISION PROCEDURES › Section 11-186-86 - Effect of decision on future proposals

Current through June, 2024
The issuance or denial of a certificate of need for a
					 specific project in an applicant's long-range development plan shall be without
					 prejudice to any agency action or decision on any future or other application
					 for a certificate of need filed by the same applicant for another project in
					 its long-range development plan.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 186 - CERTIFICATE OF NEED PROGRAM › Subchapter 7 - POST-DECISION PROCEDURES › Section 11-186-87 - Periodic monitoring

Current through June, 2024
After a certificate of need is issued, the agency shall
					 periodically monitor the development and progress of the project that is the
					 subject of the certificate of need.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 186 - CERTIFICATE OF NEED PROGRAM › Subchapter 7 - POST-DECISION PROCEDURES › Section 11-186-88 - Agency's right to inspect

Current through June, 2024
The agency or an authorized representative designated by
					 the agency shall have the right to inspect any facility, site, location, book,
					 document, paper, filed, or other record of the holder of the certificate of
					 need that is related to any project authorized by the certificate of need, in
					 order to monitor and evaluate the holder's compliance with the certificate of
					 need's terms of issuance.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 186 - CERTIFICATE OF NEED PROGRAM › Subchapter 7 - POST-DECISION PROCEDURES › Section 11-186-89 - Periodic reports

Current through June, 2024
After a certificate of need is issued, the holder of the
					 certificate of need shall file with the agency such periodic reports as the
					 agency may from time to time require on the development and progress of the
					 project that is the subject of the certificate of need. The periodic reports
					 shall be in the format designated by the agency, shall contain the information
					 required by the agency, and shall be filed within the deadlines specified he
					 agency.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 186 - CERTIFICATE OF NEED PROGRAM › Subchapter 7 - POST-DECISION PROCEDURES › Section 11-186-91 - Withdrawal of certificate of need

Current through June, 2024
(a) At any time
				  after a certificate of need is issued, the agency may withdraw the certificate
				  of need if the agency determines that:
(1)
				  The holder of the certificate of need is not meeting the timetable specified in
				  the approved application and is not making a good faith effort to meet it;
				  or
(2) The project being
				  implemented differs substantially from that which was authorized by the
				  certificate of need.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 186 - CERTIFICATE OF NEED PROGRAM › Subchapter 8 - EMERGENCY SITUATIONS › Section 11-186-99 - Emergency situation

Current through June, 2024
(a) If an emergency
				  situation is believed to exist, the applicant may file an emergency application
				  for a certificate of need on the form prescribed and furnished by the
				  agency.
(b) For purposes of this
				  section, an emergency situation is a state of affairs involving an actual
				  substantial injury to public health or where there is a clear and present
				  danger of such an injury occurring.
(c) Notwithstanding any other provision of
				  this chapter to the contrary, when the agency determines that the emergency
				  application is complete and before the agency files a decision on the merits of
				  the application, the agency shall make a reasonable effort to consult with and
				  to provide written or oral notification of the application to the chairperson
				  of the statewide council, the chairperson of the review panel, and, in the
				  event that the agency has determined that the application's primary target
				  group is less than the entire population of the State, the chairperson of the
				  appropriate subarea council or countywide review committee, or to an authorized
				  representative of any chairperson.
(d) After consideration of any timely
				  comments or recommendations on the emergency application, the agency shall file
				  a decision on the merits of the application pursuant to section
				  11-186-70
				  within ten days after the agency determines that the application is complete.
				  The agency may issue a certificate of need if the agency determines that an
				  emergency situation exists. The agency shall deny the certificate of need if
				  the agency determines that an emergency situation does not exist, that the
				  proposal is indirectly related to an emergency situation, or that other good
				  cause exists for the denial of the certificate of need.
(e) The decision on the merits of the
				  emergency application in subsection (d) of the section is the final decision of
				  the agency. The decision shall become final upon its filing without an
				  opportunity for any person to request a public hearing for reconsideration of
				  the decision pursuant to section
				  11-186-82.
(f) Except as provided in section
				  11-186-10,
				  the agency's denial of a certificate of need under this section is without
				  prejudice to the applicant's right to file a non-emergency application for a
				  certificate of need for the same proposal,, on the form prescribed and
				  furnished by the agency.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 186 - CERTIFICATE OF NEED PROGRAM › Subchapter 8 - EMERGENCY SITUATIONS › Section 11-186-99.1 - Administrative review of certain proposals

Current through June, 2024
(a) The agency may
				  review and approve, conditionally approve, or disapprove certain applications
				  for certificate of need without referring the applications to the subarea
				  council, the review panel, the statewide council, or the countywide review
				  committee.
(b) Projects eligible
				  for administrative review are:
(1) Bed changes
				  which will have a capital expense of $1,000,000 or less, and which will have an
				  increased annual operating expense of less than $500,000;
(2) Service changes which will have a capital
				  expense of $1,000,000 or less, and which will have an increased annual
				  operating expense of less than $500,000;
(3) Any acquisition of a health care facility
				  or service which will result in lower annual operating expenses for that
				  facility or service;
(4) Any change
				  of ownership, where the change is from one entity to another substantially
				  related entity;
(5) An additional
				  location of an existing service or facility; or
(6) Any proposal which is determined by the
				  agency not to have a significant impact on the health care system.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 186 - CERTIFICATE OF NEED PROGRAM › Subchapter 9 - MISCELLANEOUS PROVISIONS › Section 11-186-125 - Severability

Current through June, 2024
If any provision of this chapter, or the application
					 thereof to any person or circumstance is held invalid, the invalidity does not
					 affect other provisions or applications of the chapter which can be given
					 effect without the invalid provision or application, and to this end the
					 provisions of this chapter are severable.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 187 - INFORMATION REQUIRED FOR HEALTH PLANNING › Subchapter 1 - GENERAL PROVISIONS › Section 11-187-1 - Scope

Current through June, 2024
The rules in this chapter govern the submission of
					 information by health care providers doing business in the State to the state
					 health pluming and development agency. The rules in this chapter are adopted by
					 the State pursuant to chapter 3230, Hawaii. Revised Statutes, to carry out the
					 provisions of chapter 3230, Hawaii Revised Statutes, relating to information
					 required of health care providers.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 187 - INFORMATION REQUIRED FOR HEALTH PLANNING › Subchapter 1 - GENERAL PROVISIONS › Section 11-187-2 - construction of rules

Current through June, 2024
The rules in this chapter shall be Liberally Construed to
					 promote the submission of information by health care provider doing business in
					 the State to the state health planning and development agency, in order to
					 facilitate informed health planning and resources development in the
					 State.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 187 - INFORMATION REQUIRED FOR HEALTH PLANNING › Subchapter 2 - INFORMATION REQUIRED › Section 11-187-20 - Inpatient health care facilities

Current through June, 2024
Any inpatient health care facility in case facility in the
					 State shall file with the agency;
(1)
				  Five year plans and one year plans in the format prescribed by the
				  agency;
(2) Quarterly inpatient
				  utlilization reports in the format prescribed by the agency. Each report shall
				  be filed within sixty days after the last day of the quarter;
(3) Master plans, major feasibility studies,
				  and other major long-range plans. Each plan or study snail be filed within
				  thirty days after the adoption of the plan or completion of the
				  study.
(4) A copy of each of the
				  following items shall be filed at the time the item is prepared:
(A) Annual fiscal audit to include at least;
(i) Balance sheet;
(ii) Statement of revenues and
				  expenses;
(iii) Statement of
				  changes in fund balances;
(iv)
				  Statement of changes in financial position of unrestricted funds;
(v) Patient services revenues;
(vi) Operating expenses;
(vii) Notes to financial
				  statements;
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 187 - INFORMATION REQUIRED FOR HEALTH PLANNING › Subchapter 3 - MISCELLANEOUS PROVISIONS › Section 11-187-90 - Severability

Current through June, 2024
If any provision of this chapter, or the application
					 thereof to any person or circumstance is held invalid, the invalidity does not
					 affect other provisions or applications of the chapter which can be given
					 effect without the invalid provisions of this chapter are severable.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 188 - SUBMISSION OF ADMINISTRATIVE DATA TO THE STATE HEALTH PLANNING AND DEVELOPMENT AGENCY › Subchapter 1 - GENERAL PROVISIONS › Section 11-188-1 - Scope

Current through June, 2024
The rules in this chapter govern the submission of
					 administrative data by providers of health insurance that provide health
					 benefit plans funded by the Hawaii employer-union health benefits trust fund
					 and the state medicaid agency, to the state health planning and development
					 agency (SHPDA), or its designee. The rules in this chapter are adopted by the
					 State pursuant to section
					 323D-18.5,
					 Hawaii Revised Statutes (HRS), relating to information required of health care
					 providers.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 188 - SUBMISSION OF ADMINISTRATIVE DATA TO THE STATE HEALTH PLANNING AND DEVELOPMENT AGENCY › Subchapter 2 - DATA GOVERNANCE › Section 11-188-3 - Purpose

Current through June, 2024
Data governance is the exercise of authority and
					 management planning, oversight, monitoring, and securing the health care claims
					 data entrusted to the agency and its designee(s). Data governance at the agency
					 fosters a culture of shared responsibility, accountability and active
					 participation among state agencies and the health care community in the use of
					 health care claims data entrusted to the agency.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 188 - SUBMISSION OF ADMINISTRATIVE DATA TO THE STATE HEALTH PLANNING AND DEVELOPMENT AGENCY › Subchapter 2 - DATA GOVERNANCE › Section 11-188-4 - Goals

Current through June, 2024
The goals of data governance at the agency are to:
(1) Promote the use of claims data to enable
				  studies on the cost and quality of care, population health, health disparities,
				  consumer transparency in the cost and quality of health care, health care
				  planning, and to inform public policy;
(2) Protect the privacy and security of data
				  and information under the stewardship of the agency;
(3) Support a culture of responsible data use
				  for informed and actionable decision making;
(4) Promote the use of resources to meet the
				  data and information needs of the community;
(5) Increase transparency and accountability
				  to the public and policymakers by providing access to relevant
				  information;
(6) Establish
				  reasonable and cost-effective methods of data collection for providers of
				  health insurance; and
(7) Ensure
				  compliance with all applicable federal, state, and county statutes, rules, and
				  policies with regard to data that falls within the purview of this chapter, and
				  subject to the confidentiality and privacy laws that govern the reporter that
				  supplied the data, including allowable uses and disclosures required by law,
				  public health activities, and health oversight activities, which shall include
				  but not be limited to:
(A) The Patient
				  Protection and Affordable Care Act,
				  Pub. L. No.
				  111-148, 124 Stat. 119 (2010) ;
(B) Section 2794 of the Public Health Service
				  Act, including but not limited to prohibitions on conflicts of interest in the
				  governance of data centers;
(C) The
				  Health Insurance Portability and Accountability Act of 1996 (HIPAA,)
				  Pub. L. No.
				  104-191, 110 Stat. 1936 (1996), and its
				  regulations at 45 C.F.R. parts 160, 160, and 164;
(D) Heath Information Technology for Economic
				  and Clinical Health Act (HITECH),
				  Pub. L. No.
				  111-5, 123 Stat. 226 (2009); and
(E) Protection of Human Subjects, 45 C.F.R.
				  section 46.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 188 - SUBMISSION OF ADMINISTRATIVE DATA TO THE STATE HEALTH PLANNING AND DEVELOPMENT AGENCY › Subchapter 2 - DATA GOVERNANCE › Section 11-188-5 - Scope

Current through June, 2024
Data governance applies to the following:
(1) State employees, contractors, or any of
				  the agency's designees including their employees, and agents (including out of
				  state governmental entities or nonprofits and private firms or entities and
				  individuals, third party administrators) with authorized access to health care
				  claims data entrusted to the agency;
(2) All health care claims data collected,
				  analyzed, and reported on by the agency or any of the agency's designees,
				  regardless of where the data is located and in what medium it is stored (e.g.,
				  physical or electronic), how it is accessed, and how it is transmitted;
				  and
(3) Sensitive information that
				  is subject to privacy considerations or is classified as confidential and is
				  therefore subject to protection from public access or inappropriate disclosure.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 188 - SUBMISSION OF ADMINISTRATIVE DATA TO THE STATE HEALTH PLANNING AND DEVELOPMENT AGENCY › Subchapter 2 - DATA GOVERNANCE › Section 11-188-6 - Steering committee

Current through June, 2024
(a) The steering
				  committee's responsibilities include:
(1)
				  Providing project direction and executive leadership;
(2) Reviewing, requiring changes, and
				  approving the annual plan developed by the agency;
(3) Defining clear and consistent structures,
				  models, and processes that promote efficient use of resources to meet the
				  information and analytical needs of the agency's community;
(4) Providing guidance and recommendations
				  concerning health care claims data, including expanding access, improving
				  quality, assuring data privacy and security, and improving
				  performance;
(5) Providing final
				  approval of all requests for data and reports; and
(6) Facilitating the identification,
				  prioritization, and methods of analysis and evaluation for health care costs,
				  programs, disparities, and medical loss ratios with other stakeholders.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 188 - SUBMISSION OF ADMINISTRATIVE DATA TO THE STATE HEALTH PLANNING AND DEVELOPMENT AGENCY › Subchapter 2 - DATA GOVERNANCE › Section 11-188-7 - Conflicts of interest

Current through June, 2024
All members of the steering committee shall meet the
					 conflicts of interest requirements of title
					 42 U.S.C.
					 section 300gg-94(d)(2).
					 Members of the steering committee shall not be controlled or influenced by, and
					 may not have any corporate relation to, any individual or entity that may make
					 or receive payments for health care services based on the agency's analysis of
					 health care costs.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 188 - SUBMISSION OF ADMINISTRATIVE DATA TO THE STATE HEALTH PLANNING AND DEVELOPMENT AGENCY › Subchapter 3 - DATA SUBMISSION › Section 11-188-8 - Data submission schedule

Current through June, 2024
All data shall be submitted in the form and manner
					 compliant with the data submission guide.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 188 - SUBMISSION OF ADMINISTRATIVE DATA TO THE STATE HEALTH PLANNING AND DEVELOPMENT AGENCY › Subchapter 3 - DATA SUBMISSION › Section 11-188-9 - Data submission requirements for mandatory-reporters

Current through June, 2024
Mandatory reporters or their designees shall regularly
					 submit health care claims data to the agency or the agency's designee, for each
					 applicable health line of business, including but not limited to, comprehensive
					 major medical plans, third party administrator plans, administrative services
					 only plans, medicare supplemental plans, medicare part C, medicare part D,
					 pharmacy, dental, and vision.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 188 - SUBMISSION OF ADMINISTRATIVE DATA TO THE STATE HEALTH PLANNING AND DEVELOPMENT AGENCY › Subchapter 3 - DATA SUBMISSION › Section 11-188-10 - Protected health information identifiers

Current through June, 2024
To minimize the risk of data breaches and re-identification
					 of data, the data and information submitted to the agency shall include only
					 the minimum protected health information identifiers according to the data
					 submission guide necessary to link the public and private data sources and the
					 geographic and services data to undertake studies.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 188 - SUBMISSION OF ADMINISTRATIVE DATA TO THE STATE HEALTH PLANNING AND DEVELOPMENT AGENCY › Subchapter 3 - DATA SUBMISSION › Section 11-188-11 - Data submission guide

Current through June, 2024
Mandatory and voluntary reporters shall comply with the
					 data submission guide. The data submission guide may be -amended annually.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 188 - SUBMISSION OF ADMINISTRATIVE DATA TO THE STATE HEALTH PLANNING AND DEVELOPMENT AGENCY › Subchapter 3 - DATA SUBMISSION › Section 11-188-12 - Submission method

Current through June, 2024
All data shall be submitted through secure file transfer
					 protocol or media that is properly encrypted in accordance with the data
					 submission guide. No data shall be sent to the agency or any of the agency's
					 designees without proper encryption.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 188 - SUBMISSION OF ADMINISTRATIVE DATA TO THE STATE HEALTH PLANNING AND DEVELOPMENT AGENCY › Subchapter 3 - DATA SUBMISSION › Section 11-188-13 - General requirements for data submission

Current through June, 2024
(a) All
				  data shall be submitted to the agency or the agency's designee, as separate
				  files in the format described in the data submission guide.
(b) Files shall be encrypted and submitted in
				  the method specified by the data submission guide.
(c) All submissions shall include the
				  following:
(1) Adjustment records with the
				  appropriate positive or negative fields with the medical, pharmacy, and dental
				  claims file submissions,*
(2)
				  Claims for services under capitation or other alternative payment arrangement
				  shall be reported with claims file submissions;
(3) Records for the medical, pharmacy, and
				  dental claims file submissions shall be reported pursuant to the data
				  submission guide;
(4) Claims where
				  multiple parties have financial responsibility shall be included with all
				  medical, pharmacy, and dental claims file submissions; and
(5) Wholly denied claims shall be excluded
				  from all medical, pharmacy, and dental claims file submissions. However, when a
				  claim contains both fully processed and paid service lines and partially
				  processed or partially denied service lines, all lines shall be included as
				  part of the health care claims data submission.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 188 - SUBMISSION OF ADMINISTRATIVE DATA TO THE STATE HEALTH PLANNING AND DEVELOPMENT AGENCY › Subchapter 3 - DATA SUBMISSION › Section 11-188-14 - Test data requirements

Current through June, 2024
Mandatory and voluntary reporters shall submit test data
					 as specified in the data submission guide to the agency or the agency's
					 designee. The agency may request additional submissions of test data as needed.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 188 - SUBMISSION OF ADMINISTRATIVE DATA TO THE STATE HEALTH PLANNING AND DEVELOPMENT AGENCY › Subchapter 3 - DATA SUBMISSION › Section 11-188-15 - Data standards compliance review

Current through June, 2024
Upon submission, the agency or the agency's designee shall
					 evaluate each submitted file against thresholds and standards pursuant to the
					 data submission guide. Reporters with nonconforming files shall be notified of
					 the noncompliance. Reporters shall correct and resubmit nonconforming files
					 within fifteen business days of notification. Failure to resubmit conforming
					 data may result in compliance actions.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 188 - SUBMISSION OF ADMINISTRATIVE DATA TO THE STATE HEALTH PLANNING AND DEVELOPMENT AGENCY › Subchapter 3 - DATA SUBMISSION › Section 11-188-16 - Data submission for voluntary reporters

Current through June, 2024
Voluntary reporters, with approval of the administrator,
					 may submit health care claims data to the agency or the agency's designee.
					 Voluntary reporters -shall enter into an agreement with the agency or the
					 agency's designee prior to submitting health care claims data, in a format
					 defined in accordance with the standards identified in the data submission
					 guide.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 188 - SUBMISSION OF ADMINISTRATIVE DATA TO THE STATE HEALTH PLANNING AND DEVELOPMENT AGENCY › Subchapter 3 - DATA SUBMISSION › Section 11-188-17 - Extensions or waivers to data submission requirements

Current through June, 2024
(a) Reporters who temporarily cannot meet the
				  terms and conditions of this chapter shall submit a written request to the
				  administrator as soon as the reporter has determined that an extension or
				  waiver is required. Reporters shall follow procedures identified in the data
				  submission guide, and each written request shall include:
(1) The specific requirement to be extended
				  or waived;
(2) The specific reason
				  the extension or waiver is being requested;
(3) The methodology and timeframe proposed to
				  eliminate the necessity of the extension or waiver; and
(4) The time frame required to come into
				  compliance.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 188 - SUBMISSION OF ADMINISTRATIVE DATA TO THE STATE HEALTH PLANNING AND DEVELOPMENT AGENCY › Subchapter 4 DATA USE AND REPORTING › Section 11-188-18 - Policy statement

Current through June, 2024
It is the policy of the agency to hold itself accountable
					 for the privacy and security of the data entrusted to it while keeping that
					 data accessible for appropriate use.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 188 - SUBMISSION OF ADMINISTRATIVE DATA TO THE STATE HEALTH PLANNING AND DEVELOPMENT AGENCY › Subchapter 4 DATA USE AND REPORTING › Section 11-188-19 - Annual plan

Current through June, 2024
The agency shall develop an annual plan for the protection,
					 collection per the parameters specified in the data submission guide, analysis,
					 maintenance, and publication of data collected The agency shall seek approval
					 for the annual plan from the director of health, administrator of the Med-QUEST
					 division of the department of human services, and the chief information officer
					 of the State
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 188 - SUBMISSION OF ADMINISTRATIVE DATA TO THE STATE HEALTH PLANNING AND DEVELOPMENT AGENCY › Subchapter 4 DATA USE AND REPORTING › Section 11-188-20 - Data use

Current through June, 2024
The agency and the agency's designees shall use the data
					 for studies on the cost and quality of care, population health, health
					 disparities, consumer transparency in the cost and quality of health care,
					 health care planning, and to inform public policy. Initial studies will be
					 conducted for the EUTF, state medicaid agency, department of health, state
					 legislature, department of commerce and consumer affairs, state health planning
					 and development agency, and publicly accessible reporting.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 188 - SUBMISSION OF ADMINISTRATIVE DATA TO THE STATE HEALTH PLANNING AND DEVELOPMENT AGENCY › Subchapter 4 DATA USE AND REPORTING › Section 11-188-21 - Minimum reporting

Current through June, 2024
(a) The agency
				  shall, at a minimum, issue reports from the health care claims data at an
				  aggregate level to describe patterns of incidence and variation of targeted
				  medical conditions, state and regional cost patterns, and utilization of
				  services.
(b) The health care
				  claims data reports will be available to the public and shall be de-identified,
				  aggregated, and summarized in reports to achieve the purposes of the agency.
				  All reports shall protect patient privacy and confidentiality in accordance
				  with the Health Insurance Portability and Accountability Act, including
				  standards for the de-identification of protected health information.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 188 - SUBMISSION OF ADMINISTRATIVE DATA TO THE STATE HEALTH PLANNING AND DEVELOPMENT AGENCY › Subchapter 4 DATA USE AND REPORTING › Section 11-188-22 - Requests for reports

Current through June, 2024
A government agency engaged in efforts to improve health
					 care or public health outcomes for members under health benefits plans funded
					 by the EUTF or the state medicaid agency may request a specialized report,
					 excluding personally identifiable information, from the agency by submitting to
					 the administrator a written request detailing the purpose of the project, the
					 data elements required for analysis, the specific analysis requested to be
					 undertaken, and other information as required by the administrator.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 188 - SUBMISSION OF ADMINISTRATIVE DATA TO THE STATE HEALTH PLANNING AND DEVELOPMENT AGENCY › Subchapter 5 - INFORMATION SECURITY, DATA PRIVACY, AND CONFIDENTIALITY PROTECTION › Section 11-188-23 - Overview

Current through June, 2024
This subchapter addresses the information security, data
					 privacy, and confidentiality concerns for health care claims
					 data.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 188 - SUBMISSION OF ADMINISTRATIVE DATA TO THE STATE HEALTH PLANNING AND DEVELOPMENT AGENCY › Subchapter 5 - INFORMATION SECURITY, DATA PRIVACY, AND CONFIDENTIALITY PROTECTION › Section 11-188-24 - Health Insurance Portability and Accountability Act

Current through June, 2024
The agency, the agency's designees, and any recipient of
					 data, such as subcontractors and business associates, shall comply with the
					 applicable Health Insurance Portability and Accountability Act's security,
					 privacy, and confidentiality rules, including uses and disclosures required by
					 law, public health activities, and health oversight activities, and shall not
					 disclose any individual patient's personal health information or personal
					 identifiers in violation of state or federal law.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 188 - SUBMISSION OF ADMINISTRATIVE DATA TO THE STATE HEALTH PLANNING AND DEVELOPMENT AGENCY › Subchapter 5 - INFORMATION SECURITY, DATA PRIVACY, AND CONFIDENTIALITY PROTECTION › Section 11-188-25 - Identifiers

Current through June, 2024
The agency, the agency's designees, such as subcontractors
					 and business associates of the agency or the agency's designee, shall maintain
					 the original direct personal identifiers in a separate database that is not
					 linked with any other data and shall use a proxy or encrypted record identifier
					 for data analysis.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 188 - SUBMISSION OF ADMINISTRATIVE DATA TO THE STATE HEALTH PLANNING AND DEVELOPMENT AGENCY › Subchapter 5 - INFORMATION SECURITY, DATA PRIVACY, AND CONFIDENTIALITY PROTECTION › Section 11-188-26 - Re-identification of personal information

Current through June, 2024
The agency and the agency's designees, shall not attempt to
					 re-identify subjects of protected health information submitted to the agency or
					 its designee.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 188 - SUBMISSION OF ADMINISTRATIVE DATA TO THE STATE HEALTH PLANNING AND DEVELOPMENT AGENCY › Subchapter 5 - INFORMATION SECURITY, DATA PRIVACY, AND CONFIDENTIALITY PROTECTION › Section 11-188-27 - Disclosure of data with direct personal identifiers

Current through June, 2024
No person or entity shall disclose data that contain
					 direct personal identifiers. No report shall include a cell size of ten or less
					 to prevent the re-identification of individuals.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 188 - SUBMISSION OF ADMINISTRATIVE DATA TO THE STATE HEALTH PLANNING AND DEVELOPMENT AGENCY › Subchapter 6 MISCELLANEOUS PROVISIONS › Section 11-188-28 - Severability

Current through June, 2024
If any provision of this chapter, or the application
					 thereof to any person or circumstance is held invalid, the invalidity does not
					 affect other provisions or applications of the chapter which can be given
					 effect without the invalid provision or application, and to this end the
					 provisions of this chapter are severable."
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 200 - ENVIRONMENTAL IMPACT STATEMENT RULES (REPEALED) › Subchapter 6 - DETERMINATION OF SIGNIFICANCE (REPEALED) › Section 11-200-9.1 - Public Review and Response Requirements for Draft Environmental Assessments for Anticipated Negative Declaration Determinations and Addenda to Draft Environmental Assessments (Repealed)

Current through June, 2024
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 200 - ENVIRONMENTAL IMPACT STATEMENT RULES (REPEALED) › Subchapter 6 - DETERMINATION OF SIGNIFICANCE (REPEALED) › Section 11-200-11.1 - Notice of Determination for Draft Environmental Assessments (Repealed)

Current through June, 2024
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 200 - ENVIRONMENTAL IMPACT STATEMENT RULES (REPEALED) › Subchapter 6 - DETERMINATION OF SIGNIFICANCE (REPEALED) › Section 11-200-11.2 - Notice of Determination for Final Environmental Assessments (Repealed)

Current through June, 2024
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 200 - ENVIRONMENTAL IMPACT STATEMENT RULES (REPEALED) › Subchapter 6 - DETERMINATION OF SIGNIFICANCE (REPEALED) › Section 11-200-13 - Consideration of Previous Determinations and Accepted Statements (Repealed)

Current through June, 2024
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 200 - ENVIRONMENTAL IMPACT STATEMENT RULES (REPEALED) › Subchapter 7 - PREPARATION OF DRAFT & FINAL ENVIRONMENTAL IMPACT STATEMENTS (REPEALED) › Section 11-200-14 - General Provisions (Repealed)

Current through June, 2024
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 200 - ENVIRONMENTAL IMPACT STATEMENT RULES (REPEALED) › Subchapter 7 - PREPARATION OF DRAFT & FINAL ENVIRONMENTAL IMPACT STATEMENTS (REPEALED) › Section 11-200-15 - Consultation Prior to Filing a Draft Environmental Impact Statement (Repealed)

Current through June, 2024
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 200 - ENVIRONMENTAL IMPACT STATEMENT RULES (REPEALED) › Subchapter 7 - PREPARATION OF DRAFT & FINAL ENVIRONMENTAL IMPACT STATEMENTS (REPEALED) › Section 11-200-17 - Content Requirements; Draft Environmental Impact Statement (Repealed)

Current through June, 2024
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 200 - ENVIRONMENTAL IMPACT STATEMENT RULES (REPEALED) › Subchapter 7 - PREPARATION OF DRAFT & FINAL ENVIRONMENTAL IMPACT STATEMENTS (REPEALED) › Section 11-200-18 - Content Requirements; Final Environmental Impact Statement (Repealed)

Current through June, 2024
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 200 - ENVIRONMENTAL IMPACT STATEMENT RULES (REPEALED) › Subchapter 7 - PREPARATION OF DRAFT & FINAL ENVIRONMENTAL IMPACT STATEMENTS (REPEALED) › Section 11-200-19 - Environmental Impact Statement Style (Repealed)

Current through June, 2024
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 200 - ENVIRONMENTAL IMPACT STATEMENT RULES (REPEALED) › Subchapter 7 - PREPARATION OF DRAFT & FINAL ENVIRONMENTAL IMPACT STATEMENTS (REPEALED) › Section 11-200-20 - Filing of an Environmental Impact Statement (Repealed)

Current through June, 2024
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 200 - ENVIRONMENTAL IMPACT STATEMENT RULES (REPEALED) › Subchapter 7 - PREPARATION OF DRAFT & FINAL ENVIRONMENTAL IMPACT STATEMENTS (REPEALED) › Section 11-200-22 - Public Review of Environmental Impact Statements and Addenda to Draft Environmental Impact Statements (Repealed)

Current through June, 2024
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 200 - ENVIRONMENTAL IMPACT STATEMENT RULES (REPEALED) › Subchapter 7 - PREPARATION OF DRAFT & FINAL ENVIRONMENTAL IMPACT STATEMENTS (REPEALED) › Section 11-200-23 - Acceptability (Repealed)

Current through June, 2024
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 200 - ENVIRONMENTAL IMPACT STATEMENT RULES (REPEALED) › Subchapter 9 - NATIONAL ENVIRONMENTAL POLICY ACT (REPEALED) › Section 11-200-25 - National Environmental Policy Act Actions: Applicability to Chapter 343, HRS (Repealed)

Current through June, 2024
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 200.1 - ENVIRONMENTAL IMPACT STATEMENT RULES › Subchapter 1 - PURPOSE › Section 11-200.1-1 - Purpose

Current through June, 2024
(a) Chapter 343, Hawaii Revised Statutes
				  (HRS), establishes a system of environmental review at the state and county
				  levels that shall ensure that environmental concerns are given appropriate
				  consideration in decision-making along with economic and technical
				  considerations. The purpose of this chapter is to provide agencies and persons
				  with procedures, specifications regarding the contents of exemption notices,
				  environmental assessments (EAs), and environmental impact statements (EISs),
				  and criteria and definitions of statewide application.
(b) Agencies and applicants shall ensure that
				  exemption notices, EAs, and EISs are prepared at the earliest practicable time.
				  This shall assure an early, open forum for discussion of adverse effects and
				  available alternatives, and that the decision-makers will be enlightened to any
				  environmental consequences of the proposed action prior to
				  decision-making.
(c) Exemption
				  notices, EAs, and EISs are meaningless without the conscientious application of
				  the environmental review process as a whole, and shall not be merely a
				  self-serving recitation of benefits and a rationalization of the proposed
				  action. In preparing any exemption notice, EA, or EIS, proposing agencies and
				  applicants are to make every effort to;
(1)
				  Convey the required information succinctly in a form easily understood, both by
				  members of the public and by government decision-makers, giving attention to
				  the substance of the information conveyed rather than to the particular form or
				  length of the document;
(2)
				  Concentrate on important issues and to ensure that the document remains
				  essentially self-contained, capable of being understood by the reader without
				  the need for undue cross-reference, and
(3) Conduct any required consultation as
				  mutual, open and direct, two-way communication, in good faith, to secure the
				  meaningful participation of agencies and the public in the environmental review
				  process.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 200.1 - ENVIRONMENTAL IMPACT STATEMENT RULES › Subchapter 3 - COMPUTATION OF TIME › Section 11-200.1-3 - Computation of time

Current through June, 2024
The time in which any act prescribed or allowed by this
					 chapter, order of the council, or by applicable statute, is computed by
					 excluding the first day and including the last. The last day of the period so
					 computed shall be included unless it is a Saturday, Sunday, or state holiday,
					 in which case the last day shall be the next business day.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 200.1 - ENVIRONMENTAL IMPACT STATEMENT RULES › Subchapter 4 - FILING AND PUBLICATION IN THE PERIODIC BULLETIN › Section 11-200.1-4 - Periodic bulletin

Current through June, 2024
(a) The periodic
				  bulletin shall be issued electronically on the eighth and twenty-third days of
				  each month.
(b) When filed in
				  accordance with section 11-200.1-5, the office shall publish the following in
				  the periodic bulletin to inform the public of actions undergoing chapter 343,
				  HRS, environmental review and the associated public comment periods provided
				  here or elsewhere by statute:
(1)
				  Determinations that an existing exemption, FONSI, or accepted EIS satisfies
				  chapter 343, HRS, for a proposed action;
(2) Exemption notices and lists of actions an
				  agency has determined to be exempt;
(3) Draft EAs and appropriate addendum
				  documents for public review and thirty-day comment period, including notice of
				  an anticipated FONSI;
(4) Final
				  EAs, including notice of a FONSI, or an EISPN with thirty-day comment period
				  and notice of EIS public scoping meeting, and appropriate addendum
				  documents;
(5) Notice of an EISPN
				  with thirty-day comment period and notice of EIS public scoping meeting, and
				  appropriate addendum documents;
(6)
				  Evaluations and determinations that supplemental EISs are required or not
				  required;
(7) Draft EISs, draft
				  supplemental EISs, and appropriate addendum documents for public review and
				  forty-five day comment period;
(8)
				  Final EISs, final supplemental EISs, and appropriate addendum
				  documents;
(9) Notice of acceptance
				  or non-acceptance of EISs and supplemental EISs;
(10) Republication of any chapter 343, HRS,
				  notices, documents, or determinations;
(11) Notices of withdrawal of any chapter
				  343, HRS, notices, documents, or determinations; and
(12) Other notices required by the rules of
				  the council.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 200.1 - ENVIRONMENTAL IMPACT STATEMENT RULES › Subchapter 4 - FILING AND PUBLICATION IN THE PERIODIC BULLETIN › Section 11-200.1-6 - Republication of notices, documents, and determinations

Current through June, 2024
(a) An agency or applicant responsible for
				  filing a chapter 343, HRS, notice, document, or determination may file an
				  unchanged, previously published submittal in the bulletin provided that the
				  filing requirements of this subchapter and any other publication requirements
				  set forth in this chapter or chapter 343, HRS, are satisfied.
(b) When the publication of a previously
				  published chapter 343, HRS, notice, document, or determination involves a
				  public comment period under this chapter or chapter 343, HRS:
(1) The public comment period shall be as
				  required for that notice, document, or determination pursuant to this chapter
				  or chapter 343, HRS, or as otherwise statutorily mandated (for example,
				  publication of an unchanged draft EIS initiates a forty-five day public comment
				  period upon publication in the bulletin); and
(2) Any comments received during the comment
				  period must be considered in the same manner as set forth in this chapter and
				  chapter 343, HRS, for that notice, document, or determination type, in addition
				  to comments received in any other comment period associated with the
				  publication of the notice, document, or determination.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 200.1 - ENVIRONMENTAL IMPACT STATEMENT RULES › Subchapter 5 - RESPONSIBILITIES › Section 11-200.1-7 - Identification of approving agency and accepting authority

Current through June, 2024
(a) Whenever an agency proposes an action,
				  the authority to accept an EIS shall rest with:
(1) The governor, or the governor's
				  authorized representative, whenever an action proposes the use of state lands
				  or state funds or whenever a state agency proposes an action under section
				  11-200.1-8; or
(2) The mayor, or
				  the mayor's authorized representative, of the respective county whenever an
				  action proposes only the use of county lands or county funds.