(a) The benefits provided under section injury protection benefits; defined; limits” class=”unlinked-ref” datatype=”S” sessionyear=”2022″ statecd=”HI”>431:10C-103.5 shall be substantially comparable to the requirements for prepaid health care plans, as provided in chapter 393 and rules of the department of labor and industrial relations, pertaining to the Prepaid Health Care Act. The reference to the Prepaid Health Care Act is only for purposes of describing the coverages and exclusions, without regard to any specific insurer or plan, and shall not be construed to transfer coverage to the prepaid health care plans. The precise charges and utilization rates shall be as contained in the workers’ compensation schedules as provided under section 431:10C-308.5, unless modified by the commissioner by rule under chapter 91.
Terms Used In Hawaii Revised Statutes 431:10C-103.6
Insurer: means every person holding a valid certificate of authority to engage in the business of making contracts of motor vehicle insurance in this State. See Hawaii Revised Statutes 431:10C-103
Medical fee schedule: refers to the Medicare Resource Based Relative Value Scale System applicable to Hawaii, entitled "Workers' Compensation Supplemental Medical Fee Schedule". See Hawaii Revised Statutes 431:10C-103
(b) Chiropractic treatments shall be allowed for not more than the lesser of the following:
(1) Thirty visits at no more than $75 a visit, plus no more than five x-rays at no more than $50 each; or(2) Treatment as defined by the Hawaii State Chiropractic Association guidelines in effect on January 25, 1997.(c) Acupuncture treatments shall be allowed for no more than thirty visits. The charges for acupuncture treatments under this section shall be tied to the charges, and any subsequent increases in charges, permissible under the workers’ compensation supplemental medical fee schedule.(d) Naturopathic treatments shall be allowed for no more than thirty visits at no more than $75 a visit.(e) The combined total of naturopathic, chiropractic, and acupuncture treatments may not exceed thirty visits.(f) The benefits under section 431:10C-103.5 may be with copayment, and shall be subject to and apply the utilization requirements applicable under prepaid health care plans, under chapter 393.
