N.H. Admin. Code § He-C 6346.06

Current through Register No. 50, December 12, 2024
Section He-C 6346.06 - Application Process For Payment Standards For Recreation Services
(a) Applicants who seek initial certification for payment standards for recreation services shall contact a DCYF or DJJS district office supervisor or designee and request to be referred for certification.
(b) The DCYF/DJJS district office supervisor or DCYF certification specialist shall assess the need for services, based on the following criteria:
(1) The number of children and families who require services exceeds the available community resources;
(2) A specialized service is necessary to meet the unique needs of children and families, and there are no currently certified providers who can provide the specialized services; and
(3) Any other case circumstance which requires the provision of services pursuant to a court order.
(c) If there is a need for a service based on (b) above, DCYF/DJJS shall forward an application packet to the applicant which includes:
(1) An application for certification of recreation service providers;
(2) An alternate W-9;
(3) A "Criminal Record Release Authorization";
(4) A "Central Registry Name Search Authorization"; and
(5) A copy of He-C 6346.
(d) Each applicant shall complete and return the application within 30 days of receipt to the DCYF certification specialist together with the following:
(1) A copy of the license issued by a state's licensing authorities;
(2) The alternate W-9;
(3) The organizational structure;
(4) The name(s), office held, professional affiliation, address, and telephone number of each person on the board of directors;
(5) A resume or curriculum vitae of the executive director;
(6) If the license specified in (d) (1) above does not require a central registry name search the applicant shall submit the authorization form for each direct services staff; and
(7) If the license specified in (d) (1) above does not require a criminal records release the applicant shall submit the authorization form for each direct services staff.
(e) An individual duly authorized by the recreational program shall sign and date the application.
(f) The applicant's signature shall constitute an affirmation and acceptance of the terms below:
(1) The applicant has read and understands He-C 6346;
(2) The applicant shall be subject to a review by DCYF of financial information submitted for reimbursement for services provided to children and families; and
(3) The information contained in the application is true and correct to the best of the applicant's knowledge.

N.H. Admin. Code § He-C 6346.06

(See Revision Note at part heading for He-C 6346) #9312, eff 11-5-08