Section He-E 501.16 - Service Authorization(a) Once an applicant has been determined eligible to receive Title XX services, one or more of the following services shall be authorized by the provider based on the needs identified in the individual's person-centered plan: (2) Home-delivered meals; and(3) In-home care services.(b) The provider shall complete Form 3502, "Contract Service Authorization-New Authorization" (November 2019) and submit to: Department of Health and Human Services
Bureau of Data Management
129 Pleasant Street
Concord, NH 03301
(c) Payment shall not be made to the provider unless Form 3502, "Contract Service Authorization" (September 2014) is submitted to data management as indicated above.N.H. Admin. Code § He-E 501.16
Amended by Volume XXXIX Number 06, Filed February 7, 2019, Proposed by #12720, Effective 1/29/2019, Expires 7/29/2019.Amended by Volume XL Number 2, Filed January 9, 2020, Proposed by # 12936, Effective 12/7/2019, Expires 12/7/2029.