N.H. Admin. Code § He-E 502.07

Current through Register No. 45, November 7, 2024

Section He-E 502.07 - Determination, Notice of Eligibility, and Eligibility Period

(a) An individual shall meet the requirements in He-E 502.05 and 502.06 in order to be deemed eligible to receive Title III services.

(b) For individuals determined eligible to receive Title III services, the eligibility period shall be for one year beginning on the date that eligibility is determined and ending 364 calendar days later.

(c) For individuals determined to be eligible to receive Title III services, a written notice of the eligibility decision shall be provided by the contract agency to the individual no later than 45 calendar days from the date of determination for the following services:

(1) Adult day program services;

(2) Adult in-home care services;

(3) Home health aide services;

(4) Homemaker services;

(5) Nursing services; and

(6) Nutrition services: home delivered meals.

(d) If the eligibility requirements are met, and services are available, the notice shall include:

(1) The services to be provided, and when;

(2) The eligibility period; and

(3) Contact information for the contract agency.

(e) If the eligibility requirements are not met, the notice shall include:

(1) The reason(s) for the denial;

(2) A statement regarding the right of the individual or his or her authorized representative to request an informal resolution or appeal of the eligibility determination decision as described in He-E 502.10; and

(3) Contact information for the contract agency.

(f) If eligibility requirements for Title III services are met but services are not available, the individual shall be notified that his or her name shall be placed on a wait list in accordance with He-E 502.13.

(g) For individuals expected to transition to and reside in an independent living situation, Title III services shall not be provided until the individual physically relocates to an independent living situation.

N.H. Admin. Code § He-E 502.07

(See Revision Note at part heading for He-E 502) #10530, eff 2-28-14

Amended by Volume XLII Number 14, Filed April 7, 2022, Proposed by #13354, Effective 3/19/2022, Expires 3/19/2032