Section He-M 1002.12 - Certification(a) To be eligible for reimbursement by the department, a community residence shall be certified in accordance with He-M 1002.(b) All certificates shall be non-transferable from one provider agency to another or from one physical location to another.(c) A certificate issued to an applicant shall indicate: (1) The effective date of the certificate;(2) The expiration date of the certificate;(3) The certificate number;(4) The type of certificate, which shall be listed as: c. Annual, which shall encompass both initial and renewal certifications;(5) The maximum number of certified beds allowed, including respite beds, as determined by: a. Local fire approval, as required by He-M 1002.09(e) ; andb. The applicable provisions of He-M 1002.03(d), (e) , (y) , and (aa);(6) The name of the provider agency;(7) The name of the CMHP or THSP; and (8) Information regarding any waivers issued in accordance with He-M 1002.18.(d) If a certified community residence wishes to provide services to individuals served by a provider agency that is not the provider agency identified on the certificate, the community residence shall obtain written approval from the provider agency identified on the certificate.(e) Certifications shall be valid as indicated by the type:(1) Emergency certificates shall be valid for 45 days;(2) Temporary certificates shall be valid for 90 days; and(3) Annual certificates, including the following: a. Certificates shall be valid from the effective date of the temporary certificate until the last day of the twelfth month following temporary certification; andb. Renewal certificates shall be issued for one year from the expiration date of the previous certificate.(f) Upon written request, the department shall issue a revised certificate when the local, state, or federal government modifies the street address of a community residence without any change in the physical location of the community residence operations.(g) The request submitted in accordance with (f) above shall contain the following: (1) The name and address of the community residence as it appears on the current certificate;(2) The name and address of the community residence as it will appear on the new certificate; and(3) A copy of the notification of the required change in street address.(h) When a certificate is revised in accordance with (f) above, the certificate number and expiration date shall not change.(i) Any community residence that no longer intends to provide services to individuals shall notify the department in writing of the following information: (1) The name of the community residence;(2) The certificate number of the community residence;(3) The address of the community residence;(4) The date the community residence closed or will close; and(5) The location that the individual(s) has moved to, including the name of the home(s) and certificate number of the home(s), if available.N.H. Admin. Code § He-M 1002.12
#7762, eff 9-26-02; amd by #8210, eff 11-23-04; amd by #9795, INTERIM, eff 9-26-10, EXPIRES: 3-25-11; ss by #9894-A, eff 3-25-11 (from He-M 1002.09 )
Amended by Volume XXXIX Number 16, Filed April 18, 2019, Proposed by #12742, Effective 3/20/2019, Expires 9/16/2019.Amended by Volume XXXIX Number 50, Filed December 12, 2019, Proposed by #12916, Effective 11/16/2019, Expires 11/16/2029.