Section He-M 401.04 - Eligibility Determination(a) The CMHP shall be responsible for conducting an eligibility determination pursuant to He-M 401 for each applicant.(b) An eligibility determination shall be conducted by: (1) A psychiatrist who meets the definition in RSA 135-C:2, XIII;(2) A psychologist who is licensed in accordance with RSA 330-A:16, I;(3) A pastoral psychotherapist who is certified in accordance with RSA 330-A:17;(4) A clinical social worker who is licensed in accordance with RSA 330-A:18;(5) A nurse who is registered as required by RSA 326-B and has a master's degree in psychiatric nursing or is certified as an advanced practice registered nurse with a psychiatric mental health specialty in accordance with RSA 326-B:10; (6) A clinical mental health counselor licensed in accordance with RSA 330-A:19;(7) A registered nurse (RN-C) certified in psychiatric nursing by the American Nurses Association;(8) A marriage and family therapist licensed in accordance with RSA 330-A:21; or(9) Any of the following, provided that the eligibility determination is reviewed and cosigned by a professional identified in He-M 401.04(b) (1) through (7) : a. A case manager, including staff members who possess a bachelors' degree and staff who meet the criteria to provide individual resiliency and recovery oriented services (IROS) under He-M 426; orb. A master's level clinician.(c) An eligibility determination shall be effective on the date that the determination is signed by the professional(s) making the determination.(d) A redetermination shall be conducted and signed no later than 30 days after the expiration date of the previous determination. The person shall be deemed eligible during that 30 day period.(e) A CMHP shall notify an applicant of the services for which he or she is eligible within 15 days of the effective date of eligibility determination.(f) Once an applicant's eligibility for state-funded services is determined, the CMHP shall do one of the following: (1) If the applicant, including an applicant returning to the community from New Hampshire hospital or a designated receiving facility who does not have a current individual service plan, is determined eligible for state-funded services, an individual service plan shall be developed; or(2) If the applicant does not meet the eligibility criteria specified under He-M 401, that applicant shall be referred to non-state-funded services and the CMHP shall document the referral.(g) The eligibility determination shall be documented in the consumer's clinical record.N.H. Admin. Code § He-M 401.04
(See Revision Note at part heading for He-M 401) #4194, eff 1-1-87; ss by #4197 Emergency, eff 12-31-86; ss by #4237, eff 2-27-87, EXPIRED: 2-27-93
New. #6644, eff 12-2-97; ss by #8155, eff 9-2-04, EXPIRED: 9-2-12
New. #10256, INTERIM, eff 1-24-13, EXPIRES: 7-23-13; ss by #10383, eff 7-23-13