Section He-M 401.05 - Eligibility Criteria for Adults with Severe and Persistent Mental Illness(a) An adult shall be eligible for community mental health services if he or she has a severe and persistent mental illness (SPMI) pursuant to (b) below.(b) An adult shall be determined by a CMHP to have a severe and persistent mental illness (SPMI) if he or she meets each of the following criteria: (1) The adult has a diagnosed mental illness;(2) The adult has a severe functional impairment as a result of his or her mental illness as determined through assessment of the person's ability to function in the following functional domains: a. Activities of daily living;b. Interpersonal functioning;c. Adaptation to change; andd. Concentration and task performance or pace; ore. Equivalent domains as defined in an outcome measurement tool approved by the commissioner;(3) For adults age 18-59, the assessment of functional impairment required by (2) above demonstrates: a. Moderate impairment causing chronic or durable problems in each of the four functional domains such that the person requires regular support and a variety of services;b. Marked impairment causing ongoing symptoms in two or more of the functional domains such that the person requires intensive and frequent supportive interventions;c. Extreme impairment causing risk of death in at least one functional domain such that the person requires a constant level of services; ord. Equivalent impairment ratings based on an outcome measurement tool approved by the commissioner;(4) For adults age 60 and older, the assessment of functional impairment required by (2) above demonstrates, without regard to the older adult's score on the General Assessment of Functioning (GAF) scale: a. Moderate impairment causing chronic or durable problems in three or more of the functional domains such that the person requires regular support and a variety of services; orb. Marked impairment causing ongoing symptoms in one or more of the functional domains such that the person that requires intensive and frequent supportive interventions; and(5) The adult has had the severe functional impairment for one year or more.(c) An adult shall be eligible for community mental health services as a result of having SPMI if he or she meets the criteria specified in (b) (1) and (5) above but does not meet the criteria currently as a result of the use of clozaril or clozapine or as a result of close supervision such as that provided in a community residence as defined in He-M 1002.02.(d) Redetermination of eligibility in this category shall occur every 2 years.N.H. Admin. Code § He-M 401.05
(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