Section He-M 503.04 - Application for Services(a) Application for services shall be made by:(2) A guardian of an applicant under the age of 18;(3) A guardian of an applicant age 18 or over if a guardian of the person has been appointed by the probate court per RSA 464-A; or(4) A representative of the applicant authorized to make such application.(b) An application for services shall be made in writing to the area agency in the applicant's region of residence.(c) An area agency shall explain the eligibility process and offer assistance to the applicant, guardian, or representative in making application for services.(d) The area agency shall inform the applicant, guardian, or representative of its roles and responsibilities and provide information about:(1) The types of evaluations, assessments, and screenings needed to assist in development of the service agreement;(2) Eligibility determination;(3) Service coordination;(4) Service agreement development and review;(5) Services provided by the area agency and the assistance available to identify the services that are needed;(7) Service monitoring; and(e) To aid in the provision of comprehensive, efficient, and coordinated services, the area agency shall undertake a review of the public and private benefits and resources that are available to the applicant and inform the applicant of all such benefits and resources.(f) To receive services beyond age 3, the eligibility of a child served in family-centered early supports and services shall be determined by the area agency pursuant to He-M 503.03 and He-M 503.05 prior to the date the child turns age 3, without the need of the family reapplying for services. The eligibility determination process shall be initiated by the area agency at least 90 days prior to the child's third birthday.(g) An area agency shall request each applicant to authorize the release of information to permit the area agency to access relevant current and historical records and information for determination of eligibility pursuant to He-M 503.03 regarding the applicant's: (1) Developmental disabilities;(2) Personal, family, social, educational, psychological, and medical status; and(3) Functional abilities, interests, and aptitudes.(h) Authorization to release information shall specify: (1) The name of the applicant and the information to be released;(2) The name of the person or organization being authorized to release the information;(3) The name of the person or organization to whom the information is to be released; and(4) The time period for which the authorization is given, which shall not exceed one year.N.H. Admin. Code § He-M 503.04
#1969, eff 2-25-82; ss by #2615, eff 2-6-84; ss by #2962, eff 1-22-85; ss by #5211, eff 8-28-91; EXPIRED: 8-28-97
New. #6581, INTERIM, eff 9-19-97, EXPIRED: 1-17-98
New. #6932, eff 1-27-99; ss by #8805, eff 1-27-07
Amended byVolume XXXV Number 06, Filed February 12, 2015, Proposed by #10774, Effective 1/27/2015, Expires7/27/2015.Amended by Volume XXXV Number 32, Filed August 13, 2015, Proposed by #10900, Effective 7/25/2015, Expires7/25/2025.Amended by Number 2, Filed January 11, 2024, Proposed by #13841, Effective 12/29/2023, Expires 12/29/2033.