Section He-W 508.05 - Medically Appropriate Services(a) The medical services proposed for a recipient shall be medically appropriate if the MRT, upon certification by the recipient's physician, determines in accordance with (b) below, that it is medically appropriate for the recipient to receive family centered, community-based home care as opposed to institutional care.(b) In accordance with RSA 167:3-f, VI, family centered, community-based home care shall be medically appropriate if each of the following conditions is met:(1) The care can be provided in the home without jeopardizing the medical needs of the recipient;(2) Medical and psychological support services are available in the community;(3) The recipient's treating physician recommends home care and certifies the safety of home placement in accordance with (c) below;(4) The recipient's family or guardian has expressed a willingness and desire to assume responsibility as the primary caregiver for the recipient in order to maintain the recipient at home; and(5) The family and household members have been trained to support the recipient's needs in the home and have the ability to be primary caregivers.(c) The treating physician's recommendation of home care and certification of the safety of home placement shall be submitted in writing by mail, electronic mail, or facsimile to the department or via direct telephone conversation with the MRT.(d) The written certification in (c) above, or MRT documentation of direct telephone conversation with the treating physician as per (c) above, shall be maintained in the recipient's case file at the department.N.H. Admin. Code § He-W 508.05