N.H. Admin. Code § He-W 626.02

Current through Register No. 50, December 12, 2024

Section He-W 626.02 - Family Planning Expansion Category (FPEC)

(a) All general, categorical, technical, and financial factors related to the determination of categorically needy medical assistance shall apply to applicants and recipients of FPEC, except as specified otherwise in He-W 626.

(b) Individuals shall be eligible for FPEC medical assistance, pursuant to 42 USC 1396 a(a) (10) (A) (ii) (XXI), as amended, when the individual:

(1) Applies for medical assistance, as defined in He-W 601.17;

(2) Is not pregnant; and

(3) Has net income that does not exceed the income limit described in He-W 641.06(b) .

(c) FPEC applicants and recipients shall not be subject to the maximum resource limits for medical assistance.

(d) Redeterminations of eligibility for FPEC shall be scheduled pursuant to He-W 684.02(c) .

(e) When determining eligibility for FPEC:

(1) Only the income of the FPEC applicant or recipient shall be counted, pursuant to 42 USC 1396 a(ii) (3); and

(2) The income level against which countable income shall be considered shall be for a group size of 2.

(f) When applying the criteria described in (e) (1) above, the department shall:

(1) Not deem income from spouse to spouse or parent to child; and

(2) Allow the following verified deductions or disregards to be subtracted from the budgetary unit's gross income when determining financial eligibility for FPEC:

a. A $90 employment expense deduction, pursuant to He-W 641.02(b) (2) ; and

b. Other allowable deductions, pursuant to He-W 654.14, He-W 654.19, and He-W 654.20.

(g) Eligible individuals who choose not to receive FPEC, or the eligible individual's authorized representative, shall notify the department of this decision by providing the department with the following written information terminating FPEC services:

(1) The casehead's name;

(2) The name of the person for whom the casehead is requesting the termination of FPEC assistance; and

(3) The casehead's signature.

(h) The date the department receives the completed information described in (g) above, shall be the individual's FPEC eligibility end date.

N.H. Admin. Code § He-W 626.02

#10357, eff 7-1-13