N.H. Admin. Code § He-W 684.01

Current through Register No. 50, December 12, 2024
Section He-W 684.01 - Redeterminations - General
(a) A redetermination of eligibility shall be required under the following conditions:
(1) At regularly scheduled intervals as prescribed by federal regulations;
(2) Prior to the expiration of extended medical assistance coverage periods, if the client requests a redetermination of eligibility for benefits;
(3) When requested by the client;
(4) When the district office discovers conflicting information regarding eligibility factors; or
(5) When a change in case circumstances affects other eligibility factors.
(b) Except for individuals who meet the requirements of He-W 636.01(a) , He-W 641.06, He-W 641.07, He-W 641.09, or He-W 644.01(a) (2) , a client shall participate in a personal interview with an eligibility worker as follows:
(1) For all financial assistance to needy families financial or medical assistance cases; and
(2) For adult category financial and medical assistance cases when the client resides in a residential care facility, community residence, or an independent living arrangement and receives supplemental nutritional assistance.
(c) The personal interview for adult category clients shall be conducted with the client, an authorized representative, or a nursing facility representative.
(d) For all redeterminations requiring a personal interview, the date of the redetermination shall be the day on which the interview is conducted.
(e) When a personal interview is not required, the date of the redetermination shall be the return date for the required verification.
(f) Refusal or failure, without good cause as defined in He-W 601.76, to schedule or appear for a redetermination interview and provide required verification shall result in the termination of financial or medical assistance for the entire assistance group, except as described in (h) below.
(g) A desk review, as defined in He-W 601, shall be required when a reported or anticipated change does not affect more than one eligibility factor or case circumstance.
(h) Recipients of medical assistance for low income children as described in He-W 641.07 shall continue to receive medical assistance in their current category of medical assistance for 12 months from the application month, with the application month being zero, when the assistance group:
(1) Is also receiving supplemental nutritional or child care assistance and required to participate in more frequent redeterminations pursuant to He-W 684.02(d) ;
(2) Without good cause as defined in He-W 601.76, refuses or fails to attend the personal interview or reapply for assistance in accordance with the requirements of the more frequent redetermination described in (1) above; and
(3) Is not receiving any category of financial assistance.

N.H. Admin. Code § He-W 684.01

(See Revision Note at Chapter Heading He-W 600) #5171, eff 6-26-91; ss by #6531, INTERIM, eff 6-27-97, EXPIRED: 10-25-97; ss by #6614, eff 10-24-97; amd by #6745, (HB 32), eff 5-1-98, EXPIRED: 12-31-98; ss by #6925, eff 1-1-99; amd by #7766, eff 10-1-02; amd by #8783, INTERIM, eff 12-30-06, EXPIRES: 6-28-07; amd by #8903, eff 6-28-07; ss by #9277, eff 10-1-08; ss by #10139, eff 7-1-12

The amended version of this section by New Hampshire Register Number 6, eff. 1/24/2023 is not yet available.