Section He-W 685.01 - Special Reviews of Eligibility(a) Applicants for or recipients of NHEP/FAP or adult category financial or medical assistance shall cooperate with special reviews of eligibility and provide any requested verification.(b) Special reviews shall be required of applicants or recipients, based upon quality control data or the results of other formal or informal studies, in order to assist the department in the efficient administration of its programs.(c) Special reviews shall consist of personal interviews including home visits, affidavits, or in-person check pick-ups.(d) The department shall not impose any new or changed condition(s) of eligibility during these reviews.(e) Applicants and recipients who are subject to a special review shall be entitled to all rights that are usually provided, including the following: (1) Advance notice of action to deny, terminate, or reduce benefits;(2) The right to appeal; and(3) The right to request continued benefits pending the outcome of a hearing.(f) A client's refusal to cooperate with a quality control review pursuant to (a) through (c) above, shall result in the the assistance group being determined ineligible for the program under review.(g) If the program selected for review in (f) above is Medicaid, the client's refusal to cooperate shall also result in the assistance group's ineligibility for financial assistance.(h) The period of ineligibility described in (f) above shall continue until the earlier of: (1) The client's compliance with the quality control review requirements; or(2) The end of the federal reporting period during which the quality control review was conducted.(i) When the period specified in (h) above has expired, the client shall be required to reapply for assistance.N.H. Admin. Code § He-W 685.01
(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 #6826, eff 8-3-98; amd by #6896, eff 12-1-98; amd by #8452, eff 10-22-05; amd by #8684, eff 7-21-06