Section He-W 806.68 - Adult OAA, APTD, and ANB Employment Expense Disregard(a) Verification of employment expenses shall not be required for use in the cost of care computation for OAA, APTD, or ANB applicants and recipients requesting nursing facility, choices for independence (CFI), home and community-based care for the developmentally disabled (HCBC-DD), home and community-based care for individuals with an acquired brain disorder (HCBC-ABD), and home and community-based care for in-home supports (HCBC-IHS) assistance, if the individual's claimed monthly employment expenses are $18.00 or less.(b) Acceptable verification of the amount of employment expenses for use in the cost of care computation for OAA, APTD or ANB applicants and recipients requesting nursing facility, CFI, HCBC-DD, HCBC-ABD, and HCBC-IHS assistance, shall be: (1) For social security taxes, pay stubs, a letter or other written information from the employer which specifies the amount of social security taxes withheld from earnings;(2) For railroad retirement, pay stubs or a letter from the employer verifying the employment expense;(3) For federal withholding: a. Pay stubs or a letter from the employer verifying the employment expense; orb. For self-employed individuals, IRS tax forms or other documents which indicate the amount of federal withholding taxes being paid;(4) For transportation costs: a. A statement signed by the individual indicating whether reimbursement is received and the amount and source of the reimbursement;b. If child care related transportation costs are claimed, a statement signed by the child care provider attesting to the fact that it is necessary for the individual to provide the child's transportation;c. If the individual's own vehicle is used, a signed statement indicating the number of miles claimed and that such mileage is the shortest necessary to travel to and from work;d. If the individual rides in another person's privately owned vehicle, the documentation in c. above, and a statement signed by the driver which indicates the amount and frequency of the charge for transportation; ore. If the individual uses public transportation, a statement signed by the provider of the transportation which indicates the amount normally charged to the public and whether the charge is for one-way or round-trip;(5) For special clothing, paid receipts for purchased clothing which substantiate that the costs are recurring; and(6) For child care costs: a. If the individual is being reimbursed for child care costs through the department of health and human services (DHHS) child care assistance program, the amount, if any, of the child care fee which the client must pay as shown on the DHHS invoice; orb. If there is no DHHS child care assistance program involvement with child care costs, acceptable documentation shall be: 1. A statement signed by the individual indicating whether reimbursement is received and the amount and source of the reimbursement;2. A written statement signed by the child care provider indicating the amount and frequency of the child care cost; or3. DHHS verbal contact with the child care provider indicating the amount and frequency of the child care cost.(c) If the individual fails or refuses to provide verification of a claimed expense, the amount of the unverified expense shall not be an allowable employment expense.N.H. Admin. Code § He-W 806.68
Derived From Volume XXXVI Number 06, Filed February 11, 2016, Proposed by #11026, Effective 1/23/2016, Expires 1/23/2026.