1. (a) An individual shall be eligible to receive NF services if he or she:

   1. (1) Submits a signed and dated application, as defined in He-W 601.01(p), to the department;
   2. (2) Has been determined financially eligible as either categorically needy or medically needy;

   3. (3) Meets the clinical eligibility requirements for nursing facility care in RSA 151-E:3, I(a), namely, the person requires 24-hour care for one or more of the following purposes, as determined by a skilled professional medical personnel appropriately trained to use an assessment instrument and employed by the department, or a designee acting on behalf of the department:

      1. a. Medical monitoring and nursing care when the skills of a licensed medical professional are needed to provide safe and effective services;
      2. b. Restorative nursing or rehabilitative care with patient-specific goals;
      3. c. Medication administration by oral, topical, intravenous, intramuscular, or subcutaneous injection, or intravenous feeding for treatment of recent or unstable conditions requiring medical or nursing intervention; or
      4. d. Assistance with 2 or more ADLs involving eating, toileting, transferring into or out of a bed or chair, bathing, dressing, and continence; and
   4. (4) Has chosen, or whose representative has chosen, by signing the application in (1) above, NF services.
2. (b) An individual who requires review in accordance with He-M 1302 shall be reviewed in accordance with He-M 1302 prior to an eligibility determination being made pursuant to this rule.

Source. (See Revision Note at part heading for He-E 802) #9888-A, eff 3-19-11, EXPIRED: 3-19-19 New. #12741, INTERIM, eff 3-20-19, EXPIRED: 9-16-19 New. #13130, eff 10-30-20