N.H. Code Admin. R. He-M 522.06
Determination of Eligibility for Medicaid Home and Community-Based Waiver Services
Effective May 22, 2025#7120, eff 10-20-99; ss by #8974, INTERIM, eff 10-6-07, EXPIRED: 4-3-08 New. #9734, eff 6-25-10; ss by #12683, eff 11-30-18; ss by #14253, eff 5-22-25, EXPIRES: 5-22-35Former Division of Mental Health and Developmental Services
- (a) For those persons found eligible under He-M 522.03(a), and who wish to pursue waiver services within the next 12 months, the bureau shall review the application submitted pursuant to He-M 522.05(n) and make a decision within 15 business days of receipt of the application.
- (b) Within 3 days of the decision, the bureau shall communicate the decision to the area agency and the individual, guardian, or representative in writing.
- (c) If there is not sufficient information to determine the individual’s level of care, a request for additional information shall be sent by the bureau to the submitting entity to allow an additional 10 days to provide information sufficient to determine level of care.
- (d) If information to determine is not provided, the bureau shall deny the level of care application. However, if new information becomes available after such denial, a new application may be submitted.
- (e) If the bureau determines the individual is not eligible for services in He-M 517, the notice shall include the specific legal and factual basis for the determination, including a specific citation to the applicable law or department rule, and the bureau shall advise the individual, guardian, or representative in writing of their right to appeal pursuant to He-M 517.12.
Source. #7120, eff 10-20-99; ss by #8974, INTERIM, eff 10-6-07, EXPIRED: 4-3-08 New. #9734, eff 6-25-10; ss by #12683, eff 11-30-18; ss by #14253, eff 5-22-25, EXPIRES: 5-22-35