N.H. Code Admin. R. He-P 2507.01 – Case Review and Appeal Process

(a) If an applicant or recipient is dissatisfied with a determination, the applicant or recipient may request a case review conference within 30 working days of the date upon which the notice of determination was received. The CIP shall notify the applicant or recipient within 14 days after the reconsideration of the determination.
(b) If the applicant or recipient is aggrieved by the results of the consideration, he or she may request an adjudicative proceeding in accordance with He-C 200.
Source. #8864, eff 4-13-07
APPENDIX
RULE
STATUTE
He-P 2501
RSA 137-G:1
He-P 2502
RSA 137-G:2; RSA 541-A:7
He-P 2503
RSA 137-G:5; RSA 137-G:5-a, I
He-P 2504
RSA 137-G:5, I; RSA 137:G-5-a, I
He-P 2505
RSA 137-G:5-a, III
He-P 2506
RSA 137-G:5, I; RSA 137-G:5-a
He-P 2507
RSA 541-A:16
APPENDIX II
SAMPLE CALCULATIO FOR HE-P 2404.03, FINANCIAL ELIGIBILITY
For example, if a family consists of a husband, wife, and one child, the allowed family income shall be $15,500. If the annual gross income for the entire family is $20,000, the difference of $4,500 shall be multiplied by 80% to determine the amount of medical debt that shall be incurred before the family shall be deemed eligible for financial assistance. Therefore, in this case, $3,600 shall be the amount of medical debt necessary before any CIP funds shall be used to assist.