1. (a) Pursuant to RSA 153-A:10, VI, an applicant for a unit or provider license may request a waiver of licensure from the commissioner for good cause.
2. (b) Requests for waivers shall be submitted in writing to the commissioner.

3. (c) The waiver request application from the unit or provider applicant shall include:

   1. (1) Full name;
   2. (2) Current mailing address;
   3. (3) Telephone number(s);
   4. (4) The specific rule for which the waiver is requested;
   5. (5) The reason for requesting the waiver;
   6. (6) The hardship that would occur if the waiver was not approved;
   7. (7) A plan of compliance with the rule to be waived and the date of compliance; and
   8. (8) Signature of the applicant.
4. (d) Notwithstanding any rules to the contrary, a plan of compliance pursuant to (c)(7) above shall not be required if the applicant articulates exigent system resource circumstances in which a denial of a waiver may result in the compromise of the health or safety of the patient(s) or community.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19