Current through Register No. 40, October 3, 2024
(a) All services
covered by He-E 501 shall be provided to the extent that funds, staff or
resources for this purpose are available.
(b) The provider shall maintain a wait list
when funding or resources are not available to provide the requested services
for:
(1) Individuals who:
a. Are newly eligible; and
b. Are ready to receive services;
(2) Individuals who:
a. Are receiving services; and
b. Requesting additional services;
or
(3) Individuals who:
a. Relocate outside of the catchment area for
the contact agency providing services; and
b. Are requesting Title XX services from a
provider in the new location in accordance with
He-E
501.19.
(c) Each provider shall include the following
information on its wait list:
(1) The
individual's full name and date of birth;
(2) The name of the Title XX service being
requested;
(3) The date upon which
the individual applied for services which shall be the date the application was
received by the provider or by the department;
(4) The target date of implementing the
services based on the communication between the individual and the department
or provider;
(5) The date upon
which the individual's name was placed on the wait list shall be the date of
the notice of decision in which the individual was determined eligible for
Title XX services;
(6) The
individual's assigned priority on the wait list, determined in accordance with
(d) below;
(7) A brief description
of the individual's circumstances and the services he or she needs;
and
(8) If the individual is
already receiving a Title XX service, the type and amount of the services
received.
(d) The
provider shall prioritize each individual's standing on the list by determining
the individual's urgency of need in the following order:
(1) The individual is at risk of being
admitted to an institutional setting;
(2) The individual is discharged from an
institutional setting;
(3)
Declining mental or physical health of the caregiver;
(4) Declining mental or physical health of
the individual;
(5) The individual
has no respite services while living with a caregiver; and
(6) Length of time on the wait
list.
(e) When 2 or more
individuals on the wait list have been assigned the same service priority, the
individual served first will be the one with the earliest application date.
(f) Individuals with adult
protective needs in accordance with
RSA 161-F:42-57 shall be
exempt from the wait list.
(g) The
individual may reserve the right to remove his or her name from the wait list
at anytime or apply for Title XX services with another provider.
(h) When an individual is placed on the wait
list, the provider shall notify the individual in writing and include the
following information:
(1) A statement that
Title XX services are not covered because funds, staff, or resources are
unavailable;
(2) A brief
description of the provider's wait list process;
(3) The estimated period of time that the
provider expects the individual to remain on the wait list;
(4) A statement that notifies the individual
of the right to remove his or her name from the wait list and to apply for
Title XX services with another provider;
(5) A statement that directs the individual
to the specified toll-free telephone number to NH ServiceLink for more
information on other providers in the individual's catchment area that provide
the Title XX service being requested;
(6) The contact information for the provider;
and
(7) A statement requesting that
the individual notify the agency if his or her service needs change or if the
individual begins to receive the requested Title XX service from another
provider.
(i)
Immediately upon becoming aware of availability to provide a Title XX service,
the provider shall call and send written notice to the individual requesting
Title XX services based on the priority outline in (f) above.
(j) The individual shall respond to the
provider within 10 days of the date on the written notice, indicating whether
or not her or she still wishes to receive the Title XX services.
(k) If the individual does not respond within
10 business days, the provider shall no longer be obligated to guarantee Title
XX services to that individual.
(l)
The individual may reapply to receive Title XX services in accordance with
He-E
501.05.
(m) If an individual is found ineligible due
to a reported change in circumstances as described in
He-E
501.08, the department or the provider shall remove
the individual from the wait list and provide notice to the individual that
includes the following information:
(1) The
individual has been removed from the wait list;
(2) The individual has 30 calendar days from
the date of the notice to request an administrative hearing as described in
He-E
501.12 and in accordance with He-C 200 and
RSA
541-A:29 unless the provisions conflict with
the Title XX federal requirements; and
(3) The contact information for the
department or provider staff member who completed the notice.
#9849-A, eff 1-12-11, (paras (b)-(c));#9849-B, eff
1-12-11, (para (a))
