New Hampshire Code of Administrative Rules
He - Department of Health and Human Services
Subtitle He-M - Former Division of Mental Health and Developmental Services
Chapter He-M 500 - DEVELOPMENTAL SERVICES
Part He-M 503 - ELIGIBILITY AND THE PROCESS OF PROVIDING SERVICES
Section He-M 503.04 - Application for Services

(a) Application for services shall be made by:

(b) An application for services shall be made in writing to the area agency in the applicant's region of residence.

(c) An area agency shall explain the eligibility process and offer assistance to the applicant, guardian, or representative in making application for services.

(d) The area agency shall inform the applicant, guardian, or representative of its roles and responsibilities and provide information about:

(e) To aid in the provision of comprehensive, efficient, and coordinated services, the area agency shall undertake a review of the public and private benefits and resources that are available to the applicant and inform the applicant of all such benefits and resources.

(f) To receive services beyond age 3, the eligibility of a child served in family-centered early supports and services shall be determined by the area agency pursuant to He-M 503.03 and He-M 503.05 prior to the date the child turns age 3, without the need of the family reapplying for services. The eligibility determination process shall be initiated by the area agency at least 90 days prior to the child's third birthday.

(g) An area agency shall request each applicant to authorize the release of information to permit the area agency to access relevant current and historical records and information for determination of eligibility pursuant to He-M 503.03 regarding the applicant's:

(h) Authorization to release information shall specify: