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 517 - MEDICAID-COVERED HOME AND COMMUNITY-BASED CARE SERVICES FOR PERSONS WITH DEVELOPMENTAL DISABILITIES AND ACQUIRED BRAIN DISORDERS
Section He-M 517.03 - Eligibility
Universal Citation: NH Admin Rules He-M 517.03
Current through Register No. 40, October 3, 2024
(a) Based on availability of funds, home and community-based care shall be available to any individual who:
(1) Is found to be eligible
for services by an area agency pursuant to
He-M
503.05,
He-M
510.05 or
He-M
522.03;
(2) Pursuant to
He-M
517.08(a) , has also been determined
by the bureau to be eligible under
He-M
503.05,
He-M
510.05 or
He-M
522.03;
(3) Is found to be eligible for medicaid by
the department pursuant to He-W 600, as applicable;
(4) Meets institutional level of care
criteria as demonstrated by one of the following:
a. A developmental disability that requires
at least one of the following:
1. Services on
a daily basis for:
(i) Performance of basic
living skills;
(ii) Intellectual,
physical, or psychological development and well-being;
(iii) Medication administration and
instruction in, or supervision of, self-medication by a licensed medical
professional; or
(iv) Medical
monitoring or nursing care by a licensed professional person;
2. Services on a less than daily
basis as part of a planned transition to more independence; or
3. Services on a less than daily basis but
with continued availability of services to prevent circumstances that could
necessitate more intrusive and costly services; or
b. An acquired brain disorder that requires a
skilled nursing facility level of care, which means requiring skilled nursing
or skilled rehabilitative services on a daily basis; and
(5) Agrees to make the appropriate payment
toward the cost of care as specified in He-W 654.
(b) The bureau shall deny services through the home and community-based care waiver if it determines that the provision of services will result in the loss of federal financial participation for such services.
#4315, eff 9-25-87; EXPIRED: 9-25-93
New. #6360, eff 10-23-96, EXPIRED: 10-23-04
New. #8195, INTERIM, eff 10-29-04, EXPIRED: 4-27-05
New. #8424, eff 9-1-05; ss by #9370, eff 1-24-09; ss by #10454, eff 10-31-13
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