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 520 - CHILDREN'S SPECIAL MEDICAL SERVICES
Section He-M 520.05 - Financial Eligibility Requirements

(a) To be eligible for financial assistance, a recipient shall:

(b) A recipient shall be eligible for financial assistance for health-related services related to the recipient's chronic medical condition if:

(c) The following shall apply to a household's medical liability and spend down amount:

(d) If a household requests payment for services that would otherwise be covered under Medicaid and the household's income would allow it to be eligible for Medicaid, the household shall be encouraged to apply for such Medicaid services within 3 months of requesting financial assistance.

(e) Households that do not apply for Medicaid eligibility for the applicant pursuant to (d) above, shall not be eligible for financial assistance under He-M 520.05 and He-M 520.06.

(f) For purposes of determining financial eligibility, a recipient who meets any of the following criteria shall be considered to be the only individual in the household:

(g) A recipient's adult siblings who are 18 or older and share the recipient's residence shall be excluded as household members when the siblings:

(h) For a child residing with a parent and one or more unrelated adults, the income of the unrelated adult shall be included in the household income if the unrelated adult is a parent of an applicant's sibling.

(i) When a household member reports to SMS and supplies supporting documentation of a change in household net income, SMS shall then reassess financial eligibility.