New Hampshire Code of Administrative Rules
He - Department of Health and Human Services
Subtitle He-W - Former Division of Human Services
Chapter He-W 500 - MEDICAL ASSISTANCE
Part He-W 508 - MEDICAL ASSISTANCE FOR HOME CARE OF CERTAIN CHILDREN WITH SEVERE DISABILITIES
Section He-W 508.03 - Recipient Eligibility
Universal Citation: NH Admin Rules He-W 508.03
Current through Register No. 40, October 3, 2024
(a) In accordance with RSA 167:3-e, III, and RSA 167:3-f, III (a) -(f), recipients shall be eligible for medical assistance for home care of children with severe disabilities (HC-CSD), if the recipient:
(1)
Resides in a place maintained as the recipient's home community;
(2) Is able to receive services in the home
as defined in 45 CFR
233.90(c) (1) (v) (B)
;
(3) Meets the program criteria described in
Section 1902(e) (3) of the Social Security Act;
(4) Meets the criteria described in
He-W
641.04, except that, pursuant to the prohibition in
Section 1614(f) (2) (B) of the Social Security Act, the criteria described in
He-W
641.04(b) -(e) on the deeming of
parental income shall not apply;
(5) Has an impairment, or combination of
impairments, that meets, medically equals, or functionally equals the criteria
for an impairment as described in 20 CFR, Part 404, Subpart P, App.
1;
(6) Meets the medical criteria
pursuant to RSA
167:3-f, III(e); and
(7) Requires the same degree of care that is
typically provided in a hospital, psychiatric hospital, nursing facility, or
intermediate care facility for the mentally retarded (ICF-MR), in accordance
with He-W
508.04.
(b) In addition to (a) above, recipients shall be eligible only if the services proposed for the recipient are:
(1) Medically appropriate in accordance with
He-W
508.05; and
(2) Cost effective in accordance with
He-W
508.06.
(See Revision Note at chapter heading He-W 500); ss by #5941, eff 12-22-94, EXPIRED: 12-22-02
New. #8196, INTERIM, eff 10-29-04, EXIRED 7-1-05
New. #9291, eff 7-1-09 (from He-W 508.02)
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