New Hampshire Code of Administrative Rules
He - Department of Health and Human Services
Subtitle He-W - Former Division of Human Services
Chapter He-W 600 - FINANCIAL ASSISTANCE AND ELIGIBILITY FOR MEDICAL CARE
Part He-W 602 - PROGRAM COVERAGES AND LIMITATIONS
Section He-W 602.04 - Categorically Needy and Medically Needy Medical Assistance

Universal Citation: NH Admin Rules He-W 602.04

Current through Register No. 40, October 3, 2024

(a) The department shall provide medical assistance for the adult categories under the provisions of 42 USC 1396a.

(b) Categorically needy medical assistance shall be provided to the following coverage groups:

(1) Individuals who would be eligible for, but are not receiving, financial assistance under one of the department's programs, in accordance with 42 CFR 435.210;

(2) Individuals who would be eligible for, but are not receiving, financial assistance under one of the department's programs due to their institutional status, in accordance with 42 CFR 435.211;

(3) A child for whom public agencies are assuming full or partial financial responsibility or who is in a foster home or private institution;

(4) A child whose adoption is being subsidized in full or part by a public agency;

(5) Individuals receiving adult category financial assistance;

(6) Individuals in institutions who are eligible under a special income level, in accordance with 42 CFR 435.236;

(7) Individuals who would be eligible for medical assistance if they were in a medical institution, but are instead receiving HCBC services as defined in He-W 601.04(q);

(8) A child under age 18 with severe disabilities who meets the requirements of He-W 507 and He-W 641.04, in accordance with 42 CFR 435.222;

(9) A child under age 18 with severe disabilities who meets the requirements of He-W 507, He-W 508, and He-W 641.04, in accordance with 42 CFR 435.225; or

(10) An infant under age one who meets the requirements of He-W 641.07, in accordance with 42 U.S.C. 1396a(a)(10)(A)(ii)(XIV) and 42 U.S.C. 1396d(u)(2).

(c) Medically needy medical assistance shall be provided to any individual who meets the general, categorical and technical requirements but not the financial requirements, for categorically needy medical assistance, provided the individual meets the financial requirements for medically needy medical assistance.

(d) Medical assistance shall be provided to individuals age 65 or older who are patients in institutions for mental diseases, in accordance with 42 CFR 441.101.

(See Revision Note at Chapter Heading He-W 600) #5171, eff 6-26-91; ss by #6531, INTERIM, eff 6-27-97, EXPIRED: 10-25-97; ss by #6614, eff 10-24-97; amd by #6745, (HB 32), eff 5-1-98, EXPIRED: 12-31-98; amd by #6925, eff 1-1-99; amd by #8452, eff 10-22-05; amd by #8783, INTERIM, eff 12-30-06, EXPIRES: 6-28-07; amd by #8903, eff 6-28-07

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