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 606 - VERIFICATION
Section He-W 606.32 - NHEP Medical Exemption Review Process

Universal Citation: NH Admin Rules He-W 606.32

Current through Register No. 40, October 3, 2024

(a) Required documentation for exemption from NHEP program participation due to medical conditions identified in He-W 606.30(a), (b) and (d) shall be subject to an exemption review process.

(b) The department or an agency, business, or organization designated by the department, herein-after referred to as a designee, shall conduct an exemption review process in order to assess an individual's:

(1) Physical or mental inability to engage in any of the NHEP activities pursuant to He-W 637 for any period of time; or

(2) Inability to engage in any of the NHEP activities pursuant to He-W 637 for any period of time due to being required in the home to care for an ill or incapacitated household member.

(c) The department or its designee shall:

(1) Have staff trained in the reviewing of medical information in order to perform the review process;

(2) Have staff trained in the eligibility requirements of other financial assistance programs including but not limited to:
a. Supplemental security income and social security disability income;

b. APTD;

c. Workers' Compensation;

d. ANB; and

e. Other related financial assistance programs;

(3) Review all supporting documentation provided by the individual and make a determination as to whether the documentation supports an exemption, pursuant to He-W 606.30; and

(4) Determine the individual's capacity for participation in an NHEP activity when an exemption is not granted.

(d) To obtain a temporary exemption from NHEP employment-related activities pursuant to RSA 167:82,II, pregnant women shall provide documentation from a licensed physician, an advanced registered nurse practitioner, a certified nurse midwife or certified medical practitioner which specifies the nature of the problem and the limitations or restrictions it imposes on NHEP participation.

(e) In order to obtain clarification of the documentation provided by the individual, the department or its designee shall contact any treatment providers indicated by the individual.

(f) The department or its designee shall require an interview with the individual requesting the exemption or request additional documentation when the department or its designee determines the documentation is insufficient to support the exemption, pursuant to He-W 606.30.

(g) Failure or refusal by the individual to document the exemption request or attend an interview with the department or its designee making the determination of exemption, without good cause pursuant to He-W 637.07, shall result in the denial of the exemption request.

(h) Individuals exempted from NHEP participation shall provide additional documentation whenever their conditions change or are expected to change as specified by their treatment providers.

(i) Individuals exempted under this section shall provide written releases from their treatment providers in order to participate in NHEP once their exemptions have ended.

(j) Individuals who have been participating in an NHEP activity as specified in (c) (2) above shall provide written releases from their treatment providers in order to change or expand their participation in NHEP.

(k) Failure to provide the written release required pursuant to (i) and (j) above, without good cause pursuant to He-W 637.07, shall result in a sanction pursuant to He-W 637.08.

(See Revision Note at Chapter Heading He-W 600) #5171, eff 6-26-91, EXPIRED: 6-26-97

New. #8176, eff 10-1-04; paragraph (d) amd by #8740, INTERIM, eff 10-13-06, EXPIRED: 4-11-06; paragraph (d) amd by #8869, eff 4-19-07

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