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 606.69 - Impairment Related Work Expenses

(a) When claiming impairment related work expenses (IRWE's) during the substantial gainful activity eligibility process pursuant to RSA 167:6, VI, APTD applicants shall furnish the department of health and human services (DHHS) with documentation of the need for and the unreimbursed cost of one or more of the IRWE's described in 20 CFR 416.976.

(b) Acceptable documentation of the need for IRWE's shall be a signed statement from a physician, psychologist, vocational rehabilitation counselor, or other medical health professional which:

(c) Acceptable documentation of the unreimbursed cost of the expense shall be a paid receipt, canceled check or other documentation that demonstrates that the applicant has paid for the item or service out of his or her own funds, and has not and will not be reimbursed for the expense.

(d) For an applicant wishing to claim mileage expenses for his or her specially equipped vehicle, the applicant shall provide documentation of:

(e) Refusal or failure to provide verification of an IRWE shall result in the expense not being allowed as a deduction from earned income.