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 619 - PRESUMPTIVE ELIGIBILITY FOR HOME AND COMMUNITY-BASED CARE FOR_THE ELDERLY AND CHRONICALLY ILL (HCBC-ECI)
Section He-W 619.01 - Definitions

Universal Citation: NH Admin Rules He-W 619.01

Current through Register No. 40, October 3, 2024

As used in this section, the following terms shall have the meanings indicated:

(a) "Expedited disability determination" means any of the following determination processes implemented by the Social Security Administration:

(1) Quick disability determination pursuant to 20 CFR 404.1602;

(2) Terminal illness determination pursuant to the Social Security Administration (SSA) Programs Operations Manual System (POMS) section DI 23020.045; or

(3) Presumptive disability determination pursuant to 20 CFR 416.931 through 416.934.

(b) "Presumptive eligibility (PE) " means a period of medical coverage, excluding home or environmental modification coverage, extended to qualifying individuals pending the final processing of a Title XIX medicaid application.

(c) "Presumptive eligibility period" means, with respect to applicants for HCBC-ECI services, the period that:

(1) Begins on the date the department determines that the applicant likely meets the eligibility criteria; and

(2) Ends on the date a final determination of eligibility is made or the applicant is determined to be ineligible.

(d) "Qualified provider" means an individual or enrolled provider identified at He-W 619.03 and trained to refer an individual for presumptive eligibility based on a standardized assessment process as specified in He-W 619.04.

#5171, eff 6-26-91; EXPIRED: 6-26-99

New. #9155, eff 5-10-08

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