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 619.05 - Termination of Presumptive Eligibility Period

Universal Citation: NH Admin Rules He-W 619.05

Current through Register No. 40, October 3, 2024

(a) If the department verifies that the individual is eligible for medicaid, the individual shall be notified in writing and coverage of care shall continue without interruption.

(b) If the department determines that the individual is ineligible for medicaid, or HCBC-ECI, the individual shall receive written notification of the determination. Coverage of care for which the individual is not eligible shall cease immediately upon notification of ineligibility. Coverage of care for which the individual is eligible shall continue without interruption.

(c) If the individual's application for PE or for medicaid is denied and the department finds that the individual filed the application with fraudulent intent, coverage for the individual's care shall cease and the case shall be referred to the department's office of special investigations for recoupment action.

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

New. #9155, eff 5-10-08

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