CHAPTER He-W
600 FINANCIAL ASSISTANCE AND ELIGIBILITY
FOR MEDICAL CARE
REVISION NOTE #1:
Document #5171, effective 6-26-96,
readopted with amendments Chapter He-W 600.
Document #5171 made extensive changes to the wording, format, and
numbering of the former Chapter He-W 600.
Document #5171 superseded all prior
filings for the former Chapter He-W 600. The filings affecting the former Chapter He-W
600 included the following documents:
|
#1771, eff
7-2-81 |
#1802, eff
9-1-81 |
#1803, eff
9-1-81 |
|
#1805, eff 9-1-81 |
#1872, eff
1-4-82 |
#1883, eff
12-7-81 |
|
#1898, eff
12-25-81 |
#1905, eff
1-1-82 |
#1906, eff 1-1-
82 or 1-31-82 |
|
#1937, eff
2-1-82 |
#1940, eff
2-1-82 |
#1963, eff
1-29-82 |
|
#1980, eff
3-22-82 |
#1996, eff
4-8-82 |
#2041, eff
6-3-82 |
|
#2247, eff
12-31-82 |
#2394, eff
6-30-83 |
#2397, eff
6-30-83 |
|
#2435(E), eff
7-1-83 |
#2436(E), eff
7-1-83 |
#2498, eff
10-3-83 |
|
#2516, eff
10-5-83 |
#2517, eff
10-5-83 |
#2533(E), eff
11-2-83 |
|
#2568, eff
12-28-83 |
#2569, eff
12-28-83 |
#2637(E), eff
3-2-84 |
|
#2654, eff
3-23-84 |
#2691, eff
4-24-84 |
#2751, eff
6-14-84 |
|
#2754, eff
6-14-84 |
#2755, eff
6-14-84 |
#2768(E), eff
6-29-84 |
|
#2779, eff
7-24-84 |
#2850, eff
9-21-84 |
#2869(E), eff
10-1-84 |
|
#2870(E), eff
10-1-84 |
#2905, eff
11-14-84 |
#2937(E), eff
12-27-84 |
|
#2966, eff
1-24-85 |
#2967, eff
1-24-85 |
#2968, eff
1-24-85 |
|
#2995, eff
3-27-85 |
#2996, eff
3-27-85 |
#3042, eff
6-26-85 |
|
#3121, eff
9-25-85 |
#3122, eff
9-25-85 |
#3123, eff
9-25-85 |
|
#3153(E), eff
12-20-85 |
#3165, eff
12-26-85 |
#3183, eff
1-22-86 |
|
#4077, eff
6-30-96 |
#4078, eff
6-30-86 |
#4139, eff
9-29-86 |
|
#4140, eff 9-29-86 |
#4141, eff
9-29-86 |
#4142, eff
9-29-86 |
|
#4208, eff
1-19-87 |
#4219, eff
1-26-87 |
#4220, eff
1-26-87 |
|
#4243, eff
3-30-87 |
#4244, eff
3-30-87 |
#4245, eff
3-30-87 |
|
#4258, eff
4-24-87 |
#4331, eff
10-27-91 |
#4332, eff
10-27-87 |
|
#4379, eff
3-4-88 |
#4390, eff
3-24-88 |
#4400, eff
4-21-88 |
|
#4401, eff
4-21-88 |
#4402, eff
4-21-88 |
#4403, eff
4-21-88 |
|
#4404, eff
4-21-88 |
#4423, eff
5-25-88 |
#4448, eff
6-22-88 |
|
#4512, eff
10-26-88 |
#4513, eff
10-26-88 |
#4514, eff
10-26-88 |
|
#4554, eff
12-27-88 |
#4560-A, eff
1-1-89 |
#4571, eff
1-31-89 |
|
#4612, eff
6-17-89 |
#4643, eff
7-3-89 |
#4644, eff
7-3-89 |
|
#4677, eff
10-2-89 |
#4679, eff
10-1-89 |
#4680, eff
10-4-89 |
|
#4681, eff
10-4-89 |
#4709, eff
11-22-89 |
#4710, eff
12-1-89 |
|
#4711, eff
12-1-89 |
#4749, eff
1-26-90 |
#4755, eff
1-30-90 |
|
#4848, eff
6-29-90 |
#4849, eff
6-22-90 |
#4882, eff
7-31-90 |
|
#4909, eff
8-17-90 |
#4943, eff
10-1-90 |
#5030, eff
12-24-90 |
|
#5055, eff
1-25-91 |
#5123, eff
4-25-91 |
|
REVISION NOTE #2:
In response to a request in 2012 by
the Department of Health and Human Services to the Director of the Office of
Legislative Services (OLS), the former definitions in the rule sections in Part
He-W 601 have been editorially re-numbered pursuant to RSA 541-A:15, I as
paragraphs within He-W 601.01 through He-W 601.08 as described in the
cross-reference table below.
The table relates the new rule
paragraphs in He-W 601.01 through He-W 601.08 to the former rule section
numbers, identifying the term defined in each definition as it had been used in
the section heading. The information in
the table for the source notes for the definitions includes the document
numbers and effective dates for the rules under the former section number, so
the reader can examine the dates applicable to the effective rules in the
renumbered He-W 601. The information is
correct as of December 13, 2012, when the re-numbered rules in He-W 601 were
certified by the Commissioner of the Department of Health and Human Services as
the same in substance as originally filed.
The renumbered definitions in He-W
601.01 through He-W 601.08 supersede all prior filings for rules in the former
He-W 601. However, these certified
changes by the Department do not affect the adoption, effective, or
expiration dates of the text of the rules as filed in the former He-W 601.
The following documents contain the
rules in the former He-W 601 in effect as of December 13, 2012:
#8452, eff 10-22-05 #9276, eff 10-1-08
#8596, eff 3-30-06 #9893, eff
6-26-11
#8684, eff 7-21-06 #9980, eff
8-20-11
#8865, eff 4-13-07 #10077, eff
3-1-12
#9123, eff 4-3-08 #10139, eff
7-1-12
#9174, eff 6-7-08 #10163, eff
7-26-12
#9275, eff 9-20-08
|
New Paragraph |
Old Section # |
Definition |
Source Note |
|
601.01 (a) |
601.01 |
Adoptive parent |
Source. (See Revision Note at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #6531, INTERIM, eff 6-27-97, EXPIRES: 10-25-97;
ss by #6614, eff 10-24-97; ss by #8452, eff 10-22-05 |
|
601.01 (b) |
601.02 |
Adult |
|
|
601.01 (c) |
601.03 |
Adult category |
|
|
601.01 (d) |
601.04 |
Advance notice |
Source. (See Revision Note at Chapter Heading He-W 600) #5171, eff 6-26-91; rpld by
#5819, eff 4-29-94 New. #6614, eff 10-24-97; ss by #8452, eff
10-22-05 |
|
601.01 (e) |
601.05 |
Advance notice
period (ANP) |
|
|
601.01 (f) |
601.06 |
Aid and
attendance |
|
|
601.01 (g) |
601.07 |
Aid to families
with dependent children (AFDC) |
Source. (See Revision Note at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #6531, INTERIM, eff 6-27-97, EXPIRES: 10-25-97;
ss by #6614, eff 10-24-97; ss by #8452, eff 10-22-05 |
|
601.01 (h) |
601.08 |
Aid to the needy
blind (ANB) |
|
|
601.01 (i) |
601.09 |
Aid to the
permanently and totally disabled (APTD) |
|
|
601.01 (j) |
601.10 |
Alien |
|
|
601.01 (k) |
601.11 |
Alimony |
|
|
601.01 (l) |
601.12 |
Allowable
deduction |
|
|
601.01 (m) |
601.13 |
Annuity |
|
|
601.01 (n) |
601.15 |
Applicant |
|
|
601.01 (o) |
601.16 |
Applicant Spouse |
|
|
601.01 (p) |
601.17 |
Application |
|
|
601.01 (q) |
601.18 |
Appraisal |
Source. (See Revision Note at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #5528, eff 12-14-92; ss by #6531, INTERIM, eff
6-27-97, EXPIRES: 10-25-97; ss by #6614, eff 10-24-97; ss by #8452, eff
10-22-05 |
|
601.01 (r) |
601.19 |
Assets |
Source. (See Revision Note at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #6111, eff 11-1-95; ss by #6531, INTERIM, eff
6-27-97, EXPIRES: 10-25-97; ss by #661, eff 10-24-97; ss by #8452, eff
10-22-05 |
|
601.01 (s) |
601.20 |
Assignment of
rights to child support |
Source. (See Revision Note at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #6531, INTERIM, eff 6-27-97, EXPIRES: 10-25-97;
ss by #6614, eff 10-24-97; ss by #8452, eff 10-22-05 |
|
601.01 (t) |
601.21 |
Assistance
payment |
Source. (See Revision Note at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #6531, INTERIM, eff 6-27-97, EXPIRES: 10-25-97;
ss by #6614, eff 10-24-97; ss by #6825, eff 8-3-98; ss by #8684, eff 7-21-06 |
|
601.01 (u) |
601.22 |
Assistance group |
Source. (See Revision Note at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #6531, INTERIM, eff 6-27-97, EXPIRES: 10-25-97;
ss by #6614, eff 10-24-97; ss by #8050, eff 3-1-04; ss by #10077, eff 3-1-12 |
|
601.01 (v) |
601.23 |
Asylee |
Source. (See Revision Note at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #6531, INTERIM, eff 6-27-97, EXPIRES: 10-25-97;
ss by #6614, eff 10-24-97; ss by #8452, eff 10-22-05 |
|
601.01 (w) |
601.24 |
Authorized
representative |
Source. (See Revision Note at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #5528, eff 12-14-92; ss by #6241, eff 5-4-96;
ss by #6614, eff 10-24-97; ss by #8452, eff 10-22-05 |
|
601.01 (x) |
601.25 |
Available income |
Source. (See Revision Note at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #6531, INTERIM, eff 6-27-97, EXPIRES: 10-25-97;
ss by #6614, eff 10-24-97; ss by #8452, eff 10-22-05 |
|
601.02 (a) |
601.26 |
Basic
maintenance needs allowance (BMNA) |
|
|
601.02 (b) |
601.27 |
Basic
maintenance payment allowance (BMPA) |
|
|
601.02 (c) |
601.28 |
Beneficiary |
Source. (See Revision Note at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #6111, eff 11-1-95; ss by #6531, INTERIM, eff
6-27-97, EXPIRES: 10-25-97; ss by #6614, eff 10-24-97; ss by #8452, eff
10-22-05 |
|
601.02 (d) |
601.30 |
Boarding
arrangement |
Source. (See Revision Note at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #6531, INTERIM, eff 6-27-97, EXPIRES: 10-25-97;
ss by #6614, eff 10-24-97; ss by #8452, eff 10-22-05 |
|
601.02 (e) |
601.31 |
Budgetary unit |
|
|
601.02 (f) |
601.32 |
Burial plot |
Source. (See Revision Note at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #5901, eff 10-1-94; ss by #6614, eff 10-24-97;
ss by #8452, eff 10-22-05 |
|
601.02 (g) |
601.33 |
Cap |
Source. (See Revision Note at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #6531, INTERIM, eff 6-27-97, EXPIRES: 10-25-97;
ss by #6614, eff 10-24-97; ss by #8452, eff 10-22-05 |
|
601.02 (h) |
601.34 |
Caretaker
relative |
Source. (See Revision Note at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #5769, eff 1-3-94; ss by #6614, eff 10-24-97;
ss by #8452, eff 10-22-05 |
|
601.02 (i) |
601.35 |
Case |
Source. (See Revision Note at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #6531, INTERIM, eff 6-27-97, EXPIRES: 10-25-97;
ss by #6614, eff 10-24-97; ss by #8452, eff 10-22-05 |
|
601.02 (j) |
601.36 |
Casehead |
|
|
601.02 (k) |
601.37 |
Case income |
Source. (See Revision Note at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #5530, eff 12-16-92; ss by #6614, eff
10-24-97; ss by #8452, eff 10-22-05 |
|
601.02 (l) |
601.381 |
Cash account |
Source. (See Revision Note at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #6825, eff 8-3-98; ss by #8684, eff 7-21-06 |
|
601.02 (m) |
601.40 |
Category of
assistance |
Source. (See Revision Note at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #6531, INTERIM, eff 6-27-97, EXPIRES: 10-25-97;
ss by #6614, eff 10-24-97; ss by #8452, eff 10-22-05 |
|
601.02 (n) |
601.41 |
Certified |
|
|
601.02 (o) |
601.42 |
Child |
|
|
601.02 (p) |
601.43 |
Citizen |
|
|
601.02 (q) |
601.44 |
Client |
Source. (See Revision Note at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #5992, eff 2-25-95; ss by #6614, eff 10-24-97;
ss by #8452, eff 10-22-05 |
|
601.02 (r) |
601.45 |
Community
residence |
Source. (See Revision Note at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #6531, INTERIM, eff 6-27-97, EXPIRES: 10-25-97;
ss by #6614, eff 10-24-97; ss by #8452, eff 10-22-05 |
|
601.02 (s) |
601.46 |
Continuing care
retirement communities (CCRC) |
Source. (See Revision Note at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #6531, INTERIM, eff 6-27-97, EXPIRES: 10-25-97;
ss by #6614, eff 10-24-97, EXPIRED: 10-24-05 New. #8865, eff 4-13-07 |
|
601.02 (t) |
601.47 |
Corrective
payment |
Source. (See Revision Note at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #6531, INTERIM, eff 6-27-97, EXPIRES: 10-25-97;
ss by #6614, eff 10-24-97; ss by #8452, eff 10-22-05 |
|
601.02 (u) |
601.48 |
Countable income |
|
|
601.02 (v) |
601.49 |
Countable
resources |
|
|
601.03 (a) |
601.50 |
Date of
application |
|
|
601.03 (b) |
601.51 |
Deemed income |
|
|
601.03 (c) |
601.52 |
Deemed resources |
|
|
601.03 (d) |
601.53 |
Deep subsidy |
|
|
601.03 (e) |
601.55 |
Dependent child |
Source. (See Revision Note at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #6531, INTERIM, eff 6-27-97, EXPIRES: 10-25-97;
ss by #6614, eff 10-24-97; ss by #6672, eff 1-26-98; ss by #8452, eff
10-22-05; ss by #9123, eff 4-3-08; ss
by #9275, eff 9-20-08 |
|
601.03 (f) |
601.56 |
Deprivation |
Source. (See Revision Note at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #6531, INTERIM, eff 6-27-97, EXPIRES: 10-25-97;
ss by #6614, eff 10-24-97; ss by #8452, eff 10-22-05 |
|
601.03 (g) |
601.57 |
Desk review |
|
|
601.03 (h) |
601.58 |
Disregard |
|
|
601.03 (i) |
601.59 |
District office |
|
|
601.03 (j) |
601.60 |
Documentary
evidence |
|
|
601.03 (k) |
601.61 |
Earned income |
|
|
601.03 (l) |
601.62 |
Earned income
disregard |
|
|
601.03 (m) |
601.621 |
Electronic
benefit transfer (EBT) |
Source. (See Revision Note at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #6825, eff 8-3-98; ss by #8684, eff 7-21-06 |
|
601.03 (n) |
601.622 |
Electronic funds
transfer (EFT) |
|
|
601.03 (o) |
601.63 |
Employment
expense disregard |
Source. (See Revision Note at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #6531, INTERIM, eff 6-27-97, EXPIRES: 10-25-97;
ss by #6614, eff 10-24-97; ss by #8452, eff 10-22-05 |
|
601.03 (p) |
601.64 |
Employment-related
disregards |
|
|
601.03 (q) |
601.65 |
Employment
requirements |
|
|
601.03 (r) |
601.66 |
Encumbrance |
Source. (See Revision Note at Chapter Heading He-W 600) #5171, eff 6-26-91; rpld by
#5528, eff 12-14-92 New. #6614, eff 10-24-97; ss by #8452, eff
10-22-05 |
|
601.03 (s) |
601.67 |
Equity value |
Source. (See Revision Note at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #6531, INTERIM, eff 6-27-97, EXPIRES: 10-25-97;
ss by #6614, eff 10-24-97; ss by #8452, eff 10-22-05 |
|
601.03 (t) |
601.68 |
Excluded income |
Source. (See Revision Note at Chapter
Heading He-W 600) #5171, eff 6-26-91; ss by #5819, eff 4-29-94; ss by #6614,
eff 10-24-97; ss by #8452, eff 10-22-05 |
|
601.03 (u) |
601.69 |
Excluded
resources |
Source. (See Revision Note at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #6531, INTERIM, eff 6-27-97, EXPIRES: 10-25-97;
ss by #6614, eff 10-24-97; ss by #8452, eff 10-22-05 |
|
601.04 (a) |
601.70 |
Face value |
|
|
601.04 (b) |
601.71 |
Fair market
value |
Source. (See Revision Note at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #6111, eff 11-1-95; ss by #6531, INTERIM,
eff 6-27-97, EXPIRES: 10-25-97; ss by #6614, eff 10-24-97; ss by #6740, eff
4-25-98; ss by #7295, eff 6-1-00,
EXPIRED: 6-1-08 New. #9174, eff 6-7-08 |
|
601.04 (c) |
601.72 |
Family |
Source. (See Revision Note at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #6531, INTERIM, eff 6-27-97, EXPIRES: 10-25-97;
ss by #6614, eff 10-24-97; ss by #8452, eff 10-22-05 |
|
601.04 (d) |
601.73 |
Family
assistance program (FAP) |
|
|
601.04 (e) |
601.731 |
Families with
older children |
Source. #9123, eff 4-3-08 |
|
601.04 (f) |
601.74 |
Family member |
Source. (See Revision Note at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #6531, INTERIM, eff 6-27-97, EXPIRES: 10-25-97;
ss by #6614, eff 10-24-97; ss by #8452, eff 10-22-05 |
|
601.04 (g) |
601.741 |
Financial
assistance to needy families |
Source. #9123, eff 4-3-08; ss by #9275, eff
9-20-08; ss by #10163, eff 7-26-12 |
|
601.04 (h) |
601.75 |
4
month
extended MA |
Source. (See Revision Note at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #6531, INTERIM, eff 6-27-97, EXPIRES: 10-25-97;
ss by #6614, eff 10-24-97; ss by #8452, eff 10-22-05 |
|
601.04 (i) |
601.76 |
Good cause |
|
|
601.04 (j) |
601.78 |
Good faith
effort to sell real property |
|
|
601.04 (k) |
601.79 |
Grant |
|
|
601.04 (l) |
601.80 |
Grantor |
Source. (See Revision Note at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #6111, eff 11-1-95; ss by #6531, INTERIM, eff
6-27-97, EXPIRES: 10-25-97; ss by #6614, eff 10-24-97; ss by #8452, eff
10-22-05 |
|
601.04 (m) |
601.81 |
Gross earned
income for an individual employed by another |
Source. (See Revision Note at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #6531, INTERIM, eff 6-27-97, EXPIRES: 10-25-97;
ss by #6614, eff 10-24-97; ss by #8452, eff 10-22-05 |
|
601.04 (n) |
601.82 |
Gross earned
income for self-employed individuals |
|
|
601.04 (o) |
601.83 |
Gross income |
|
|
601.04 (p) |
601.84 |
Home |
Source. (See Revision Note at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #6531, INTERIM, eff 6-27-97, EXPIRES: 10-25-97;
ss by #6614, eff 10-24-97; ss by #8452, eff 10-22-05 |
|
601.04 (q) |
601.85 |
Home and
community-based care (HCBC) |
|
|
601.04 (r) |
601.86 |
HUD 236 housing |
|
|
601.05 (a) |
601.87 |
Immigrant |
|
|
601.05 (b) |
601.88 |
In and out
medical assistance |
|
|
601.05 (c) |
601.89 |
Income |
|
|
601.05 (d) |
601.90 |
Independent
living arrangement |
|
|
601.05 (e) |
601.91 |
Inmate |
|
|
601.05 (f) |
601.92 |
Institutionalized
individual |
Source. (See Revision Note at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #5447, eff 10-1-92; rpld
by #5901, eff 10-1-94 New. #6111, eff 11-1-95; ss by #6614, eff
10-24-97; ss by #8452, eff 10-22-05 |
|
601.05 (g) |
601.93 |
Insured |
Source. (See Revision Note at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #6614, eff 10-24-97; ss by #8452, eff 10-22-05 |
|
601.05 (h) |
601.94 |
Investigation |
|
|
601.05 (i) |
601.941 |
Interim disabled
parent |
Source. #9123, eff 4-3-08 |
|
601.05 (j) |
601.95 |
Irrevocable
trust |
Source. (See Revision Note at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #6111, eff 11-1-95; ss by #6614, eff 10-24-97;
ss by #8452, eff 10-22-05 |
|
601.05 (k) |
601.96 |
Leading to a
certificate, degree or diploma |
Source. (See Revision Note at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #6531, INTERIM, eff 6-27-97, EXPIRES: 10-25-97;
ss by #6614, eff 10-24-97; ss by #8452, eff 10-22-05 |
|
601.05 (l) |
601.97 |
Level of
eligibility |
|
|
601.05 (m) |
601.98 |
Liable relative |
|
|
601.05 (n) |
601.99 |
Licensed |
|
|
601.05 (o) |
601.101 |
Life owner |
|
|
601.05 (p) |
601.102 |
Medicaid |
Source. (See Revision Note at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #6531, INTERIM, eff 6-27-97, EXPIRES: 10-25-97;
ss by #6614, eff 10-24-97; ss by #8452, eff 10-22-05; ss by #8865, eff
4-13-07; ss by #10139, eff 7-1-12 |
|
601.05 (q) |
601.1021 |
Medical coverage
for pregnant women |
Source. #7004, eff 5-26-99, EXPIRED: 5-26-07 New. #9980, eff 8-20-11 |
|
601.05 (r) |
601.103 |
Minor casehead |
Source. (See Revision Note at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #6531, INTERIM, eff 6-27-97, EXPIRES: 10-25-97;
ss by #6614, eff 10-24-97; ss by #8452, eff 10-22-05 |
|
601.05 (s) |
601.105 |
Natural parent |
|
|
601.05 (t) |
601.106 |
Needy essential
person |
|
|
601.05 (u) |
601.108 |
Net earned
income |
Source. (See Revision Note at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #5819, eff 4-29-94; ss by #5895, eff 9-15-94;
ss by #6614, eff 10-24-97; ss by #8452, eff 10-22-05 |
|
601.05 (v) |
601.109 |
Net income |
Source. (See Revision Note at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #5895, eff 9-15-94; ss by #6614, eff 10-24-97;
ss by #8452, eff 10-22-05 |
|
601.05 (w) |
601.110 |
New Hampshire
employment program |
Source. (See Revision Note at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #6531, INTERIM, eff 6-27-97, EXPIRES: 10-25-97;
ss by #6614, eff 10-24-97; ss by #8452, eff 10-22-05 |
|
601.05 (x) |
601.1101 |
Nonapplicant
spouse |
Source. #7342, eff 10-1-00; ss by #9276, eff
10-1-08 |
|
601.05 (y) |
601.111 |
Notice of
decision |
Source. (See Revision Note at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #6531, INTERIM, eff 6-27-97, EXPIRES: 10-25-97;
ss by #6614, eff 10-24-97; ss by #8452, eff 10-22-05 |
|
601.05 (z) |
601.112 |
Nursing facility
|
|
|
601.06 (a) |
601.116 |
Overpayment |
|
|
601.06 (b) |
601.117 |
Parent |
|
|
601.06 (c) |
601.118 |
Parental support
or care |
|
|
601.06 (d) |
601.119 |
Patient |
|
|
601.06 (e) |
601.1191 |
Payment from a
trust |
Source. (See Revision Note at Chapter Heading He-W
600) rsvd by #5171, eff 6-26-91; ss by #6740, eff
4-25-98; ss by #8596, eff 3-30-06 |
|
601.06 (f) |
601.120 |
Payment period |
Source. (See Revision Note at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #6531, INTERIM, eff 6-27-97, EXPIRES: 10-25-97;
ss by #6614, eff 10-24-97; ss by #6825, eff 8-3-98; ss by #8684, eff 7-21-06 |
|
601.06 (g) |
601.121 |
Payment standard
|
Source. (See Revision Note at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #5530, eff 12-16-92; ss by #6531, INTERIM, eff
6-27-97, EXPIRES: 10-25-97; ss by #6614, eff 10-24-97; ss by #7342, eff
10-1-00; ss by #9276, eff 10-1-08 |
|
601.06 (h) |
601.1212 |
Penalty period |
Source. (See Revision Note at Chapter Heading He-W
600) rsvd by #5171, eff 6-26-91; ss by #6740, eff
4-25-98; ss by #8596, eff 3-30-06 |
|
601.06 (i) |
601.122 |
Period of
ineligibility |
Source. (See Revision Note at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #6531, INTERIM, eff 6-27-97, EXPIRES: 10-25-97;
ss by #6614, eff 10-24-97; ss by #8452, eff 10-22-05 |
|
601.06 (j) |
601.123 |
Permanently and
totally disabled |
|
|
601.06 (k) |
601.1231 |
Personal
identification number |
Source. (See Revision Note at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #6825, eff 8-3-98; ss by #8684, eff 7-21-06 |
|
601.06 (l) |
601.124 |
Personal
interview |
Source. (See Revision Note at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #5528, eff 12-14-92; ss by #6614, eff
10-24-97; ss by #8452, eff 10-22-05 |
|
601.06 (m) |
601.125 |
Personal
property |
Source. (See Revision Note at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #6531, INTERIM, eff 6-27-97, EXPIRES: 10-25-97;
ss by #6614, eff 10-24-97; ss by #8452, eff 10-22-05 |
|
601.06 (n) |
601.126 |
Personal
property resources |
|
|
601.06 (o) |
601.127 |
Plan for
achieving self support (PASS) |
Source. (See Revision Note at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #5248, eff 10-16-91; ss by #6531, INTERIM, eff
6-27-97, EXPIRES: 10-25-97; ss by #6614, eff 10-24-97; ss by #8452, eff
10-22-05 |
|
601.06 (p) |
601.130 |
Principal wage
earner |
Source. (See Revision Note at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #6531, INTERIM, eff 6-27-97, EXPIRES: 10-25-97;
ss by #6614, eff 10-24-97; ss by #8452, eff 10-22-05; ss by #10163, eff
7-26-12 |
|
601.06 (q) |
601.131 |
Private
institution |
Source. (See Revision Note at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #6531, INTERIM, eff 6-27-97, EXPIRES: 10-25-97;
ss by #6614, eff 10-24-97; ss by #8452, eff 10-22-05 |
|
601.06 (r) |
601.132 |
Privately owned
home |
|
|
601.06 (s) |
601.133 |
Protected income
level (PIL) |
|
|
601.06 (t) |
601.134 |
Protective payee |
Source. (See Revision Note at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #6531, INTERIM, eff 6-27-97, EXPIRES: 10-25-97;
ss by #6614, eff 10-24-97; ss by #6825, eff 8-3-98; ss by #8684, eff 7-21-06 |
|
601.06 (u) |
601.135 |
Protective payments |
Source. (See Revision Note at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #6531, INTERIM, eff 6-27-97, EXPIRES: 10-25-97;
ss by #6614, eff 10-24-97; ss by #8452, eff 10-22-05 |
|
601.06 (v) |
601.137 |
Public
institution |
Source. (See Revision Note at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #6531, INTERIM, eff 6-27-97, EXPIRES: 10-25-97;
ss by #6614, eff 10-24-97; ss by #8452, eff 10-22-05 |
|
601.06 (w) |
601.138 |
Questionable |
|
|
601.07 (a) |
601.139 |
Real property
resources |
|
|
601.07 (b) |
601.140 |
Recipient |
|
|
601.07 (c) |
601.141 |
Recoupment |
Source. (See Revision Note at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #5528, eff 12-14-92; ss by #6614, eff
10-24-97; ss by #8452, eff 10-22-05 |
|
601.07 (d) |
601.144 |
Rental housing |
Source. (See Revision Note at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #6531, INTERIM, eff 6-27-97, EXPIRES: 10-25-97;
ss by #6614, eff 10-24-97; ss by #8452, eff 10-22-05 |
|
601.07 (e) |
601.145 |
Resident |
|
|
601.07 (f) |
601.146 |
Resources |
|
|
601.07 (g) |
601.147 |
Responsible
parent |
|
|
601.07 (h) |
601.148 |
Retroactive
month |
Source. (See Revision Note at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #6195, eff 2-24-96; ss by #6531, INTERIM, eff
6-27-97, EXPIRES: 10-25-97; ss by #6614, eff 10-24-97; ss by #8452, eff
10-22-05 |
|
601.07 (i) |
601.149 |
Retroactive
trust |
Source. (See Revision Note at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #6111, eff 11-1-95; ss by #6531, INTERIM, eff
6-27-97, EXPIRES: 10-25-97; ss by #6614, eff 10-24-97; ss by #8452, eff
10-22-05 |
|
601.07 (j) |
601.150 |
Rooming
arrangement |
Source. (See Revision Note at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #6531, INTERIM, eff 6-27-97, EXPIRES: 10-25-97;
ss by #6614, eff 10-24-97; ss by #8452, eff 10-22-05 |
|
601.07 (k) |
601.151 |
Sanction |
Source. (See Revision Note at Chapter Heading He-W 600) #5171, eff 6-26-91; rpld by
#5819, eff 4-29-94 New. #6614, eff 10-24-97; ss by #8452, eff
10-22-05 |
|
601.07 (l) |
601.152 |
Separate medical
assistance case |
Source. (See Revision Note at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #6531, INTERIM, eff 6-27-97, EXPIRES: 10-25-97;
ss by #6614, eff 10-24-97; ss by #8452, eff 10-22-05 |
|
601.07 (m) |
601.1521 |
Similar legal
device |
Source. (See Revision Note at Chapter Heading He-W
600) rsvd by #5171, eff 6-26-91; ss by #6740, eff
4-25-98; ss by #8596, eff 3-30-06; ss by #8865, eff 4-13-07 |
|
601.07 (n) |
601.156 |
Specified
relative |
Source. (See Revision Note at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #6007, eff 3-24-95; ss by #6531, INTERIM, eff
6-27-97, EXPIRES: 10-25-97; ss by #6614, eff 10-24-97; ss by #8452, eff
10-22-05 |
|
601.07 (o) |
601.158 |
Standard
disregard |
Source. (See Revision Note at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #6531, INTERIM, eff 6-27-97, EXPIRES: 10-25-97;
ss by #6614, eff 10-24-97; ss by #8452, eff 10-22-05 |
|
601.07 (p) |
601.159 |
Standard of need
|
Source. (See Revision Note at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #5530, eff 12-16-92; ss by #6531, INTERIM, eff
6-27-97, EXPIRES: 10-25-97; ss by #6614, eff 10-24-97; ss by #8452, eff
10-22-05 |
|
601.07 (q) |
601.160 |
Standard of need
-NHEP/FAP |
Source. (See Revision Note at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #6531, INTERIM, eff 6-27-97, EXPIRES: 10-25-97;
ss by #6614, eff 10-24-97; ss by #6614, eff 10-24-97; ss by #8452, eff
10-22-05 |
|
601.07 (r) |
601.161 |
Stepparent |
Source. (See Revision Note at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #6531, INTERIM, eff 6-27-97, EXPIRES: 10-25-97;
ss by #6614, eff 10-24-97; ss by #8452, eff 10-22-05 |
|
601.07 (s) |
601.162 |
Strike |
Source. (See Revision Note at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #5530, eff 12-16-92; ss by #6614, eff
10-24-97; ss by #8452, eff 10-22-05 |
|
601.07 (t) |
601.163 |
Student |
Source. (See Revision Note at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #6531, INTERIM, eff 6-27-97, EXPIRES: 10-25-97;
ss by #6614, eff 10-24-97; ss by #8452, eff 10-22-05 |
|
601.07 (u) |
601.164 |
Student loans |
|
|
601.07 (v) |
601.165 |
Sworn statement |
|
|
601.08 (a) |
601.166 |
Technical and
vocational training |
|
|
601.08 (b) |
601.167 |
Temporary
absence |
|
|
601.08 (c) |
601.168 |
Temporary
adjustment period |
Source. (See Revision Note at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #6531, INTERIM, eff 6-27-97, EXPIRES: 10-25-97;
ss by #6614, eff 10-24-97; amd by #7911, eff 7-1-03;
ss by #9893, eff 6-26-11 |
|
601.08 (d) |
601.169 |
Termination |
Source. (See Revision Note at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #6531, INTERIM, eff 6-27-97, EXPIRES: 10-25-97;
ss by #6614, eff 10-24-97; amd by #7911, eff
7-1-03; ss by #8452, eff 10-22-05 |
|
601.08 (e) |
601.170 |
Title IV-D
requirements (IV-D) |
Source. (See Revision Note at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #6531, INTERIM, eff 6-27-97, EXPIRES: 10-25-97;
ss by #6614, eff 10-24-97;
ss by #8452, eff 10-22-05 |
|
601.08 (f) |
601.171 |
Title XX funds |
|
|
601.08 (g) |
601.172 |
Trust |
Source. (See Revision Note at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #6111, eff 11-1-95; ss by #6531, INTERIM, eff
6-27-97, EXPIRES: 10-25-97; ss by #6614, eff 10-24-97; ss by #8452, eff
10-22-05 |
|
601.08 (h) |
601.173 |
Trustee |
|
|
601.08 (i) |
601.174 |
Uncompensated
value |
|
|
601.08 (j) |
601.175 |
Underpayment |
Source. (See Revision Note at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #6531, INTERIM, eff 6-27-97, EXPIRES: 10-25-97;
ss by #6614, eff 10-24-97; ss by #8452, eff 10-22-05 |
|
601.08 (k) |
601.176 |
Unearned income |
|
|
601.08 (l) |
601.1761 |
Unemployed
parent (UP) |
Source. #9123, eff 4-3-08; ss by #10163, eff
7-26-12 |
|
601.08 (m) |
601.177 |
Vendor payee |
Source. (See Revision Note at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #6531, INTERIM, eff 6-27-97, EXPIRES: 10-25-97;
ss by #6614, eff 10-24-97; ss by #8452, eff 10-22-05 |
PART He-W 601 DEFINITIONS
He-W 601.01 Definitions
A.
(a) “Adoptive parent”
means, for the purposes of deprivation of support or care, an individual who
has legally adopted a child and has therefore assumed the same parental rights
and responsibilities for such child as a biological parent.
(b) “Adult” means any
individual age 18 or older, except as modified by various program policies.
(c) “Adult category” means
the financial assistance program under old age assistance (OAA), aid to the
needy blind (ANB), and aid to the permanently and totally disabled (APTD).
(d) “Advance notice” means
a written decision which is generated by the department and provided to a casehead prior to a negative change in benefits.
(e) “Advance notice period
(ANP)” means the period of time from the date a notice
of decision denying, decreasing, or terminating benefits is generated to a casehead to the date the change takes effect.
(f) “Aid and attendance” means a veterans affairs allowance.
(g) “Aid to the needy blind
(ANB)” means the financial assistance program as described in RSA 167:6, IV.
(h) “Aid to the permanently
and totally disabled (APTD)” means the financial assistance program as
described in RSA 167:6, VI.
(i) “Alien”
means an individual who is not a citizen of the United States (U.S.).
(j) “Alimony” means
payments for maintenance and care made to and on behalf of a former or
estranged spouse.
(k) “Allowable deduction”
means an amount subtracted from case income which represents an expense that is
or was paid by an assistance group (AG) member or other person whose income is
counted in the determination of eligibility.
(l) “Annuity” means any
monetary source of fixed or periodic payments, either for life or for a term of
years.
(m) “Applicant” means a
person on whose behalf an application for assistance is being made for any of
the New Hampshire (NH) department of health and human services (department)
programs.
(n) “Applicant spouse”
means the spouse of an OAA, ANB, or APTD individual who lives with the OAA,
ANB, or APTD individual in an independent living arrangement and is also
applying for or receiving OAA, ANB, or APTD financial assistance.
(o) “Application” means a
formal request for assistance or services pursuant to RSA 167:8, which is
signed and dated by an individual or authorized representative (AR).
(p) “Assets” means all
income and resources of a financial applicant or recipient and the applicant’s
or recipient’s spouse.
(q) “Assignment of rights
to child support” means a process whereby the right to receive and collect an
individual's financial child support is transferred to the department for the
purpose of reimbursing payments made on behalf of children who receive
financial assistance to needy families (FANF).
(r) “Assistance payment”
means the negotiable bank warrant issued to recipients of financial assistance.
(s) “Assistance group (AG)”
means the individuals living together, whose needs, income, and resources are
considered and combined together when determining
eligibility or the amount of benefits for financial
assistance.
(t) “Asylee” means an alien
that has been granted political asylum by the U.S. Attorney General.
(u) “Authorized
representative (AR)” means an individual acting on behalf of the casehead in some or all of the aspects
of initial and continuing eligibility.
(v) “Available income”
means all income which is regular and recurring and income which is treated as
available for use regardless of actual receipt.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter Heading He-W 600); ss by #10399, eff 10-21-13; ss by #13836, eff
12-28-23
He-W 601.02 Definitions
B–C.
(a) “Basic maintenance
needs allowance (BMNA)” means, for FANF financial assistance, the dollar amount
that is included in the standard of need for monthly basic needs, excluding
shelter costs.
(b) “Beneficiary” means any
individual or individuals, designated in a trust instrument as benefiting in
some way from the trust.
(c) “Boarding arrangement”
for the FANF program means that the AG makes, at a minimum, one fixed payment
for lodging and meals or makes one payment for lodging and another for meals,
regardless of whether the AG lives in a relative's home or another person's
home.
(d) “Burial plot” means a
conventional gravesite, crypt, mausoleum, urn, or other repository which is
customarily and traditionally used for the remains of a deceased person.
(e) “Caretaker relative”
means an individual who is not the parent, but is the
specified relative of the children in an AG.
(f) “Case” means the group
of programs associated with a particular casehead,
including financial assistance, medical assistance, child
care, or the supplemental nutrition assistance program (SNAP), or any
combination of the above.
(g) “Casehead”
means the individual under whose name the case is listed.
(h) “Case income” means the
combined countable income of all AG members.
(i) “Category
of assistance” means the types of financial assistance offered by the
department, such as FANF, OAA, ANB, or APTD.
(j) “Child” means a
biological, adoptive, or step-dependent.
(k) “Citizen” means an
individual born in the U.S. or born overseas to a parent born in the U.S.,
or an individual who becomes a citizen through the naturalization process.
(l) “Community
residence” means a:
(1) Residential facility which:
a. Provides
housing on a 24-hour basis to individuals with a mental illness or
developmental impairment; and
b. Receives
funds or applies to
receive funds from the department, community mental health programs, or area
agencies; or
(2) Residential
facility which houses individuals with a mental illness or developmental impairment who receive or might be eligible to
receive the monthly allowance for shared homes and community living home
residents, established pursuant to RSA 126-A:19.
(m) “Corrective payment”
means the payment of money to a recipient who received less than the recipient
was entitled to receive as determined by the department, including
determinations by the department's administrative appeals officer.
(n) “Countable income”
means available income less excluded income and adjustments for determining the
gross amount.
(o) “Countable resources”
means real or personal property which is considered in determining eligibility.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter Heading He-W 600); ss by #10399, eff 10-21-13; ss by #13836, eff
12-28-23
He-W 601.03 Definitions
D–E.
(a) “Date of application”
means the date on which a signed application for assistance is received by the
department.
(b) “Deemed income” means
income which is considered available for use regardless of actual receipt.
(c) “Deemed resources”
means that real and personal property which is considered to
be available to an AG whether or not the
property is owned by a member of the AG.
(d) “Deep subsidy” means
any federally assisted housing, rental subsidy program in which the tenant pays
only a certain percentage of household income, or, for FANF recipients, pays an
amount equal to the maximum FANF shelter allowance towards the fair market rent
of the housing unit.
(e)
“Department” means the NH department of health and human services
(DHHS).
(f) “Dependent
child” means “dependent child” as defined in RSA 167:78, VI, namely “a child under
the age of 18, or under the age of 20 if a full-time student in a secondary
school or the equivalent, living in the home of a specified relative.”
(g) “Deprivation” means the
interruption or termination of one or both parent's function as a provider of
maintenance, physical care, and guidance for the child due to death, continued
absence, or physical or mental incapacity.
(h) “Desk review” means
verification of a reported or discovered change in an eligibility factor or
case circumstance and the resultant adjustments to case eligibility or
benefits, if any.
(i) “Disregard”
means an amount subtracted from an individual or total combined AG income and
is not counted in the determination of eligibility or the amount of assistance.
(j) “Documentary evidence”
means written supportive information which authenticates and confirms that
certain conditions or circumstances upon which good cause is predicated do, in
fact, exist.
(k) “Earned income” means a
monetary source or in-kind benefit received as payment for work performed
either as an employee, through the receipt of wages, salaries, tips, or
commissions, or as a self-employed individual.
(l) “Earned income
disregard (EID)” means an amount which is computed and subtracted from earned
income.
(m)
“Earned income-in-kind” means compensation received for work performed
in place of or as a supplement to wages, salary, commissions, profit or payment
in cash, or otherwise received as the result of work performed, either employed
by another or self-employed.
(n) “Electronic benefit
transfer (EBT)” means the method of issuing financial assistance benefits to an
account, which is accessed by an individual with a debit card.
(o)
“Electronic benefit transfer cash account” means the EBT account
established by the department into which funds are deposited for the
purpose of providing assistance payments to
individuals eligible for any of the department’s financial assistance programs.
(p) “Electronic funds
transfer (EFT)” means the method of issuing financial assistance benefits as a
direct deposit into the individual’s personal bank account.
(q) “Employment expense
disregard (EED)” means an amount subtracted from earned income which represents
a flat monthly amount or actual expenses which are reasonably attributable to
the earning of income.
(r) “Employment-related
disregard” means the EED, the child or dependent care disregard, and the EID.
(s) “Employment
requirements” means the work, training, and education requisites under NHEP.
(t) “Equity value” means
the current redemption rate or fair market value of a resource, less any
financial claims against the resource.
(u) “Excluded income” means
specific types of income which are not counted in the determination of
eligibility or the amount of assistance.
(v) “Excluded resources”
means real or personal property which is not counted in determining
eligibility.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter Heading He-W 600); ss by #10399, eff 10-21-13; ss by #13836, eff
12-28-23
He-W 601.04 Definitions:
F–H.
(a) “Face value” means the
death benefit of a life insurance policy exclusive of dividend additions or
additional amounts payable because of accidental death or under other special
provisions.
(b) “Fair market value”
means, for purposes of this chapter:
(1) For
all assets other than
automobiles and trucks, the price at which a willing seller and a willing buyer
will trade; or
(2) For automobiles and trucks, the trade-in value
in the National Automobile Dealers Association’s (NADA) Official Used Car
Guide, also known as the Kelley Blue Book, unless information is not available
in the Kelley Blue Book, or unless the applicant or recipient proves the value
of the vehicle is different.
(c) “Family” means the
basic unit of individuals, consisting of:
(1) One
or more adults and
children, if any, related by blood, marriage, or adoption, who reside in the
same home;
(2) Separate
groups of related
adults, other than spouses, or unrelated adults residing together;
(3) Minor
siblings living
with non-legally responsible relatives; or
(4) Minor
siblings
living under the care of unrelated persons.
(d) “Family assistance
program (FAP)” means the financial assistance program, as described in RSA
167:84, administered by the department.
(e) “Families with older
children (FWOC)” means the category of financial assistance for families with
at least one dependent child who is at least age 19 and up to age 20, and a
full-time student in a secondary school or the equivalent level of vocational
or technical training.
(f) “Family member” means
any individual who can be included in an AG, such as a parent or caretaker
relative, child, or incapacitated spouse.
(g) “FANF standard of need”
means, the amount of income necessary to meet full need in accordance with RSA
167:7, II.
(h) “Financial assistance
to needy families (FANF)” means the financial assistance provided under:
(1) Temporary Assistance to Needy Families (TANF),
which includes NHEP and FAP; and
(2) The
non-TANF financial
assistance programs, which include the FWOC program.
(i) “Good
cause” means a substantiated reason which justifies the parent or caretaker
relative's refusal to cooperate and still retain eligibility for FANF financial
assistance.
(j) “Good faith effort to
sell real property” means that the individual is making a genuine attempt to
sell the property and can provide evidence to the department that the property
has been put up for sale, is currently for sale, and that no reasonable offer
for the property has been refused.
(k) “Grant” means a monthly
dollar amount determined by subtracting net income from the payment standard
for the AG.
(l) “Grantor” means any
individual who creates a trust, such as:
(1) The
individual;
(2) The
individual's
spouse;
(3) A
person, including a court or administrative body, with legal authority to act
in place of, or on behalf of, the individual or the individual's spouse; or
(4) A
person, including a
court or administrative body, acting at the direction
or upon the request of the individual, or the individual's spouse.
(m) “Gross earned income
for an individual employed by another” means the total amount, prior to payroll
deductions.
(n) “Gross earned income
for self-employed individuals” means the total monetary value or the dollar
value of in-kind benefits received by a self-employed individual as
compensation for work performed minus the cost of doing business.
(o) “Gross income” means
the total amount of countable earned and unearned income or in-kind benefits
received by AG members prior to any disregards or deductions.
(p) “HUD 236 housing” means
low income rental housing for which the private
developer or owner received a low mortgage interest rate from the U.S.
Department of Housing and Urban Development (HUD) in return for agreeing to
specified operating conditions.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter Heading He-W 600); ss by #10399, eff 10-21-13; ss by #13836, eff
12-28-23
He-W 601.05 Definitions:
I–N.
(a) “Immigrant” means an
alien lawfully admitted for permanent residence in the U.S. who
entered the country with the express purpose of maintaining permanent
residence.
(b) “Income” means a
monetary source that is either earned or unearned.
(c)
"Income-in-kind" means goods, commodities, or services which
are provided as compensation or contribution in lieu of cash and is considered either earned or unearned.
(d) “Independent living
arrangement” means the form of housing for OAA, ANB, and APTD individuals who
do not reside in a residential care facility, a community residence, or a
licensed and certified nursing facility.
(e) “Inmate” means an
individual living in a public institution as described in RSA 167:78, XI, with the exception of those who are described in He-W
624.01.
(f) “Institutionalized
individual” means, for purposes of asset transfers, an individual who is an
inpatient in a medical institution, as described in 42 CFR 435.1009, and with
respect to whom payment is based on a level of care provided in a nursing
facility, or who is a home and community-based care applicant or recipient.
(g) “Insured” means the
individual on whose life the insurance policy is taken out.
(h) “Investigation” means
an inquiry made by the department regarding the circumstances upon which a good
cause claim is based when documentary evidence is not sufficient.
(i) “Interim
disabled parent (IDP)” means the category of financial assistance for single or
2-parent families in which one or both of the parents
are temporarily incapacitated.
(j) “Irrevocable trust”
means a trust that cannot in any way be revoked by the grantor.
(k) “Liable relative” means
a person who by law or regulation might be required to contribute to the
support of an applicant or recipient of financial assistance.
(l) “Licensed” means
approved by the department as meeting federal or state standards.
(m)
“Maximum allowable age” means the maximum age of a child who is living
in the home of a specified relative as follows:
(1) For
the purposes of the New Hampshire employment program (NHEP), family assistance
program (FAP), and interim disabled parent (IDP) categories of financial
assistance, a child under the age of 18,
or under the age of 19 who is also a full-time student in a secondary school or
in the equivalent level of vocational training or technical training; or
(2) For
the purposes of the families with older children (FWOC) category of financial
assistance, a child at least
19 years of age and up to age 20 who is
also a full-time student in a secondary school or in the equivalent level of
vocational training or technical training.
(n) “Medicaid” means the
Title XIX and Title XXI programs administered by the department, which makes
medical assistance available to eligible individuals.
(o) “Minor casehead” means an individual who is receiving FANF
financial assistance, lives with their parents, and whose parents' income and
resources are deemed until the casehead reaches the
age of 18.
(p) “Needy essential
person” means a person who lives with the applicant or recipient, does not
qualify for assistance in their own right, and is
essential to the well-being of the applicant or recipient.
(q) “Net earned income”
means an individual's monthly gross earned income minus all allowable
employment-related disregards.
(r) “Net income” means
gross income minus all allowable disregards and deductions.
(s) “New
Hampshire employment program (NHEP)” means the financial assistance
program, as described in RSA 167:79, and the NHEP work program, as described in
RSA 167:85, administered by the department.
(t) “Nonapplicant spouse”
means the spouse of an OAA, ANB, or APTD individual who lives with the
individual in an independent living arrangement and who is:
(1) Not
applying for nor receiving OAA, ANB, or APTD financial assistance; or
(2) Applying
for or currently receiving financial assistance offered by the department other
than OAA, ANB,
or APTD.
(u) “Notice of decision
(NOD)” means a computer-generated or manually-prepared form which advises
applicants and recipients of the results of eligibility determinations,
increase and decreases in the amount of assistance, level of eligibility, or
other changes.
(v) “Nursing facility"
means a licensed or certified medical facility which provides health-related
care and services on a daily in-patient basis in accordance with He-W 500.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter Heading He-W 600); ss by #10399, eff 10-21-13; ss by #13836, eff
12-28-23
He-W 601.06 Definitions:
O–Q.
(a) “Overpayment” means
financial assistance received by an AG which is in excess of
what the AG is actually entitled to receive.
(b) “Parent” includes the
biological, adoptive, or stepparent, unless otherwise specified.
(c) “Parental support or
care” means financial support, guidance, physical care, or supervision of a
dependent child.
(d) “Payment from a trust”
means any disbursal from the corpus of a trust, or from income generated by a
trust, which benefits the party receiving it, regardless of whether the benefit
is monetary, or nonmonetary, or property disbursements, such as the right to
use and occupy real property.
(e) “Payment period” means
the semi-monthly period from the first to the 15th of the month, which is
covered by the payroll payment of the 15th, and from the 16th through the last
day of the month, which is covered by the payroll payment dated the 30th or the
last day of the month.
(f) “Payment standard” for
FANF financial assistance means the dollar amount from which net income is
subtracted when determining eligibility and the level of benefits.
(g) “Penalty period” means
the length of time during which payment for services are denied.
(h) “Period of
ineligibility” means the length of time an individual is ineligible for
assistance due to excess resources or receipt of a lump sum.
(i) “Permanently
and totally disabled” means permanent physical or mental impairment, disease, or
combination thereof, which substantially precludes an individual from engaging
in useful occupations within the individual’s competence, as determined by the
department, in accordance with RSA 167:6,VI.
(j) “Personal
identification number (PIN)” means the 4 digit number
used by an individual to activate and control the use of the EBT card.
(k) “Personal interview”
means a conference between the applicant, recipient, or AR and the department
staff member, in order to:
(1) Discuss all circumstances which have a bearing on eligibility;
(2) Advise
the applicant,
recipient, or AR of the eligibility requirements and their rights and
responsibilities; and
(3) Afford
the applicant, recipient, or AR the opportunity to ask any questions about the
department's programs.
(l) “Personal property” for
purposes of reimbursement means “personal property resources" and personal
effects such as furnishings, tools, and equipment.
(m) “Personal property
resources” means a form of cash or an item which can readily be converted to
cash, including such items as bank accounts, stocks, or bonds.
(n) “Plan to achieve self support (PASS)” means a time-limited arrangement or accomplishing financial
independence, which is approved by the Social Security Administration and
allows a recipient who is visually impaired, disabled, or elderly to set aside
income and resources for a work goal.
(o) “Private institution”
means a facility which provides shelter, custody, or care to 2 or more
individuals and is managed entirely or partially by private funds.
(p) “Protective payee”
means an individual who receives the recipient's entire assistance payment and
pays the recipient's bills according to a budget planned with the recipient.
(q) “Protective payments”
means assistance payments made to a protective payee on behalf of a recipient
or dependent children.
(r) “Public institution”
means a facility, other than a child care or medical
institution, which affords shelter, custody, or care to 2 or more individuals
and is managed entirely or partially by or through any public instrumentality,
official, or employee acting in an official capacity.
(s) “Questionable” means,
with regard to verifying factors of eligibility, any verbal or written
statement made by an applicant or recipient, which is inconsistent with other
statements made by the same individual, inconsistent with information provided
on current or past applications for assistance, or inconsistent with any
information received by the department from any other source.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter Heading He-W 600); ss by #10399, eff 10-21-13; ss by #13836, eff
12-28-23
He-W 601.07 Definitions
R–S.
(a) “Real property
resources” means resources that are in the form of real estate, including land
and buildings.
(b) “Recipient” means any
individual currently receiving benefits under any of the department’s programs.
(c) “Recoupment” means the
collection or recovery by the department for the value of assistance
erroneously paid to an individual regardless of the cause.
(d) “Rental housing” means
a home, apartment, or other housing unit, other than HUD 236 housing,
regardless of whether it is owner occupied, that an AG rents
based on a written or verbal tenant and landlord agreement, and the AG receives
no government rental subsidies.
(e) “Resident” means an
individual who lives in the state voluntarily, pursuant to RSA 21:6.
(f) “Resources” means
property owned by an individual, and includes both
personal and real property resources.
(g) “Responsible parent”
means a biological parent, adoptive parent, stepparent, or grandparent who, by
state law, is liable for the support of a child who receives FANF financial
assistance.
(h) “Revocable trust” means
a trust which can be revoked by the grantor, including trusts that are called irrevocable but which will terminate if some action is taken
by the grantor.
(i) “Rooming
arrangement” for FANF, means the AG has furnished lodging in a rooming house or
hotel, a relative's home, or another individual's home, but the AG receives no
meals for compensation.
(j) “Sanction” means a
penalty which might result in the reduction or loss of the FANF assistance
payment.
(k) “Similar legal device”
means any instrument, device, or arrangement which cannot be called a trust
under state law, but which exhibits the general characteristics of a trust as
defined in He-W 601.08(f), such as escrow accounts, investment accounts,
pension funds, annuities, and other similar instruments managed by an
individual or entity with fiduciary responsibilities.
(l) “Specified relative”
means “specified relative” as defined in RSA 167:78, XXIII.
(m) “Standard disregard”
for adult category assistance means a flat amount which is subtracted from
unearned income.
(n) “Standard of need”
means the amount of income necessary for recipients to have a
reasonable level of subsistence for each category of financial assistance
in accordance with RSA 167:7.
(o) “Stepparent” means an
individual who is currently legally married to a child's biological or adoptive
parent but has no biological or adoptive parental relationship to the child.
(p) “Strike” means a
concerted stoppage of work by employees, including reasons due to the
expiration of a collective bargaining agreement, and any concerted slowdown or
other concerted interruption of operations by employees.
(q) “Student” means an
individual who is officially enrolled in and regularly attending, an elementary
or secondary school, college, university, or a technical or vocational training
program which has the main objective of training individuals for gainful
employment.
(r) “Sworn statement” means
a statement made under oath or affirmation reciting facts which are personally
known by the signer, and which are sworn to and notarized by either a notary
public or justice of the peace.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter Heading He-W 600); ss by #10399, eff 10-21-13; ss by #13836, eff
12-28-23
He-W 601.08 Definitions:
T–V.
(a) “Temporary absence”
means “temporary absence” as defined in RSA 167:78, XXIV, namely “any assistance
group member
who is temporarily away from the home for, but not limited to, the following
reasons: school attendance, vacation, illness, or work.”
(b) “Temporary adjustment
period” means the automatic eligibility period afforded to an AG when:
(1) An
absent parent returns
while receiving FANF assistance;
(2) An
incapacitated
parent recovers while receiving FANF assistance; or
(3) A
visually impaired
recipient recovers while receiving ANB financial assistance.
(c) “Termination” means the
discontinuance of assistance or benefits received by an individual or AG when
the conditions of eligibility for receipt of such assistance are no longer met.
(d) “Title IV-D
requirements (IV-D)” means the assignment of rights to child support and
cooperation in establishing paternity and obtaining support as a condition of
eligibility for NHEP and FAP financial assistance, as established under 42 USC
608.
(e) “Title XX funds” means
federal money provided pursuant to 42 USC 1397 through a block grant to provide
social services for specific goals.
(f) “Trust” means any
arrangement in which a grantor transfers property to a trustee(s) with the
intention that it be held, managed, or administered by the trustee(s) for the
benefit of the grantor or certain designated beneficiaries, which is valid
under state law and manifested by a valid trust instrument or agreement, and
where the trustee(s) hold a fiduciary responsibility to manage the trust's
corpus and income for the benefit of the beneficiaries.
(g) “Trustee(s)” means any
individual, individuals, or entity, such as an insurance company or bank, who
manage a trust, or similar device, and who has fiduciary responsibilities.
(h) “Uncompensated value”
means the difference between the fair market value at the time of transfer,
less any outstanding loans, mortgages, or other financial claims against the
asset, and the amount received for the asset.
(i) “Underpayment”
means the amount of the financial assistance payment received by an AG is less
than the amount to which the AG was rightfully entitled, or for failure by the
department to issue benefits to an eligible AG.
(j) “Unearned income” means
all contributions, payments, pensions, benefits, loans, awards, or other income
which are not received as compensation for work performed.
(k)
"Unearned income-in-kind" means a contribution which does not
represent compensation for a job performed.
(l) “Vendor payee” means an
individual providing goods or services to the recipient who is paid directly by
the department for such goods or services.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter Heading He-W 600); ss by #10399, eff 10-21-13; ss by #13836, eff
12-28-23
PART He-W 602 PROGRAM COVERAGES AND LIMITATIONS
He-W
602.01 General Applicability of Rules in This Chapter.
(a) Unless
otherwise specified, all the rules in this chapter shall apply to financial
assistance to needy families (FANF) financial and medical assistance and to the
adult categories financial and medical assistance.
(b) For
each category of financial assistance, except where otherwise specified or
specifically prohibited, all general, categorical, technical, and financial
requirements, whether based on federal or state law, federal regulation, or
published department rules shall apply to that category of medical
assistance.
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #6531, INTERIM, eff 6-27-97, EXPIRES: 10-25-97;
ss by #6614, eff 10-24-97; ss by #8452, eff 10-22-05; ss by #9123, eff 4-3-08;
ss by #9275, eff 9-20-08; ss by #10163, eff 7-26-12; ss by #13563, eff 2-22-23
He-W 602.02 Applicability of
Federal Statutes and Regulations.
(a) Any rule in this
chapter which specifies a reference to the Social Security Act (SSA), shall
refer to those sections of the SSA in effect prior to, or otherwise not
affected by, the enactment on August 22, 1996 of the
Personal Responsibility and Work Opportunity Reconciliation Act of 1996
(PRWORA), unless the rule specifically makes reference to a section of the SSA
amended by PRWORA or the Deficit Reduction Act of 2005 (DRA).
(b) Any
rule in this chapter which specifies a reference to, or
does not reference but has been established in accordance with 45 CFR 205, 45
CFR 206, and 45 CFR 233-235 in effect on September 30, 1996, shall be
considered the currently effective requirements until changed by rulemaking,
state law, federal law, or court decisions.
(c) Adults in the following
categories of financial assistance shall meet all the requirements and be held to all provisions set forth in (a) and (b) above and
the rules adopted in this chapter associated with:
(1) New
Hampshire employment program (NHEP) financial assistance for the categories
of unemployed parent (UP) medical
assistance and interim disabled parent
(IDP) financial and medical assistance; or
(2) NHEP
and family assistance program (FAP) financial assistance for the categories of
families with older children (FWOC) financial and medical assistance.
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #6446, eff 2-1-97; ss by #8271, eff 2-1-05; ss
by #8740 INTERIM, eff 10-13-06, EXPIRED: 4-11-07
New. #8869, eff 4-19-07;
ss by #9123, eff 4-3-08; ss by #9275, eff 9-20-08; ss by #10163, eff 7-26-12;
ss by #13563, eff 2-22-23
He-W 602.03 Telephone Application.
(a)
Applicants for any program of financial assistance who request
assistance via the telephone, shall be considered to
have submitted an application as described in He-W
601.01(p).
(b) The telephone application process pursuant to
(a) above shall only be available as funding and resources within the current
state fiscal year are available.
(c)
All the application requirements that apply when an individual submits a
written application shall apply when an individual requests assistance via (a)
above, including:
(1) Verification requirements described in He-W
606;
(2) Interview requirements described in He-W
636.01 and He-W 644.01; and
(3) All program requirements as described in He-W
600.
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #6531, INTERIM, eff 6-27-97, EXPIRES: 10-25-97;
ss by #6614, eff 10-24-97, EXPIRED: 10-24-05
New. #9697, eff 4-23-10; ss by #12552, eff 6-20-18
He-W 602.04 RESERVED
Source. (See Revision Note #1 at
Chapter Heading He-W 600) #5171, eff 6-26-91; ss by #6531, INTERIM, eff
6-27-97, EXPIRES: 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; ss by #10471, eff 11-26-13; rpld by #13833, eff 12-23-23
He-W 602.05 60-Month Lifetime Limit on Financial
Assistance.
(a)
Unless the assistance group meets one or more of the hardship criteria
described in He-W 602.07 or He-W 602.08, financial assistance benefits shall
not be available to an assistance group that includes an adult who has received
financial assistance for more than 60 months from any combination of the
financial assistance to needy families (FANF) programs.
(b)
The counting of the 60 months described in (a)(1) above shall commence
October 1, 1996.
(c)
For the purpose of counting the 60 months:
(1) One month shall equal 2 semi-monthly payroll
payments, as defined in He-W 601.06(f);
(2) 60 months shall equal 120 semi-monthly
payroll payments; and
(3) Months shall not have to be consecutive.
(d)
In determining the number of months for which an individual has received
FANF financial assistance, any payment period for which such assistance was
provided to the individual shall be disregarded if the individual was:
(1) A dependent child; or
(2) Not the head of household, or his/her spouse.
(e)
The total number of extensions to FANF financial assistance granted by
the department due to hardship, as specified in He-W 602.07 or He-W 602.08,
shall not, at any point in time, exceed 20 percent of the average monthly
number of families receiving TANF assistance during the current or immediately
preceding federal fiscal year pursuant to 45 CFR 264.1(c) and (d).
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #6446, eff 2-1-97; amd
by #7192, eff 2-1-00; ss by #7470, eff 4-1-01; paragraph (a) amd by #8740, INTERIM, eff 10-13-06, EXPIRED: 4-11-07; paragraph
(a) amd by #8869, eff 4-19-07; ss by #9123, eff
4-3-08; ss by #9275, eff 9-20-08; ss by #10163, eff 7-26-12
He-W 602.06 New
Hampshire Employment Program (NHEP) and Family Assistance Program (FAP)
Financial Assistance.
(a)
A parent or caretaker relative receiving financial assistance to needy families
(FANF) shall engage in work pursuant to RSA 167:85.
(b) A
parent or caretaker relative shall be considered to be
engaged in work if the parent or caretaker relative is engaged in
paid employment or in employment related activities as defined in RSA
167:85.
(c) A
parent or caretaker relative shall be considered as ready to engage in work if
the parent or caretaker relative is not:
(1) Exempt
from participation under the criteria for exemptions as described in RSA 167:82
and He-W 637.04; or
(2) Receiving
FAP financial assistance.
Source. (See Revision Note #1 at Chapter Heading He-W
600) #6446, eff 2-1-97; amd
by #8271, eff 2-1-05, EXPIRED: 2-1-13
New. #10275, eff 2-21-13; ss by #13538, eff
1-26-23
He-W 602.07 - RESERVED
Source. #7470, eff 4-1-01; ss by #7561, eff 10-1-01; rpld by #9433, eff 4-1-09
He-W 602.08 Criteria for Extensions to the 60-Month
Lifetime Limit.
(a) To be eligible to receive an extension to the
60-month lifetime limit on receipt of financial assistance to needy families
(FANF) assistance, the assistance group (AG) shall:
(1)
Be categorically and financially eligible for FANF assistance except
that the AG includes an adult who has received FANF financial assistance for 60
months; or
(2)
Be currently receiving FANF financial assistance and an adult AG member
has received FANF financial assistance for at least 54 months.
(b) The AG shall:
(1)
Verify the existence of a current hardship pursuant to (c) below;
(2)
Request an extension pursuant to (d) below;
(3)
Participate in a face-to-face interview with a department
representative;
(4)
Provide the verification required in He-W 602.10 within 10 days of the
date of the request;
(5)
Not have voluntarily quit or refused suitable employment without good
cause pursuant to RSA 167:82,III(c) within 60 days of the request for
extension;
(6)
Not be in sanction status pursuant to He-W 637.08:
a.
At the time of applying for an extension to the 60-month lifetime limit;
b.
Any time while eligibility for the extension to the 60-month lifetime
limit is being processed; or
c.
At the time financial assistance was closed due to reaching the 60-month
lifetime limit, unless the AG has remedied the sanction that was imposed due to
non-compliance pursuant to He-W 637.08(c);
(7)
Not be disqualified from receiving FANF financial assistance due to
commission of an intentional program violation, as described at He-W 693:
a.
At the time of applying for an extension to the 60-month lifetime limit;
b.
Any time while eligibility for the extension to the 60-month lifetime
limit is being processed;
c.
At the time the 60-month lifetime limit was reached; or
d.
Any time after eligibility for the extension to the 60-month lifetime
limit has been approved; and
(8)
Comply with all NHEP work program requirements pursuant to He-W 637.05
after eligibility for the extension to the 60-month lifetime limit has been
approved, unless good cause exists pursuant to He-W 637.07.
(c) AGs that meet the criteria in (a) and (b)
above, shall verify the existence of at least one of the following hardship
reasons that would allow the department to grant an extension to the 60-month
lifetime limit on receipt of FANF financial assistance:
(1)
The AG includes an individual who has been battered or subjected to
extreme cruelty as described in 42 USC 608(a)(7)(C);
(2)
The AG includes an adult who:
a.
Is unable to obtain adequate child care as
described in He-W 637.07(d), provided that the individual has made an effort to explore other child care
providers and options for obtaining adequate child care
pursuant to He-W 637.07(c);
b.
Is unable to participate in any of the employment activities described
in He-W 637.09 through He-W 637.23 due to a physical or mental condition
pursuant to RSA 167:82,II(f);
c.
Is unable to participate in any of the work activities described in He-W
637.09 through He-W 637.23 because:
1.
He or she must provide care to another relative or assistance group
member who resides in the same household due to that member’s illness,
incapacity, or disability pursuant to RSA 167:82,II(g); and
2.
No alternative care is available or feasible;
d.
Is participating in an alcohol or other drug abuse or mental health
program that prevents or limits participation in any of the work activities
described in He-W 637.09 through He-W 637.23;
e.
Is unemployed for a reason other than the reasons stated in RSA
167:82,III(c) and (d), and meets one of the requirements below:
1.
Has applied for unemployment compensation benefits but is not yet
receiving them, but in the meantime is actively seeking employment; or
2.
Is not eligible for unemployment compensation benefits and is actively
seeking employment;
f.
Is experiencing a life-threatening circumstance as described in He-W
654.03(h)(1)-(3) or an emergency situation as
described in He-W 699.05(d)(2);
g.
Has a learning disability that has been identified by
a:
1.
State certified education professional licensed to certify for learning
disabilities; or
2.
A licensed psychologist; or
h.
Is engaged in unsubsidized employment for at least 30 hours per week;
(3)
New Hampshire department of employment security has determined that the
state:
a.
Is eligible for the federal/state cooperative extended benefit program
pursuant to the Federal-State Extended Benefit Unemployment Compensation Act of
1970 or any other temporary federal supplemental unemployment benefit program
in effect in the state; or
b.
Has a statewide unemployment rate of 7% or more;
(4)
The AG lives in an area designated by the United States Department of
Labor as a labor surplus area;
(5)
The AG is receiving FAP or is eligible for FAP financial assistance
except that the AG has received FANF financial assistance for 60 months; or
(6)
The AG is participating in
NHEP pursuant to He-W 637.03 and complying with all participation requirements
pursuant to He-W 637.05.
(d) The AG shall request an extension by
providing the following information to the department:
(1)
The casehead’s printed name, address, and case
number;
(2)
The reasons for the request; and
(3)
The signature of the casehead and the current
date.
Source. #7470, eff 4-1-01; amd
by #7918, eff 8-1-03; ss by #9433, eff 4-1-09; ss by #9775, eff 9-1-10; ss by
#12676, eff 11-20-18
He-W 602.09 Duration of Extensions to the 60-Month
Time Limit.
(a)
An assistance group (AG) that is granted an extension pursuant to He-W
602.08 shall continue to receive FANF for 6 months or until any adult in the AG
who has received FANF for 60 months no longer meets the criteria for an
extension under that section, whichever occurs first.
(b)
Families receiving FAP financial assistance at the time an adult in the
AG has received FANF for 60 months, or families that request an extension
pursuant to He-W 602.08 and are eligible to receive FAP financial assistance,
shall remain eligible for FAP financial assistance for so long as all other FAP
financial and non-financial eligibility requirements are met and the AG is
otherwise eligible for FAP financial assistance.
(c)
FAP AGs eligible for an extension of benefits as described in (b) above
shall not be required to make a written request for an extension of benefits
pursuant to He-W 602.08, but shall participate in a
face-to-face redetermination of eligibility between month 54 and month 60.
(d)
AGs that are granted an extension pursuant to He-W 602.08 shall inform
the department no later than 10 days after the AG’s circumstances change in any
way that might affect their eligibility or benefit level pursuant to He-W
603.03.
(e)
If the department has not issued a decision on the hardship extension at
the time any adult in the AG has received FANF for 60 months, the AG shall have
its financial assistance benefits continued beyond the 60th month of financial
assistance receipt pending the department’s decision.
(f)
AGs whose benefits have been continued pursuant to (e) above shall not
be required to repay the benefits if the department determines that the AG does
not meet one of the extension criteria in He-W 602.08.
(g)
An AG that meets more than one criterion for extension shall receive
only one 6-month extension at a time and shall not be able to combine hardship
criteria in order to lengthen the extension beyond 6
months.
(h)
Whenever an AG that has been granted an extension becomes ineligible for
FANF prior to the end of the extension period, it shall not be eligible to
carry over any time remaining towards a future extension.
(i) Extensions granted pursuant to He-W
602 shall be terminated if the AG notifies the department that it no longer
meets any of the hardship criteria or if the department becomes aware that the
AG no longer meets any of the hardship criteria for the extension.
Source. #7470, eff 4-1-01; ss by #7561, eff 10-1-01; amd by #7918, eff 8-1-03; ss by #9548, eff 9-19-09; ss by
#12402, eff 10-20-17
He-W 602.10 Required Verification.
(a) A financial assistance
to needy families (FANF) assistance group (AG) requesting an extension of
financial assistance beyond the 60-month lifetime limit shall provide the
verification described below within 10 days of the date the AG signed the
request for an extension described in He-W 602.08(d):
(1)
For an extension pursuant to He-W 602.08(c)(1), the casehead
shall participate in:
a.
An individualized assessment pursuant to 45 CFR 260.55; and
b.
The development of the service plan which is completed by a person
trained in domestic violence as specified in 45 CFR 260.55(c), and either:
1.
Provide the following corroborative evidence that verifies the claim:
(i) Court, medical, criminal, child protective
services, psychological or law enforcement records, or a statement from a
social service provider;
(ii)
A written statement from a social worker from a public or private social
service agency;
(iii)
A written statement from a social worker from a public or private social
service agency providing domestic violence services; or
(iv)
Sworn statements from an individual other than AG members with knowledge
of the circumstances; or
2.
If not able to provide corroborative evidence as described in b.1.
above, submit a signed, written statement that indicates:
(i) The existence of the battering or extreme
cruelty and that compliance with the FANF financial assistance lifetime limit
would make it more difficult for the AG to escape the domestic violence;
(ii)
That the FANF financial assistance lifetime limit would unfairly
penalize the AG which is or has been victimized by such violence; or
(iii)
That the FANF financial assistance lifetime limit would put the AG at
further risk of domestic violence;
(2)
For an extension pursuant to He-W 602.08(c)(2)a., documentation pursuant
to He-W 637.07(e) along with a signed, written statement describing the
specific actions the AG has taken to obtain adequate child
care;
(3)
For an extension pursuant to He-W 602.08(c)(2)b., the financial AG shall
provide:
a.
Documentation pursuant to RSA 167:82,II(f) stating the duration and
limitations of the AG member’s disability; and
b.
For a subsequent extension request per He-W 602.16(c), verification that
the casehead has applied for the aid to the
permanently and totally disabled program, Supplemental Security Income (SSI),
Social Security Disability Income (SSDI), and/or all other potential disability
benefits pursuant to He-W 652.07;
(4)
For an extension pursuant to He-W 602.08(c)(2)c., documentation pursuant
to RSA 167:82,II(g) that indicates the nature of the relative’s physical or
mental condition and the expected duration of the condition, and a separate
written and signed statement indicating that no alternate care is available or
feasible;
(5)
For an extension pursuant to He-W 602.08(c)(2)d., the AG shall provide
documentation that the applicant is currently an active participant in the treatment
program, signed by the drug, alcohol, or mental health program director or his
or her designee;
(6)
For an extension pursuant to He-W 602.08(c)(2)e., the AG shall provide:
a.
Verification that the individual has applied for or is not eligible to
receive unemployment compensation benefits; and
b.
Verification that the job loss was not due to reasons described at RSA
167:82,III(c) and (d);
(7)
For an extension pursuant to He-W 602.08(c)(2)f., the AG shall provide
verification pursuant to He-W 606.104(b) or any other documentation that
establishes the existence of an emergency or life-threatening circumstance; and
(8)
For an extension pursuant to He-W 602.08(c)(2)g., the AG shall provide a
signed and dated statement from a state certified education professional
licensed to certify for learning disabilities or a licensed psychologist
indicating that the adult in the case who has received FANF financial
assistance for 60 months has a learning disability that prevents the adult from
working, participating in work-related activities, or preparing for work.
(b) If a member of the AG is convicted pursuant
to RSA 167:17-c of knowingly providing false material information on a signed,
written statement pursuant to He-W 602.08(d), the AG's hardship extension shall
be terminated pursuant to RSA 167:17-b,II.
Source. #7470, eff 4-1-01; amd
by #7918, eff 8-1-03; ss by #9433, eff 4-1-09; ss by #9775, eff 9-1-10; ss by
#12676, eff 11-20-18
He-W
602.11 - RESERVED
Source. #7470, eff 4-1-01; amd
by #7918, eff 8-1-03; rpld by #9433, eff 4-1-09
He-W
602.12 - RESERVED
Source. #7470, eff 4-1-01; rpld
by #9433, eff 4-1-09
He-W 602.13 - RESERVED
Source. #7470, eff 4-1-01; ss by #7918, eff 8-1-03; rpld by #9775, eff 9-1-10
He-W
602.14 Required Participation in the
NHEP Work Program for Families Granted an Extension of FANF Financial
Assistance.
(a)
FANF financial assistance recipients granted an extension pursuant to
He-W 602.08 shall participate in and comply with all requirements of the NHEP
work program described in He-W 637, unless otherwise exempt pursuant to He-W
637.04.
(b)
An NHEP representative shall determine in which activity or activities
pursuant to He-W 637.03 an AG shall participate, and
shall modify an existing employability plan or complete a new employability
plan pursuant to He-W 637.12 with the recipient.
(c)
FAP AGs granted an extension pursuant to He-W 602.08 shall not be
required to participate in the NHEP, but may volunteer
to participate.
(d)
Extended benefits shall be terminated for the entire AG if any adult AG
member required to participate in NHEP work program requirements pursuant to
He-W 637 fails to comply with participation requirements identified on the
individual’s employability plan pursuant to He-W 637.12, unless the individual
has good cause pursuant to He-W 637.07.
Source. #7470, eff 4-1-01; ss by #7561, eff 10-1-01;
ss by #9548, eff 9-19-09; ss by #12402, eff 10-20-17
He-W 602.15 Extension Review Process.
(a) The department’s decision to approve or deny
a request for a hardship extension shall be based on the AG:
(1)
Fulfilling the hardship extension criteria pursuant to He-W 602.08;
(2)
Providing required verification pursuant to He-W 602.10; and
(3)
Being otherwise categorically and financially eligible for FANF
financial assistance.
(b) The casehead shall
be informed of the department’s decision to approve or deny the request for a
hardship extension, pursuant to He-W 604.02, and of the casehead’s
right to request an administrative appeal, pursuant to He-C 200, as follows:
(1)
AGs currently receiving FANF financial assistance shall be issued a written notice of the hardship extension decision
no later than 30 days following the AG having met all the conditions in (a)
above; and
(2)
AGs that are not currently receiving FANF financial assistance shall be issued a written notice of the hardship extension decision
no later than the 45th day after the date on which an application for FANF
financial assistance is filed at the department of health and human services
(DHHS).
(c) If the AG is currently receiving FANF
financial assistance and is denied a hardship extension, the AG shall be provided a continuation of FANF financial assistance when
the following occurs:
(1)
The AG requests an administrative appeal of the
hardship extension decision, pursuant to He-C 200;
(2)
The AG requests that FANF benefits continue; and
(3)
The request for continuation of FANF benefits is made within the advance
notice period, pursuant to 45 CFR 205.10.
(d) FANF financial assistance described in (c)
above, shall continue until whichever of the following occurs first:
(1)
The duration of the extension is reached pursuant to He-W 602.09; or
(2)
The date the administrative appeals unit renders a finding, if the
administrative appeals unit does not find in favor of the recipient.
Source. #7470, eff 4-1-01; amd
by #7918, eff 8-1-03; ss by #9433, eff 4-1-09; ss by #9775, eff 9-1-10; ss by
#12676, eff 11-20-18
He-W
602.16 Eligibility for Additional
Hardship Extensions.
(a)
Families that have received FANF due to having been previously granted a
hardship extension pursuant to He-W 602.08 shall have the right to request
additional extensions.
(b)
The criteria, duration, verification, and request process described in
He-W 602.08 through He-W 602.10 and the required NHEP work program
participation and extension review process described in He-W 602.14 and He-W
602.15 shall apply to each request for an extension for the same or new
hardship reason.
(c)
When an AG has had an extension granted pursuant to He-W 602.08(c)(2)b
that is documented as long term, and the individual is requesting a subsequent
hardship extension for the same reason, the individual shall have also applied
for the aid to the permanently and totally disabled program, Supplemental
Security Income (SSI), Social Security Disability Income (SSDI), and all other
potential disability benefits pursuant to He-W 652.07 prior to the granting of
an additional extension request.
(d) When an individual has had an
extension granted pursuant to He-W 602.08(c)(2)c, and
the individual is requesting a subsequent hardship extension for the same
reason, prior to the granting of an additional extension the department shall
determine:
(1) If a permanent exemption as described in He-W
637.04(e) exists; and
(2) If the family wishes to transfer to the
family assistance program as described in He-W 601.04(d).
(e)
Once an AG’s hardship extension has been terminated 2 times due to
non-compliance with NHEP work program requirements without good cause, the AG
shall not be eligible for additional extensions.
Source.
#7470, eff 4-1-01; amd by #7918, eff 8-1-03;
ss by #9433, eff 4-1-09; amd by #9775, eff 9-1-10; ss
by #12182, eff 5-23-17
He-W
602.17 Two-Parent Families. Whenever a 2-parent AG is requesting a
hardship extension to the 60-month lifetime limit on receipt of FANF financial
assistance pursuant to He-W 602.08, the following shall apply:
(a)
If both parents in the AG have received FANF financial assistance for 54
or more months on the day the AG signs the request for an extension, both
parents shall meet one or more of the hardship criteria in He-W 602.08(c);
(b)
If one parent has received FANF financial assistance for 54 or more
months and the other parent has received FANF financial assistance for less
than 54 months on the day the AG signs the request for an extension, only the
parent who has received FANF financial assistance for 54 or more months shall
meet a hardship criterion;
(c)
If the other parent described in (b) above exceeds 54 months of receipt
of FANF financial assistance during a 6-month extension period, the AG shall
continue to receive FANF financial assistance for the entire 6-month extension
period based on one parent meeting one or more hardship criteria; and
(d)
When the 6-month extension period in (c) above ends, each parent shall
be required to meet one or more hardship criteria as described in (a) above if
the AG requests an additional extension pursuant to He-W 602.16.
Source. #7470, eff 4-1-01; amd
by #7918, eff 8-1-03; ss by #9433, eff 4-1-09; ss by #12182, eff 5-23-17
PART He-W 603 INDIVIDUAL RIGHTS AND RESPONSIBILITIES
He-W
603.01 Authorized Representative.
(a) An individual who
chooses an authorized representative (AR), as defined in He-W 601.01, to help
with some or all the responsibilities of applying for or receiving
financial assistance for needy families or adult category financial assistance
shall provide all of the following information in
writing:
(1) The
name, address, and telephone number of the AR;
(2) The duties
that the AR will carry out, as specified in (c) below;
(3) The individual's
relationship to the AR;
(4) A statement signed
and dated by the individual acknowledging:
a. The
individual’s responsibility for any errors, omissions, or failures to report information
to the department of health and human services (department), or inaccurate
information reported to the department by the AR;
b. That
if the AR uses the individual’s benefits without permission, these benefits
will not be replaced by the department;
c. That
the person the individual names as the AR will continue to act for the
individual until the individual or the AR tells the department of a change; and
d. Comprehension of
the individual’s choice of AR and the duties assigned to that AR; and
(5) A statement signed
and dated by the AR:
a. Agreeing to accept the responsibilities designated by the
individual;
b. Acknowledging that
the AR understands that:
1. Proof
of the AR’s identity is required;
2. If
disqualified for a program violation, the person identified as the AR can no
longer act as an AR unless there is no one else suitable to represent the
individual as described in He-W 603.01(b); and
3. The
AR will continue to act as an AR for the individual until the AR or the
individual tells the department of a change.
(b) To qualify as an AR, an
individual shall be an adult who has:
(1) Expressed
concern for the individual's wellbeing;
(2) Sufficient
knowledge about the individual's circumstances to assist the individual in
applying for or receiving assistance; and
(3) The
capability to obtain information about the individual's circumstances.
(c) The individual may
authorize an AR to carry out one or more of the following responsibilities:
(1) Obtaining
department applications and other forms or department paperwork, and completing
these for the individual;
(2) Attending
eligibility interviews for the individual;
(3) Providing
the department with verification of the individual's income, resources, and
other case circumstances;
(4) Reporting
and verifying changes in the individual's case circumstances to the department;
(5) Receiving
the individual's assistance payment, electronic benefits transfer card, and
other department mail;
(6) Asking
for, attending, and representing the individual at administrative appeals for
the individual; and
(7) Any
other duties regarding eligibility for financial assistance an individual
chooses to designate to an AR.
(d) If designated pursuant
to (a)(2) above, ARs shall:
(1) Sign
department forms completed on behalf of the individual; and
(2) Co-sign
department forms they assist the individual in completing.
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91, EXPIRED: 6-26-97
New. amd (g)(5) by
#6825, eff 8-3-98; ss by #7182, eff 12-24-99, EXPIRED: 12-24-07
New. #9063, eff 1-5-08; ss by #11042, eff 2-24-16;
ss by #14380, eff 9-20-25, EXPIRES 9-20-35
He-W
603.02 Individual Responsibility to
Supply Accurate Information. Individuals shall supply complete
and truthful answers to all written and verbal questions to establish
eligibility or fulfill an eligibility requirement, pursuant to RSA 167:17-b.
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #5769, eff 1-3-94; ss by #6614, eff 10-24-97; ss
by #7182, eff 12-24-99, EXPIRED: 12-24-07
New. #9063, eff 1-5-08; ss by #11042, eff 2-24-16;
ss by #14380, eff 9-20-25, EXPIRES 9-20-35
He-W
603.03 Individual Responsibility to
Report Changes. Failure to report changes no later than 10
calendar days after the change takes place, pursuant to RSA 167:17, shall
result in the recoupment of any resultant overpayments or a corrective payment
for any resultant underpayments.
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #6531, INTERIM, eff 6-27-97, EXPIRES: 10-25-97;
ss by #6614, eff 10-24-97; ss by #7182, eff 12-24-99, EXPIRED: 12-24-07
New. #9063, eff 1-5-08; ss by #11042, eff 2-24-16;
ss by #14380, eff 9-20-25, EXPIRES 9-20-35
PART He-W 604 CASE DECISIONS
He-W
604.01 Case Decisions. Except where otherwise
noted or specifically prohibited, an assistance group shall be eligible for
financial assistance when all general, categorical, technical, and financial
requirements for the category and type of assistance requested are met and
verified.
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #6531, INTERIM, eff 6-27-97, EXPIRES: 10-25-97;
ss by #6614, eff 10-24-97; amd by #8452, eff
10-22-05; paragraph (b) in #6614 EXPIRED 10-24-05; ss by #10471, eff 11-26-13;
ss by #13765, eff 10-5-23
He-W 604.02 Notice of
Decision.
(a) Except where otherwise specified, increases
in benefits shall take effect for the next available payment period after the
change is processed, as determined by computer processing cut-off dates.
(b) When
an increase or decrease in the amount of assistance, level of eligibility, or
other changes occur or are reported simultaneously, the changes shall be
processed together and the combined effect of the
changes shall determine the advance notice period requirements as described in
He-W 604.03.
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #6531, INTERIM, eff 6-27-97, EXPIRES: 10-25-97;
ss by #6614, eff 10-24-97; ss by #8452, eff 10-22-05; ss by #10471, eff
11-26-13; ss by #13765, eff 10-5-23
He-W 604.03 Advance
Notice Period.
(a) The
advance
notice period (ANP) shall be one of the following:
(1) Five
calendar days when terminating or reducing benefits due to fraud;
(2) Ten
calendar days before the date of action to discontinue, terminate, suspend, or
reduce assistance; or
(3) Thirty
calendar days when the action is the result of information obtained from
a United States internal revenue service crossmatch report.
(b) Changes
in assistance group (AG) circumstances that occur or are reported during an ANP
shall not be processed until the ANP has expired.
(c) The
department
shall not provide an ANP, in accordance with 45 CFR 205.10(a)(4)(ii), when:
(1) Factual
information confirms the death of a recipient or of the financial assistance to
needy families (FANF) payee and there is no relative available to serve as
payee;
(2) A
recipient provides a written, dated, and signed request to terminate assistance
or gives written information which will result in the termination or decrease
in the level of eligibility or amount of assistance;
(3) A
recipient has been admitted or committed to an institution and is no longer
eligible for assistance;
(4) A
recipient’s location is unknown and the department’s
mail is returned by the postal service indicating no forwarding address is on
file;
(5) The
recipient has been accepted for assistance in another state;
(6) A
recipient is placed in a nursing facility or requires long term
hospitalization;
(7) All
recipients in the AG have died;
(8) A
recipient has been receiving a positive grant adjustment
and the adjustment period is complete;
(9) A
recipient requests in writing to voluntarily initiate, change, or remove a
vendor payee, or to change the amount of the vendor payment;
(10) A
recipient or AG is closed in one case and opened in another, and the
eligibility level and benefit amount remain the same; and
(11) A
child is removed from the home as a result of a judicial determination or is voluntarily placed in foster
care by the child’s legal guardian.
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #6531, INTERIM, eff 6-27-97, EXPIRES: 10-25-97;
ss by #6614, eff 10-24-97; amd by #8452, eff
10-22-05; ss by #10471, eff 11-26-13; ss by #13765, eff 10-5-23
He-W 604.04 Electronic
Notification.
(a) Notices of decision
(NOD), as defined in He-W 601.05, may be accessed electronically by the casehead, as defined in He-W 601.02, if the casehead:
(1) Chooses
to access NODs electronically;
(2) Has
an email account able to receive notifications from the department;
(3) Provides
the department with an email address; and
(4) Activates
a user account through the department’s eligibility web portal.
(b) If the casehead chooses to only access NODs electronically, no
paper NODs shall be sent to the casehead via the
United States Postal Service (USPS).
(c) If the casehead chooses to only access NODs electronically, the casehead shall be responsible for the
security and validity of the email account information provided to the
department.
(d) All
information included
in paper NODs, as defined in He-W 601.05, shall also be included in electronic
NODs .
(e) If the casehead prefers to reestablish paper NODs sent via the
USPS and chooses not to use the department’s eligibility web portal to make
this change, the casehead shall submit
a written request to the department and include the following information:
(1) The
casehead’s printed name;
(2) The
request to reestablish paper NODs sent via the USPS;
(3) The
case number or recipient identification number, if known, assigned to the casehead; and
(4) The
casehead’s signature.
(f) The date the department
receives the completed request described in (e) above
shall be the casehead’s filing date for the request
to reestablish paper NODs.
(g) Paper NODs sent via the
USPS shall be mailed to the casehead’s mailing
address within 10 days of the casehead’s filing date
described in (f) above.
Source. #9815, eff 11-19-10; ss by #10729, eff
11-25-14; ss by #13930, eff 4-24-24
He-W 604.05 Electronic Account
Access.
(a) Electronic
accounts that contain the casehead’s electronic
notices of decision (NOD), as defined in He-W 601.05, and other confidential
case information shall be activated through the department’s eligibility web
portal by:
(1) The
casehead;
(2) The
casehead’s guardian, conservator, or protective
payee;
(3) An
authorized representative (AR) or power of attorney chosen by the casehead; or
(4) An
organization acting as the casehead’s guardian,
conservator, protective payee, AR, or power of attorney.
(b) If
an organization acting as the casehead’s guardian,
conservator, protective payee, AR, or power of attorney chooses to access a casehead’s electronic account, the organization shall:
(1) Obtain
the casehead’s permission to access the electronic
account; and
(2) Register
with the
department by providing the following information:
a. The organization’s
name, phone number, both physical and mailing addresses, and email address;
b. The name of a designated administrator for
the organization who is responsible for maintaining confidentiality for the
entire organization;
c. A
4-digit pin, chosen by the administrator, for security purposes; and
d. The
administrator’s dated signature signifying an agreement to abide by
confidentiality and safeguarding information policies, pursuant to RSA 167:31,
RSA 167:32, and 45 CFR 205.50.
(c) A
casehead shall not have access to an electronic
account through the department’s eligibility web portal once the casehead has given permission to an organization to access
the casehead’s electronic account.
(d) If the
organization chooses to only access NODs electronically, with no paper NOD
sent via the United States Postal Service (USPS),
the organization shall be responsible for the
security and validity of the email account information provided to the
department.
(e) All information included in a paper NODs, as defined in He-W 601.05, shall also be
included in electronic NODs. .
(f) If the organization prefers to
reestablish paper NODs sent via the USPS and chooses not to use the
department’s eligibility web portal to make this change, the organization
shall submit a written request to the department and include
the following information:
(1) The
casehead’s printed name;
(2) The
request to reestablish paper NODs sent via the USPS;
(3) The
case number or recipient identification number, if known, assigned to the casehead;
(4) The
organization’s name, phone number, both physical and mailing addresses, and
email address; and
(5) The printed name and dated signature of the
representative for the organization.
Source. #10729, eff 11-25-14; ss by #13930, eff
4-24-24
PART He-W 605 -
RESERVED
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91
PART He-W 606 VERIFICATION
He-W 606.01 General
Verification Requirements - All Categories of Financial Assistance.
(a) All
general, categorical, technical, and financial factors related to the
determination of eligibility and level of benefit for all categories of
financial assistance, shall be verified:
(1) At
initial determinations;
(2) At
redeterminations of eligibility;
(3) Whenever
a change occurs; or
(4) When
questionable, as defined in He-W 601.06.
(b) Providing
acceptable verification shall be the sole responsibility of the individual,
except where otherwise noted.
(c) Failure
to verify any factor required for the determination of eligibility or level of
benefit shall result in denial or termination of assistance for the entire
assistance group, except where otherwise noted.
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #6531, INTERIM, eff 6-27-97, EXPIRES: 10-25-97;
ss by #6614, eff 10-24-97; ss by #8452, eff 10-22-05; ss by #10471, eff
11-26-13; ss by #13875, eff 2-21-24
He-W 606.02 Citizenship
or Non-citizen Status.
(a) Citizenship or non-citizen
status shall be verified at each financial assistance group (AG) member's
initial determination of eligibility.
(b) If
electronic verification, described in (h) below, fails to verify citizenship,
the documents described in 42 CFR 435.407(a), (b), and (d) shall be considered
acceptable verification of an individual’s United States (US) citizenship.
(c) Acceptable verification
of immigrant status shall be documentation issued by
the US citizenship and immigration services stating that:
(1) The
individual’s deportation has been withheld under 8 USC 1253;
(2) The
non-citizen has been admitted as a refugee under 8 USC 1157;
(3) The
non-citizen has been admitted as an asylee under 8 USC 1158; or
(4) The
individual has been granted status as a lawful temporary or permanent resident
under 8 USC 1255.
(d) An individual’s refusal or
failure to verify citizenship, non-citizen status, or sponsor status shall
result in the denial or termination of financial assistance
for the entire AG.
(e) If
the non-citizen's sponsor no longer functions as a sponsor, either because the
sponsoring organization no longer exists or the sponsor is unable to
meet the non-citizen’s total financial needs, the non-citizen shall provide to
the department, within 10 days of the date of application, one of the
following:
(1) If
the non-citizen claims that the sponsoring organization no longer exists, a
signed and dated written statement which includes the name of the sponsoring
organization or agency and its former address, and the reason that the
sponsoring organization or agency no longer exists, if known; or
(2) If
the sponsor
is contributing no money, or the sponsor’s monetary contribution, combined with
the non-citizen’s income makes the non-citizen financially eligible for a
financial grant, a signed and dated affidavit on which the sponsoring
organization or agency has provided:
a. The
non-citizen’s name;
b. The
non-citizen’s date of entry into the US;
c. The
sponsor’s name and address;
d. The
amount of money the sponsor contributed to the non-citizen;
e. The
reason the sponsor is no longer able to meet the non-citizen’s financial needs;
and
f. A statement that the sponsor agrees to a
financial audit, if needed, to substantiate conflicting information.
(f) Documentation provided
by a state vital statistics agency in
accordance with 42 CFR 435.407(b)(2) shall be considered acceptable
verification of a birth record.
(g) Reasonable opportunity
to present satisfactory documentary evidence of citizenship, pursuant to 42 CFR
435.956(b)(2), shall be 95 days from the date on the notice of decision as
defined in He-W 601.05.
(h) Documentation
provided by the Social Security Administration, in accordance with 42 USC.
1396a(ee), shall be considered acceptable verification of (b) above.
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #6531, INTERIM, eff 6-27-97, EXPIRES: 10-25-97;
ss by #6614, eff 10-24-97; ss by #8452, eff 10-22-05; amd
by #8865, eff 4-13-07; ss by #9274, eff 9-20-08; ss by #9848, eff 1-12-11; ss
by #10698, eff 10-21-14; ss by #14017, eff 6-29-24
He-W 606.03 - He-W 606.09 - RESERVED
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91
He-W 606.10 Residency.
(a) For
the adult categories of financial assistance, the individual's written
statement of current physical address shall be accepted as verification of NH
residence, unless conflicting evidence is present.
(b) If
conflicting evidence is present, the department shall request additional
evidence of residence, including, but not limited to:
(1) Mail
addressed to the individual at the stated address;
(2) Utility
or other bills addressed to the individual at the stated address; or
(3) Receipts
from a landlord or mortgage company showing the stated address.
(c) Failure
to supply the additional evidence or failure of the additional evidence to
verify residence shall result in denial or termination of benefits as described
in He-W 606.01(c).
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #6531, INTERIM, eff 6-27-97, EXPIRES: 10-25-97;
ss by #6614, eff 10-24-97; ss by #8452, eff 10-22-05; ss by #10471, eff
11-26-13; ss by #13875, eff 2-21-24
He-W 606.11 Temporary
Absence From New Hampshire.
(a) Verification
of temporary absence from New Hampshire (NH) shall be required whenever an
individual notifies the department of an ongoing or intended absence.
(b) A
verbal or written statement from the individual regarding the intent to retain
NH residency shall be considered sufficient documentation, unless
conflicting evidence is present.
(c) Questionable cases,
including cases in which the individual has not notified the department and the
absence is longer than 30 days, shall be evaluated to determine whether the
individual has abandoned residency or is possibly maintaining residency in both
NH and another state.
(d) If residency is still
questionable after the evaluation described in (c) above, the individual shall
submit verification of residency to the department no later than 10 calendar
days from the date on the notice requesting the required verification.
(e) Continuation of assistance shall be contingent upon the
individual's ability to verify NH residency.
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #6531, INTERIM, eff 6-27-97, EXPIRES: 10-25-97;
ss by #6614, eff 10-24-97; amd by #8452, eff 10-22-05;
ss by #8452, eff 10-22-05; ss by #10471, eff 11-26-13; amd
by #11120, eff 6-22-16; ss by #13875, eff 2-21-24
He-W 606.12 - He-W 606.17 - RESERVED
Source. (See Revision Note at Chapter Heading He-W 600) #5171, eff 6-26-91
He-W
606.18 Institutional Residence.
(a) The
department of health and human services (DHHS) shall verify institutional
residence and the individual's status within the institution by written or
verbal contact with the institution.
(b) Individuals who received financial assistance but whose assistance was terminated at the time
of admission to New Hampshire Hospital (NHH) shall have financial assistance
redetermined pursuant to He-W 684.01 without a personal interview, as defined
in He-W 601.06(l), if the individual meets the criteria in (c) below.
(c) A personal interview shall not be required of
individuals described in (b) above when the individual:
(1) Is discharged within 60
days from the date of admission;
(2) Provides to DHHS all of the following
information in writing:
a. Individual’s name, case number, discharge address,
and indication of whether the individual received financial assistance prior to admission to
NHH;
b. Date of admission to and
discharge from NHH;
c. Shelter costs for the non-adult
categories of financial assistance;
d. Assistance group composition of all the
people that will reside at the discharge address with the individual, and their
relationship to the individual;
e. Current income of the individual and all
household members;
f. Current resources, pursuant to He-W
601.07(f), of the individual and all household members;
g. Amount and type of any third-party medical coverage held by the individual and
all household members;
h. Any other changes in or information about case
circumstances that would impact eligibility; and
i. Individual’s
or representative’s dated signature acknowledging:
1. That the individual has reported all changes that have
occurred since the individual’s last eligibility determination and that the
information provided to DHHS is true and complete to the best of his or her
knowledge;
2. That the
individual must provide proof of all statements and information provided to
DHHS, and that the individual’s or representative’s signature gives permission
to DHHS to contact other persons or organizations to
get additional proofs of the individual’s eligibility;
3. That any
person who intentionally makes a false statement or misrepresents his or her circumstances or intentionally fails to
disclose the receipt of property, wages, income, or resources, or any change in
circumstances that would affect his or her initial or continued eligibility for
assistance may be found guilty of violating state law;
4. That the individual must report
any changes in circumstances within 10 calendar days of when the change occurs,
or as instructed by DHHS, pursuant to RSA 167:17; and
5. That if the
individual is not satisfied with any decision made by DHHS, the individual may request an appeal within 30 calendar
days from the date of the notice; and
(3) Provides
to DHHS documentation of changes in address, shelter costs for the non-adult categories of financial assistance,
assistance group composition, income, resources, and medical coverage that have occurred since the
last eligibility determination within 10 calendar days of the date of the
request.
(d) A personal
interview shall be required to redetermine financial assistance for individuals
released from an institution when:
(1) An eligibility
redetermination was due or overdue when the individual was admitted to New
Hampshire Hospital;
(2) An eligibility
redetermination is due during the month the individual is discharged from New
Hampshire Hospital;
(3) DHHS determines that the
individual failed or refused to cooperate without good cause pursuant to He-W
601.04(i) with the medical review process pursuant to
He-W 685.01; or
(4) The individual does not
meet the criteria described in (c) above.
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #6531, INTERIM, eff 6-27-97, EXPIRES: 10-25-97;
ss by #6614, eff 10-24-97; amd by #8452, eff 10-22-05;
former paragraphs (b)(2)-(3) in #6614 EXPIRED: 10-24-05; ss by #9083, eff
1-30-08; ss by #11042, eff 2-24-16
He-W 606.19 Presence of
a Dependent Child. Refusal or failure of the parent or caretaker relative
to verify the presence of a dependent child shall result in the denial or
termination of financial assistance to needy families
financial assistance for:
(a) Each child whose
presence is not verified; and
(b) The parent or caretaker
relative, if it cannot be verified that any dependent children are present.
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #6531, INTERIM, eff 6-27-97, EXPIRES: 10-25-97;
ss by #6614, eff 10-24-97; ss by #8452, eff 10-22-05; ss by #10471, eff
11-26-13; ss by #11042, eff 2-24-16
He-W 606.20 Deprivation
Due to Death.
(a) The
individual shall provide
verification of the parent's death whenever death is the cause of deprivation.
(b) The
following documentation shall be acceptable for verifying death, provided the
deceased is named on the document:
(1) Death
certificate;
(2) Medical
records or signed statement from the physician of the deceased parent;
(3) Statement
or bills from the undertaker or funeral home;
(4) Legal
documents that refer to the parent's death;
(5) Documents
issued by other agencies, such as Social Security Administration, Veterans
Affairs, or insurance companies, which refer to the death of the parent; or
(6) Written
statements from 2 individuals who have direct knowledge of the death of the
parent.
(c) Refusal
or failure to verify the parent's death shall result in the denial of financial
assistance to needy families financial assistance for
each child for whom deprivation is not verified.
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #6531, INTERIM, eff 6-27-97, EXPIRES: 10-25-97;
ss by #6614, eff 10-24-97; ss by #8452, eff 10-22-05; ss by #10471, eff
11-26-13; ss by #13875, eff 2-21-24
He-W 606.21 Deprivation
Due to Continued Absence.
(a) Refusal
or failure to provide verification of continued absence shall result in the
denial or termination of financial assistance to needy families
financial assistance for each child for whom deprivation is not verified.
(b) The
individual shall verify that continued absence of a parent currently exists,
pursuant to He-W 628.01(e).
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #6531, INTERIM, eff 6-27-97, EXPIRES: 10-25-97;
ss by #6614, eff 10-24-97; ss by #8452, eff 10-22-05; ss by #10471, eff
11-26-13; ss by #13875, eff 2-21-24
He-W 606.22 RESERVED
– Moved to He-W 806.22
Source. (See Revision Note #2 at part heading for
He-W 806)
He-W 606.23 Living with
a Specified Relative.
(a) The
relationship to a specified relative shall be
verified:
(1) At
the initial determination of eligibility;
(2) When
a child is added to the assistance group;
(3) When
the specified relative changes; or
(4) Whenever
the relationship is questionable.
(b) The
following shall be considered acceptable verification of the relationship
between the specified relative and the child:
(1) Birth,
court, school, hospital, or medical records;
(2) Marriage
certificate;
(3) Insurance policies; or
(4) Written
statements from 2 or more individuals who have direct knowledge of the family relationship.
(c) Refusal
or failure to adequately verify the relationship between the child and the
specified relative shall result in the denial or termination of financial
assistance for each child for whom the relationship is not verified.
(d) The living arrangement of the child and specified
relative shall be verified through individual statements obtained during the
personal interview.
(e) If
the living arrangement of the child is questionable, the following shall be
considered acceptable verification:
(1) School,
medical, legal, or child care center records;
(2) Other
records which indicate where and with whom the child lives; or
(3) A
written statement from 2 or more individuals who have direct knowledge of the
living arrangement of the child.
(f) Refusal
or failure to adequately verify that a child is living with a specified
relative shall result in the denial or termination of financial assistance for
each child for whom such verification is not provided.
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #6531, INTERIM, eff 6-27-97, EXPIRES: 10-25-97;
ss by #6614, eff 10-24-97; ss by #8452, eff 10-22-05; ss by #10471, eff
11-26-13; ss by #13875, eff 2-21-24
He-W 606.24 Age.
(a) The
age of each child in a financial assistance to needy
families (FANF) financial assistance group shall be verified at that child's
initial determination of eligibility and whenever additional evidence indicates
incorrect age.
(b) Refusal
or failure to verify age shall result in the denial or termination of FANF
financial assistance for each child for whom age is not verified.
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #6531, INTERIM, eff 6-27-97, EXPIRES: 10-25-97;
ss by #6614, eff 10-24-97; ss by #8452, eff 10-22-05; ss by #10471, eff
11-26-13; ss by #13875, eff 2-21-24
He-W 606.25 - RESERVED
Source. (See Revision Note at Chapter Heading He-W 600) #5171, eff 6-26-91
He-W 606.26 Strikers.
(a) The
individual's statement regarding circumstances related to the strike shall be
acceptable verification, unless questionable.
(b) If
the individual’s statement is questionable as in (a) above, the individual
shall provide verification of the following circumstances:
(1) Employees
have been locked out of the workplace;
(2) Employees
are prevented from working due to other striking employees; or
(3) Crossing
the picket line is a threat to physical safety.
(c) If
the individual refuses or fails to provide required documentation in (b) above
to substantiate non-participation in a strike, the individual shall be considered to be on strike.
(d) Participation
in a strike shall be treated in accordance with He-W 634.01.
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #6531, INTERIM, eff 6-27-97, EXPIRES: 10-25-97;
ss by #6614, eff 10-24-97; ss by #8452, eff 10-22-05; ss by #10471, eff
11-26-13; ss by #13875, eff 2-21-24
He-W 606.27 - RESERVED
Source. (See Revision Note at Chapter Heading He-W 600) #5171, eff 6-26-91
He-W 606.28 Proof of
Identity.
(a) The identity for each
financial assistance group (AG) member shall be verified at the initial
eligibility determination.
(b) If electronic
verification described in (e) below fails to verify identity, documents
described in 42 CFR 435.407(a), (c) or (d) shall be considered acceptable
verification of an individual’s identity.
(c) Refusal or failure to
verify identity shall result in the denial or termination of financial
assistance for the entire AG.
(d) Reasonable opportunity to
present satisfactory documentary evidence of identity, pursuant to 42 CFR
435.956(b)(2), shall be 95 days from the date on the notice of decision as
defined in He-W 601.05.
(e) Documentation provided
by the Social Security Administration, in accordance with 42 USC 1396a(ee),
shall be
considered acceptable verification of an individual’s identity.
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #6531, INTERIM, eff 6-27-97, EXPIRES: 10-25-97;
ss by #6614, eff 10-24-97; amd by #7666, eff 4-1-02; amd by #8452, eff 10-22-05; ss by #9274, eff 9-20-08; ss by
#9848, eff 1-12-11; ss by #10698, eff 10-21-14; ss by #14017, eff 6-29-24
He-W 606.29 - RESERVED
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91
He-W 606.30 NHEP Exemption.
(a)
For an exemption due to temporary illness or injury, and pursuant to RSA
167:82, II, the NHEP participant shall provide a signed statement from a
licensed physician, licensed physician assistant (PA), licensed advanced
practice registered nurse (APRN), board-certified psychologist, master licensed
alcohol and drug counselor (MLADC), licensed pastoral psychotherapist (LPP), licensed
independent clinical social worker (LICSW), licensed clinical mental health
counselor (LCMHC), or licensed marriage and family therapist (LMFT) explaining:
(1) Why the individual is unable to participate
in a NHEP activity;
(2) The type of illness or injury; and
(3) The length of time the illness or injury is
expected to continue.
(b)
For an exemption due to incapacity or disability, the individual shall
provide a signed statement from a licensed physician, licensed PA, licensed
APRN, board-certified psychologist, MLADC, LPP, LICSW, LCMHC, or LMFT, that
explains:
(1) Why the individual is unable to participate
in a NHEP activity;
(2) The type of incapacity; and
(3) The permanent nature of the incapacity,
unless the individual is eligible for FANF financial assistance on the basis of an incapacity or disability already
documented.
(c)
For an exemption due to school attendance, the individual shall provide
a statement or other document from the school indicating full-time enrollment
and attendance at an elementary, secondary, vocational, or technical school.
(d)
For an exemption due to the illness or
incapacity of another member of the assistance group, the individual shall
provide a signed statement from a licensed physician, licensed PA, licensed
APRN, board-certified psychologist, MLADC, LPP, LICSW, LCMHC, or LMFT, which
includes:
(1) An explanation of why the individual's
presence is required in the home;
(2) A description of the illness or incapacity of
the assistance group member being cared for;
(3) The expected date of recovery; and
(4) Confirmation that no other member of the
household is available or appropriate to provide the needed care.
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #6531, INTERIM, eff 6-27-97, EXPIRES: 10-25-97;
ss by #6614, eff 10-24-97; ss by #8452, eff 10-22-05; paragraph (a) intro. amd by #8740, INTERIM, eff 10-13-06, EXPIRED: 4-11-07; paragraph
(a) intro. amd by #8869, eff 4-19-07; ss by #10471,
eff 11-26-13; ss by #12718, eff 1-26-19
He-W 606.31 Good Cause Reasons for Non-Cooperation
with Child Support Requirement.
(a) To claim a good cause waiver for
non-cooperation with the child support requirements described in RSA 167:79,
III(c)(1)-(2) & (c)(4), for any of the reasons specified in RSA 167:82,
III(b), the individual shall provide verification pursuant to 45 CFR 232.42(b)
- 45 CFR 232.43, except as specified in this section.
(b) If a claim for good cause for non-cooperation
with child support requirements is due to the claimant being or having been
battered or subjected to extreme cruelty pursuant to 42 USC 602(a)(7), but
verification pursuant to He-W 602.10(a)(1)(b.)(1.) is not submitted to support the claim, the department of health and human
services (DHHS) shall accept a signed, written statement from the individual,
under penalty of unsworn falsification pursuant to RSA 641:3, that:
(1) States the reason for the
claim of the battering or extreme cruelty; and
(2) Indicates that cooperation
with a child support requirement in RSA 167:79, III(c)(1)-(2) or (c)(4) would,
pursuant to 45 CFR 260.52(c):
a. Make it more difficult for
the family to escape the situation of battering or extreme cruelty;
b. Unfairly penalize the family
who is or has been victimized by the situation of battering or extreme cruelty;
or
c. Put the family at further
risk of the situation of battering or extreme cruelty.
(c) False information provided on a signed,
written statement pursuant to (b) above shall result in the loss of the good
cause waiver for non-cooperation with the child support requirement due to
being battered or subjected to extreme cruelty, pursuant to 42 USC 602(a)(7)(B),
and be considered a violation of RSA 167:17-b and RSA 641:3.
Source. (See Revision Note #1 at Chapter Heading He-W
600) rsvd by #5171, eff 6-26-91; ss by #7192, eff
2-1-00; ss by #9104, eff 3-15-08; ss by #11063, eff 3-25-16
He-W 606.32 NHEP Medical Exemption Review Process.
(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.
Source. (See Revision Note #1 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
He-W 606.33 - He-W 606.35 - RESERVED
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91, EXPIRED: 6-26-97
He-W 606.36 Social Security Numbers (SSN) –Financial
Assistance to Needy Families (FANF).
(a) Acceptable
documentation of a Social Security Number (SSN) shall be data cross matched
with the Social Security Administration (SSA) pursuant to 45 CFR 205.52.
(b) Acceptable
documentation of an SSN shall be proof issued from the SSA that:
(1) For
newborns, an SSN has been applied for on behalf of the newborn; or
(2) For
all individuals except newborns, the individual has applied for an SSN.
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #6531, INTERIM, eff 6-27-97, EXPIRES: 10-25-97;
ss by #6614, eff 10-24-97; ss by #6836, eff 8-26-98; ss by #8684, eff 7-21-06;
ss by #10743, eff 12-12-14; ss by #14017, eff 6-29-24
He-W 606.37 Pursuit
of Social Security Benefits. In
accordance with He-W 652.07(b) the applicant or recipient pursuing Social Security benefits under 42 USC 401-434 or USC 1381-1383f shall provide to the
department of health and human services:
(a)
All pages of any Social Security
denials received within the previous 12 months; and
(b) Documentation from Social Security indicating:
(1) An appeal is
currently pending; or
(2) That the current application is pending by providing all pages of
the application summary from Social Security.
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #5749, INTERIM, eff 12-1-93, EXPIRED: 3-31-94;
ss by #5806, eff 3-30-94; ss by #7135, eff 11-23-99; ss by#9030, eff 11-17-07;
ss by #11026, eff 1-23-16; ss by #14219, eff -3-26-25
He-W 606.38 - He-W 606.40 - RESERVED
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91; rpld
by #5819, eff 4-29-94
He-W 606.41 RESERVED
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #6531, INTERIM, eff 6-27-97, EXPIRES: 10-25-97;
ss by #6614, eff 10-24-97; ss by #8452, eff 10-22-05; ss by #10471, eff
11-26-13; rpld by #13875, eff 2-21-24
He-W
606.42 Old Age Assistance
Age Requirements.
(a) Age
shall be verified at the initial determination of eligibility and whenever
conflicting evidence indicates an incorrect age.
(b) Refusal
or failure to verify age shall result in the denial or termination of old age
assistance financial assistance for the individual whose age is not verified.
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #6531, INTERIM, eff 6-27-97, EXPIRES: 10-25-97;
ss by #6614, eff 10-24-97; ss by #8452, eff 10-22-05; ss by #10471, eff
11-26-13; ss by #13875, eff 2-21-24
He-W 606.43 - He-W 606.54 - RESERVED
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91
He-W 606.55 Deemed Income. Income deemed from a parent or legal guardian
to a minor casehead, when the casehead
lives with the parent or legal guardian, shall be verified in the same manner
as income of a FANF or adult category assistance group member, unless otherwise
designated.
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #6531, INTERIM, eff 6-27-97, EXPIRES: 10-25-97;
ss by #6614, eff 10-24-97; ss by #8452, eff 10-22-05; ss by #10108, eff 4-4-12
He-W 606.56 and He-W 606.57 - RESERVED
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91
He-W 606.58 Lump Sum
Income.
(a) Failure
or refusal to verify the lump sum income amount shall result in the termination
or denial of financial assistance to needy families
financial assistance.
(b) Failure
or refusal to verify directly related expenses or amounts spent on life
threatening circumstances shall result in these expenses not being subtracted
when eligibility and the period of ineligibility is first calculated.
(c) Failure
or refusal to verify changes, such as new shelter costs, life threatening
circumstances, or incurred medical expenses during the
period of ineligibility, shall result in the period of ineligibility not being
recalculated.
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #6531, INTERIM, eff 6-27-97, EXPIRES: 10-25-97;
ss by #6614, eff 10-24-97; ss by #8452, eff 10-22-05; ss by #10471, eff
11-26-13; ss by #13875, eff 2-21-24
He-W 606.59 Treatment of
Specific Types of Income. If the individual’s name and benefit
amount are on the documents listed in (1) through (5) below, acceptable
verification of Social Security Administration (SSA) or Supplemental Security
Income (SSI) benefits shall be at least one of the following:
(a) Current SSA or SSI
check;
(b) Current SSA or SSI
check stub;
(c) SSA or SSI letter of award;
(d) For SSA benefits only,
the current SSA Beneficiary and Earnings Data Exchange computer cross-match
listing supplied to the department from SSA; or
(e)
For SSI benefits only, the current SSI State Data Exchange computer
cross-match listing supplied to the department from SSA.
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #6531, INTERIM, eff 6-27-97, EXPIRES: 10-25-97;
ss by #6614, eff 10-24-97; amd by #8452, eff 10-22-05;
paragraph (a)(5) in #6614 EXPIRED: 10-24-05; ss by #10471, eff 11-26-13; ss by
#13875, eff 2-21-24
He-W 606.60 Verification
of Educational Income - Adult Categories. Acceptable
verification of specific types of educational income shall be provided to the
department as follows:
(a) For United States(US)
Secretary of Education scholarships and grants:
(1) Written
or verbal contact with the financial aid officer at the individual's school; or
(2) A
letter of award;
(b) For Federal Work-Study
(FWS) income:
(1) Written
or verbal contact with the financial aid officer at the individual's school;
(2) Written
or verbal contact with the individual’s employer to obtain earnings
information; or
(3) Pay
stubs;
(c) For other post-graduate
scholarships or grants:
(1) Written
or verbal contact with the financial aid officer at the individual's school; or
(2) A
letter of award;
(d) For veterans'
educational assistance benefits:
(1) A
written or verbal statement from the US Department of Veterans Affairs;
(2) A
letter of award indicating the amount of assistance and that benefits are
contingent upon regular school attendance; or
(3) A
check or check stub to verify the amount; and
(e) For student loans:
(1) Written
or verbal contact with the financial aid officer at the individual's school; or
(2) A
loan agreement or other loan document.
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #6531, INTERIM, eff 6-27-97, EXPIRES: 10-25-97;
ss by #6614, eff 10-24-97; amd by #6672, eff 1-26-98,
EXPIRED: 1-26-06
New. #8744, eff 10-24-06; ss by #10699, eff 10-24-14;
ss by #14017, eff 6-29-24
He-W 606.61 - RESERVED
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #6531, INTERIM, eff 6-27-97, EXPIRES: 10-25-97;
ss by #6614, eff 10-24-97; amd by #6672, eff 1-26-98,
EXPIRED: 1-26-06
He-W 606.62 - He-W 606.64 - RESERVED
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #6531, INTERIM, eff 6-27-97, EXPIRES: 10-25-97; rpld by #6614, eff 10-24-97
He-W 606.65 Plan to
Achieve Self Support (PASS) Income and Resources.
(a) Acceptable
verification of income and resources set aside under a plan to achieve self support (PASS), as defined in He-W 601.06, shall be
written documentation from the Social Security Administration that indicates:
(1) The
individual is participating in the PASS;
(2) The
amount of income and resources to be excluded; and
(3) The
begin and end dates of the plan.
(b) Money
set aside under a verified PASS, pursuant to (a) above, shall be treated as
follows for all categories of financial assistance:
(1) Funds
set aside under a PASS are excluded as resources; and
(2) Supplemental
Security Income allocated into a PASS is excluded as income.
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #5248, eff 10-16-91; ss by #6614, eff 10-24-97;
ss by #8452, eff 10-22-05; ss by #10471, eff 11-26-13; ss by #13875, eff
2-21-24
He-W 606.66 and He-W 606.67 - RESERVED
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91
He-W 606.68 Adult
OAA and APTD Employment Expense Disregard.
(a) Verification of
employment expenses shall not be required for adult category old age assistance
(OAA) and aid to the permanently and totally
disabled (APTD) financial assistance if the individual's claimed monthly
employment expenses are $18.00 or less.
(b) Acceptable verification
of the amount of employment expenses for adult category OAA and APTD financial
assistance shall be:
(1) For payroll
deductions:
a. For social
security taxes:
1.
Pay stubs; or
2. A letter
or other written information from the employer which specifies the amount of
social security taxes withheld from earnings;
b. For
railroad retirement taxes:
1. Pay stubs; or
2. A letter or other written information from
the employer which specifies the amount of railroad retirement taxes withheld
from earnings;
c. For
federal withholding:
1. Pay
stubs;
2. A letter or
other written information from the employer which specifies the amount of
federal taxes withheld from earnings; or
3. For
self-employed individuals, federal tax forms or other documents which indicate
the amount of federal withholding taxes being paid; and
d. For all
other mandatory payroll deductions, a letter or other written information from
the employer which specifies the minimum amount the individual must contribute,
and that the deduction is not elective;
(2) For
transportation costs:
a. A
statement signed by the individual indicating whether reimbursement is received
and the amount and source of the reimbursement;
b. If child care related transportation costs are claimed, a
statement signed by the child care provider attesting
to the fact that it is necessary for the individual to provide the child's
transportation;
c. If
the individual's own vehicle is used, a signed statement indicating
the number of miles claimed and that such mileage is the shortest necessary to
travel to and from work;
d. If
the individual rides in another person's privately owned vehicle, the
documentation in c. above, and a statement signed by the driver
which indicates the amount and frequency of the charge for transportation; or
e. If the
individual uses public transportation, a statement signed by the provider of
the transportation which indicates the amount normally
charged to the public and whether the charge is for one-way or round-trip.
(3) For
special clothing, paid receipts for purchased
clothing which substantiate that the costs are recurring.; and
(4) For
child care costs:
a. If
the individual is being reimbursed for child care
costs through the New Hampshire child care scholarship program, the
amount, if any, of the child care fee which the
individual shall pay as shown on the Department invoice; or
b. If there
is no New Hampshire child care scholarship program
involvement with child care costs, acceptable
documentation shall be:
1. A
statement signed by the individual indicating whether reimbursement is received
and the amount and source of the reimbursement;
2. A written
statement signed by the child care provider indicating
the amount and frequency of the child care cost; or
3. department
verbal contact with the child care provider indicating
the amount and frequency of the child care cost.
(c) If the individual fails
or refuses to provide verification of a claimed expense, the amount of the
unverified expense shall not be an allowable employment expense.
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #5750, eff 12-1-93; ss by #7135, eff 11-23-99;
ss by #9030, eff 11-17-07; ss by #11026, eff 1-23-16; ss by #14355, eff
8-26-25, EXPIRES: 8-26-35
He-W
606.69 Impairment Related Work Expenses.
(a) When claiming
impairment related work expenses (IRWE) during the substantial gainful activity
eligibility process pursuant to RSA 167:6, VI, aid to the permanently and
totally disabled (APTD) applicants shall furnish the department of health and
human services (department) with documentation of the need for and the
unreimbursed cost of one or more IRWE as described in 20 CFR 416.976.
(b) Acceptable
documentation of the need for an IRWE shall be a signed statement from a
physician, psychologist, vocational rehabilitation counselor, or other medical
health professional which:
(1) Indicates
that the expense is related to the applicant’s impairment and is necessary for
employment; and
(2) Is dated
within 30 days of the date documentation is provided to the department.
(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 the applicant’s own funds, and has not nor
will not, be reimbursed for the expense.
(d) For
an applicant wishing to claim mileage expenses for their specially equipped
vehicle, the applicant shall provide documentation of:
(1) The
ownership, make, and model of the vehicle;
(2) The
specific modifications that were made to the
vehicle; and
(3) The number
of miles traveled to and from work.
(e) Refusal
or failure to provide verification of an IRWE shall result in the expense not
being allowed as a deduction from earned income.
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #5750, eff 12-1-93; ss by #7135, eff 11-23-99;
ss by #9030, eff 11-17-07; ss by #11026, eff 1-23-16; ss by #14355, eff
8-26-25, EXPIRES: 8-26-35
He-W 606.70 - He-W 606.72 - RESERVED
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91
He-W
606.73 Child Care Costs for All Categories. If the individual
refuses or fails to verify child care costs, the unverified amount shall not be:
(a) An
allowable employment expense; or
(b) Subtracted
from household income when determining financial eligibility.
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #6531, INTERIM, eff 6-27-97, EXPIRES: 10-25-97;
ss by #6614, eff 10-24-97; ss by #8452, eff 10-22-05; ss by #10471, eff
11-26-13; ss by #10471, eff 11-26-13; ss by #13875, eff 2-21-24
He-W
606.74 Allowable Deductions.
(a) Acceptable
verification of allowable deduction amounts for adult categories
of financial assistance shall include:
(1) For
court-ordered child support, a copy of the most current
court order;
(2) For
court-ordered spousal support, a copy of the most
current court order;
(3) For
garnishments, a letter from the employer;
(4) For
training expenses:
a. The
same documentary evidence required under He-W 606.68 for transportation costs,
special clothing, child care costs, and other
allowable expenses; and
b. A
letter from an official of the training program which states that
the expense is required and a receipt or other verification showing the amount
which is required to be paid for the expense; and
(5) For allocated income,
acceptable verifications as specified in He-W 606.75.
(b) Acceptable
verification of allowable deduction amounts for financial assistance to needy
families shall include:
(1) For
court-ordered child support, a copy of the most
current court order and proof of the actual amount paid;
(2) For
court-ordered spousal support, a copy of the most current court order and proof
of the actual amount paid;
(3) For
garnishments, a letter from the employer;
(4) For
training expenses:
a. The same
documentary evidence required under He-W 606.68 for transportation costs,
special clothing, child care costs, and other
allowable expenses; and
b. A
letter from an official of the training program which states that the expense
is required and a receipt or other verification showing the amount
which is required to be paid for the expense.
(c) If the
individual refuses or fails to provide verification of a claimed expense, the
amount of the unverified expense shall not be considered
an allowable deduction.
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #5565, eff 2-8-93; ss by #6955, eff 3-3-99; ss
by #8783, INTERIM, eff 12-30-06, EXPIRES: 6-28-07; ss by #8903, eff 6-28-07; ss
by #10895, eff 7-22-15; ss by #14098, eff 10-18-24
He-W 606.75 Allocated
Income.
(a) If
the individual refuses or fails to verify a claimed allocation, the unverified
amount shall not be an allowable deduction.
(b) An
institutionalized individual, as defined in He-W 601.05, who has a spouse
living in the community, shall provide verification of the following:
(1) The
need for institutionalization of at least 30 days;
(2) The
income and shelter expenses of the spouse who resides in the community, if
applicable;
(3) Marital
status;
(4) Incurred
medical expenses of the institutionalized individual, if applicable;
(5) Legal
dependent status and income of individuals claimed as dependents, if
applicable;
(6) Identity
of the dependent and relationship of the dependent to the institutionalized
individual or spouse who supports the dependent, if applicable; and
(7) Court
ordered support against the institutionalized individual, if applicable.
(c) Acceptable
verification of (b)(1) through (7) above, shall include the documentation
listed below:
(1) A
signed and dated statement from the admitting physician, caseworker,
hospital social worker, bureau of elderly and adult services social worker, or
representative of the institution, which indicates that based on available
medical data, the institutionalized individual requires a minimum of 30 days of
institutionalization;
(2) Documentation
that substantiates the amount and frequency of income as specified in He-W
606.59;
(3) A
marriage certificate, a record of marriage from the town clerk's office, or
other document that provides proof of marriage;
(4) Documentation
which is no more than 2 months old and which
substantiates the community spouse's shelter expenses, such as:
a. Rent
receipts which indicate the amount and frequency of payment;
b. A
bill or receipt for the mortgage payment;
c. Property
taxes;
d. Homeowner
insurance premiums;
e. Manufactured
housing lot rent;
f. Utility
expenses; or
g. Condominium
fees;
(5) Bills
or receipts that substantiate that the institutionalized spouse has incurred
non-reimbursable medical expenses and the frequency of such expenses;
(6) A
copy of the most recent filed internal revenue service income tax return or
other documentation that substantiates legal dependency status;
(7) A
driver's license, military record, voter registration card, school or hospital
record, or any other document that establishes the identity of the dependent;
(8) A
birth certificate, baptismal record, marriage certificate, or other
documentation which establishes the relationship between the dependent and the
spouse who provides support; and
(9) A copy of the court order or other
documentation that substantiates that the institutionalized spouse has been ordered to pay support and which
indicates the amount and frequency of such support payments.
(d) The
allocation from the institutionalized individual's income to the community
spouse shall take effect in the month that the institutionalized individual
provides documentation of the items cited in (b) above.
(e) If
documentation described in (d) above is provided
within 10 calendar days of the department request, the allocation shall take effect the month in which the request was made.
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #6531, INTERIM, eff 6-27-97, EXPIRES: 10-25-97;
ss by #6614, eff 10-24-97; ss by #8452, eff 10-22-05; ss by #10471, eff
11-26-13; ss by #13875, eff 2-21-24
He-W 606.76 Resources -
Basic Principles. If excluded resources have been commingled
with countable resources, the individual shall provide proof of the portion
that is excluded.
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #6531, INTERIM, eff 6-27-97, EXPIRES: 10-25-97;
ss by #6614, eff 10-24-97; ss by #8452, eff 10-22-05; ss by #10471, eff
11-26-13; ss by #13875, eff 2-21-24
He-W 606.77 - RESERVED
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91
He-W
606.78 Personal Property Resources.
(a) For all categories of financial assistance:
(1) The
following documents shall be used to verify that a resource is legally
unavailable to the applicant or recipient, pursuant to RSA 167:81, IV(e):
a. For
irrevocable trust funds, the trust instrument or agreement;
b. For
irrevocable burial funds, the bank account, agreement, trust instrument, or
similar document which clearly states that the burial funds are not legally
available to the individual; and
c. For
property in probate, written or verbal contact with the register of probate in
the appropriate county indicating that the property is currently in probate and
legally unavailable to the applicant or recipient or a letter from the attorney
handling the property indicating the property is legally unavailable to the
applicant or recipient;
(2) Acceptable
verification of income tax refunds or lump sum earned income tax credit
payments shall be a copy of the tax refund check or the applicant’s or
recipient’s submitted tax return;
(3) Acceptable
verification of the value of IRA and non-contractual Keogh accounts and penalty
for early withdrawal shall be a written statement from the financial
institution where the account was issued indicating the current balance in the
account and penalty for withdrawal of the entire amount in the account;
(4) Acceptable
verification of the type of Keogh account, such as contractual or
non-contractual, shall be a written statement from the individual's employer or
the financial institution where the account was issued indicating whether it
involves a contractual relationship with other individuals and if money can be
withdrawn without affecting the other individuals involved;
(5) Acceptable
verification of the face value of life insurance shall be:
a. The actual
policy itself; or
b. Written or
verbal contact with the insurance company when the face value cannot be
determined using the actual policy;
(6) Acceptable
verification of the equity value of life insurance shall be determined by
written or verbal contact with the insurance company;
a. Using the
cash value or non-forfeiture of benefits table, if there is no loan on the
policy; or
b. Written or
verbal contact with the insurance company, if there is a loan on the policy;
(7) Acceptable
verification of lump sum death benefits shall be a letter of award, written
contact with the agency providing the benefit or with the funeral director
arranging for payment of the benefit, or if written documentation cannot be
furnished, department of health and human services (DHHS) verbal contact with
the agency or funeral director;
(8) Acceptable
verification of resources resulting from an accumulation of types of income
which are excluded by federal mandate shall be letters of award, written
statements from the source providing benefits, or, if written documentation
cannot be furnished, DHHS verbal contact with the source providing the
benefits;
(9) Acceptable
verification of stocks and bonds shall be the market value of the stock or bond
in the financial section of a current newspaper or, if written documentation
cannot be located, DHHS verbal contact with a stock broker;
and
(10) Good
faith effort to sell a personal property asset that cannot be readily converted
to cash shall be newspaper clippings or evidence of other means of advertising
showing that the asset is for sale at a price commensurate with the property’s
fair market value.
(b) For
verification of resources for the FANF category of financial assistance the
following shall apply:
(1) For equity
value of a vehicle:
a. The fair
market value of an automobile or truck shall be verified by using the “trade-in
value” in the most recent edition of the NADA Official Used Car Guide, also
known as the “Blue Book”;
b. The fair market value shall not be increased
because of special equipment for the handicapped, low mileage, or optional
equipment;
c. If the
applicant or recipient states that the fair market value in the Blue Book does
not apply to the vehicle because of body damage or other factors, the
individual shall present verification of the true fair market value of the
vehicle from an auto dealer or an individual who is engaged in a vehicle sales
or service business; and
d. If a
vehicle is custom made, too old, or too new to be included in the Blue Book,
the applicant or recipient shall verify its fair market value by:
1. Obtaining
an appraisal from an automobile dealer or an individual who is engaged in a
vehicle sales or service business;
2. Submitting
a tax assessment on the vehicle indicating its value; or
3. Submitting
a newspaper advertisement which indicates the amount for which like vehicles are being sold;
(2) The
applicant’s or recipient’s written statement shall be acceptable verification
of the fact that a vehicle is a junk vehicle, provided the statement gives an
accurate and complete description of the vehicle's condition; and
(3) Acceptable
verification of the fact that farm machinery and vehicles are necessary for
subsistence, maintenance, or employment shall be a written statement from the
applicant or recipient.
(c) Acceptable
verification of incurred unpaid medical expenses for
adult category financial assistance shall be bills which substantiate the
amount of unpaid medical expenses that the applicant or spouse have incurred and that the applicant or spouse is still
liable for the unpaid medical expenses.
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #5392, eff 5-11-92, EXPIRED: 5-11-98
New. #6779, INTERIM, eff 6-27-98, EXPIRED: 10-25-98;
ss by #6817, eff 7-25-98; amd by #7295, eff 6-1-00; amd by #8684, eff 7-21-06; ss by #9174, eff 6-7-08; amd by #10259, eff 1-24-13; ss by #11141, eff 7-22-16
He-W 606.79 - He-W 606.82 - RESERVED
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91
He-W
606.83 Verification of Shelter and Living Arrangement.
(a) The
minimum verification information for a rental situation shall consist of the:
(1) Date
tenancy began;
(2) Rent
amount;
(3) Payment
period;
(4) Home
address;
(5) Housing
or rent subsidy type;
(6) Gross
family contribution for tenants receiving deep subsidy rental assistance;
(7) Basic
rent for tenants in unsubsidized housing and urban development 236 housing; and
(8) Number
of people living in the unit.
(b) If
the individual is unable to provide the documentation required in (a) above,
the department shall request the required information directly from
the landlord, property manager, or housing authority with a requested return
date 10 calendar days later.
(c) If the
landlord, property manager, or housing authority does not respond within the
timeframe specified in (b) above, a written statement from the individual shall
be acceptable verification.
(d) Acceptable verification
of home ownership shall be:
(1) A
copy of the mortgage or deed;
(2) A
written statement on the letterhead of the bank or lending institution that
specifies the terms of the mortgage payment; or
(3) Bills
or receipts for the mortgage payment, property taxes, homeowners
insurance premiums, manufactured housing lot rental, or other expenses
attributable to owning the home, such as condominium association fees.
(e) Acceptable
verification of rooming, boarding, shared, or provided shelter arrangements,
shall be a signed and dated statement from the individual providing
or sharing the shelter, which contains:
(1) An
explanation of the exact nature of the shelter arrangement; and
(2) The
cost(s) to the individual being provided with shelter.
(f) In situations where
the liability for the mortgage payment is shared with an individual who is not
an assistance group member, acceptable verification of home ownership shall be:
(1) A
signed statement from the individual who shares the liability but is not an
assistance group member; or
(2) A
letter from an attorney, certified public accountant, or lending institution, certifying the extent of liability of the
individual in the assistance group.
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #6531, INTERIM, eff 6-27-97, EXPIRES: 10-25-97;
ss by #6614, eff 10-24-97; ss by #8452, eff 10-22-05; ss by #10471, eff
11-26-13; ss by #13875, eff 2-21-24
He-W 606.84 Adult
Category Verification of Shelter and Living Arrangement.
(a) Acceptable
verification of living arrangement and assistance group size shall be the
individual’s statement.
(b) If
questionable, the individual shall verify the living arrangement pursuant to
He-W 606.83.
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #6531, INTERIM, eff 6-27-97, EXPIRES: 10-25-97;
ss by #6614, eff 10-24-97; ss by #8452, eff 10-22-05; ss by #10471, eff
11-26-13; ss by #13875, eff 2-21-24
He-W 606.85 - He-W 606.88 - RESERVED
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91
He-W 606.89 – RESERVED
Source. (See Revision Note at Part Heading for He-W
806)
He-W 606.90 – RESERVED
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #6531, INTERIM, eff 6-27-97, EXPIRES: 10-25-97;
ss by #6614, eff 10-24-97; ss by #8452, eff 10-22-05; ss by #10471, eff
11-26-13; rpld by #13875, eff 2-21-24
He-W 606.91– RESERVED
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91
He-W
606.92 Telephone Redetermination.
(a) Current recipients of any program of financial
assistance who reapply for assistance via the telephone, shall be considered to
have requested a redetermination as described in He-W 684.01(a).
(b) The telephone redetermination process
pursuant to (a) above shall only be available as funding and resources within
the current state fiscal year are available.
(c) All general, categorical, technical, and
financial requirements that apply when eligibility for assistance is
redetermined whether based on federal or state law, federal regulation, or
published department rules, shall apply when an individual requests a
redetermination pursuant to (a) above.
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #5440, eff 7-24-92; ss by #6817, eff 7-25-98; rpld by #8018, eff 12-20-03; ss by #9787, eff 10-1-10; ss
by #12714, eff 1-23-19 (formerly He-W 606.101)
He-W
606.93 - He-W 606.97 - RESERVED
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91
He-W 606.98 RESERVED
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #6531, INTERIM, eff 6-27-97, EXPIRES: 10-25-97;
ss by #6614, eff 10-24-97; ss by #8452, eff 10-22-05; ss by #10471, eff
11-26-13; rpld by #13875, eff 2-21-24
He-W 606.99 - RESERVED
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91
He-W 606.100 Redetermination
of Eligibility.
(a) For
a desk review, as defined in He-W 601.03, the individual shall provide the
required verification of the change in case circumstances no later than 10
calendar days from the date on the notice requesting the required verification.
(b) For
a full redetermination, the individual shall provide the required verification
no later than 10 calendar days:
(1) After
the personal interview; or
(2) From
the date on the notice requesting the required verification, if a personal
interview is not required.
(c) When
verification has been requested from a third party, such as an employer or
landlord, and the verification has not been received within the time frames
above, 10 additional calendar days shall be allowed after the department sends
a follow-up letter to the third party and the individual.
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #6531, INTERIM, eff 6-27-97, EXPIRES: 10-25-97;
ss by #6614, eff 10-24-97; ss by #8452, eff 10-22-05; ss by #10471, eff
11-26-13; ss by #13875, eff 2-21-24
He-W 606.101 - RESERVED
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #5440, eff 7-24-92; ss by #6817, eff 7-25-98; rpld by #8018, eff 12-20-03; ss by #9787, eff 10-1-10;
(moved by #12714 to He-W 606.92)
He-W 606.102 and He-W 606.103 -
RESERVED
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91
He-W 606.104 Verification
Requirements for Emergency Assistance.
(a) The following
verification requirements shall apply to any individual requesting emergency
assistance as described in He-W 699.05:
(1) Individuals
shall provide the documentation in (b) below of their emergency situation within
10 calendar days of their request for emergency
assistance. Failure to provide the required verification shall
result in denial of the emergency assistance request;
(2) Individuals shall provide
documentation indicating the amount of assistance necessary to cure the emergency situation;
(3) Individuals shall provide
documentation of the personal property resources owned by all members of the
assistance group, as described in He-W 699.05 ;
(4) For utility deposits,
utility arrearages, and deliveries of home heating fuel, the individual shall
provide documentation indicating that energy assistance funds are not
available to meet the emergency need;
(5) For deliveries of
home heating fuel, the individual shall provide documentation from the fuel
delivery company indicating that a payment for the current delivery or a
payment for the amount of arrearage from either the
individual’s current or past residence will allow a current fuel delivery; and
(6) Individuals
shall provide additional documentation indicating that the payment authorized
by the department shall cure the emergency
situation. If the amount of the emergency need exceeds the maximum
emergency assistance provided by the department, as specified in He-W 699.05.
(b) Acceptable documentation shall be:
(1) A bill, rental agreement,
or other document signed and dated by the landlord indicating the amount of the
security deposit;
(2) A
bill, or signed and dated statement provided by a representative of the utility
company indicating the amount of the utility deposit;
(3) One
of the following, if the amount of the security deposit, utility deposit, or
home heating fuel delivery, is greater than the maximum allowed by
the department, as described in He-W 699.05, plus the individual's
personal property resources, as described in He-W 699.05:
a. A
signed and dated statement from an outside source indicating
that it shall provide the remainder of the deposit or home heating fuel cost;
b. A
signed and dated statement from the landlord, utility company, home heating
fuel company, or provider stating that the payment authorized by the department
shall secure the housing, utility, or home heating fuel; or
c. Documentation
that a payment plan has been arranged for the remainder of the deposit or home
heating fuel cost;
(4) A
termination notice, a bill, or a statement from the utility company indicating
the amount of the utility arrearage;
(5) One
of the following, if the amount of the back rent, mortgage principal and
interest, or utility arrearage exceeds 2 months:
a. A
signed and dated statement from the landlord, mortgagee, or utility company
indicating that payment of a 2-month portion of the arrearage shall
respectively prevent eviction, foreclosure, or termination of utility service;
b. A
signed and dated statement from an outside source indicting that it
shall provide payment for the remainder of the back rent, mortgage principal
and interest, or utility bill; or
c. A
signed and dated statement from the landlord, mortgagee, or utility company
indicating that a payment plan has been arranged for the balance of
the arrearage;
(6) An
eviction notice, court order, notice to quit, or a signed and dated written
demand for rent for an actual or pending eviction, indicating the name of the
landlord and the amount of the back rent;
(7) A
notice of foreclosure, court order, or a signed and dated written demand for
mortgage principal and interest initiating foreclosure proceedings, indicating
the name of the mortgagee and the amount of the back
mortgage principal and interest;
(8) A
current dated bank statement, or a signed and dated statement from a
representative of the financial institution for personal property resources;
(9) Fuel
assistance termination letter, or a signed and dated statement from a
representative of the organization administering federal fuel assistance payments
specifying the reason that fuel assistance is not available to meet the
emergency need;
(10) One
of the following, if verifying incapacity:
a. A
check, letter, or other document from the social security administration
indicating receipt of social security disability benefits or
supplemental security income benefits; or
b. A physician's statement
indicating that the individual is disabled and unable to work for a period of
at least 30 days from the date of application for emergency assistance; or
(11) One
of the following, if there are unsafe or unhealthy living conditions:
a. Documentation
of the unsafe or unhealthy living conditions from a third party, including but
not limited to a school nurse, school counselor, social worker, case manager,
therapist, housing and support services, town welfare, primary medical
provider, or pastoral support; or
b. The
individual’s written self-attestation of the unsafe or unhealthy living
conditions.
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #5370, eff 4-13-92; amd
by #6672, eff 1-26-98; ss by #6754, eff 5-20-98; ss by #8596, eff 3-30-06; ss
by #10563, eff 3-30-14; ss by #10860, eff 6-30-15; amd
by #12697, eff 12-31-18; ss by #14299, eff 7-1-25, EXPIRES: 7-1-35
PART He-W 607 –
RESERVED
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91
PART
He-W 608 USE OF MONEY PAYMENTS
He-W
608.01 Use of Money Payments.
(a) The
individual shall be responsible for the satisfaction of the individual’s
creditors to the same extent as any other citizen.
(b) The
department shall not intervene in disputes involving the individual and a
provider in matters relating to financial obligations.
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #6531, INTERIM, eff 6-27-97, EXPIRES: 10-25-97;
ss by #6614, eff 10-24-97; ss by #8452, eff 10-22-05; ss by #10495, eff 1-1-14;
ss by #13760, eff 9-28-23
He-W 608.02 Prohibited Use of Money Payments.
(a)
A violation of RSA 167:7-b,I shall have occurred if the electronic
benefit transfer (EBT) card assigned to the individual designated as the EBT
cardholder, or cash obtained with the EBT card, was used at a business
described in RSA 167:7-b,II, as determined by the EBT record of transaction
indicating usage of the EBT card at a point-of-sale (POS) device or ATM machine
that is located within the walls of the place of business.
(b)
A finding of a violation pursuant to (a) above shall result in the
application of the suspension provisions at RSA 167:7-b,I, pursuant to (c)
below, subject to the administrative appeals process described in He-C 200.
(c)
For the purposes of applying suspension
provisions in accordance with RSA 167:7-b,I, the
following shall apply if the individual designated as the EBT cardholder is a
member of the assistance group (AG):
(1) Subject to opportunity for a hearing through
the administrative appeals process described in He-C 200, the suspension of
cash assistance benefits shall be applied beginning the first semi-monthly
payment period following the date that a violation of RSA 167:7-b has been
discovered, pursuant to (a) above; and
(2) Financial assistance benefits for the AG
during the suspension period shall be determined by:
a. Recalculating eligibility based on removing
the person who has been designated as the EBT card holder as an eligible
individual from the AG, while counting that individual’s income, resources, and
expenses for the AG in order to determine the sanction
amount;
b. Deducting any other sanctions currently being
applied to the AG from the amount derived in (2)a. above;
c. Dividing the amount obtained in (2)b. above
by 2, to determine the 2 semi-monthly payments pursuant to He-W 670.04; and
d. Removing the sanction amount as determined in
(2)c. above from the AG’s EBT card for the number of payment periods required
by RSA 167:7-b,I.
(d)
If the person who has been designated as the EBT card holder is not a
member of the AG and a violation of RSA 167:7-b,I has occurred pursuant to (a)
above, then the following shall apply, subject to a hearing which may be
requested through the administrative appeals process described in He-C 200:
(1) The person who has been designated as the EBT
card holder shall reimburse the state for the funds used at the restricted
location within 15 days of the notice of the violation or under such repayment
terms as is agreeable to both the department and the person, pursuant to (h)
below; and
(2) The members of the AG shall designate a new
EBT card holder within 15 days of the notice of the violation.
(e)
Failure to reimburse the state within the timeframes pursuant to (d)(1)
above shall result in a fraud referral to the department of justice, office of
the attorney general.
(f)
Failure to designate a new EBT cardholder within the timeframes pursuant
to (d)(2) above shall result in termination of financial
assistance for the entire AG.
(g)
For the purpose of this section:
(1) The phrase “gaming establishment” referenced
in RSA 167:7-b,II(c), shall:
a. Include commercial and charitable bingo
halls, card halls, or race tracks, even if the gaming
provided is through video, rather than live, events; and
b. Not include establishments such as, but not
limited to, grocery stores or convenience stores, whose only gaming activity is
in the sale of lottery tickets or lucky 7 tickets and the sale of these tickets
is secondary to the establishment’s sales of other goods unrelated to gaming;
(2) The phrase “retail establishments which
provide adult-oriented entertainment” referenced in RSA 167:7-b,II(d) shall
include:
a. Establishments in which greater than 50% of
visible inventory being sold or rented, is material,
as defined in RSA 650:1,III, in which performers disrobe
or perform in an unclothed state for entertainment; and
b. Establishments which provide on or off-site
adult-oriented entertainment for such venues commonly referred to as, but not
limited to, bachelor parties or peep shows, in which performers disrobe or
perform in an unclothed state for entertainment; and
(3) The phrase “off-premises retail licensees
that exclusively or primarily sell beer, wine, or other alcoholic beverages”
referenced in RSA 167:7-b, II(b) shall:
a. Include any establishments in which greater
than 50% of visible inventory is beer, wine, or other alcoholic beverages; and
b. Not include establishments that have been
certified as a food stamp retailer, pursuant to 7 CFR 278.1.
(h)
For purposes of (d)(1) above, repayment terms shall be considered
agreeable to both the department and the person when the individual designated
as the EBT cardholder has:
(1) Contacted the special investigations unit
(SIU) to discuss a repayment plan within the time period
described in (d)(1) above;
(2) Provided the following information on the
repayment plan:
a. Date of birth;
b. Mailing address; and
c. Case number, if the individual is a member in
another AG; and
(3) Within
15 days of the date of the repayment plan agreement, returned the repayment
plan agreement with his or her dated signature attesting to the amount,
frequency, and dates of the partial payments that he or she shall make until
the amount used at the restricted location is paid in full.
Source. #10495, eff 1-1-14; amd
by #11043, eff 2-24-16
PARTS He-W 609 – He-W
615 - RESERVED
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91
PART He-W 616 CITIZENSHIP/ALIEN STATUS
He-W 616.01 Sponsored
Aliens Who Apply for Financial Assistance to Needy Families (FANF). For an alien who has been sponsored by an
agency or an organization to be eligible for financial assistance to needy
families (FANF) financial assistance, the following conditions shall be met:
(a) The alien shall provide
a signed and dated affidavit, on which the sponsoring agency or organization
has provided the following:
(1) The
name of the alien;
(2) The
alien's date of entry into the United States;
(3) The
name and address of the sponsor;
(4) The
amount of money the sponsor contributed to the alien, if any;
(5) The
reason the sponsor cannot meet the alien's total needs; and
(6) A
statement that the sponsor agrees to a financial audit when needed to
substantiate conflicting information;
(b) The sponsor shall be
considered to not be meeting the alien's total needs, if:
(1) The
sponsor is contributing no money to the alien; or
(2) The
amount contributed is not enough to render the case ineligible for FANF
financial assistance due to excess income; and
(c) If the alien claims
that the sponsoring agency or organization no longer exists, the alien shall
provide:
(1) A
written, signed, and dated statement indicating the name and former address of
the sponsor;
(2) A
statement that the sponsor no longer exists; and
(3) The
reason the sponsor no longer exists, if known.
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #6531, INTERIM, eff 6-27-97, EXPIRES: 10-25-97;
ss by #6614, eff 10-24-97; ss by #8452, eff 10-22-05; ss by #10471, eff
11-26-13; ss by #13857, eff 1-23-24
He-W 616.02 Eligibility of Qualified Aliens.
(a)
As long as all other eligibility requirements are met, financial and
medical assistance shall be provided to qualified aliens as defined in 8 USC
1641(b), under the following conditions:
(1) The qualified alien entered the United States
with a status within the meaning of the term “qualified alien” before August
22, 1996; or
(2) For qualified aliens who enter the United
States on or after August 22, 1996, a period of 5 years has elapsed since the
date of the alien’s entry into the United States with a status within the
meaning of the term “qualified alien.”
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #6446, eff 2-1-97; ss by #8271, eff 2-1-05,
EXPIRED: 2-1-13
New. #10275, eff 2-21-13
PART He-W 617 -
RESERVED
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91
PART He-W 618 - RESIDENCY
He-W 618.01 - RESERVED
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #6595, eff 10-1-97; amd
by #7192, eff 2-1-00; paras. (a)-(d) EXPIRED: 10-1-05; paras. (e)-(h) EXPIRED:
2-1-08
He-W
618.02 Temporary Absence from New Hampshire.
(a) For
adult category financial assistance, "temporary absence" shall be
defined in accordance with He-W 601.08.
(b) Acceptable
reasons for a temporary absence shall include the following:
(1) Visiting;
(2) Vacationing;
(3) Temporary
hospitalization;
(4) Convalescent care; or
(5) School attendance.
(c) Recipients
shall notify the department of all absences from the state.
(d) When
a recipient who is absent from New Hampshire fails to notify the department of
that absence, and the department becomes aware of the absence, the absence
shall be considered temporary for at least 30 days and
assistance shall continue for that period of time.
(e) When
unreported absences last longer than 30 days, continuation of assistance shall
be contingent on the recipient’s verification of New
Hampshire residency.
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #6531, INTERIM, eff 6-27-97, EXPIRES: 10-25-97;
ss by #6614, eff 10-24-97; ss by #8452, eff 10-22-05; ss by #10471, eff
11-26-13; ss by #13589, eff 3-24-23
PART He-W 619 PRESUMPTIVE ELIGIBILITY FOR HOME AND
COMMUNITY-BASED CARE FOR THE ELDERLY AND CHRONICALLY ILL (HCBC-ECI)
He-W 619.01 Definitions. 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.
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91; EXPIRED: 6-26-99
New. #9155, eff 5-10-08, EXPIRED: 5-10-16
New. #11104, INTERIM, eff 5-25-16, EXPIRES:
11-21-16
He-W 619.02 Presumptive Eligibility For HCBC-ECI.
(a) Presumptive eligibility for medicaid services shall be available to the applicant:
(1) Who applies for HCBC-ECI;
(2) Who requests a presumptive eligibility
determination, either directly or through a qualified provider;
(3) Who submits a completed medicaid
application and all related, necessary verifications as contemplated at He-W
606, within 10 days;
(4) Who undergoes a face-to-face clinical
assessment by a registered nurse designated by the department’s bureau of
elderly and adult services (BEAS);
(5) Who the department or qualified provider determines
in accordance with He-W 619.02(b) is likely to be at risk of
institutionalization without HCBC-ECI services;
(6) Who the department determines is likely to be
medicaid-eligible in accordance with He-W 619.02(c);
(7) Who has not previously applied for or
received PE coverage in the previous 12 months; and
(8) Who acknowledges in writing his or her
understanding and agreement that if the application is denied for any reason,
the applicant shall be responsible for:
a. The cost of services rendered after a
determination of ineligibility; and
b. The cost of services rendered during the
presumptive eligibility period, if the department finds the application was
filed with fraudulent intent.
(b) Individuals shall be determined by the
department or qualified provider to be at risk of institutionalization if:
(1) Adult protective services has
made a finding of abuse, neglect or exploitation and recommends
home and community based care services because of a risk of institutionalization;
(2) The individual is in a hospital, nursing
facility or other medical facility, ready to be discharged, and the discharge
planning team determines that the individual cannot be discharged home without supports in addition to those already available to him or
her.
(3) The individual
has lost the assistance of a family or other caregiver, permanently or
temporarily, whom the individual has depended on to meet his or her needs and
no other alternatives are available; or
(4) The individual does not have access to
sufficient paid and/or unpaid supports that would
enable the individual to safely maintain him or herself in the current home or
community-based setting pending the routine eligibility determination process.
(c) An individual who requests a presumptive
eligibility determination shall be considered likely eligible for medicaid if the individual requires a nursing facility
level of care and meets one of the following:
(1) The individual is a medicaid
recipient;
(2) The individual was previously eligible for
HCBC-ECI services but:
a. The department closed the case due to an
institutional stay of more than 30 days;
b. There is no change in financial
circumstances; and
c. The individual is ready to return to the
community;
(3) The individual was previously eligible for
HCB-ECI services but:
a.
The department closed the case due to a lump sum payment or other change in circumstances; and
b. Such cause is no longer an impediment to
eligibility;
(4) The individual is a medicaid
applicant who is age 65 or older, whose completed application indicates general
and financial eligibility, and who does not benefit from a
trust or annuity and has not transferred assets within the applicable
lookback period as contemplated in He-W 620; or
(5) The individual is a medicaid
applicant aged 18 through 64 who is determined by the department to meet the
standards for an expedited disability determination, presents a completed
application that indicates general and financial eligibility, and who does not
benefit from a trust or annuity and has not transferred assets within the
applicable lookback period as contemplated in He-W 620.
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91; EXPIRED: 6-26-99
New. #9155, eff 5-10-08, EXPIRED: 5-10-16
New. #11104, INTERIM, eff 5-25-16, EXPIRES:
11-21-16
He-W 619.03 Qualified Providers. Qualified providers shall include the
following:
(a) ServiceLink, the department’s information and
referral resource centers;
(b) Hospital, rehabilitation, and nursing
facility discharge planners; and
(c) Community health centers.
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91; EXPIRED: 6-26-99
New. #9155, eff 5-10-08, EXPIRED: 5-10-16
New. #11104, INTERIM, eff 5-25-16, EXPIRES:
11-21-16
He-W 619.04 Presumptive Eligibility Determination
Process.
(a) A written referral for presumptive
eligibility shall be initiated by the individual or qualified provider and
transmitted to the department with a completed medicaid
application and medical eligibility determination (MED) application, unless
these forms had been filed within the prior 60 days.
(b) An individual referred for presumptive
eligibility shall undergo a face-to-face clinical assessment and the department
shall review the medicaid application to verify
presumptive eligibility.
(c) The clinical assessment shall take place
before or after the review of the completed application by the department, but
no later than 20 business days after the referral for presumptive eligibility
is received from the qualified provider or individual. The clinical assessment
shall include the development of an initial support plan, if the individual is
found to be clinically eligible.
(d) The department shall review the medicaid application for categorical and financial
eligibility, prior to or after the clinical assessment, but no later than 5
business days after the clinical assessment is completed.
(e) An applicant shall not be eligible for a
presumptive eligibility authorization if his or her financial eligibility is
contingent upon a legal review of a trust instrument or annuity or
investigation of any known complex issues such as asset transfers that could
preclude eligibility.
(f) Medicaid service coverage shall begin
immediately upon:
(1) A finding of
presumptive eligibility;
(2) Completion of a support plan; and
(3) The
applicant’s written acknowledgement of the responsibility described in He-W
619.02(a)(8).
(g) Presumptive eligibility shall continue until
a final determination of eligibility or ineligibility.
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91; EXPIRED: 6-26-99
New. #9155, eff 5-10-08, EXPIRED: 5-10-16
New. #11104, INTERIM, eff 5-25-16, EXPIRES:
11-21-16
He-W 619.05 Termination of Presumptive Eligibility
Period.
(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.
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91; EXPIRED: 6-26-99
New. #9155, eff 5-10-08, EXPIRED: 5-10-16
New. #11104, INTERIM, eff 5-25-16, EXPIRES:
11-21-16
PART He-W 620 ASSET TRANSFERS
He-W
620.01 Asset Transfers.
(a) Pursuant to RSA 167:4, I(b), a transfer of
assets shall be considered to have been made when:
(1) Action is taken that reduces or eliminates an
individual's ownership or control of such assets;
(2) Another person has been given access to the
asset through joint ownership and any action is taken,
either by the individual or by any other person, that reduces or eliminates
such individual's ownership;
(3) An instrument to transfer title at some
future date has been completed by the individual who is applying for or
receiving assistance and delivered to the individual who is to receive title;
(4) An individual who is applying for or
receiving financial assistance has transferred or transfers
title or ownership of an otherwise excluded home to another individual or
entity, including a home, which has become income producing;
(5) An individual places assets into an
irrevocable trust or similar legal device, including an annuity;
(6) An individual applying for or receiving
financial assistance obtains a reverse mortgage, a home equity conversion
mortgage, or similar loan on an otherwise excluded home or other real property
and transfers the proceeds to another individual;
(7) An individual applying for or receiving
financial assistance converts a countable asset; or
(8) An individual is entitled to an asset but
does not receive the asset because of action:
a. By the individual or the individual's spouse;
b. By a person, including a court or
administrative body, with legal authority to act in place of or on behalf of
the individual or such individual's spouse; or
c. By any person, including any court or
administrative body, acting at the direction or upon
the request of the individual or such individual's spouse.
(b) Actions which would cause income or resources
not to be received shall include but not be limited to:
(1) Irrevocably waiving pension income or any
other form of income;
(2) Waiving an inheritance;
(3) Not accepting or accessing injury
settlements, judgments, or court awards;
(4) Tort settlements which are diverted by the
defendant into a trust or similar device to be held for the benefit of the
plaintiff; or
(5) Refusal to take legal action to obtain a
court ordered payment that is not being paid, such as child support or alimony,
unless the individual is being, has been, or is at risk of being battered or
subjected to extreme cruelty as described in 42 USC 608(a)(7)(c) and is
corroborated by the documentation described in He-W 602.10(a)(1)b.1.
(c) For individuals applying for or receiving
financial assistance, the department of health and human services (DHHS) shall
evaluate asset transfers to determine if the individual derived fair market
value, as defined in He-W 601.04(b), from the transfer.
(d) DHHS shall evaluate the transfer to determine
if the individual derived fair market value, as defined in He-W 601.04(b),
whenever an individual applying for or receiving financial assistance has
transferred, assigned, or disposed of title or ownership of an otherwise
excluded home to another individual or entity.
(e) Asset transfers in which the individual
receives fair market value shall require no further evaluation for asset
transfer.
(f) For an asset to be considered transferred for
fair market value or to be considered to be
transferred for valuable consideration, the compensation received for the asset
shall be in a tangible or otherwise assessable form with intrinsic value. A transfer of assets for love and
consideration, or similar reasons, shall not be considered to
be a transfer for fair market value.
(g) Although relatives may legitimately be paid
for providing care, a transfer of assets to a relative for care provided in the
past shall not be a transfer for fair market value. It shall be assumed that services provided
for free in the past were intended to be provided without compensation unless
it can be rebutted with tangible evidence that a compensation arrangement had
been agreed to in writing at the time services were provided.
(h) When determining whether an individual has
received fair market value for a transfer when a life estate has been
established, the division shall:
(1) Determine what the fair market value of the
asset was at the time of transfer;
(2) Take into account
the individual’s age at the time of the transfer; and
(3) Calculate the value of the life estate using
the life estate tables found in the Supplemental Security Income (SSI) Program
Operations Manual System (POMS), section SI 01140.120 as follows:
a. The life estate value shall be established by
multiplying the market value of the asset by the life estate factor that
corresponds to the individual’s age at the time of the transfer;
b. The value of the life estate shall be
subtracted from the value of the asset transferred; and
c. The difference between the value of the life
estate and the amount the individual was reimbursed for the remainder interest
shall be the portion of the asset transferred for less than fair market value.
(i) When determining
whether an individual or spouse has received fair market value for a transfer
of assets into an annuity, DHHS shall:
(1) Determine the fair market value of the asset
at the time of transfer into the annuity;
(2) Determine if the expected return on the
annuity is commensurate with a reasonable estimate of the life expectancy of
the beneficiary in order to determine whether the
annuity is actuarially sound;
(3) Use the life expectancy tables published by
the office of the chief actuary of the social security administration;
(4) Determine that the individual has received
fair market value for the annuity if the average number of years of expected
life remaining for the individual coincides or exceeds the life of the annuity;
and
(5) Determine that the individual did not receive
fair market value for the annuity if the average number of years of expected
life remaining for the individual is less than the life of the annuity.
(j) The background information of the asset
transfer shall be evaluated further to determine if assets might have been
transferred for purposes of qualifying for financial assistance, if DHHS
determines that the individual did not receive fair market value from the
transfer.
(k) Factors
to be evaluated in assessing asset transfers shall include:
(1) Timeframes between the transfer of assets and
the date of application;
(2) The individual's health at the time of the
transfer; and
(3) The individual's economic situation at the
time of the transfer.
(l) The transfer shall be considered questionable
if the evaluation of background information of the transfer suggests that the
individual transferred assets for purposes of qualifying for financial
assistance or results in qualifying earlier than otherwise would have been
possible if the individual had retained all of the
asset(s).
(m) The individual shall provide additional
information and documentation to demonstrate that assets were not transferred
for purposes of qualifying for assistance, if the transfer is considered
questionable.
(n) Reasons for transferring assets for purposes
other than qualifying for assistance shall include:
(1) The individual transferred the asset to
prevent foreclosure or sale of the asset by the lien holder, thus preventing
total loss of the asset;
(2) The individual transferred the asset for
self-support because the individual's income and resources were insufficient to
meet basic needs or to maintain upkeep
of the asset, such as taxes and repairs, and the individual's basic needs were
provided for in return for the transfer, or the individual lived off the
proceeds of the asset;
(3) The individual transferred the asset to meet
the terms of a written agreement, including debts arising from such agreement;
(4) The individual transferred the asset to meet
the terms of an oral agreement, including debts arising from such agreement; or
(5) The individual is not able
to afford to take the necessary action to obtain the asset or the cost
of obtaining the asset is greater than the asset is worth, resulting in a case
of failure to cause assets to be received.
(6) The individual is being, has been or is at
risk of being, battered or subjected to extreme
cruelty as described in 42 USC 608(a)(7)(c) and as corroborated by the
documentation described in He-W 602.10(a)(1)b.1.
(o) The burden of proof for substantiating the
fact that assets were not transferred for purposes of qualifying for assistance
shall rest with the individual.
(p) If the individual refuses or fails to prove
that assets were not transferred for purposes of qualifying for financial
assistance, DHHS shall determine that assets were transferred for the purposes
of qualifying for assistance and shall deny financial assistance:
(1) For 60 months from the date of the transfer
to an irrevocable trust when the principal is not available to the individual;
and
(2) For 36 months from the date of all other
transfers.
(q) A penalty shall not be assessed for transfers
of assets for less than fair market value under any of the following
circumstances:
(1) The individual intended and attempted to
dispose of the asset either at fair market value, or for other valuable consideration, and circumstances caused the individual to
transfer the asset for less than fair market value;
(2) The individual transferred the assets for a
purpose other than to qualify for financial assistance; or
(3) All of the assets transferred for less than
fair market value have been returned to the
individual.
(r) Individuals claiming that circumstances
caused the asset to be transferred for less than fair market value pursuant to
(q)(1) above, shall provide documentation of:
(1) The individual’s attempt to dispose of the
asset at fair market value, or for other valuable consideration; and
(2) The value at which the asset was disposed.
(s) Individuals claiming that assets were
transferred for a purpose other than to qualify for financial assistance
pursuant to (q)(2) above, shall provide documentation of:
(1) The specific purpose for which the asset was
transferred; and
(2) The reason it was
necessary to transfer the asset for less than fair market value.
(t) If a penalty was assessed for
transferring an asset for less than fair market value and the asset was
returned to the individual, then DHHS shall generate a retroactive adjustment
back to the beginning of the penalty period if the individual met all other
eligibility criteria.
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #6111, eff 11-1-95; ss by #7978, eff 10-22-03; amd by #8865, eff 4-13-07; ss by # 9136, eff 4-22-08; amd by #10078, eff 1-25-12; amd
by #11058, INTERIM, eff 3-24-16, EXPIRES: 9-20-16; ss by #11187, eff 9-20-16
PART He-W 621 RESERVED
He-W 621.01 – He-W 621.03
Source. (See Revision Note at Part heading for He-W
821)
PART He-W
622 LIABILITY OF RELATIVES TO SUPPORT
He-W
622.01 Liability of Relatives to Support.
(a) When
a married couple lives together in an independent living arrangement, income
belonging to either spouse shall be considered available in accordance with
He-W 652.03 in determining eligibility for all categories of financial
assistance.
(b) For
financial assistance to needy families, in accordance with RSA 167:3, parents
shall be liable for their minor children as defined under RSA 167:78, XV.
(c) For the adult
categories of financial assistance, the ability of a liable relative in
accordance with RSA 167:3 to contribute to an individual’s support shall be
determined as follows:
(1) The
amount of the expected contribution shall be based on the gross annual income
of the liable relative;
(2) The
income considered shall be all money or monies that are defined as income in
the individual's category of assistance;
(3) Money
or monies defined as resources in the individual's category of assistance shall
not be considered in determining the ability of the relative to contribute;
(4) The
gross annual income of the liable relative or a legal dependent shall be
reduced by the amount of the following unreimbursed and unreimbursable expenses:
a. Medical
care costs;
b. Educational
expenses;
c. Any
court-ordered payments, including, but not limited to, child support, alimony,
or guardianship fees;
d. Repayments,
including garnishments, or prior indebtedness excluding shelter costs; or
e.
Life-threatening circumstances as described in He-W 654.03(h);
(5) The
legally liable relative's income, less expenses noted in (c)(4) above, shall be
compared to 200% of the federal poverty income guidelines, as described in 42
USC 9902(2) and annually updated by the department pursuant to (8) below, for
the appropriate number of persons dependent on the legally liable relative's
income noted in (6) below;
(6) The
number of persons dependent on the income shall include the liable relative and
any persons legally claimed as dependents for federal income tax purposes by
that relative except for the recipient;
(7) In
the case of self-employed persons, the gross income
shall be the income remaining after deducting business expenses allowed by the
Internal Revenue Service for federal income tax purposes;
(8) The
income limit of 200% of the federal poverty income guidelines shall be
effective no later than the first of the month following the first complete
month after the federal poverty income guidelines have been published in the
federal register; and
(9) If
the income is:
a. Less
than or equal to 200% of the federal poverty income guidelines for the number
of persons dependent on the legally liable relative’s
income, no contribution shall be expected from the liable relative; or
b. Greater
than 200% of the federal poverty income guidelines for the number of
persons dependent on the legally liable
relative's income, a contribution equal to 10% of that portion of income over
200% of the federal poverty income guidelines for the number of persons
dependent on the legally liable relative's income shall be expected to be made
by the liable relative towards the individual's support.
(d) If
contributions are actually made by a legally liable
relative on a regular, recurring basis to an individual, the monthly
contribution amount shall be treated as unearned income in determining the
individual's eligibility and benefit level.
(e) Refusal
of the liable relative to supply adequate information regarding their ability
to contribute shall have no impact on the individual's eligibility.
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #5855, eff 7-15-94; ss by #7257, eff 5-1-00; amd by #7665, eff 4-1-02; ss by #9137, eff 4-22-08; ss by
#10551, eff 3-25-14; ss by #13931, eff 4-24-24; ss by #14239, eff 4-22-25,
EXPIRES: 4-22-35
PART He-W 623 –
RESERVED
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91
PART He-W 624 INSTITUTIONAL RESIDENCE
He-W 624.01 Institutional Residence.
(a) The
following individuals shall not be considered inmates of public institutions or
private institutions primarily engaged in treating mental or emotional
disorders or tuberculosis:
(1) Individuals who are
admitted to the New Hampshire Hospital for purposes of evaluation only, for a
period not to exceed 3 months;
(2) Individuals who, while
remaining under the general supervision of a public institution as an official
inmate of that institution, physically reside outside the institution;
(3) Individuals under age 22 or
age 65 or older who are certified for care at a designated receiving facility
as defined in He-M 405.02(f);
(4) Patients at the psychiatric
unit of the Dartmouth - Hitchcock Medical Center;
(5) Children in placement in
foster homes or other approved child caring institutions;
(6) Children who participate in
the special education program at the Sununu Youth Services Center;
(7) Adults in residential care
facilities and community living residences; and
(8) Inmates committed by a
court order to a NH correctional facility, who require inpatient care at a
medical institution as defined in 42 CFR 435.1010.
(b)
Individuals who are patients at the Glencliff nursing facility unit of
the New Hampshire Hospital shall be considered as residing in a nursing
facility.
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #6531, INTERIM, eff 6-27-97, EXPIRES: 10-25-97;
ss by #6614, eff 10-24-97; ss by #7005, eff 5-26-99, EXPIRED: 5-26-07
New. #8897, eff 6-7-07; ss by #9083, eff 1-30-08;
ss by #11042, eff 2-24-16
PART
He-W 625 TECHNICAL REQUIREMENTS FOR FINANCIAL ASSISTANCE TO NEEDY
FAMILIES, OLD AGE ASSISTANCE, AID TO THE PERMANENTLY AND TOTALLY DISABLED, AND
AID TO THE NEEDY BLIND
He-W 625.01 Application
for Social Security Numbers.
(a) Financial assistance applicants or recipients who do
not have a social security number (SSN), or are unable to furnish their SSN,
shall apply for an original SSN or replacement card.
(b) The individual shall
provide verification of an SSN or application for an SSN as specified in He-W
606.36.
(c) The department shall
grant good cause for failure to furnish an SSN or to apply for an SSN card when
the individual is unable to furnish or apply for an SSN card or submit the
required verification, despite good faith efforts to do so.
(d) Good cause for failure
to furnish or apply for an SSN card shall include, but not be limited to, the
following:
(1) Delays in obtaining required verification
because another agency, such as the town clerk's office, is
not able to process the individual’s request for documents in a timely
manner; or
(2) The
agency is not able to provide documents because its
records have been destroyed.
(e) The individual shall
complete the SSN application requirements for a newborn child by the second
month following the month in which the child's mother is discharged from the
hospital, for newborn children who receive financial assistance.
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #6531, INTERIM, eff 6-27-97, EXPIRES: 10-25-97;
ss by #6614, eff 10-24-97; amd by #6836, eff 8-26-98;
amd by #8452, eff 10-22-05; amd
by #8684, eff 7-21-06; ss by #10471, eff 11-26-13; ss by #13713, eff 8-3-23
PART
He-W 626 TECHNICAL REQUIREMENTS FOR THE Family PLANNING ExPANSION CaTEGORY (FPEC) OF
MEDICAL ASSISTANCE
He-W 626.01 Purpose. The purpose of the Family Planning Expansion
Category (FPEC) of medical assistance is to offer family planning and family
planning-related services and supplies, pursuant to He-W 509, to needy
individuals who meet the eligibility requirements set forth in this part.
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91, EXPIRED: 6-26-97
New. #10357, eff 7-1-13
He-W 626.02 Family Planning Expansion Category (FPEC).
(a) All general, categorical, technical, and
financial factors related to the determination of categorically needy medical
assistance shall apply to applicants and recipients of FPEC, except as
specified otherwise in He-W 626.
(b) Individuals shall be eligible for
FPEC medical assistance, pursuant to 42 USC 1396a(a)(10)(A)(ii)(XXI),
as amended, when the individual:
(1) Applies for medical assistance, as defined in
He-W 601.17;
(2) Is not pregnant; and
(3) Has net income that does not exceed the income
limit described in He-W 641.06(b).
(c)
FPEC applicants and recipients shall not be subject to the maximum
resource limits for medical assistance.
(d)
Redeterminations of eligibility for FPEC shall be scheduled pursuant to
He-W 684.02(c).
(e)
When determining eligibility for FPEC:
(1) Only the income of the FPEC applicant or
recipient shall be counted, pursuant to 42 USC 1396a(ii)(3); and
(2) The income level against which countable
income shall be considered shall be for a group size of 2.
(f)
When applying the criteria described in (e)(1) above, the department
shall:
(1) Not deem income from spouse to spouse or
parent to child; and
(2) Allow the following verified deductions or
disregards to be subtracted from the budgetary unit’s gross income when
determining financial eligibility for FPEC:
a. A $90 employment
expense deduction, pursuant to He-W 641.02(b)(2); and
b. Other allowable
deductions, pursuant to He-W 654.14, He-W 654.19, and He-W 654.20.
(g)
Eligible
individuals who choose not to receive FPEC, or the eligible individual’s
authorized representative, shall notify the department of
this decision by providing the department with the following written
information terminating FPEC services:
(1) The casehead’s
name;
(2) The name of the person for whom the casehead is requesting the termination of FPEC assistance;
and
(3) The casehead’s
signature.
(h)
The date the department receives the completed information described in
(g) above, shall be the individual’s FPEC eligibility
end date.
Source. #10357, eff 7-1-13
He-W 626.03 Presumptive Eligibility Determinations.
(a)
A qualified entity as defined in He-W 520.01(g) shall determine
presumptive eligibility for FPEC services pursuant to 42 USC 1396r-1c.
(b)
Within 5 business days of making the FPEC PE determination, the
qualified entity shall provide the department with the following information:
(1) The complete name, address, and date of birth
of the individual for whom the FPEC PE determination was made; and
(2) The date the PE determination was made.
Source. #10357, eff 7-1-13
PART He-W 627
TECHNICAL REQUIREMENTS FOR IDP AND FWOC CATEGORIES OF FINANCIAL AND
MEDICAL ASSISTANCE
He-W 627.01 Technical Requirements for the Interim
Disabled Parent (IDP) Category of Financial Assistance.
(a)
As a condition of eligibility for IDP financial assistance, applicants
shall be determined:
(1) Incapacitated pursuant to He-W 628.02;
(2) To be recipients of aid to the permanently
and totally disabled (APTD) or aid to the needy blind (ANB); or
(3) Temporarily exempt from the New Hampshire
employment program (NHEP) work program pursuant to He-W 606.32.
(b)
Applicants and recipients shall not be eligible for IDP when all adults
in the assistance group are receiving:
(1) Supplemental security income (SSI); or
(2) Social security disability income (SSDI).
(c)
Assistance groups with retained child support shall not be eligible for
IDP assistance.
(d) When funding and resources within the
current state fiscal year are available and identified by the department as
maintenance of effort funding pursuant to 45 CFR 263.2, applicants shall
receive IDP financial assistance when the individual:
(1) Has requested an exemption from the NHEP work
program pursuant to He-W 606.30(a), (b), or (d); and
(2) Is awaiting a determination of the exemption
pursuant to He-W 606.32.
Source. #9123, eff 4-3-08; ss by #9275, eff 9-20-08;
ss by #9682, eff 3-20-10; ss by #12528, eff 5-22-18
He-W 627.02 - RESERVED
Source. #9123, eff 4-3-08
He-W 627.03 Technical Requirements for Families With
Older Children (FWOC) Category of Financial and Medical Assistance.
(a)
To be eligible for FWOC, an assistance group shall include at least one
dependent child who is:
(1) At least age 19 up to age 20; and
(2) Enrolled full-time in a secondary school or
the equivalent level of vocational or technical training.
(b)
Applicants and recipients of FWOC shall include all dependent children
described in He-W 601.03(e)(1) when they are counted in the assistance group.
(c)
Assistance groups receiving FWOC, which no longer include a dependent child
as defined in He-W 601.03(e)(3), shall have eligibility determined for FANF
assistance, pursuant to He-W 600.
(d)
Recipients of FANF assistance shall have eligibility automatically
determined for FWOC when the oldest child in the assistance group turns 19,
pursuant to He-W 600.
Source. #9123, eff 4-3-08; ss by #9275, eff 9-20-08;
ss by #10163, eff 7-26-12
He-W
627.04 General Requirements for IDP
and FWOC Financial Assistance.
(a) Applicants and recipients of IDP, as defined
in He-W 601.05(i), and FWOC, as defined in He-W
601.04(e), categories of financial assistance shall not be
required to assign their rights to financial child support to the
department as a condition of eligibility.
(b) Applicants and recipients of IDP and FWOC
financial assistance shall not be subject to child support sanctions described
in RSA 167:82, V(a).
Source. #9123, eff 4-3-08; ss by #9275, eff 9-20-08;
ss by #11186, eff 9-20-16
He-W 627.05 RESERVED
Source. #9123, eff 4-3-08; ss by #9275, eff 9-20-08; rpld by #11186, eff 9-20-16
PART He-W 628 DEPRIVATION OF PARENTAL SUPPORT OR CARE FOR
FINANCIAL ASSISTANCE TO NEEDY FAMILIES FINANCIAL
ASSISTANCE
He-W 628.01 Deprivation Due to Continued Absence.
(a) For a child to be considered deprived of
parental support or care due to continued absence, one or both parents shall be
physically absent from the child for at least 30 continuous days, beginning
with and including the day of separation, in conjunction with any one of the
circumstances listed below:
(1) The parents are not married to each other;
(2) The parents are divorced or legally
separated;
(3) A parent has filed for a divorce, legal
separation, or annulment and such application has been pending in the court for
at least 30 days;
(4) The court has issued an injunction or
restraining order forbidding a parent to visit the spouse or child for at least
30 days, or if for an indefinite period of time, with
a reasonable expectation that the order will be in effect for 30 days or more;
(5) The parent(s) is not legally able to return to the home because of confinement in a correctional
institution or mental hospital which will continue or is reasonably expected to
continue for at least 30 days; or
(6) The parent(s) has deserted the child or there
is mutual separation, and the absence of one or both parents has been
continuous for at least 30 days.
(b) The 30-day continuous absence period shall be
applied as follows:
(1) If the 30 days have not elapsed at the time
of the initial eligibility determination interview, but the absence is expected
to last for 30 days or more, financial assistance shall be initiated prior to
the end of the 30-day continuous absence period if all other eligibility
factors are met;
(2) The individual shall not be entitled to an
assistance payment until 30 days of continuous absence have actually
elapsed, and the individual has verified the absence as described in (d)
and (e) below;
(3) The 30-day continuous absence period shall
not be interrupted if:
a. The absent parent returns home to visit the
child; or
b. The parents have attempted reuniting
the family within the 30 days or within the temporary
adjustment period as defined in He-W 601.08, but this attempt has failed; and
(4) Counting for the 30-day continuous absence
period shall begin again if:
a. Reunited parents separate following the
termination of the temporary adjustment period; or
b. Deprivation is being determined for a different absent parent.
(c) During the temporary adjustment period,
financial assistance shall be provided automatically for the month in which the
parent returns home and for one full calendar month thereafter unless the
individual requests an earlier termination of assistance.
(d) The individual shall verify continued
absence:
(1) At the initial eligibility determination;
(2) Whenever a new child is being
added to the assistance group;
(3) Whenever the individual, absent parent, or third party reports to the department that the absent parent
has returned to the home; and
(4) At each subsequent redetermination.
(e) To verify continued absence pursuant to
(d)(1) - (d)(3) above, the individual shall complete and submit Form 773
“Certification of Continued Absence” (October 2024), including signing and
dating the form, certifying the following:
(1) “I understand that the deprivation of
parental support and care is a condition of eligibility of Financial Assistance
to Needy Families (FANF) cash assistance. I agree to notify the district office
immediately if any responsible parent returns to my home”; and
(2) Either:
a. “I certify that the parent(s) named below
currently has/have been absent from the home for 30 or more continuous days and
the absence is expected to continue”; or
b. “I certify that the parent(s) named below
currently has/have been absent from the home for less than 30 continuous days
but is/are expected to be absent for 30 or more continuous days”.
(f) Pursuant to (d)(4) above, if continued
absence pursuant to (e) above was verified at initial certification, and there
have been no subsequent changes, the individual shall verify the continued
absence of all responsible parents associated with the financial assistance to
needy families (FANF) case by:
(1) Attesting to the continued absence of all
responsible parents associated with the FANF case; and
(2) Agreeing to immediately notify the department
if any responsible parent returns to the home.
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91; EXPIRED 6-26-97
New. #7084, eff 8-26-99; ss by #8970, eff 8-25-07;
ss by #10861, eff 8-25-15; ss by #14107, eff 11-2-24
He-W 628.02 Deprivation Due to Incapacity.
(a)
The child or children shall be considered to be
deprived of support or care due to the parent’s physical or mental incapacity
when the incapacity is expected to last for at least 30 days, and the
individual:
(1) Is eligible for or receiving supplemental
security income (SSI) or social security disability income (SSDI) disability
benefits;
(2) Provides
currently dated documentation from a licensed physician, licensed physician
assistant (PA), licensed advanced practice registered nurse (APRN), board-certified psychologist, master licensed
alcohol and drug counselor (MLADC), licensed pastoral psychotherapist (LPP),
licensed independent clinical social worker (LICSW), licensed clinical mental
health counselor (LCMHC), or licensed marriage and family therapist (LMFT)
certifying an incapacity of at least 30 continuous days;
(3) Has been determined by the office of medicaid and business policy (OMBP) as permanently disabled
or blind;
(4) Reapplies for assistance within 90 days of
being terminated from a case in which incapacity had been established, provided
termination was not related to incapacity or earnings from employment;
(5) Is convalescing after being treated in an
institution for the mentally ill, or was discharged within 90 days prior to
applying for assistance; or
(6) Is needy and intellectually disabled, has
resided in a state-operated intermediate care facility for individuals with
intellectual disabilities (ICF/IID), and was officially discharged within 90
days of applying for assistance.
(b)
The individual shall verify physical or mental incapacity:
(1) At the initial eligibility determination;
(2) At each subsequent redetermination; and
(3) Whenever a change in the
incapacity occurs.
(c)
To verify incapacity pursuant to (a)(2) above, the individual shall
provide currently dated documentation which includes all of
the following:
(1) The individual’s name; and
(2)
A statement
by a licensed physician, licensed PA, licensed APRN, board-certified
psychologist, MLADC, LPP, LICSW, LCMHC, or LMFT which indicates:
a. That the current incapacity has existed, or
is expected to exist, for at least 30 days;
b. The date when the incapacity began, ended, or
is expected to end;
c. The diagnosis, examination date, and current
and recommended medical treatment; and
d. The name,
address, phone number, profession, and dated signature of the licensed
physician, licensed PA, licensed APRN, board-certified psychologist, MLADC,
LPP, LICSW, LCMHC, or LMFT.
(d) When incapacity no longer exists, FANF
financial assistance shall be provided for the month in which the incapacity ended
and for the next full calendar month, unless the individual requests an earlier
termination of assistance.
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91; EXPIRED 6-26-97
New. #7084, eff 8-26-99; ss by #8970, eff 8-25-07;
ss by #10318, eff 4-25-13; ss by #12718, eff 1-26-19
He-W 628.03 RESERVED
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #6531, INTERIM, eff 6-27-97, EXPIRES: 10-25-97;
ss by #6614, eff 10-24-97; amd by #6825, eff 8-3-98;
ss by #7084, eff 8-26-99; ss by #8970, eff 8-25-07; ss by #10163, eff 7-26-12;
rpld by #13629, eff 5-10-23
PART He-W 629 -
RESERVED
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91
PART He-W 630 LIVING WITH A SPECIFIED RELATIVE
He-W 630.01 Living with a Specified Relative.
(a)
For purposes of determining the assistance group for FANF financial and
medical assistance, "dwelling" means:
(1) An individual's principal residence or place
of abode;
(2) The family setting maintained or in the
process of being established as a home, as evidenced by assumption,
continuation, and exercise of responsibility for day-to-day care and control of
the child by the relative with whom the child is living; and
(3) A living unit as defined in (1) and (2) above
with no more than one postal address.
(b)
If the dwelling has a separate living unit attached to it with a
separate postal address, this living unit shall not be considered part of the
same dwelling.
(c)
The department shall consider a child to be living with a specified
relative as defined in RSA 167:78,XXIII when the child lives in the same
dwelling as defined in (a) above as the specified relative unless the conditions
in (e) apply.
(d)
The department shall consider the specified relative in (c) above to be
the casehead for the assistance group.
(e)
If a child lives in the same dwelling as both the child's parent and a
non-parent specified relative, the department shall consider the child to be
living with the parent.
(f)
The department shall consider the parent in (e) above to be the casehead in the assistance group unless the conditions in
(g) below apply.
(g)
If the non-parent specified relative in (e) above is the legal guardian
of the child pursuant to RSA 169-C:3,XIV, the department shall:
(1) Consider the non-parent specified relative to
be the casehead in the assistance group; and
(2) Consider the parent to be a member of the
assistance group pursuant to RSA 167:79,II and He-W 601.01(u).
(h)
A child who is not living with a specified relative for a period of 45
consecutive days shall be ineligible for FANF financial assistance if good
cause does not exist.
(i) For purposes of paragraph (h), good cause
shall exist, pursuant to 42 USC 608(a)(10), when:
(1) The specified relative retains care and
control of the child;
(2) The child's return to the home is expected;
and
(3) For a child who is absent from the home to attend school, the child returns home during
vacation periods and semester breaks or returns home at the end of the school
year and has not established another dwelling.
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #6446, eff 2-1-97; amd
by #6614, eff 10-24-97; ss by #8050, eff 3-1-04; ss by #10077, eff 3-1-12
PART He-W 631 UNWED MINOR PARENTS
He-W 631.01 Unwed Minor Parent Requirements.
(a)
An unwed minor parent shall meet the living arrangement or exemption
criteria described in 45 CFR 233.107, or the good cause criteria specified in
(b) below as a condition of eligibility for FANF financial assistance.
(b)
The department shall determine good cause for failure to meet the living
arrangement or exemption criteria described in 45 CFR 233.107 for any of the
following reasons:
(1) The parents or legal guardian of the unwed
minor parent are unable to accommodate the unwed minor parent and child or
children due to insufficient space or lease or rental restrictions or
prohibitions;
(2) The unwed minor parent and child or children
are living in a court-approved living arrangement; or
(3) The unwed minor parent has:
a. Attempted but was unable to obtain
verification for an exemption on his or her own; and
b. Requested district office assistance to
obtain verification, and the district office was also unable to obtain such
verification.
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #6032, eff 4-29-95; ss by #7834, eff 2-24-03; ss
by #9845, eff 2-24-11; ss by #12773, eff 5-7-19
PART He-W 632 AGE
He-W 632.01 Financial
Assistance to Needy Families (FANF) Age Requirements.
(a) For
initial determinations of eligibility for FANF financial assistance, the
dependent child shall be younger than the maximum allowable age, as defined in
He-W 601.05, on the first day of eligibility and on the day the first financial
assistance payment is issued.
(b) Terminations
of FANF financial assistance due to a dependent child attaining the maximum age
limit shall be effective as of the first day of the month following the child's
birth month.
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91; amd by #6195, eff 2-24-96;
ss by #6531, INTERIM, eff 6-27-97, EXPIRES: 10-25-97; ss by #6614, eff
10-24-97; amd by #6825, eff 8-3-98; amd by #8452, eff 10-22-05; amd
by #8684, eff 7-21-06; ss by #10471, eff 11-26-13; ss by #13767, eff 10-7-23
PART He-W 633 -
RESERVED
Source. (See Revision Note #1 at Chapter Heading He-W 600) #5171, eff 6-26-91
PART He-W 634 STRIKERS
He-W 634.01 Strikers and Eligibility for Financial
Assistance to Needy Families (FANF).
(a) If an individual is
participating in a strike, as defined in He-W 601.07, the individual shall be
denied FANF financial
assistance, regardless of whether the individual:
(1) Voted for
or against the strike; or
(2) Is exempt
from New Hampshire employment program (NHEP) work participation requirements.
(b) The following individuals shall not be considered
strikers:
(1) Individuals
whose work place is closed due to a lockout by an
employer to resist demands of employees;
(2) Individuals
unable to work as a result of other employees on
strike; or
(3) Individuals
not wanting to cross a picket line due to fear of personal injury or death.
(c) Individuals who quit
their jobs or are fired while on strike shall be treated like any other
applicant or recipient for FANF
financial assistance who has quit or been fired from employment.
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #6531, INTERIM, eff 6-27-97, EXPIRES: 10-25-97;
ss by #6614, eff 10-24-97; ss by #8452, eff 10-22-05; ss by #10471, eff
11-26-13; ss by #13615, eff 4-26-23
PART He-W 635 -
RESERVED
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91
PART He-W 636 TECHNICAL
REQUIREMENTS FOR NEW HAMPSHIRE EMPLOYMENT PROGRAM (NHEP) AND FAMILY ASSISTANCE
PROGRAM (FAP) FINANCIAL ASSISTANCE
He-W
636.01 Personal Interview.
(a)
A personal interview
at each regularly scheduled redetermination of eligibility shall not be required when members of the financial
assistance for needy families (FANF) financial assistance
group (AG) do not receive benefits
from the supplemental nutrition assistance program (SNAP) and when:
(1) A caretaker
relative, as defined in He-W 601.02, is a member of the AG; or
(2) The parent is not
included as a member of the AG.
(b) A personal interview between the
FANF individual or the individual’s authorized
representative (AR), as defined in He-W 601.01, and the department’s
representative shall be required:
(1) At initial
determination of eligibility;
(2) At least once in a
12-month period for a regularly scheduled redetermination; and
(3)
As a
result of reported
changes or discovery
of conflicting information regarding eligibility.
(c)
If the individual or the individual’s AR fails to appear for a personal
interview:
(1) Within 30 days from the date of application,
for an initial determination of eligibility, then assistance shall be denied;
or
(2) Within the redetermination month for a
redetermination of eligibility, then
assistance shall be terminated at the end of the advance notice period, as
described in He-W 604.03.
(d)
The individual or the individual’s AR shall review the summary of the
information provided to the
department’s representative during the
interview, make any necessary corrections, and return it to the
department
within 10 calendar days if corrections have been made.
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #6531, INTERIM, eff 6-27-97, EXPIRES: 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 #6826, eff 8-3-98; amd by #6896, eff 12-1-98; amd by
#6925, eff 1-1-99; amd by #7666, eff 4-1-02; amd by #7766, eff 10-1-02; amd by
#8325, eff 5-1-05; 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; ss by #10163, eff 7-26-12; ss by
#13438, eff 8-20-22; ss by #13801, eff 10-21-23
He-W 636.02 Verification
of Identity. All financial
assistance to needy families (FANF) applicants, including parents, caretaker
relatives, and children, shall verify their identity, pursuant to He-W 606.28,
as a condition of eligibility.
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #6531, INTERIM, eff 6-27-97, EXPIRES: 10-25-97;
ss by #6614, eff 10-24-97; ss by #8452, eff 10-22-05; ss by #10471, eff
11-26-13; ss by #13663, eff 6-21-23
He-W 636.03 School
Attendance.
(a) To be classified as a
student, the individual shall:
(1) Be
listed as a current student by the school, educational institute, or training
program;
(2) Be
present in person or online for the class or program; and
(3) Be
considered to be in regular attendance when verification is provided that
proves:
a. Full-time attendance, as defined by the school,
the educational institute or training program, or the curriculum of study or
training leading to a certificate, diploma, or degree;
b. At
least half-time attendance, as defined by the school, the educational institute
or training program, or the curriculum of study or training leading to a
certificate, diploma, or degree, while also regularly employed in, or available
for and actively seeking, part-time employment; or
c. At
least half-time attendance, as defined by the school, the educational institute
or training program, or the curriculum of study or training leading to a
certificate, diploma or degree, and precluded from full-time attendance or
part-time employment because of a verified disability.
(b) The conditions for
classification as a student as described in (a) above shall not be considered
to have been met when the individual:
(1) Enrolls
in, but does not regularly attend, classes; or
(2) Takes
correspondence courses.
(c) Individuals shall be
considered students during months in which they are not attending a school, an
educational institute, or a training program when the absence is due to:
(1) Official
school, educational institute, or training program semester breaks or
vacations; or
(2) Illness,
convalescence, or family emergency, as long as the individual plans on
returning to the school, educational institute, or training program when the
reason for the absence has ended.
(d) An individual who has
already received a certificate, degree, or diploma, but is repeating the course
or program to obtain better grades or skills in an effort to
improve employment opportunities, shall be classified as a student if all other
criteria are met.
(e) An individual shall be
considered a student through the end of the month in which the individual
completes or discontinues attending the school, the educational institute, or
the training program.
(f) Once student status is
verified, the individual shall be considered a student until the next
redetermination, unless the department is notified otherwise by the individual,
the school, the educational institute, or the training program.
(g) If student status is
not verified, the individual shall not be considered a student.
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91; amd by #6195, eff 2-24-96;
ss by #6531, INTERIM, eff 6-27-97, EXPIRES: 10-25-97; ss by #6614, eff
10-24-97; ss by #8452, eff 10-22-05; ss by #10471, eff 11-26-13; ss by #13663,
eff 6-21-23
He-W 636.04 - He-W 636.07 - RESERVED
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #5447, eff 10-1-92; ss by #5528, eff 12-14-92; amd by #5856, eff 7-1-94; amd by
#5901, eff 10-1-94; amd by #6238, eff 5-1-96; amd by #6241, eff 5-4-96; amd by
#6242, eff 5-4-96; rpld by #6446, eff 2-1-97
He-W 636.08 Disclosure of Paternity Information.
(a) All
FANF applicants and recipients shall identify the father of a child for whom
assistance is
being sought as specified in RSA 167:79, III (c),
unless good cause pursuant to RSA 167:82, III (b) exists.
(b) Individuals who do not identify the father at
the personal interview shall:
(1) Be referred to the bureau of child support
services (BCSS);
(2) Be contacted and interviewed by a BCSS child
support worker for the purpose of understanding the importance of child support
and establishing paternity; and
(3) Participate in an interview with the BCSS
child support worker within 10 days from the contact.
(c) Individuals who do not participate in the
interview with child support within 10 days from the date of the BCSS contact
shall be denied financial assistance.
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #5447, eff 10-1-92; ss by #5528, eff 12-14-92; amd by #5856, eff 7-1-94; amd by
#5901, eff 10-1-94; amd by #6238, eff 5-1-96; amd by #6241, eff 5-4-96; amd by
#6242, eff 5-4-96; rpld by #6446, eff 2-1-97
New. #8869, eff 4-19-07; ss by #10163, eff 7-26-12;
ss by #13438, eff 8-20-22
He-W 636.09 Good Cause
for Failure to Cooperate.
(a) Good cause reasons for
failure to cooperate with child support requirements shall be one of the
following:
(1) The
effort to establish paternity or secure child support is against the best
interests of the child and could result in:
a. Physical
or emotional harm to the child; or
b. Physical
or emotional harm to the parent or caretaker relative;
(2) The
child was conceived as a result of incest or rape;
(3) Proceedings
for adoption of the child are pending in a court; or
(4) A
public or private social service agency is helping the parent or caretaker
relative decide whether to relinquish the child for adoption.
(b) No
child support action shall be
taken while a good cause claim is being verified by the department.
(c) As long as good cause
is verified pursuant to He-W 606.31, no child support action shall be taken by
the department.
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #6531, INTERIM, eff 6-27-97, EXPIRES: 10-25-97;
ss by #6614, eff 10-24-97; amd by #8452, eff
10-22-05; paragraphs (a) and (b) in #6614 EXPIRED: 10-24-05; ss by #10471, eff
11-26-13; ss by #13663, eff 6-21-23
He-W 636.10 Sanction for Failure to Cooperate. A sanction
of 25% of the assistance group’s payment standard as defined in He-W 658.02
shall be implemented, in accordance with 42 U.S.C. 608(a)(2), for any
individual receiving family assistance program or New Hampshire employment
program financial assistance who fails to cooperate with child support
requirements without good cause as described in RSA 167:82, III(b).
Source. (See Revision Note #1 at Chapter Heading He-W
600) #6446, eff 2-1-97; ss by #8271, eff 2-1-05; ss by #8740, INTERIM, eff
10-13-06, EXPIRED: 4-11-07
New. #8869, eff 4-19-07; ss by #10803, eff 3-26-15;
ss by #14130, eff 11-26-24, EXPIRES: 11-26-34
PART
He-W 637 THE NEW HAMPSHIRE EMPLOYMENT
PROGRAM (NHEP)
He-W 637.01
Definitions.
(a) “Assessment”
means an evaluation of a New Hampshire employment program (NHEP) participant,
conducted by a NHEP representative, in order to
develop or update an employability plan and identify the need for support
services.
(b) “Case
management” means a process of planning, locating, coordinating, and monitoring
services jointly with a NHEP participant in order to
achieve the goals of the employability plan.
(c) “Employability
plan” means an individualized plan designed to direct the NHEP participant
toward long-term economic mobility. The term includes “employment contract”.
(d) “Employed”
means, for the purposes of participation requirements under NHEP, NHEP
participants who are engaged in unsubsidized employment for wages.
(e) “Exempt
individual” means a financial assistance to needy
families (FANF) recipient who is not required to participate in the employment,
training, or other employment-related activity under the NHEP work program.
(f) “NHEP
participant” means an individual who is enrolled in the NHEP work program and
is receiving FANF financial assistance.
(g) “NHEP
representative” means any agency staff providing services to NHEP participants.
(h) “Provider”
means a business, agency, or organization that is responsible for the
supervision of an NHEP participant in a federally approved
temporary assistance to needy families (TANF) activity.
(i) “Satisfactory progress” means meeting the
minimum standards set by an organization or agency, the educational or training
facility, employer or provider, which measures the NHEP participant's:
(1) Proficiency level in
an activity; and
(2) Ability to complete
the activity in a timely manner.
(j) “Serious and
substantial personal barrier” means the NHEP participant is experiencing a
debilitating situation such as homelessness, substance abuse addiction,
domestic violence, physical or mental disability, emotional or mental instability,
or any other situation which needs to be addressed.
(k) “Single training
course or course of study” means a class or training as described in He-W
637.15(a).
(l) “Vocational education
and training” means a program of study beyond high
school or its equivalent to include an associate’s degree, a bachelor’s or a
master’s degree, credential certificate, or a licensure attainment. This term
includes “vocational educational training”.
Source. (See Revision Note #1 at Chapter Heading He-W
600) #6446, eff 2-1-97; amd by #6818, eff 7-25-98; amd by #6997, eff 5-20-99; amd by
#7372, eff 12-1-00; amd by #8161, eff 10-1-04; amd by #8268, eff 2-1-05; amd by
#8269, eff 2-1-05; ss by #8740, INTERIM, eff 10-13-06, EXPIRED: 4-11-07
New. #8869, eff 4-19-07; ss by #10163, eff
7-26-12; ss by #13549, eff 2-1-23
He-W
637.02 NHEP Orientation.
(a) Pursuant to RSA
167:79, III(a), during the eligibility application interview, applicants for
FANF financial assistance shall be scheduled for an NHEP orientation session
within 10 days from the date of application.
(b) The NHEP orientation
session shall be offered by telephone, virtually, or in-person.
(c) The
attendance of NHEP orientation shall not be required if the applicant
meets one of the following:
(1) Is an applicant for
financial assistance program (FAP) financial assistance;
(2) Is an adult claiming
incapacity in a family applying for FANF financial assistance; or
(3) Is an applicant for
FANF financial assistance who are experiencing a
serious medical condition that prevents the ability to attend.
(d) Individuals
described in (a) above shall be rescheduled for another NHEP orientation
session within 10 days of the individual’s contact with department staff, when:
(1) The individual is
unable to attend the first scheduled NHEP orientation session; and
(2) The individual
contacts the department to reschedule the session prior to the denial of
financial assistance as described in (e) below.
(e) Individuals
described in (a) above who do not contact the
department to reschedule the NHEP orientation session shall be denied financial
assistance on the 21st day following the eligibility
application interview.
(f)
Attendance at the NHEP orientation session shall be a condition of
financial eligibility pursuant to RSA 167:79, III(a) and shall be considered
fulfilled when the department or NHEP representative confirms that the
individual in (a) above has attended.
Source. (See Revision Note #1 at Chapter Heading He-W
600) #6446, eff 2-1-97; amd by #6595, eff 10-1-97; amd by #6818, eff 7-25-98; amd by
#6997, eff 5-20-99; amd by #7206, eff 3-1-00; amd by #8268, eff 2-1-05; ss by #8452, eff 10-22-05; ss by
#8740, INTERIM, eff 10-13-06, EXPIRED: 4-11-07
New. #8869, eff 4-19-07; ss by #10163, eff
7-26-12; ss by #13549, eff 2-1-23
He-W 637.03 NHEP
Employment Activities Participation Requirements.
(a) Unless
specifically exempted under one or more of the criteria described in RSA
167:82, II, NHEP participants shall attend all required appointments and
participate in NHEP employment-related activities as specified in the
employability plan pursuant to He-W 637.12, as funding and resources allow.
(b) NHEP
activities, pursuant to RSA 167:85, shall be a single activity or a combination
of activities to equal the requirements in (c) or (d) below and as specified in
the employability plan.
(c) NHEP
participants with a child 6 years of age
or older shall participate in NHEP employment-related activities for a minimum
period as specified in 42 U.S.C. 607, up to a maximum of 40 hours a week as
specified in the employability plan.
(d) NHEP
participants with a child 13 weeks of age and up to the child’s 6th birthday,
shall participate in NHEP employment-related activities for a minimum of 20
hours a week pursuant to RSA 167:85, VI.
(e) When
an NHEP participant is meeting the requirements stated in (d) above, the NHEP
representative shall have the option to amend the employability plan as agreed
upon with the participant to require the
participant to participate in additional weekly hours above the 20 hour minimum up to a maximum of 40 hours to aid in
improving the participant’s economic status over the course of the
participant’s lifetime.
(f) Participants
described in (d) above who are in unsubsidized employment or in a work
experience or community service program as described in He-W 637.21 and
participating for a minimum of 20 hours a week, shall participate in other
approved federal temporary assistance to needy families (TANF) activities up to a combined maximum of 40 hours a week
as specified in the employability plan.
(g) Acceptable
verification of NHEP weekly participation hours in approved activities pursuant
to RSA 167:85, IV shall include, but not be limited to a signed statement or
verified electronic confirmation as outlined in the employability plan from the
NHEP participant containing all of the following
information:
(1)
The NHEP participant’s name, recipient identification number, and week
begin and end dates; and
(2) The date each approved
activity took place, the time spent in each activity
described in 15 minute increments, and the miles
driven to participate in each activity, if applicable.
(h) Self-employed
participants who are unable to verify NHEP participation hours using the
documentation described in (g) above, shall verify NHEP participation hours by
providing documentation establishing a participant’s compliance which includes,
but is not limited to:
(1) That the
self-employment work is currently being performed for income;
(2) A brief description of
the self-employment responsibilities;
(3) The amount of the
expected income; and
(4) That the income will
be paid and received within 30 days from the date of verification.
(i) Failure to meet the requirements indicated in
(h) above shall result in the application of the sanction provisions pursuant
to RSA 167:82,V.
(j) The
NHEP participant shall contact the NHEP representative a minimum of once every
4 weeks, unless the employability plan indicates otherwise.
(k) Participation
in educational or training programs shall meet hourly work program
participation requirements, provided:
(1) The NHEP participant
is making satisfactory progress in the programs; and
(2) The need for the
educational or training program meets the requirements described in RSA 167:85
and in He-W 637.22.
(l) Individuals
who volunteer to participate in NHEP shall be subject to the same requirements
of the program activities as mandatory NHEP participants, but
shall not be sanctioned for failure to participate as specified in He-W 637.06.
Source. (See Revision Note #1 at Chapter Heading He-W
600) #6446, eff 2-1-97; amd by #6595, eff 10-1-97; amd by #6789, eff 7-1-98; amd by
#6818, eff 7-25-98; amd by #7206, eff 3-1-00; ss by
#7523, eff 7-1-01; amd by #8161, eff 10-1-04; amd by #8175, eff 10-1-04; amd by
#8268, eff 2-1-05; amd by #8269, eff 2-1-05; paragraph
(d) EXPIRED: 7-1-06; paragraph (h) EXPIRED: 7-25-06; ss by #8740, INTERIM, eff
10-13-06, EXPIRED: 4-11-07
New. #8869, eff 4-19-07; ss by #10163, eff
7-26-12; ss by #13549, eff 2-1-23
He-W 637.04 Exemptions.
(a) Exemptions from work requirements
shall be either temporary or permanent, and decisions regarding exemptions
shall be subject to the administrative appeals process described in He-C 200.
(b)
A parent under age 20 without a high school diploma or its equivalent
shall, pursuant to 42 U.S.C 608(a)(4), participate in basic education
activities described in He-W 637.17 when the child reaches age 12 weeks, for
the number of hours specified in He-W 637.03.
(c)
Temporary exemptions shall remain in effect until:
(1) The next redetermination of eligibility;
(2) The individual
notifies the department that the condition qualifying for the exemption no
longer exists;
(3) The department discovers that the individual
no longer qualifies for the exemption; or
(4) The individual enters his or her 40th
month of receipt of FANF assistance.
(d)
Individuals who lose exemption status due to (c)(4) above shall
participate in the New Hampshire employment program (NHEP) work program except
for:
(1) Individuals
who have been temporarily deferred pursuant to (b) above, who shall not be
required to participate until their youngest child reaches 12 weeks old; and
(2) Individuals who have medical exemptions
pursuant to He-W 606.30.
(e)
A permanent exemption shall exist when:
(1) A parent or included caretaker relative does
not meet the definition of able-bodied as defined in RSA 167:78, I and receives
one or more of the following benefits:
a. Supplemental security income (SSI);
b. Social security disability insurance (SSDI);
c. Veteran’s disability rating of 80% or more;
or
d. State
supplemental assistance, such as aid to the permanently and totally disabled
(APTD), aid to the needy blind (ANB), or old age assistance (OAA);
(2) A dependent child who is 16 or older and is
not a full time student has a documented permanent and total disability as
verified by a licensed physician, licensed physician assistant (PA), licensed
advanced practice registered nurse (APRN), board certified psychologist, master
licensed alcohol and drug counselor (MLADC), licensed pastoral psychotherapist
(LLP), licensed independent clinical social worker (LICSW), licensed clinical
mental health counselor (LCMHC), or licensed marriage and family therapist
(LMFT); or
(3) A determination has been made by the NHEP
representative that a parent or included caretaker relative has long term
obstacles to employment resulting in an inability to participate in employment
or activities leading to employment subject to the following:
a. The individual has participated in and
complied with all NHEP requirements or has been unable to comply with good
cause;
b. The NHEP representative has completed case
management activities with the individual for at least one year;
c. During the one year specified in b. above,
all reasonable efforts to assist the individual in becoming employable by
providing case management services and access to all NHEP employment related
activities for which the individual might qualify have been made; and
d. The individual agrees with the NHEP
representative’s decision; and
(4) A recommendation has been made by the
hardship extension review committee that the family includes an adult caring
for a household member with a disability per RSA 167:82, II(g) subject to the
following:
a. The individual has received at least one
hardship extension for this reason; and
b. The individual agrees with the committee’s
recommendation.
(f)
Permanent exemptions shall not be re-evaluated:
(1) As long as the benefits specified in (e)(1)
above, are being received by the individual; or
(2) Until the
individual notifies the department that his or her circumstances as described
in (e)(2), (3), and (4) above, have changed, or the department discovers that
circumstances have changed, whichever occurs first.
Source. (See Revision Note #1 at Chapter Heading He-W
600) #6446, eff 2-1-97; amd by #6595, eff 10-1-97; amd by #6789, eff 7-1-98; amd by
#7372, eff 12-1-00; amd by #7523, eff 7-1-01; amd by #7918, eff 8-1-03; amd by
#8269, eff 2-1-05; paragraph (b) amd by #8740,
INTERIM, eff10-13-06, EXPIRED: 4-11-07; paragraph (b) amd
by #8869, eff 4-19-07; ss by #9534, eff 9-1-09; ss by #12402, eff 10-20-17; ss
by #12718, eff 1-26-19
(a) In
accordance with RSA 167:82, 167:85, 167:88, and 167:90-92, the NHEP participant
shall:
(1) Develop and maintain a
written, current contingency plan, with the assistance and approval of the NHEP representative, identifying child care and transportation arrangements as needed to
participate in all NHEP appointments and scheduled activities;
(2) Contact an NHEP
representative prior to being unable to attend orientations, assessments, NHEP
activities, or other scheduled appointments;
(3) Attend an NHEP
orientation as a condition of eligibility for NHEP financial assistance or
financial assistance for unemployed parents;
(4) Keep all scheduled
appointments and attend scheduled NHEP activities;
(5) Cooperate in the
completion of the assessment interview as described in He-W 637.09 and in the
development of the employability plan as described in He-W 637.12;
(6) Participate in a
single activity or in a combination of
NHEP employment-related activities as specified in the employability
plan within the timeframes indicated on the employability plan;
(7) Make a good faith
effort, as described in (b) below, in meeting and complying with all of the steps in the NHEP participant’s employability
plan; and
(8) Accept and maintain
suitable employment, pursuant to RSA 167:92.
(b) A
good faith effort on the part of the NHEP participant shall include all of the following:
(1) Keeping scheduled appointments;
(2) Providing required
verification or information whenever requested by department staff;
(3) Attending classes,
meetings, orientations, workshops, and appointments as scheduled;
(4) Going to job and work
experience interviews as instructed;
(5) For individuals who
remain eligible for FANF financial assistance, continuing employment, and other
NHEP activities; and
(6) Participating in the
number of hours specified in the employability plan for any required activity.
Source. (See Revision Note #1 at Chapter Heading He-W
600) #6446, eff 2-1-97; amd by #8161, eff 10-1-04; ss
by #8269, eff 2-1-05; ss by #8740, INTERIM, eff 10-13-06, EXPIRED: 4-11-07
New. #8869, eff 4-19-07; ss by #10163, eff
7-26-12; ss by #13549, eff 2-1-23
He-W 637.06 Failure to Comply.
(a)
Pursuant to RSA 167:83, III, a New Hampshire employment program (NHEP)
participant who has not complied with an NHEP requirement shall be advised in
writing of the following:
(1) The specific act of non-compliance by the
NHEP participant which constitutes grounds for sanction;
(2) The specific action required by the NHEP
participant to remove the sanction;
(3) The opportunity to claim good cause as
described in He-W 637.07; and
(4) The right to request an administrative appeal
pursuant to He-C 200.
(b)
To avoid being sanctioned, pursuant to RSA 167:82, V, the NHEP
participant shall:
(1) Contact the
NHEP representative to explain the reason for the act of non-compliance; and
(2) Provide verification:
a. Showing
that the NHEP participant did comply; or
b. Substantiating
a good cause claim, as described in He-W 637.07.
(c) The NHEP participant
shall have 7 business days from the date of the notification of non-compliance
to meet the requirements described in (b) above.
(d) Failure
to meet the requirements described in (b) above within the time
period described in (c) above shall result in
the individual being sanctioned, pursuant to RSA 167:82, V, no later than 10
business days from the date of the notification of non-compliance.
(e) No sanction shall be
applied for an NHEP participant who participates in NHEP voluntarily.
(f) Pursuant to RSA 167:82,
III(c) and (d), NHEP participants who voluntarily quit unsubsidized positions
without good cause, as described in He-W 637.07, shall be subject to sanctions
as specified in RSA 167:82, V.
Source. (See Revision Note #1 at Chapter Heading He-W 600) #6446, eff 2-1-97; amd by #7933, eff 9-1-03; amd by
#8161, eff 10-1-04; amd by #8269, eff 2-1-05; ss by
#8740, INTERIM, eff 10-13-06, EXPIRED: 4-11-07
New. #8869, eff 4-19-07; ss by #10803, eff 3-26-15;
ss by #14131, eff 11-26-24, EXPIRES: 11-26-34
He-W
637.07 Good Cause.
(a) Good cause shall exist,
pursuant to RSA 167:82, III(c), when:
(1) A
family experiences a net loss of income or loss of shelter, pursuant to (f) and
(g) below; or
(2) A
family includes an individual who has been a victim of domestic violence as
defined in 42 U.S.C. 602(a)(7)(B), pursuant to (h) below.
(b) Good
cause for lack of adequate child care pursuant to RSA 167:82, III(c)(8) shall:
(1) Apply for children:
a. Under age 13; or
b. Over age 13 but under age 18 provided
the child’s physical or mental condition is such that the child would cause
harm to themselves or to others without supervision;
(2) Not include instances
where providers refuse to provide child care due to
intentional non-payment of child care bills by the
individual; and
(3) Be considered to exist
when the individual provides in writing the claim and the specific reason(s)
why the quality of care from a provider is not adequate as described in (d)(4)
below.
(c) When
the individual claims inadequate child care as
identified in (b)(3) above, the individual shall explore other child care providers and options for obtaining adequate child care.
(d) Adequate child care, as referenced in (b) above, shall be considered
available from providers who:
(1) Have
openings and to whom the individual has a means of transporting the children;
(2) Are
licensed or license-exempt;
(3) Meet
all the qualifications and requirements for providers, contract agencies, or
both specified in He-C 6914.04 and meet the definitions at RSA 170-E:2, IV or
RSA 170-E:3;
(4) Provide
care that is representative of the quality of child care
provided to other children in
the
community; and
(5) Meet
the household's basic requirements for child care,
such as providing care during the required hours, or providing special
treatment for a child with a disability if necessary.
(e) Acceptable verification
for a good cause reason for non-participation with New
Hampshire employment program (NHEP) work requirements shall include,
but not be limited to:
(1) Written
verification from a third party pertaining to the individual’s medical visits,
mandated appointments or other circumstances beyond the individual’s control;
(2) A
signed and dated written statement from the individual, under penalty of
unsworn falsification pursuant to RSA 641:3, indicating the individual’s past
efforts to contact local agencies to resolve the reason for non-participation;
or
(3) A
signed and dated written statement from the individual, under penalty of
unsworn falsification pursuant to RSA 641:3, indicating the individual’s
continued efforts to resolve the reason for non-participation.
(f) The good cause
provision due to net loss of income as identified in (a)(1) above, shall be met
when the net income available to a family at the time the offer of employment
was made is less than the financial assistance grant
the family received under financial assistance to needy families.
(g) Net loss of income
shall be calculated as the family’s gross income, which shall include, but not
be limited to, earnings, unearned income, and cash assistance less the total of necessary work-related expenses, such as child care, transportation, and any other mandatory work related expense required by the employer.
(h) Individuals who make a
good cause claim due to (a)(2) above shall be required to provide
the following corroborative evidence to verify the claim:
(1) Court,
medical, criminal, child protective services, psychological, or law enforcement
records, or a statement from a social service provider;
(2) A
signed and dated written statement from a social worker from a public or private
social service agency; or
(3) A
signed and dated written statement from an individual not included in the
assistance group with knowledge of the circumstances.
(i) Pursuant
to 45 CFR 260.52(c), if the individual is not able to provide corroborative evidence as described
in (h) above, the individual shall submit a signed and dated written statement,
under penalty of unsworn falsification, pursuant to RSA 641:3, that indicates:
(1) The
existence of the situation in (a)(2) above and that compliance with the work
program participation requirements would make it more difficult for the
assistance group to escape the situation;
(2) That
the work participation requirements would unfairly penalize the assistance
group which is or has been victimized; or
(3) That
the work participation requirements would put the assistance group at further
risk.
(j) Good cause for loss of
shelter shall be deemed to temporarily exist for failure to comply with
voluntary quit and work-related activities when the individual:
(1) Is
in immediate threat of eviction;
(2) Is
living in an abandoned building, place of business, car or other vehicle, or in
a place not designed to be, or not ordinarily used as,
a regular sleeping accommodation for human beings; or
(3) Has
provided documentation establishing the existence of an unstable living
arrangement that impedes the individual’s ability to meet work participation
requirements.
(k) An individual may make
the claim for good cause for non-participation with NHEP work requirements when
they indicate that they are, or have previously been, a victim of domestic
violence as defined in 42 U.S.C. 602(a)(7)(B), where compliance with normal
work program requirements would:
(1) Make
it more difficult to escape the situation;
(2) Unfairly
penalize those who are or have been victimized; or
(3) Put
them at further risk.
(l) All good cause
decisions shall be made by the department of health and human services
considering all available facts and circumstances, including information
submitted by:
(1) The
individual;
(2) The
employer;
(3) Other
agencies providing an NHEP service or activity; and
(4) Any
other individual with firsthand knowledge of the facts,
circumstances, or both, of the situation.
(m) Good cause decisions
shall be subject to the administrative appeal process established by He-C 200.
Source. (See Revision Note #1 at Chapter Heading He-W
600) #6446, eff 2-1-97; amd by #7192, eff 2-1-00, amd by #8175, eff 10-1-04; amd by
#8269, eff 2-1-05; intro. and paragraphs (d) & (g)-(i)
amd by #8740, INTERIM, eff 10-13-06, EXPIRED: 4-11-07;
intro. and paragraphs (d) & (g)-(i) amd by #8869, eff 4-19-07; ss by #9104, eff 3-15-08; ss by
#11063, eff 3-25-16; ss by #14354, eff 8-26-25, EXPIRES: 8-26-35
(a) Sanctions,
as defined in He-W 601.07, shall be implemented for a parent or caretaker
relative in accordance with RSA 167:82, III – V.
(b) Financial assistance shall be restored
retroactively to the pre-sanction level if the department applies a sanction
and later grants good cause to remove the sanction for the sanctionable action.
(c) Individuals
who have identified themselves as homeless on their application shall not
be sanctioned for failure to comply with mailed instructions
unless the department is informed by the participant or other outside sources
that the mailing was received.
Source. (See Revision Note #1 at Chapter Heading He-W
600) #6446, eff 2-1-97; amd by #7933, eff 9-1-03; amd by #7991, eff 12-1-03; amd by
#8161, eff 10-1-04; amd by #8269, eff 2-1-05; paragraphs
(a)-(d) amd by #8740, INTERIM, eff
10-13-06, EXPIRED: 4-11-07; paragraphs (a)-(d) amd by
#8869, 4-19-07; ss by #10163, eff 7-26-12; ss by #13549, eff 2-1-23
He-W 637.09 Initial
Assessment
(a) An
individual shall participate in an initial assessment interview with department
staff.
(b) Participation
in an initial assessment interview shall be required for all NHEP participants
pursuant to 45 CFR 261.11.
(c) The
NHEP participant shall provide information, pursuant to 45 CFR 261.13 to the
NHEP representative resulting in the development of the employability plan as
outlined in He-W 637.12.
(d) An
initial assessment shall be completed by an NHEP representative within 90 days
of the date an individual becomes eligible for financial assistance.
Source. (See Revision Note #1 at Chapter Heading He-W
600) #6446, eff 2-1-97; paragraphs (a)-(c) EXPIRED: 2-1-05; paragraphs (d)-(f) amd by #8269, eff 2-1-05; paragraphs (a)-(c) amd by #8740, INTERIM, eff 10-13-06, EXPIRED: 4-11-07;
paragraphs (a)-(c) & (f)-(k) amd by #8869, eff 4-19-07;
ss by #10163, eff 7-26-12; ss by #13549, eff 2-1-23
He-W 637.10 - RESERVED
Source. (See Revision Note #1 at Chapter Heading He-W
600) #6446, eff 2-1-97; amd
by #7206, eff 3-1-00; amd by #8268, eff 2-1-05; amd by #8269, eff 2-1-05, rpld by
#8740, INTERIM, eff 10-13-06
He-W 637.11 - RESERVED
Source. (See Revision Note #1 at Chapter Heading He-W
600) #6446, eff 2-1-97; amd
by #6818, eff 7-25-98, EXPIRED: 7-25-06
He-W 637.12 Employability Plan.
(a) Information
collected during the initial assessment pursuant to RSA 167:88 and He-W 637.09
shall be used to develop the employability plan.
(b) For
purposes of establishing the employability plan as defined in He-W 637.01(c),
the New Hampshire employment program (NHEP) representative shall take into account the following:
(1) Available
program activities and support services as funding and resources permit;
(2) The
extent of support services needed by and available to the participant and the
participant's family;
(3) The
participant's skills;
(4) Employment
opportunities that meet the needs of the participant; and
(5) Employment
goals for achieving long-term economic independence to aid in improving the
participant’s economic status over the participant’s lifetime including goals
for employment in the labor market.
(c) The
employability plan shall:
(1) Be
developed jointly with the participant and, if applicable, the authorized
representative (AR), as defined in He-W 601.01(w), and the NHEP representative;
(2) Indicate employment goals for achieving
long-term economic independence including goals for employment in the local
labor market;
(3) Outline
a planned series of action steps and the related time frames necessary to
support employment goals;
(4) Describe
the NHEP activities to establish participant obligations;
(5) Address
the support services needed for the participant and their family; and
(6) Indicate
the type and frequency of the contact between the NHEP participant and NHEP
representative.
(d) Participants
may request a review of the employability plan at any time.
(e) The
NHEP representative shall have the final authority for approval of the
employability plan.
(f) Failure
to make satisfactory progress as required in RSA 167:85 IV(e) and as defined
in He-W 637.01(i) in an activity
shall result in a review of the employability plan and the participant’s
participation in that activity.
Source. (See Revision Note #1
at Chapter Heading He-W 600) #6446, eff 2-1-97; ss by #8269, eff 2-1-05; paragraph
(a) amd by #8740, INTERIM, eff 10-13-06, EXPIRED:
4-11-07; paragraphs (a) & (b) amd by #8869, eff
4-19-07; ss by #10275, eff 2-21-13; ss by #13603, eff 3-28-23
He-W 637.13 - RESERVED
Source. (See Revision Note #1 at Chapter Heading He-W
600) #6446, eff 2-1-97; amd
by #6818, eff 7-25-98; rpld by #8268, eff 2-1-05
He-W 637.14 - RESERVED
Source. (See Revision Note #1 at Chapter Heading He-W
600) #6446, eff 2-1-97; amd
by #6595, eff 10-1-97; amd by #6818, eff 7-25-98; amd by #8269, eff 2-1-05; amd by
#8452, eff 10-22-05; paragraphs (a), (d)-(g) EXPIRED: 7-25-06; rpld by #8740, INTERIM, eff 10-13-06
He-W 637.15 Single Course Authorization.
(a) An NHEP participant
shall be authorized to participate in a single employment-related training
course or course of study when:
(1) The
participant has completed an initial assessment pursuant to He-W 637.09 and an
employability plan with the NHEP representative pursuant to He-W 637.12;
(2) The
single training course or course of study is supported by the employment goals
as indicated on the employability plan;
(3) The
single training course or course of study improves the participant’s immediate
employment prospects; and
(4) The
single training course or course of study is specific to the participant’s
occupational career pathway.
(b) Single course
authorization shall meet the additional conditions specified in He-W 655.
Source. (See Revision Note #1 at Chapter Heading He-W
600) #6446, eff 2-1-97; ss by #8269, eff 2-1-05; paragraph (a) amd by #8740, INTERIM, eff 10-13-06, EXPIRED: 4-11-07;
paragraph (a) amd by #8869, eff 4-19-07; ss by
#10275, eff
2-21-13; ss by #13603, eff 3-28-23
He-W 637.16 - RESERVED
Source. (See Revision Note #1 at Chapter Heading He-W
600) #6446, eff 2-1-97; amd
by #7372, eff 12-1-00; amd by #8268, eff 2-1-05; amd by #8269, eff 2-1-05; rpld by
#8740, INTERIM, eff 10-13-06
He-W
637.17 High School Diploma or Equivalent. Dependent children ages
16 and 17 who do not have a high school diploma or equivalent and who are mandatory
NHEP participants shall participate full-time in an educational program that
leads to a high school diploma or equivalency, as defined by the institution
that provides the activity, to satisfy participation requirements pursuant to
He-W 637.03.
Source. (See Revision Note #1 at Chapter Heading He-W
600) #6446, eff 2-1-97; amd by #7206, eff 3-1-00; ss
by #8269, eff 2-1-05; ss by #8740, INTERIM, eff 10-13-06, EXPIRED: 4-11-07
New. #8869, eff 4-19-07; ss by 10163, eff 7-26-12;
ss by #13549, eff 2-1-23
He-W 637.18 Interim Activities. New Hampshire employment program (NHEP)
participants shall be required to participate in the specific interim
activities, including the allowable federal activities pursuant to 45 CFR
261.30, identified in the NHEP participant’s employability plan as defined in
He-W 637.01.
Source. (See Revision Note #1 at Chapter Heading He-W
600) #6446, eff 2-1-97; amd by #7192, eff 2-1-00; amd by #8269, eff 2-1-05; ss by #8740, INTERIM, eff
10-13-06, EXPIRED: 4-11-07
New. #8869, eff 4-19-07; ss by #10803, eff 3-26-15;
ss by #14131, eff 11-26-24, EXPIRES: 11-26-34
He-W 637.19 - RESERVED
Source. (See Revision Note #1 at Chapter Heading He-W
600) #6446, eff 2-1-97; amd
by #8161, eff 10-1-04; amd by #8268, eff 2-1-05; amd by #8269, eff 2-1-05; rpld by
#8740, INTERIM, eff 10-13-06
He-W 637.20 On-the-Job Training (OJT).
(a) Placement
into OJT as defined in RSA 167:78, XVIII, shall require the following pursuant
to RSA 167:88 IV:
(1) A
written contract between the employer providing the OJT placement and the
department, including the verification
that the participant will be an employee of the business from the on-set of the
OJT contract; and
(2) An
approved employability plan which includes the placement information.
(b) The
contract described in (a)(1) above shall include the provisions that the
employer:
(1) Provide
training and supervision to the participant as part of the contract; and
(2) Submit
a monthly progress report which substantiates how training and supervision in
(1) above has been provided to support the financial reimbursement made to the
employer as described in (c) below and includes the employer’s evaluation of
the NHEP participant.
(c) The
department shall reimburse the business placement up to an amount
no less than 30% of the wages paid to the participant, as agreed to by the
parties and specified in the
contract.
(d) An
OJT placement shall be terminated prior to the end of the contract period if
the employer or participant fails or neglects to comply with the requirements
of the contract.
(e) The
department shall notify the employer in writing at least 7 calendar days prior
to termination that the contract shall be terminated and state the reason(s)
for the termination.
(f) The
employer or the participant shall have the 7 calendar days’
notice period, referenced in (e) above, to remedy the violation or
complaint prior to the contract termination.
Source. (See Revision Note #1 at Chapter Heading He-W
600) #6446, eff 2-1-97; amd
by #8269, eff 2-1-05, EXPIRED: 2-1-13
New. #10275, eff 2-21-13; ss by #13603, eff 3-28-23
He-W 637.21 Work Experience
and Community Service Program (WECSP).
(a) A work experience and
community service program (WECSP) placement shall provide the following:
(1) Work experience;
(2) Community service; or
(3) Work experience and community service.
(b) A WECSP shall
require the following:
(1) A
written agreement between the placement and the NHEP participant, specifying
the tasks to be performed by the NHEP participant, hours of the work placement,
and the duration of the agreement; and
(2) An
approved employability plan which includes the placement information.
(c) Individuals who receive a reduction in FANF
financial assistance pursuant to RSA 167:82, III, shall have required
participation hours in a WECSP work placement calculated against the full,
available pre-sanctioned financial assistance amount.
(d) Individuals participating in a WECSP work
placement shall not be required to participate for more hours than the
individual would be compensated for if the individual were paid at minimum
wage, equal to the full, available pre-sanctioned financial assistance benefit
amount, plus the family’s supplemental nutrition assistance program (SNAP)
benefit amount.
Source. (See Revision Note #1 at Chapter Heading He-W
600) #6446, eff 2-1-97; amd by #6699, eff 2-28-98; amd by #8269, eff 2-1-05; paragraphs (j) & (k) EXPIRED:
2-28-06; ss by #8740, INTERIM, eff 10-13-06, EXPIRED: 4-11-07
New. #8869, eff 4-19-07; ss by #10163, eff
7-26-12; ss by #13549, eff 2-1-23
He-W 637.22 Vocational Educational and Training.
(a) When
determining the NHEP participant's need for vocational education
and training, as described in RSA 167:85 and RSA 167:91, the NHEP
representative shall perform an assessment of the following:
(1) The
participant’s marketability of current skills, experience,
training, and education;
(2) The
participant’s ability to achieve long-term economic independence
without a vocational education and training program;
(3) The
marketability of the specific vocational education and training
program;
(4) The
participant’s ability to successfully complete a vocational
education and training program; and
(5) The
participant’s access to support services, such as transportation
and child care, while engaged in a vocational
education and training program.
(b) Vocational education and
training programs shall meet all of the following
criteria:
(1) The
training shall be designed to provide participants with the
knowledge and skills to prepare for an industry specific occupation;
(2) The
vocationally specific training shall be in an occupation or career
pathway, which is consistent with the participant’s employability
plan;
(3) The
training program shall have an expectation to result in a participant’s ability
to obtain employment in a specific occupation or career pathway; and
(4)
The training provider shall provide documentation of satisfactory progress as
indicated in He-W 637.20 (b)(2).
(c) The vocational
education and training program shall be approved, pursuant to RSA 167:91, for a period of time not to exceed the federal lifetime limit of
12 months of participation.
(d) In the event a participant’s
lifetime limit has been exceeded, the following shall occur:
(1) The participant’s activity shall
remain on the employment plan to support completion of the activity and
employment plan; and
(2) The department shall not provide
funds to the participant.
(e) For
participants with a previous certificate, diploma, or completed training
program, retraining shall be appropriate if one of the following
conditions is met:
(1) Significant labor market
changes have occurred which effect the occupation in
which training has been previously received; or
(2) The participant no longer
possesses the necessary skills to perform the job functions due to documented
circumstances.
Source. (See Revision Note #1 at Chapter Heading He-W
600) #6446, eff 2-1-97; amd by #6818, eff 7-25-98; ss
by #8269, eff 2-1-05; paragraphs (a)-(f) amd by #8740,
INTERIM, eff 10-13-06, EXPIRED: 4-11-07; paragraphs (a)-(f) amd
by #8869, eff 4-19-07; ss by #10275, eff 2-21-13; ss by #13603, eff 3-28-23
He-W
637.23 Post Secondary Education.
(a) When determining the NHEP participant's need
for a post secondary educational program, as
described in RSA 167:85 and 167:91, the NHEP representative shall perform an
assessment of the following:
(1) The marketability of the participant’s
current skills, experience, training, and education;
(2) The participant’s ability to achieve
self-sufficiency without a post secondary educational
program;
(3) The specific post
secondary educational program’s direct marketability in the local labor
market;
(4) The participant’s ability to successfully
complete a post secondary educational program;
(5) The participant’s ability to access support
services needed to engage in a post secondary
educational program, such as transportation and child care;
and
(6) The participant’s prior enrollment and
progress made in previous education and training experiences.
(b) A post secondary
educational program shall meet the following criteria:
(1) Be consistent with the participant’s
employability plan; and
(2) Have a reasonable expectation that the degree
or certificate will result in the participant obtaining employment.
(c) To maintain approval for the post secondary educational program, the participant shall
provide verification of satisfactory progress in the program, as defined in
He-W 637.01(j).
(d) The post secondary
educational program shall be approved for a period of time
not to exceed a lifetime limit of 12 months, whether or not
consecutive months, including in the sum total of 12
months any months spent in vocational educational training activities as
described in He-W 637.22.
(e) The time limit identified in (d) above shall:
(1) Be extended for an additional 3 months beyond
the 12 month lifetime limit when additional time is
needed for the participant to complete and graduate from a program in which the
participant is making satisfactory progress; and
(2) Not apply to a participant with a documented
learning disability who provides verification of the disability and the need
and length of time for extended participation in the post
secondary educational program from either:
a. A state certified education professional
licensed to diagnose learning disabilities; or
b. A licensed psychologist.
(f) When determining the NHEP participant’s need
for additional postsecondary educational programs when the participant already
has at least one prior post secondary degree, the
NHEP representative shall consider the following:
(1) Whether labor market changes have affected
the occupation associated with the participant’s prior post
secondary degree;
(2) Whether, due to a documented disability, the
participant no longer possesses the needed abilities to perform the job
functions associated with the prior post secondary degree;
(3) Whether the participant’s prior post secondary educational program was interrupted due to a
personal emergency, and if that situation is now resolved; and
(4)
Whether the participant was previously unsuccessful in completing a post secondary educational program, and the reasons for the
prior failure.
Source. (See Revision Note #1 at Chapter Heading He-W
600) #6446, eff 2-1-97; amd by #6818, eff 7-25-98; amd by #7206, eff 3-1-00; amd by
#8269, eff 2-1-05; paragraphs (a) intro. & (c)-(g) amd
by #8740, INTERIM, eff 10-13-06, EXPIRED: 4-11-07; paragraphs (a) intro. &
(c)-(g) amd by #8869, eff 4-19-07; ss by #9275, eff
9-20-08; ss by #11186, eff 9-20-16
He-W 637.24 - RESERVED
Source. (See Revision Note #1 at Chapter Heading He-W
600) #6446, eff 2-1-97; amd
by #6818, eff 7-25-98; amd by #8269, eff 2-1-05; paragraphs
(a)(5) & (b) EXPIRED: 7-25-06; rpld by #8740,
INTERIM, eff 10-13-06
He-W 637.25 - RESERVED
Source. (See Revision Note #1 at Chapter Heading He-W
600) #6446, eff 2-1-97; ss by #6595, eff 10-1-97; amd
by #6818, eff 7-25-98; amd by #7206, eff 3-1-00; amd by #8452, eff 10-22-05; rpld
by #8740, INTERIM, eff 10-13-06
He-W
637.26 - RESERVED
Source. (See Revision Note #1 at Chapter Heading He-W
600) #6446, eff 2-1-97; amd by #6818, eff 7-25-98; amd by #8269, eff 2-1-05; paragraphs (b) & (c) EXPIRED:
7-25-06; paragraphs (a)-(c) & (g) amd by #8740,
INTERIM, eff 10-13-06, EXPIRED: 4-11-07; paragraphs (a)-(c) & (g) amd by #8869, eff 4-19-07; rpld
by #10163, eff 7-26-12
He-W 637.27 - RESERVED
Source. (See Revision Note #1 at Chapter Heading He-W
600) #6446, eff 2-1-97; ss by #8269, eff 2-1-05; rpld
by #10163, eff 7-26-12
He-W 637.28 - RESERVED
Source. #8268, eff 2-1-05; rpld
by #8740, INTERIM, eff 10-13-06
PART
He-W 638 HOMECARE WORKS
He-W 638.01 - RESERVED
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91; rpld
by #5819, eff 4-29-94
New. #8418, eff 8-22-05; ss by #10275, eff 2-21-13;
rpld by #13539, eff 1-26-23
He-W 638.02 - RESERVED
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91; rpld
by #5819, eff 4-29-94
New. #8418, eff 8-22-05; ss by #10275, eff 2-21-13;
rpld by #13539, eff 1-26-23
PART He-W 639 GRANITE
WORKFORCE
He-W 639.01 Purpose. The purpose of this part is to implement the
granite workforce pilot program (GWPP) established in Laws 2018, 342:3-9.
Source. #12713, INTERIM, eff 1-22-19, EXPIRES:
7-22-19
He-W 639.02 Subject To Available Funding. The
services provided under this part are subject to the continuing availability of
Temporary Assistance for Needy Families (TANF) funds as described in Chapter
Law 342:9, 2018.
Source. #12713, INTERIM, eff 1-22-19, EXPIRES:
7-22-19
He-W 639.03 Definitions.
(a) “Beneficiary” means an individual determined
eligible and currently receiving
Medicaid.
(b)
“Department” means the New Hampshire department of health and human
services.
(c)
“Employer subsidy” means a payment made to an employer in accordance
with Chapter Law 342:9, 2018.
(d)
“Granite advantage health care program (granite advantage)” means the
granite advantage health care program established under RSA 126-AA.
(e)
“Granite workforce representative” means an employee of the New
Hampshire department of employment security or the department.
(f)
“Participant” means a beneficiary enrolled in the granite advantage and
receiving GWPP services under this part.
(g)
“Month” means the total wages paid by the employer during the prior four
weeks.
(h)
“New Hampshire employment security (NHES)” means New Hampshire
employment security.
Source. #12713, INTERIM, eff 1-22-19, EXPIRES:
7-22-19
He-W 639.04 Participant Eligibility.
(a)
To be eligible to receive GWPP services, a beneficiary shall be:
(1)
In a household with a household income up to 138 percent of the federal
poverty level;
(2)
Enrolled in granite advantage;
(3) Mandatorily required to meet the
community engagement requirement in He-W 837.03 unless exempted under He-W
837.04 and He-W 837.05; and
(4)
One of the following:
a.
A parent who is more than 19 years old and less than 65 years old and
has a child who is less than 18 years old in the household;
b.
A noncustodial parent who is more than 19 years old and less than 65
years old and has a child who is less than 18 years old; or
c.
A childless adult who is more than 19 years old and less than 25 years
old.
(b)
A participant whose earned income increases and causes the household
income to exceed 138 percent of the federal poverty level shall continue to
receive GWPP services provided the household income does not exceed 250 percent
of the federal poverty level, subject to (c) below.
(c)
Participants in subsidized employment whose household income exceeds 138
percent of the federal poverty level and is below 250 percent of the federal
poverty level shall be terminated from receiving GWPP services once the
employer is paid the second subsidy payment, pursuant to He-W 639.08 below.
(d)
NHES shall verify the beneficiary is enrolled in granite advantage and
determine the beneficiary’s eligibility for GWPP services as described in (a)
above.
(e)
Any participant whose household income exceeds 250 percent of the
federal poverty level shall be terminated from participation in GWPP.
(f)
A beneficiary, who is otherwise exempted from the community engagement
requirement under He-W 837.04 and He-W 837.05, and
voluntarily participates in the community engagement requirement may request to
participate voluntarily in the GWPP if they meet the requirements in (a) above.
Source. #12713, INTERIM, eff 1-22-19, EXPIRES:
7-22-19
He-W 639.05 Initial Assessment.
(a) A beneficiary shall participate in an initial
interview when the beneficiary volunteers to participate in GWPP and the
interview shall include an assessment of job skills, experience, and vocational
interests using the occupational information network interest profiler or
another assessment tool that measures vocational interests, job skills,
experience, aptitude, and educational needs.
Source. #12713, INTERIM, eff 1-22-19, EXPIRES:
7-22-19
He-W 639.06 Activities and Services.
(a)
NHES shall offer the following activities and services to participants:
(1)
Case management, vocational assessment, career planning, and job
readiness services including referral for employment support services pursuant
to He-W 639.07;
(2)
Referral to community agencies including but not limited to those under
contract with the department to provide services to mitigate barriers to
employment;
(3)
Referral to education and training providers including:
a. The New Hampshire community
college system for training and apprenticeship opportunities;
b. The
department of business and economic affairs for available training funds and
support services;
c.
The department of education for education and employment programs for
youth; and
d. Other
available post-secondary educational programs, training programs, and apprenticeship
programs;
(4)
Referral for education, training, apprenticeships, and direct job
placement;
(5)
Direct placement into subsidized employment for industry specific skills
for jobs in high need areas, as determined by the NHES based upon workforce
shortages; and
(6)
Referral to services to assist meeting the work and community engagement
requirements in He-W 837.03.
(b)
Payment for services described in (a)(2) above shall be limited to four
months.
Source. #12713, INTERIM, eff 1-22-19, EXPIRES:
7-22-19
He-W 639.07 Employment Support Services.
(a)
Employment support services shall be available for participants who have
met the requirement of He-W 639.04 and He-W 639.05 above, as funding and
budgets permit.
(b)
Participants shall receive the employment support services listed below:
(1)
Mileage reimbursement shall be provided for transportation to and from
approved activities listed in He-W 639.06 subject to the following:
a.
Mileage reimbursement shall not exceed $160 per month;
b.
Participants shall not receive mileage reimbursement for more than 4
months out of the state fiscal year;
c.
Participants shall provide the following information to the department
for mileage reimbursement:
1.
Mileage to and from the approved GWPP activity; or
2.
Verification of the actual cost of transportation to and from the
approved activity;
d.
Mileage reimbursement shall be paid as follows:
1.
The actual cost of transportation to and from the approved GWPP
activity; or
2.
The number miles traveled multiplied by $0.30;
and
e.
Reimbursement shall be provided for rides verified by receipt and
purchased from a public for hire transportation agency under contract with the
New Hampshire department of transportation, the United States department of
transportation, or a registered common carrier under RSA 376 and RSA 376-A
directly for transportation services.
(2)
Tuition assistance shall be provided for allowable education and
training activities pursuant to He-W 837.08(a)(5), (6), and (8) as follows:
a.
Payment shall be made to the education or training provider, including
books, fees, and supplies up to $5,000 per participant in a lifetime; and
b.
Payment shall be approved by the granite workforce representative if the
participant provides the following information:
1.
Name of the institution the participant attends;
2.
Verification of the courses the participant is taking; and
3.
Verification of the cost of any necessary tuition, books, fees, and
supplies;
(3)
Financial support shall be provided for allowable education and training
activities in the case of a beneficiary who has not received a high school
diploma or a certificate of a high school equivalency
pursuant to He-W 837.08(a)(9) and (10) as follows:
a.
Payment shall be made to the education or training provider, including
books, fees, and supplies up to $450 per participant in a lifetime; and
b.
Payment shall be approved by the granite workforce representative if the
participant provides the following information:
1.
Name of the institution the participant attends;
2.
Verification of the courses the participant is taking; and
3.
Verification of the cost of any necessary tuition, books, fees, and
supplies;
(4)
Emergency housing support shall be paid subject to the following:
a.
Payment shall not be greater than $650 per household in a lifetime to
assist in securing or retaining permanent housing;
b.
Payment shall be made to a landlord, management company, or bank; and
c.
Participants shall:
1.
Provide verification from a landlord, management company, or mortgagee
that the participant is experiencing or threatened with homelessness or unsafe
or unhealthy living conditions pursuant to He-W 606.104;
2.
Indicate in writing whether the request is for a rental or mortgage
payment, the amount needed to secure or retain permanent housing or a safe and
healthy living situation, and the third party to be paid;
3.
Provide a signed and dated third party verification when the housing
costs exceed $650 indicating that the third party shall provide the remainder
of the deposit, rent, or mortgage obligation to prevent the housing crisis or
ensure permanent housing; and
4.
Submit the signed and dated writing that includes the required
information in 1. and 2. above, and the verification required in 3. above to
the granite workforce representative for review; and
(5)
Payment for child care registration fees shall
be paid subject to the following:
a.
Payment shall not be greater than $100 per child in a lifetime and shall
be paid to the child care provider;
b. Payment shall only be made for registration
and shall not include other fees associated with the pre-payment of child care services or the holding or securing of child care slots; and
c.
Participants shall:
1.
Provide verification from the child care
provider indicating the child’s name and the required child
care registration fees;
2.
Indicate the amount required to secure child care
and the child care provider’s information necessary
for payment; and
3.
Submit a signed and dated writing including the required information and
verification to the granite workforce representative for review.
(d)
Participants shall submit invoices for employment support services
within 90 days of the granite workforce representative’s approval of the costs
of the services.
(e)
The granite workforce representative shall review the submitted invoices
as required in (d) to confirm that they are consistent with the beneficiary’s
employment plan and the assessment results.
Source. #12713, INTERIM, eff 1-22-19, EXPIRES:
7-22-19
He-W 639.08 Employer Subsidies. Subsidies for employers shall be provided by
the department as follows:
(a)
Employers who hire and retain participants shall receive a wage subsidy:
(1)
After 3 months of continued employment from the hire date; and
(2)
After 9 months of continued employment from the hire date;
(b)
Each wage subsidy payment shall equal 50 percent of the documented and
confirmed gross wages paid by the employer to the participant for the prior
month, not to exceed $2,000 per payment;
(c) Employers shall invoice the
department within 90 days after the 3 months of continued employment and within
90 days after the 9 months of continued employment;
(d)
The department shall pay the employer subsidy within 90 days of receipt
of invoice;
(e)
The employer shall notify NHES of any improper payment within 30 days of
the date the employer is aware of the overpayment; and
(f)
The employer shall reimburse the department within 90 days of the
notification of an improper payment in (e) above.
Source. #12713, INTERIM, eff 1-22-19, EXPIRES:
7-22-19
He-W 639.09 Termination of GWPP.
(a)
GWPP shall terminate pursuant to Laws 2018, 342:9 within 20 business
days when:
(1)
The department determines that the available federal TANF funds have
fallen below $40,000,000;
(2)
The program receives no additional federal TANF funds; or
(3)
The federal or state authority to operate granite advantage ends as
stipulated in RSA 126-AA.
(b)
Any outstanding contractual or other obligations of GWPP shall be
terminated as soon as practicable and in accordance with the following
schedule:
(1)
Participants receiving case management services from NHES shall continue
to receive case management services for up to 90 days from the program
termination date;
(2)
Participants receiving barrier reduction services from community
providers under contract with the department shall continue to receive barrier
reduction services for up to 30 days from the program termination date;
(3)
Employers shall be paid qualifying wage subsidies following the 3rd and
9th month of continued employment for participants hired by the employer prior
to the program termination date; and
(4)
Participants receiving education, training, or apprenticeship services
from education and training facilities shall continue to receive education or
training services when this service has been approved or paid for prior to the
program termination date.
(c)
Payment for outstanding program obligations following
after program termination shall be allowed as funding and budgets permit
as follows:
(1)
Community providers, under contract with the department for barrier
reduction services for participants enrolled in barrier reduction services,
shall be allowed to submit invoices the department for
90 days following the closure of all participants from the barrier reduction
services;
(2)
Employers shall be allowed to submit invoices for 90 days following the
3rd and 9th month of a participant’s continued employment;
(3) Providers of education and
training for participants enrolled in services prior to the termination date
shall be allowed to submit invoices for 90 days following program termination
date; and
(4)
Personnel related costs for the department and NHES for staffing deemed
necessary to carry out program responsibilities shall not extend beyond 12
months from the program termination date.
Source. #12713, INTERIM, eff 1-22-19, EXPIRES:
7-22-19
PART He-W 640 -
RESERVED
PART He-W 641 SPECIAL MEDICAL ASSISTANCE ONLY COVERAGE
GROUPS
He-W 641.01 - RESERVED
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91; amd by #5915, eff 11-1-94; amd by #5992, eff 2-25-95; ss by #6531, INTERIM, eff
6-27-97, EXPIRES: 10-25-97; ss by #6614, eff 10-24-97; ss by #8452, eff
10-22-05; ss by #10471, eff 11-26-13; rpld by #13781,
eff 10-21-23
He-W 641.02 Qualified Pregnant Women/60 Day Extended
MA.
(a)
In accordance with 42 USC 1396a(a) and 42 USC 1396d(n) relative to
medical assistance for qualified pregnant women, all general, technical and
financial eligibility requirements for FANF medical assistance specified in
He-W 600 shall apply, in addition to the requirements below.
(b)
If a pregnant woman is a minor casehead, as
defined by He-W 601.05(r), a portion of her parents' income shall be deemed
available to her as follows:
(1) The amount of each parent's countable gross
earned income, as defined in He-W 601.04(m) and He-W 601.04(n), if any, shall
be determined;
(2) Net earned income, as defined in He-W
601.05(u), shall be determined by deducting $90 from each parent’s countable
gross earned income;
(3) Countable
unearned income, as defined in He-W 601.08(k), shall be added to net earned
income;
(4) The shelter payment allowance for
unsubsidized housing, as defined in He-W 658.02(e)(2), for the appropriate
assistance group size shall be subtracted from the total amount of countable
unearned and net earned income; and
(5) The assistance group size shall be determined
by including the parents of the pregnant woman, any other individuals living in
the home who are legal dependents of the pregnant woman's parents and any
individuals outside the home who could be claimed as legal dependents by the
pregnant woman’s parents.
(c)
If a pregnant woman is a minor casehead, as
defined in He-W 601.05(r), the total amount of her parents' countable resources,
as defined in He-W 601.04(v), shall be deemed available to her when determining
her resource eligibility.
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #5992, eff 2-25-95; ss by #7835, eff 2-24-03; amd by #8063, eff 3-20-04; ss by #9845, eff 2-24-11
He-W 641.03 Medicaid
for Employed Adults with Disabilities (MEAD).
(a) In accordance with RSA 167:3-i,
RSA 167:3-c, XII, RSA 167:6, IX, and 42 USC 1396a(a)(10)(A)(ii)(XV) relative to medical assistance for
employed adults with disabilities, medical assistance shall be provided to any
applicant who:
(1) Meets the
general and technical
requirements for APTD or ANB as specified in He-W 600;
(2) Is age 18
through 64,
inclusive;
(3) Meets the
medical criteria for
MEAD pursuant to He-W 504.02;
(4) Is employed
for pay pursuant to He-W 641.03(b), or
self-employed for pay pursuant to He-W 641.03(c), on the date of application,
during the time of MEAD eligibility determination, and during the retroactive
period, should the individual request this medical coverage period;
(5) Has net
income determined by applying the APTD or ANB treatment and disregards to his or
her gross income, and if
applicable, to the spouse’s gross income pursuant to He-W 654, that when
combined with spousal net income does not exceed 450% of the federal poverty
guidelines, as published annually in the Federal Register and effective no
later than the first of the month following the first complete month after the
federal poverty income guidelines have been published in the federal register;
(6) Has countable resources that do not exceed
the 2002 limit of $20,000 for an individual or $30,000 for a married couple,
the amounts of which shall be updated annually in accordance with (a)(5) above
by the percentage that applies pursuant to the Consumer Price Index; and
(7) Pays the monthly premium, established
pursuant to He-C 5003.
(b)
To be considered employed
for pay, an individual shall:
(1) Receive remuneration and contribute to the
Federal Insurance Contributions Act (FICA); and
(2) Not be paid for participation in a program
designed to enhance an individual’s ability to obtain paid employment.
(c)
To be considered
self-employed for pay, an individual shall:
(1) Meet the requirements of (b)(2) above; and
(2) Provide documentation that he or she makes
regular payments based on earnings as required pursuant to FICA.
(d) The items listed below shall not be
counted as a resource when determining MEAD eligibility:
(1) Retirement plans;
(2) Medical savings accounts established pursuant
to 26 USC 220; and
(3) MEAD employability accounts specifically
designated and set aside by the individual for the purpose of purchasing
certain goods or services that:
a. Will enhance an applicant’s employability;
and
b. Are not:
1. Covered by the medicaid
program;
2. Otherwise reimbursable;
3. Specifically excluded pursuant to He-W 656;
or
4. Already allowed as a deduction pursuant to
He-W 654.
(e)
Goods or services for
which MEAD employability accounts may be designated and set aside pursuant to
(d)(3) above shall include, but not be limited to:
(1) Equipment, supplies, operating capital, and
inventory required to establish a business;
(2) Any cost associated with an educational or
occupational training facility, including, but not limited to, tutoring, or
counseling;
(3) Work-related attendant care services to
enable the individual to prepare for work, including, but not limited to,
bathing and dressing, or services provided in the workplace;
(4) Medical devices, which enable the applicant
to work, including, but not limited to:
a. Wheelchairs;
b. Prosthetics;
c. Pacemakers; and
d. Respirators;
(5) Equipment or tools either specific to an applicant's
condition or designed for general use;
(6) Uniforms, specialized clothing, and safety equipment;
(7) Least
costly transportation cost(s) to and from work, such as weekly or monthly bus
passes;
(8) Purchase of a private vehicle;
(9) Operational or accessibility modifications to buildings
or vehicles to accommodate disability;
(10) Routine drugs or medical services to ameliorate
disability that are not covered by medicaid;
(11) Diagnostic procedures related to evaluation, control,
or treatment of a disabling condition;
(12) Prescribed non-medical appliances and devices essential
for controlling the disabling condition at home or
work such as air filtering equipment;
(13) Expendable medical supplies; and
(14) Guide dogs, dog food, licenses, and veterinary
services.
(f) If an applicant uses funds in a MEAD
employability account for items other than those described in He-W
641.03(d)(3), the remaining funds in the account shall be counted as a resource.
(g) Applicants who have been determined eligible
for medical assistance pursuant to He-W 641.03(a) and who subsequently become unemployed but who intend to return to work shall remain
eligible for MEAD for a 6-month extension period beginning with the date the
individual becomes unemployed, if:
(1) The
recipient was involuntarily terminated from employment, or seasonal work ended,
and is currently seeking new employment; or
(2) The
recipient voluntarily terminated employment with good cause in accordance with
(i) below.
(h) A recipient who has completed the 6-month extension may obtain one additional
6-month extension if the recipient provides either:
(1) A
doctor’s written statement regarding the individual’s medical condition as it
relates to their inability to work; or
(2) Written
documentation of proven job search through contacts made to employers, and/or
employment agencies such as One-Stops, Vocational Rehabilitation, or Employment
Networks.
(i) The division of
family assistance shall determine that good cause for
leaving employment exists, in accordance with RSA 167:82, III(c)(1), (2), (4),
(6), (7), and (8).
(j) A recipient shall be terminated from MEAD
when 3 consecutive occurrences of employment by a recipient indicate that the
date of hire occurred during the last month of each of the 6-month periods.
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #5895, eff 9-15-94; rpld
by #6446, eff 2-1-97
New. #7644, eff 2-8-02; ss by #8292, eff 2-24-05;
ss by #9402, eff 3-5-09
He-W 641.04 -
RESERVED
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91; amd by #5992, eff 2-25-95;
ss by #6531, INTERIM, eff 6-27-97, EXPIRES: 10-25-97; ss by #6614, eff
10-24-97; amd by #7354, eff 9-1-00; amd by #8452, eff 10-22-05; ss by #10471, eff 11-26-13; rpld by #13781, eff 10-21-23
He-W 641.05 Presumptive Eligibility Determinations.
(a)
Once an individual has been determined presumptively eligible for
medical assistance pursuant to Sections 1920 and 1920A of the Social Security
Act, that individual shall only be allowed to have another presumptive
eligibility determination if the individual:
(1) Was determined eligible for medical assistance
by the department and received such assistance after the presumptive
eligibility period ended; and
(2) Subsequently became ineligible for medical
assistance.
Source. (See Revision Note #1 at Chapter Heading He-W
600) rsvd by #5171, eff 6-26-91; ss by #7003, eff
6-1-99, EXPIRED: 6-1-07
New. #8897, eff 6-7-07, EXPIRED: 6-7-15
He-W 641.06 Medical Coverage for Pregnant Women. For purposes of Section 1902(l) of the Social
Security Act relative to medical assistance for pregnant women, the following
shall apply:
(a)
Pregnant women, who apply for or receive medical coverage for pregnant
women (MCPW) as defined in He-W 601.05(q), shall not be subject to the maximum
resource limits for medical assistance; and
(b)
The income of pregnant women shall be compared to a percentage of the
federal poverty income guidelines, as required under section 1902 (1)(2)(A)(i) of the Social Security Act, for the appropriate budgetary
unit size. In order for a pregnant woman
to be income eligible for medical coverage, monthly income of the budgetary
unit, as defined in He-W 601.02(e), shall not exceed the current percentage of
the poverty income guidelines established under the Social Security Act or RSA
167:68, whichever is higher, for the appropriate budgetary unit size.
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #5417, INTERIM, eff 7-1-92, EXPIRED: 10-29-92
New. #5499, eff 11-6-92; amd
by #5915, eff 11-1-94; ss by #6865, eff 10-3-98; ss by #7004, eff 5-26-99,
EXPIRED: 5-26-07
New. 8897, eff 6-7-07, EXPIRED: 6-7-15
He-W 641.07 Medical Assistance for Low Income Children.
(a)
“Low income children” means children under the
age of 19 whose family income is less than or equal to 300% of the federal
poverty income guidelines as published annually in the Federal Register by the
Secretary of the U.S. Department of Health and Human Services.
(b)
Resources shall not be counted when eligibility is determined for low income children.
(c)
For children to be income eligible for medical assistance as a low income child, monthly family income shall not exceed
300% of the federal poverty income guidelines;
(d)
For purposes of determining income eligibility for medical assistance
for a low income child, changes in the poverty level
guidelines shall become effective the first day of the second month following
publication of the poverty income guidelines in the Federal Register.
(e)
A qualified entity as defined in He-W 520.01(h) shall be allowed to make
presumptive eligibility determinations as defined in He-W 520.01(f) for initial
eligibility for medical coverage for low income
children whose eligibility is based on a percentage of the federal poverty
income guidelines.
(f) For purposes of this section, all
requirements for FANF medical assistance specified in He-W 600 shall apply
except that:
(1) A verbal declaration stating the monthly
amount received in child support shall fulfill general verification
requirements specified in He-W 606;
(2) A verbal declaration stating the monthly
amount paid for child care expenses shall fulfill child care cost verification requirements specified in He-W
606.73; and
(3)
A verbal declaration stating the amount of monthly wage garnishments shall
fulfill garnishment verification requirements specified in He-W 606.74(a)(4).
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #5215, eff 8-30-91; ss by #5417, INTERIM, eff
7-1-92, EXPIRED: 10-29-92
New. #5499, eff 11-6-923; amd
by #5915, eff 11-1-94; amd by #5992, eff 2-25-95; amd by #6745, (HB 32), eff 5-1-98, EXPIRED: 12-31-98; ss by
#6925, eff 1-1-99; amd by #7666, eff 4-1-02; amd by #8783, INTERIM, eff 12-30-06, para. (c) EXPIRED:
6-28-07; amd by #8903, eff 6-28-07; ss by #9664, eff
4-1-10; ss by #10139, eff 7-1-12
He-W 641.08 - RESERVED
Source. #6925, eff 1-1-99; rpld
by #7666, eff 4-1-02
He-W
641.09 Breast and Cervical Cancer
Program.
(a)
“Course of treatment” means the period of time
a woman requires treatment for breast or cervical cancer as specified in
writing by the woman’s attending physician.
(b)
Medical assistance shall be provided to any woman who:
(1)
Meets the requirements specified in 42 USC 1396a(aa)
pursuant to 42 USC 96a(a)(10)(A)(ii)(XVIII);
(2) Is a
resident of the State of New Hampshire as defined in He-W 601.07(e); and
(3) Is a citizen of the United States or a
qualified alien as described in He-W 616.02.
(c)
Medical assistance made available to a woman described in (b) above
shall be limited to the woman’s course of treatment.
(d)
Medical assistance made available to a woman described in (b) above
shall be terminated when:
(1) The woman no longer meets the requirements specified
in 42 USC 1396a(aa);
(2) The woman’s attending physician states in
writing that the woman has completed her course of treatment; or
(3) The woman no longer resides in the State of
New Hampshire.
Source. #7459, EMERGENCY, eff 3-13-01 EXPIRED:
9-9-01; ss by #7546, eff 9-1-01; ss by #9532, eff 9-1-09
PART He-W 642 CATEGORICAL REQUIREMENTS - ADULT FINANCIAL ASSISTANCE
He-W 642.01 - RESERVED
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91
He-W
642.02 Old Age Assistance Categorical Requirements.
(a) If
an individual applies for financial assistance in the category of old age
assistance (OAA) in the month in which the individual turns 65 years of age,
the individual shall meet the age requirement as of the day the individual
turns 65 years of age.
(b) If
a recipient is transferred to OAA financial assistance from another category of
financial assistance, the recipient shall receive assistance under OAA
commencing in the month following the month in which the recipient turns 65.
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #6531, INTERIM, eff 6-27-97, EXPIRES: 10-25-97;
ss by #6614, eff 10-24-97; ss by #8452, eff 10-22-05; ss by #10471, eff
11-26-13; ss by #13893, eff 2-27-24
He-W 642.03 Aid to the
Permanently and Totally Disabled Categorical Requirements.
(a) Applicants and
recipients of aid to the permanently and totally disabled (APTD) financial
assistance shall meet all aspects of the APTD disability requirement in RSA
167:6 VI for initial and continuing eligibility.
(b) Recipients of APTD
financial assistant shall be transferred to OAA financial assistance the month
following the month in which the recipient turns 65.
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #6531, INTERIM, eff 6-27-97, EXPIRES: 10-25-97;
ss by #6614, eff 10-24-97; ss by #8452, eff 10-22-05; ss by #10471, eff
11-26-13; ss by #13893, eff 2-27-24
He-W
642.04 Aid to the Needy Blind Categorical Requirements.
Applicants and recipients of aid to the needy blind (ANB) financial assistance
shall meet all aspects of the ANB blindness requirement in He-W 502.02 for
initial and continuing eligibility.
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #6531, INTERIM, eff 6-27-97, EXPIRES: 10-25-97;
ss by #6614, eff 10-24-97; ss by #8452, eff 10-22-05; ss by #10471, eff
11-26-13; ss by #13893, eff 2-27-24
PART He-W 643 -
RESERVED
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91
PART He-W 644
Technical Requirements for Adult Financial and Medical Assistance
He-W
644.01 Personal Interview.
(a) A
personal interview between the individual or the individual’s authorized
representative (AR) and a department representative shall be required for:
(1) Each
initial determination of eligibility for adult category financial assistance;
and
(2) Each
regularly scheduled redetermination of eligibility for all adult category
clients except for individuals residing in independent living arrangements and
not receiving supplemental nutrition assistance program (SNAP) benefits.
(b) A
personal interview shall be conducted for all adult category cases, including
those exempted above in (a)(2), as a result of
reported changes or the discovery of conflicting information related to
eligibility.
(c) A
personal interview shall be required once during a 12-month period for any adult
category case on a more frequent redetermination of assistance schedule
pursuant to He-W 684.02(d).
(d)
If the individual or the individual’s AR fails to appear for a personal
interview:
(1) Within 30 days from the
date of application for an initial determination of eligibility, then
assistance shall be denied; or
(2) Within the redetermination month for a
redetermination of eligibility, then assistance shall be terminated at the end
of the advance notice period, as described in He-W 604.03.
(e) The
individual or the individual’s AR shall review the summary of the information
provided to the department’s representative during the interview, make any
necessary corrections, and return it to the department within 10 calendar days
if corrections have been made.
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #6531, INTERIM, eff 6-27-97, EXPIRES: 10-25-97;
ss by #6614, eff 10-24-97; amd by #7766, eff 10-1-02;
amd by #8325, eff 5-1-05; amd
by #8452, eff 10-22-05; ss by #9788, eff 10-1-10; ss by#12714, eff 1-23-19; ss
by #13801, eff 10-21-23
PART He-W 645 -
He-W 647 - RESERVED
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91
PART He-W 648 RESIDENTIAL CARE FACILITIES AND COMMUNITY
RESIDENCES
He-W 648.01 - Reserved
Source. (See Revision Note at Chapter Heading He-W 600) #5171, eff 6-26-91
He-W 648.02 Residential Care Facilities.
(a)
Individuals living in residential care facilities, as described in RSA
151:2, I(e), shall meet all general, technical, categorical, and financial
requirements for adult category financial assistance, in addition to the
requirements below.
(b)
Individuals
living in residential care facilities shall be entitled to a different standard
of need than individuals residing in independent living arrangements when the
residential care facility is licensed by the department as meeting the
standards for the care of residential care facility residents.
(c)
Financial
eligibility for individuals in residential care facilities shall be determined
as an assistance group size of one.
(d)
If an individual is determined eligible, financial assistance shall be
provided directly to the individual, not to the operator of the residential
care facility.
(e)
The standard of need for an individual in a residential care facility
shall be adjusted annually as specified in He-W 648.04.
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #5418, INTERIM, eff 7-1-92, EXPIRED: 10-29-92
New. #5500, eff 11-6-92; amd
by #5966, eff 1-27-95; ss by #6865, eff 10-3-98; amd
by #6969, eff 4-1-99; amd by #7451, eff 2-17-01; amd by #7622, INTERIM, eff 1-9-02 EXPIRED: 7-8-02; amd by #7693, eff 5-25-02; amd by
#7803, INTERIM, eff 1-1-03, EXPIRED: 6-30-03; amd by
#7876, eff 4-23-03; amd by #8015, eff 1-1-04, EXPIRED:
6-29-04; amd by #8092, eff 5-28-04; amd by #8252, eff 1-8-05; amd by
#8684, eff 7-21-06; ss by #9364, eff 2-1-09; ss by #12179, eff 5-23-17
He-W 648.03 Community Residences.
(a)
Individuals living in community residences, as defined in He-M
1001.02(k), shall meet all general, technical, categorical, and financial
requirements for adult category financial assistance, in addition to the
requirements below.
(b)
Individuals living in community residences shall be entitled to a
different standard of need than individuals residing in independent
living arrangements when:
(1) The community residence is certified or
licensed by the department;
(2) The individual has been determined
appropriate for community residence care by a division of developmental
services area agency case manager; and
(3) The individual has been placed in a community
residence.
(c)
Financial eligibility for individuals in community residences shall be
determined as an assistance group size of one.
(d)
If an individual is determined eligible,
financial assistance shall be provided directly to the individual, not to the
operator of the community residence.
(e)
The standard of need shall be adjusted annually, as specified in He-W
648.04, for individuals living in:
(1) Community residences, as defined in He-M
1001.02(k); and
(2) Family residences, as defined in He-M
1001.02(k) and He-M 1001.02(p).
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #5418, INTERIM, eff 7-1-92, EXPIRED: 10-29-92
New. #5500, eff 11-6-92; amd
by #5966, eff 1-27-95; ss by #6865, eff 10-3-98; amd
by #6969, eff 4-1-99; amd by #7451, eff 2-17-01; amd by #7622, INTERIM, eff 1-9-02 EXPIRED: 7-8-02; amd by #7693, eff 5-25-02; amd by
#7803, INTERIM, eff 1-1-03, EXPIRED: 6-30-03; amd by
#7876, eff 4-23-03; amd by #8015, eff 1-1-04, EXPIRED:
6-29-04; amd by #8092, eff 5-28-04; amd by #8252, eff 1-8-05; amd by
#8684, eff 7-21-06; ss by #9364, eff 2-1-09; ss by #12179, eff 5-23-17
He-W 648.04 Cost-of-Living
Adjustments for Supplemental Security Income.
(a) In accordance with 42
USC 1382g and pursuant to RSA 167:27-c, the department shall maintain the
minimum supplemental payment levels for individuals living in:
(1) Residential care facilities, as defined in RSA
151:2, I(e);
(2) Community residences, as defined in He-W
601.02(r) or He-M 1001.02(k); and
(3) Family residences, as defined in He-M
1001.02(p).
(b) The standard of need
for individuals living in residences specified in (a) above, shall be
determined by:
(1) Subtracting the adult standard disregard as
specified in He-W 654.16, from the current maximum supplemental security income
(SSI) payment level; and
(2) Adding the figure in (b)(1) above to the
appropriate minimum state supplemental payment level in accordance with 20 CFR
416.2098.
Source. #8252, eff 1-8-05; ss by #10257, eff 1-24-13;
ss by #13537, eff 1-26-23, EXPIRES: 1-26-33
PARTS He-W 649 -
He-W 651 – RESERVED
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91
PART He-W 652 INCOME - BASIC PRINCIPLES
He-W 652.01 - RESERVED
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91
He-W 652.02 Available Income.
(a) Available income for
adult category financial assistance shall be verified in the same manner as
financial assistance to needy families, as described in He-W 606.
(b) Income received which
represents contributions or compensation for a period of more than one month,
or which varies steadily from month-to-month, shall be averaged to
obtain a monthly figure.
(c) The monthly figure
shall be the amount the individual is expected to have for use each month.
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #6531, INTERIM, eff 6-27-97, EXPIRES: 10-25-97;
ss by #6614, eff 10-24-97; ss by #8452, eff 10-22-05; ss by #10471, eff
11-26-13; ss by #13856, eff 1-23-24
He-W 652.03 Deemed Income For Financial and Medical
Assistance.
(a)
The income of a caretaker relative who is not a parent and is not
included in the assistance group (AG), shall not be considered available to the
children in the assistance group.
(b)
If all family members living together apply for assistance as one group,
deeming of the parents’ or legal guardians' income
shall not apply.
(c)
The minor casehead’s income and resources, and
the income and resources of the minor casehead’s
parent(s) or legal guardian(s), shall not be counted when determining
eligibility for the FANF AG when the minor casehead
is:
(1) Not a parent; and
(2) Not included in the AG.
(d)
When determining eligibility for FANF financial and medical assistance,
the parent’s
income shall be deemed to the minor casehead
in the following manner:
(1) The countable gross earned income, if any,
for each employed parent shall be determined pursuant to He-W 654;
(2) The employment expense disregard as specified
in He-W 654.13 shall be deducted from the gross earned income for each employed
parent resulting in the net earned income for each;
(3) Countable unearned income shall be added to net earned income, as described in (2) above, which shall
result in available income;
(4) The following shall be subtracted from
available income, as described in (3) above, resulting in the amount of deemed income:
a. The FANF standard of need, as described in
He-W 658.01, for the appropriate group size, for a group with the following
members:
1. Parents living in the home;
2. Any other individuals living in the home who
are legal dependents of the parents; and
3. Any individuals outside the home whom the
parent claims as dependents for federal income tax purposes; and
b. The amount of child support or alimony paid
by the parents to individuals outside the home;
(5) The amount of deemed income above shall be
treated as unearned income when determining income eligibility for the FANF
case;
(6) The amount of income that is deemed available
to the FANF case shall remain constant until the next redetermination, unless a
change is reported or discovered by the department; and
(7) The parent’s income, resources, and expenses
shall be verified pursuant to He-W 606.
(e)
For the adult categories of assistance, the following shall apply:
(1) Treatment of income and resources shall be
pursuant to He-W 654;
(2) The standard of need for a group size of 2
shall be compared to the available income to determine the amount of deemed
income, when an adult category applicant or recipient lives with an applicant
or non-applicant spouse, or a needy essential person; and
(3) The standard of need for a group size of 3
shall be compared to the available income to determine the amount of deemed
income when an adult category applicant or recipient lives with an applicant or
non-applicant spouse and a needy essential person.
(f) When determining eligibility and
benefit amount for an aid to the needy blind (ANB) financial assistance
applicant or recipient under the age of 18, the available income (AI) to be
deemed from the ANB applicant’s or recipient’s parent or parents, as defined by
He-W 601.06(b), to the ANB child shall be determined as follows:
(1) Deduct from the parent or parents’
combined countable unearned income, as defined in He-W 601.08(k):
a. An allocation for each ineligible child in
the house, pursuant to 20 CFR 416.1165(b); and
b. A general income exclusion, pursuant to 20
CFR 416.1165(d)(1);
(2) Deduct from the parent or parents’
combined earned income, as defined in He-W 601.03(k):
a. Verified expenses as described in He-W 606.74
and He-W 654.21; and
b. The earned income disregards described in 20
CFR 416.1165(d)(2); and
(3) Add together the remaining unearned income
from (1) above and the remaining earned income from
(2) above and deduct a parental living allowance for each parent residing with
the ANB applicant or recipient child, pursuant to 20 CFR 416.1165(d)(3).
(g)
The AI, as determined by (f)(3) above, shall be deemed from the parent
or parents to the ANB applicant or recipient under the age of 18 as unearned
income pursuant to 20 CFR 416.1165(e)(1)–(2).
(h)
To be eligible for the allocation described in (f)(1)a. above, the
ineligible child shall be:
(1) Under the age of 18, or under the age of 20
if a full-time student in a secondary school or the equivalent level of
vocational or technical training;
(2) Unmarried and not applying for or receiving
ANB financial assistance; and
(3) Residing in the home of the ANB financial
assistance applicant or recipient who is under the age of 18.
(i) When determining eligibility for an ANB
financial assistance applicant or recipient under the age of 18, the available
resources (AR) to be deemed from the parent or parents, as defined in He-W
601.06(b), to the ANB child shall be the parent or parents’ countable resources
that exceed the resource limits described in 20 CFR 416.1205(c).
(j)
For an ANB financial assistance applicant or recipient under the age of
18 to be considered eligible for ANB financial assistance, the sum of the
following shall not exceed the ANB financial assistance resource limit
described in He-W 656.06(c):
(1) The AR from (i)
above; and
(2) The ANB child’s countable resources, as
defined by He-W 601.02(v).
(k)
The AI and AR deemed available to the ANB financial assistance case
pursuant to (g) and (i) above shall remain constant
until the next redetermination, unless a change is reported or discovered by
the department.
(l)
The parent or parents’ income and resources shall be verified pursuant
to He-W 606, unless otherwise designated.
(m)
A verbal declaration shall suffice as proof of the parent or parents’
name, date of birth, and marital status.
(n)
The parent or parents of the ANB applicant or recipient shall provide all of the following verifications to receive the deduction
described in (f)(1)a. above:
(1) A copy of the birth certificate for each
sibling for which a deduction is requested;
(2) A signed statement from the parent or parents
living in the home certifying, under penalty of perjury, that the sibling or
siblings are unmarried and live in the home with the ANB applicant or recipient
under the age of 18; and
(3) For siblings 18 and older but under the age
of 20, proof of full-time student enrollment in a secondary school or the
equivalent level of vocational or technical training, including but not limited
to a current student identification card, a school report card, or a letter of
enrollment from the school on school letterhead.
(o)
Failure or refusal to fulfill the criteria described in (l)-(m) above
shall result in the denial or termination of ANB financial assistance for the
ANB applicant or recipient under the age of 18.
(p)
Failure or refusal to fulfill the criteria described in (n) above shall
result in no deduction being allowed for each sibling for which the criteria was not fulfilled.
(q)
Parental deeming to an ANB applicant or recipient child shall end as of
the month following the month in which the child turns 18, pursuant to 20 CFR
416.1165(g)(7).
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91; amd by #6446, eff 2-1-97; ss
by #6531, INTERIM, eff 6-27-97, EXPIRES: 10-25-97; ss by #6614, eff 10-24-97; amd by #6952, eff 3-1-99; amd by
#8063, eff 3-20-04; amd by #8452, eff 10-22-05; ss by
#10108, eff 4-4-12
He-W 652.04 Income of Disqualified Individuals.
(a) The income of individuals
disqualified from receiving financial assistance to needy families (FANF),
pursuant to 42 USC 608(a)(9), and of individuals disqualified from receiving
adult categories of financial assistance, pursuant to RSA 167:6 X, shall be
deemed to remaining eligible household members.
(b)
The full amount of income, minus the allowable deductions specified in He-W
654.20, of disqualified individuals shall be considered in the determination of
eligibility and benefit amount for FANF and adult categories of financial
assistance.
(c) For individuals disqualified from receiving
FANF, the earned income disregard, employment expense disregard, and child and
dependent care disregard shall not be allowable deductions pursuant to (b)
above.
Source. #13831, eff 12-23-23
He-W 652.05 Conversion to Monthly Amounts.
(a) Income
received weekly, bi-weekly, or semi-monthly, shall be
converted to a monthly amount by multiplying by the following factors:
(1) For
weekly amounts, multiply by 4.33;
(2) For
bi-weekly amounts, multiply by 2.17; and
(3) For
semi- monthly amounts, multiply by 2.
(b) The
result shall be carried out to 2 decimal places and not be rounded up or down.
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #6531, INTERIM, eff 6-27-97, EXPIRES: 10-25-97;
ss by #6614, eff 10-24-97; ss by #8452, eff 10-22-05; ss by #10471, eff
11-26-13; ss by #13856, eff 1-23-24
He-W 652.06 Fluctuating Income.
(a)
"Best estimate" means an expectation of income to be received
by an individual determined by evaluating past, present, and anticipated
significant and non-significant income changes.
(b)
"Fluctuating income" means:
(1) Earned income that varies from month to month
such as when an individual works varying hours, overtime, or on a piece work basis; or
(2) Unearned income that
varies from month to month due to changes in frequency or amount.
(c)
"Non-significant changes" means any temporary or short-term
variations in the amount of earned or unearned income caused by a situation
which is not ongoing.
(d)
"Significant changes" means changes in sources or amounts of
earned or unearned income which are:
(1) Expected to continue into
the future; or
(2) Short-term because is it
caused by a situation which is not ongoing.
(e)
The department of health and human services (DHHS) shall convert
fluctuating income to a monthly amount pursuant to He-W 652.05 by averaging
income for the most recent consecutive 4 weeks when such income represents a
best estimate of future income pursuant to (a) above as verified by pay stubs
or a statement from the employer.
(f)
Income received during weeks with non-significant income changes
pursuant to (c) above shall not be used to determine the average monthly
amount.
(g) When the average monthly amount
determined in (e) above does not represent a best estimate of future income
pursuant to (a) above, the average monthly amount shall be determined as
follows:
(1) Only data for weeks that accurately represent
past earnings, up to a maximum of 8 weeks’ data, shall be included;
(2) The average weekly income shall be determined
using the data from the weeks identified in (g)(1) above; and
(3) The appropriate multiplier under He-W 652.05
shall be used to convert average weekly income to a monthly amount.
(h) When income has been received for less
than 4 consecutive weeks, the best estimate of future income pursuant to (a)
above, shall be determined by computing a monthly average based on the actual
number of weeks the income was received.
(i) The following shall apply to self-employment
income:
(1) If self-employment income is the only income
received from employment in a 12-month period, it will be averaged over a
12-month period;
(2) If self-employment income is the only income
received from employment in a period of fewer than 12 months, it will be
averaged over the number of months it was received; and
(3) If self-employment income is not the only
income received from employment, it will be treated as income in the months
received and will not be averaged.
(j)
The estimated average monthly gross earned income as defined in He-W
601.04(m), shall be used until the next redetermination of eligibility.
(k)
The estimated average monthly gross earned self-employment income as
defined in He-W 601.04(n), shall be used for one year.
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #6531, INTERIM, eff 6-27-97, EXPIRES: 10-25-97;
ss by #6614, eff 10-24-97; ss by #6826, eff 8-3-98; amd
by #7722, eff 7-1-02; amd by #8684, eff 7-21-06; ss
by #9738, eff 7-1-10; ss by #12616, eff 8-30-18
He-W 652.07 Developing Potential Sources of Income.
(a)
“Finding of clinical ineligibility” means any denial or termination of
federal cash benefits:
(1) Due to not meeting the medical disability
criteria; and
(2) In response to an application, reapplication,
or appeal filed for federal cash benefits.
(b)
To be eligible for FANF or adult category financial assistance an
individual shall have applied for all potential sources of income or benefits
including, but not limited to:
(1) Benefits described under Title XVI of the
Social Security Act;
(2) Benefits described under Title II of the
Social Security Act;
(3) Veteran's benefits, including the veteran's affairs
aid and attendance allowance;
(4) Retirement benefits or pensions;
(5) Disability benefits or pensions;
(6) Unemployment or worker's compensation;
(7) Contributions from any liable third-party;
and
(8) Third-party medical coverage.
(c)
The application for other benefits described in (b) above,
shall be made:
(1) Prior to the department initiating a
determination of eligibility for the adult category financial assistance
program; or
(2) If applying for FANF, no later than 30 days
after the referral for those benefits were made.
(d)
If the individual is incapable of applying for the aid and attendance
allowance pursuant to (b)(3) above, does not have an authorized representative
to apply on the individual's behalf, and the nursing facility will not apply on
the individual's behalf, the eligibility worker shall initiate the application
for the aid and attendance allowance on the individual's behalf.
(e)
When applying for the benefits described in (b) above, applicants and
recipients of FANF or adult category financial assistance shall:
(1) Provide all required information and
verification and complete all forms as required in the application process for
the other benefit;
(2) Cooperate in taking all necessary steps to
obtain the other income or benefit;
(3) Accept the other income or benefit if
eligible; and
(4) Pursue all appeal options within the
timeframes set by the eligibility-determining agencies or individuals
responsible for the other benefits described in (b) above, up to, but not
including, court action, if found ineligible for the benefit due to medical
reasons.
(f) Financial assistance for the entire
assistance group shall be terminated or denied if an individual is ineligible
for the other benefits described in (b) above, due to refusal or failure to:
(1) Complete the application process for the
other benefit;
(2) Provide information or verification to obtain
the benefits described in (b) above;
(3) Cooperate with the eligibility-determining
agencies or individuals responsible for the other benefits described in (b)
above;
(4) Meet the application timeframes described in
(c) above or set by the eligibility-determining agencies or individuals
responsible for the other benefits described in (b) above;
(5) Pursue all appeal options in accordance with
(f)(2) above; or
(6) Accept the benefit if eligible.
(g)
To be eligible for APTD financial assistance and pursuant to RSA
167:6,VI, APTD financial assistance applicants and recipients who have
received a finding
of clinical ineligibility shall provide the department with the following:
(1) Written notification from the federal agency
which indicates the date and reason the individual was denied federal cash
benefits within:
a. Thirty calendar days from the date of
application for adult category financial assistance for any finding of clinical
ineligibility received prior to the APTD financial assistance application,
provided the finding of clinical ineligibility was made not more than 12 months
prior to the date of application; and
b. Ten calendar days from the date on the notice
of any finding of clinical ineligibility after the date of APTD financial
application; and
(2) Written notification from the federal agency
that denied the benefits which verifies that the APTD applicant or recipient is
appealing the denial or has reapplied for federal benefits within 30 calendar
days of having received a finding of clinical ineligibility for
federal benefits.
(h)
To be eligible for APTD financial assistance once APTD financial
assistance has been terminated or denied due to a finding of clinical
ineligibility, the individual shall:
(1) File a new application;
(2) Meet all APTD program eligibility
requirements; and
(3) Meet all the requirements
in (i) below.
(i) If APTD financial benefits were terminated or
denied:
(1) Due to being denied federal cash benefits due
to a finding of clinical ineligibility, the individual shall provide proof that
the individual is now approved for federal cash benefits; or
(2) Due to failure to provide notification of
clinical ineligibility decision or appeal of clinical ineligibility decision
pursuant to (g) above, the individual shall:
a. Provide all the required proof; and
b. Demonstrate via the proof provided that the
federal financial cash benefits denials and subsequent appeals of the denials,
were not due to a finding of clinical ineligibility.
(j)
If an individual is eligible for APTD financial assistance pursuant to
(h) above, APTD financial assistance shall begin the next semi-monthly payment
period following the date all the requirements in (i)
are met.
(k)
To be eligible for continued receipt of APTD financial assistance
pending the decision on the administrative appeal after an individual’s APTD
financial assistance is terminated due to a finding of clinical ineligibility
the individual shall:
(1) Appeal the decision within 10 days from the
date on the notice of decision; and
(2) Provide documentation:
a. Dated and signed by a physician, physician’s
assistant (PA), advanced practice registered nurse (APRN), or psychologist
which includes:
1. The printed name of the health professional
signing the documentation;
2. The specialty of the health professional; and
3. The address and phone number of the health
professional; and
b. That states the individual’s medical
condition and that the medical condition:
1. Has increased in severity within the last 12
months; or
2. That was used when applying for or appealing
the federal benefits is unrelated to the medical condition for which the
individual applied for APTD financial assistance.
(l)
Applicants denied cash assistance due to a finding of clinical
ineligibility that have not started receiving cash benefits are not eligible
for continued receipt of benefits pending appeal pursuant to (k) above.
(m)
If the department’s termination of APTD financial assistance is
overturned at the appeals hearing due to the circumstances described in (k)
above, the individual shall provide the department with written notification
from the federal agency that the individual has:
(1) Appealed the federal denial received if the
individual appealed the department’s decision based on (k)(2)b.1. above; or
(2) Reapplied for federal benefits for the same
medical condition for which the individual applied for APTD financial
assistance if the individual appealed the department’s decision based on
(k)(2)b.2. above.
(n)
The amount of all APTD financial assistance provided to the individual
during the pendency of the appeal is subject to recoupment, in accordance with
He-W 692, if the administrative appeal does not find in favor of the
individual.
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91; amd by #5749, INTERIM, eff
12-1-93, EXPIRED: 3-31-94; amd by #5806, eff 3-30-94;
ss by #6531, INTERIM, eff 6-27-97, EXPIRES: 10-25-97; ss by #6614, eff
10-24-97; ss by #7913, eff 6-26-03; ss by #9893, eff 6-26-11; amd by #10374, eff 7-12-13 paras. (a)-(i)
EXPIRED: 6-26-19; ss by #12829, INTERIM, eff 7-20-19, EXPIRED: 1-16-20
New. #13121, eff 10-21-20
PART He-W 653 -
RESERVED
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91
PART He-W 654 EVALUATION AND TREATMENT OF INCOME
He-W
654.01 Evaluation and Treatment of Income.
(a) Except
where otherwise specified or specifically prohibited, income for all adult
categories of financial assistance shall be evaluated and treated in the same
manner as in the financial assistance to needy families (FANF) program.
(b) For
self-employed individuals, if the cost of doing business exceeds gross
self-employment income, the self-employment income amount shall be zero.
(c) Costs
of doing business which exceed gross self-employment income shall not be an
allowable deduction, nor subtracted from any other income that the individual
may have.
(d) Income
shall be considered to belong to the individual on whose behalf it is paid.
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #6531, INTERIM, eff 6-27-97, EXPIRES: 10-25-97;
ss by #6614, eff 10-24-97; ss by #8452, eff 10-22-05; ss by #10471, eff
11-26-13; ss by #13715, eff 8-8-23
He-W 654.02 Income Computation.
(a)
In computing eligibility and benefits, if any subtraction results in a
negative amount, the result shall be considered to be
zero instead of the negative amount.
(b)
Except where otherwise specified or specifically prohibited, eligibility
and the level of benefits for FANF financial assistance shall be determined for
the assistance group (AG), rather than an individual
basis, as follows:
(1) The amount of each AG member's countable
gross earned income shall be determined;
(2) For each individual,
the earned income disregard (EID), as specified in He-W 654.13, shall be
computed and subtracted from gross earned income;
(3) From the remaining amount in (2) above, the
child/dependent care disregard, as specified in He-W 654.14, shall be
subtracted, to obtain the individual’s net earned income;
(4) Each individual’s net earned income amount
shall be added together to obtain the AG’s net earned
income amount;
(5) The countable gross unearned income of all AG
members shall be added to the AG’s net earned income described in (4) above;
(6) From the total amount in (5) above, allowable
deductions as specified in He-W 654.20 and He-W 654.21 shall be subtracted;
(7) The result of the computation in (6) above
shall be the AG’s net income;
(8) The AG’s net income shall be compared to the
AG’s payment standard in He-W 658.02; and
(9) The difference between the AG’s payment
standard and the AG’s net income shall equal the AG’s monthly benefit amount.
(c)
For an individual not living in a nursing facility who is applying for
or receiving adult category financial assistance, and, if applicable, his or
her applicant spouse, as defined in He-W 601.01(o), net income, as defined in
He-W 601.05(v), shall be computed as follows:
(1) The amount of the individual’s and the
individual’s applicant spouse’s countable gross earned income, as defined in
He-W 601.04(m)-(n), shall be determined;
(2) For each individual, the earned income
disregard (EID) for the adult category under which each individual is applying
or receiving assistance, as specified in He-W 654.15, shall be computed and
subtracted from each individual’s countable gross earned income to obtain each
individual’s net earned income, as defined in He-W
601.05(u);
(3) Each individual’s net earned income amount
shall be added together to obtain the AG’s net earned income amount;
(4) The countable gross unearned income, as
defined in He-W 601.08(k), of each individual shall be
added to the AG’s net earned income, described in (3) above;
(5) From the total in (4) above, the adult
standard disregard, as specified in He-W 654.16, and allowable deductions, as
specified in He-W 654.20 and He-W 654.21, shall be subtracted; and
(6) The result shall be the AG’s net income.
(d)
For an individual not living in a nursing facility who is applying for
or receiving APTD or OAA financial assistance, and who lives with his or her
nonapplicant spouse, as defined in He-W 601.05(x), net income, as defined in
He-W 601.05(v) shall be computed as follows:
(1) The coun gross
earned incomes of the applicant and nonapplicant spouse shall be combined;
(2) The EID, as specified in He-W 654.15(h),
shall be subtracted from the combined gross earned income determined in (1)
above to obtain the AG’s net earned income;
(3) The countable gross unearned income, as
defined in He-W 601.08(k), of all AG members shall be added to the AG’s net
earned income amount determined in (2) above;
(4) From the total in (3) above, the adult
standard disregard, as specified in He-W 654.16, and allowable deductions, as
specified in He-W 654.20 and He-W 654.21, shall be subtracted; and
(5) The result shall be the AG’s net income.
(e)
For an individual not living in a nursing facility who is applying for
or receiving ANB financial assistance who lives with his or her nonapplicant
spouse as defined in He-W 601.05(x), net income, as defined in He-W 601.05(v),
shall be computed as follows:
(1) The countable gross earned incomes of the applicant and nonapplicant spouse shall be combined;
(2) The EID, as specified in He-W
654.15(c), including
additional employment-related amounts as described in He-W 654.15(d), if
applicable, shall be subtracted from the combined gross earned income
determined in (1) above, to obtain the AG’s net earned income;
(3) The countable gross unearned income, as
defined in He-W 601.08(k), of all AG members shall be added to the AG’s net
earned income amount determined in (2) above;
(4) From the total in (3) above, the adult
standard disregard, as specified in He-W 654.16, and allowable deductions, as
specified in He-W 654.20 and He-W 654.21, shall be subtracted; and
(5) The result shall be the AG’s net income.
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #5750, eff 12-1-93; amd
by #6446, eff 2-1-97; ss by #7135, eff 11-23-99; ss by #7342, eff 10-1-00; ss
by #9276, eff 10-1-08; ss by #12015, eff 10-25-16
He-W 654.03 Lump Sum Income – Financial
Assistance to Needy Families (FANF).
(a) For
FANF financial assistance, lump sum income shall include, but not be limited
to, non-recurring countable earned or unearned lump sum payments such as the
following:
(1) Retroactive
earned income;
(2) Retroactive
lump sum social security benefits;
(3) Retroactive
lump sum railroad retirement benefits;
(4) Unemployment
compensation lump sum payments;
(5) Insurance
settlements;
(6) Lump
sum retirement benefits; and
(7) Windfalls
such as inheritances, lotteries, and other financial prizes.
(b) Lump
sum income shall not include retroactive Social Security Income (SSI) payments
or refunds of the individual's own money, such as a returned security or
utility deposit.
(c) A
lump sum earned income amount shall be reduced by the employment expense
disregard (EED), as specified in He-W 654.13(f), if the individual has not
already received the EED.
(d) Lump
sum income amounts received in the month of application shall be reduced in the
manner described below:
(1) If
assistance begins on the first day of the month of application, no additional
reduction of the lump sum amount shall be allowed;
(2) If
assistance begins on the 16th day of the month of application,
the lump sum amount shall be reduced by an amount equal to one-half of the FANF
standard of need as defined in He-W 601.07 for the assistance group (AG) size
as defined in He-W 601.01; and
(3) If
assistance begins on the first day of the month after the month of application,
the lump sum amount shall be reduced by an amount equal to the full FANF
standard of need for the AG size.
(e) When
determining the period a case will be ineligible due to receipt of lump sum
income:
(1) One
month shall be equal to 2 payroll periods; and
(2) The
period of ineligibility shall begin the month following the month of receipt of
the lump sum.
(f)
The period of ineligibility shall be recalculated at the individual’s request
under one or more of the following circumstances:
(1) There
are changes in the FANF standard of need;
(2) Shelter
costs have increased;
(3) The
lump sum is or was spent on life-threatening circumstances described in (g)
below, under the following conditions:
a. The
individual has no other income or resources available; and
b. The lump sum is
or was being used to meet essential needs prior to being used for the
life-threatening circumstances; or
(4) An AG member
incurred, paid, and verified approved medical expenses described in (i) below.
(g) Life-threatening
circumstances shall be circumstances which cannot be reasonably predicted and
result in loss or unavailability of the lump sum.
(h) Life-threatening
circumstances referred to in (g) above shall include, but not be limited to,
the following:
(1) Natural
disasters such as floods, fires, earthquakes, and hurricanes;
(2) Man-made
occurrences which cause harm to the AG, such as theft of clothing, food, or
money, arson, eviction, or loss of an
owned residence;
(3) Medical
emergencies or a serious illness of a member of the AG or of persons
for whom a member of the AG, under state law, is liable to support;
(4) Use
of the lump sum or a portion of it to obtain or prevent discontinuance of
utilities or heat; and
(5) Use
of the lump sum or a portion of it to prevent a situation, as defined by state
law that would imperil the physical or mental well-being of a child or
children.
(i) Approved medical expenses shall include, but
not be limited to:
(1) Any
expense that medicaid would pay for if the AG were
eligible for medicaid, regardless of service limits;
(2) Health
care insurance premiums;
(3) Prescription
drugs; and
(4) Medical
services, supplies, or equipment that are not covered by medicaid but which are prescribed by a licensed
medical professional.
(j) An
increase in the AG size shall not be considered an increase in the FANF
standard of need.
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91; amd by #6446, eff 2-1-97; ss
by #6531, INTERIM, eff 6-27-97, EXPIRES: 10-25-97; ss by #6614, eff 10-24-97;
ss by #8452, eff 10-22-05; ss by #10471, eff 11-26-13; ss by #13715, eff 8-8-23
He-W 654.04 Treatment of Specific Types of Income.
(a) The following types
of income shall be excluded for purposes of eligibility:
(1) Adoption
subsidy payments;
(2) Pension or insurance benefits specifically
designated for use as payment for hospitalization or medical services;
(3) Assistance in the form of vendor payments
directly to a provider;
(4) Assistance that must be reimbursed, such as a
loan from an individual or a financial institution, for personal or business
reasons;
(5) The earned income of dependent children, as defined in He-W 601.03, in a financial assistance to needy families (FANF) assistance
group (AG) who are students;
(6) Foster care income payments made to an
individual by a public or private agency for taking care of a foster child or
children; or
(7) For
FANF only, combat pay that a household receives from a military member who is
currently absent from
the household due to the military member’s deployment to or service in an area
designated as a combat zone.
(b) The following types of income
shall be treated as specified below:
(1) A child support payment paid on behalf of more
than one child shall be prorated to obtain an amount for each child;
(2) A yearly wage amount which, by contract, is
paid during a specific work period of less than 12 months, such as income
received by a teacher, shall be treated as available to the individual for the
whole year covered by the contract and the yearly wage amount divided by 12;
(3) Child care income,
which is payment an individual receives for taking care of children in the
individual’s own home, shall be treated as self-employment income;
(4) Direct relief, which is assistance from other
agencies and organizations, shall be counted in determining eligibility and the
amount of assistance;
(5) Dividends that are automatically reinvested to
purchase additional stock, and interest that is automatically added to a cash
account, shall be treated as a part of the resource to which they were added,
rather than counted as income;
(6) Lump sum earned income, which is payment for
work performed over a period of more than one month, shall be subject to the
employment-related disregards and calculated in the following manner:
a. The lump sum shall be divided by the
number of months during which work was performed to arrive at a monthly amount;
b. If the lump sum earned income is income from
self-employment, the monthly cost of doing business shall be
subtracted from the monthly income amount; and
c. The monthly income amount
shall be counted as income for a period equal to the number of months that work
was performed following the payment of the lump sum;
(7) Rental income, which is payment to an AG
member by someone in a rental housing situation, shall be treated as described
below:
a. Rental income shall be reduced by the cost of
doing business as described in b. below, and the remainder shall be considered
net rental income;
b. The cost of doing business shall be the higher of the following monthly
figures:
1. $50 per
tenant; or
2. The actual
documented expense of providing shelter to the tenants, excluding the following
expenses which shall not be business expenses:
(i) Depreciation;
(ii) Personal business and entertainment;
(iii) Personal transportation;
(iv) Payments on the principals of business loans;
(v) Purchase prices of capital assets;
(vi) Payments on the principals of the purchase
prices of capital assets; and
(vii) Personal taxes, such as income taxes;
c. If rental income is the result of
services performed by an AG member, the net rental income shall be treated as
earned income;
d. If a rental
property is managed by a rental agency or by someone other than the
AG member who receives the income, the net rental income shall be treated
as unearned income; and
e. If the rental income is derived from a rooming
arrangement, the net rental income shall be treated as unearned income;
(8) Boarder income, which is payment by an
individual who lives in and is provided meals in someone else's home, shall be
treated as unearned income and be reduced by the cost of doing business of
which is the higher of the following:
a. The supplemental
nutrition assistance program maximum monthly allotment level pursuant to 7 CFR
273.10(e)(4), for a household size equivalent to the total number of boarders; or
b. The actual documented expense of providing room and meals to the boarder or boarders;
(9) Payments
from a trust or similar legal device, or payments from the corpus of a trust or
a similar legal device, made
to, for the benefit of, or on behalf of the individual, shall be considered
income to the individual; and
(10) For FANF only, military pay that is not
considered combat pay pursuant to (a)(7) above and is made available to a
household while a military member is absent from the household shall be treated
as unearned income.
(c) Pursuant to RSA 167:80,
IV(h), Supplemental Security Income (SSI) shall be counted as unearned
income for FANF and the adult categories of financial assistance, when
computing income pursuant to He-W 652.02 and He-W 654.02.
(d) With respect to (c) above, SSI shall be
excluded for the FANF categories of financial assistance when the recipient of
the SSI benefit is a dependent child, as defined in He-W 601.03.
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91; amd by #6111, eff 11-1-95;
ss by #6531, INTERIM, eff 6-27-97, EXPIRES: 10-25-97; ss by #6614, eff
10-24-97; amd by #6740, eff 4-25-98; amd by #6826, eff 8-3-98; amd by
#8452, eff 10-22-05; amd by #8616, INTERIM, eff
4-25-06, EXPIRED: 10-22-06; amd by #8729, eff 9-26-06;
ss by #10358, eff 6-12-13; para. (d) amd by #11174,
EMERGENCY RULE, eff 9-1-16, EXPIRES: 2-28-17; para (d) amd
by #12116, eff 2-28-17; amd by #12561, eff 6-29-18;
ss by #13927, eff 4-23-24
He-W
654.05 Educational Income - Adult Categories of Financial
Assistance.
(a) Income from
scholarships and grants that are not otherwise excluded by federal law or
regulation, shall be:
(1) Counted
only to the extent that the income exceeds actual verified educational expenses
during the period it is intended to cover; and
(2) Divided
by the number of months the income is intended to cover to calculate a monthly
amount.
(b) Income from student
loans, regardless of the source or the purpose
to which it is used, shall not be counted when determining eligibility
or the amount of assistance.
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #6531, INTERIM, eff 6-27-97, EXPIRES: 10-25-97;
ss by #6614, eff 10-24-97; amd by #6672, eff 1-26-98;
ss by #8452, eff 10-22-05; ss by #10471, eff 11-26-13; ss by #13715, eff 8-8-23
He-W
654.06 Educational Expenses - Adult Categories.
(a) Repayment
of a student loan shall not be an allowable deduction from educational income.
(b) Other
educational expenses with the exclusion of (a) above shall be an allowable
deduction from educational income if all of the
following conditions are met:
(1) The expense is
directly related to and necessary for school attendance;
(2) The student is
responsible for the payment of the expense; and
(3) The expense has
not been or will not be reimbursed from another source;
(c) If
the educational expense has been or will be partially reimbursed, the remaining
amount shall be allowed as a deduction from educational income; and
(d) Transportation costs to and from school shall
be computed and verified in the same manner as for the employment expense
disregard, specified in He-W 654.18.
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #6531, INTERIM, eff 6-27-97, EXPIRES: 10-25-97;
ss by #6614, eff 10-24-97; amd by #6672, eff 1-26-98;
ss by #8452, eff 10-22-05; ss by #10471, eff 11-26-13; ss by #13715, eff 8-8-23
He-W
654.07 Income-In-Kind.
(a) For
all adult categories of financial assistance, earned income-in-kind received on
a regular basis shall be assigned a dollar value and shall be treated as
countable earned income as follows:
(1) The dollar value shall
be determined by a statement from the employer indicating the frequency and
dollar value of earned income-in-kind, or, if unable to obtain such a
statement, by multiplying the number of hours worked times the hourly wage as
provided by the employer;
(2) If the employer is
unable to provide an approximate hourly wage, or the client is self-employed,
the current minimum hourly wage shall be used; and
(3) From the dollar value
amount determined as referenced in (1) or (2) above, any monetary payment
received as a supplement for the same job shall be subtracted, resulting in
gross earned income-in-kind.
(b) With
the exception of payments made from trusts or similar legal devices, for adult
category financial assistance, unearned income-in-kind shall represent a
component of the adult category standard of need and shall not be counted as
income.
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91; amd by #6111, eff 11-1-95;
ss by #6531, INTERIM, eff 6-27-97, EXPIRES: 10-25-97
New. #6740, eff 4-25-98; ss by #8596, eff 3-30-06;
ss by #10563, eff 3-30-14; ss by #13929, eff 4-24-24
He-W
654.08 Provided Shelter. Shelter that is either
provided at no charge to the AG or is paid by an individual, agency,
organization, or governmental unit outside of the AG, shall not be assigned a
dollar value or be counted as income.
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #6531, INTERIM, eff 6-27-97, EXPIRES: 10-25-97;
ss by #6614, eff 10-24-97; ss by #8452, eff 10-22-05; ss by #10471, eff
11-26-13; ss by #13715, eff 8-8-23
He-W 654.09 Treatment
of Assigned Support.
(a) Child and spousal
support shall be considered the unearned income of the individual on whose
behalf it is paid.
(b)
Child and spousal support shall be treated as follows in determining
eligibility for the remainder of the assistance group, as defined in He-W
601.01(u):
(1) Support
paid on behalf of an individual who is ineligible for financial assistance to
needy families (FANF) financial assistance shall not be counted; and
(2) Unless
otherwise stipulated by court order or administrative order, child support
payments paid on behalf of more than one child shall be prorated by the number
of children on whose behalf it is paid and the
prorated amount shall be considered the unearned income of each child.
(c) If an individual in a
FANF financial assistance case for whom support is assigned receives a
direct support payment from or on behalf of the responsible parent,
and the individual does not remit the direct support payment to the department,
the full amount of the support payment shall be treated as unearned income in
determining eligibility and the level of benefits.
(d) If an individual in a
FANF financial assistance case for whom support is assigned receives a direct
support payment from or on behalf of the responsible parent and the individual
remits the direct support payment to the department, the full amount
of the support payment shall be treated as unearned income in determining
eligibility only.
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91; amd by #6446, eff 2-1-97; amd by #6531, INTERIM, eff 6-27-97, EXPIRES: 10-25-97;
amd by #6614, eff 10-24-97; amd
by #8271, eff 2-1-05; amd by #8452, eff 10-22-05; ss
by #10275, eff 2-21-13; ss by #13540, eff 1-28-23
He-W
654.10 Deemed Income from a Non-citizen’s Sponsor.
(a) In accordance with
8 USC 1631, a portion of a sponsor’s income shall be deemed to the sponsored
non-citizen and treated as unearned income when determining eligibility and the
amount of financial assistance to needy families (FANF). The amount deemed
shall be determined as follows:
(1) Subtract 20% from
the monthly gross earned income of the sponsor and of the sponsor’s spouse, if
applicable, and total the resulting individual net earned income amounts to
determine the net earned income;
(2) Add the net earned income and all unearned
income of the sponsor and the sponsor’s spouse; and
(3) Subtract all of the following:
a. The standard of
need, in accordance with He-W 658.01, for the sponsor, sponsor’s spouse, and
all individuals living in the sponsor’s home who could be claimed as legal
dependents for tax filing purposes;
b. Any amounts
actually paid by the sponsor or the sponsor’s spouse to individuals who are not
in the home and could be claimed as legal dependents for tax filing purposes;
and
c. Any amount actually
paid by the sponsor or the sponsor’s spouse for child or spousal support.
(b) The available deemed income, as determined in
(a) above, shall be added to the assistance group’s other income and
eligibility shall be determined in accordance with He-W 654.02.
(c) Income shall not
be deemed from a sponsor receiving FANF, an adult
category of financial assistance, or supplemental security income.
(d) In accordance with 45 CFR 233.52, good cause
for not providing sponsor information to the department shall exist when the
sponsor provided accurate information to the non-citizen and the non-citizen
misinterpreted or misrepresented the information when applying for financial
assistance.
(e) Income shall be
deemed to a non-citizen from the sponsor and sponsor’s spouse until one of the
following circumstances occur:
(1) The sponsor or the
non-citizen dies;
(2) The non-citizen
becomes a United States citizen;
(3) The non-citizen
has earned, or can be credited with, 40 qualifying quarters of work, as defined
by the Social Security Administration;
(4) The non-citizen
ceases to hold the status of lawful permanent resident and leaves the United
States; or
(5) The non-citizen is
subject to removal, but applies for and obtains in removal proceedings, a new
grant of adjustment of status.
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #5530, eff 12-16-92; ss by #6865, eff 10-3-98;
ss by #8684, eff 7-21-06; ss by #10743, eff 12-12-14; ss by #14053, eff 8-17-24,
EXPIRES: 8-17-34
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #6531, INTERIM, eff 6-27-97, EXPIRES: 10-25-97;
ss by #6614, eff 10-24-97; ss by #8452, eff 10-22-05; ss by #10471, eff
11-26-13; ss by #13715, eff 8-8-23
He-W
654.12 Other Excluded Income.
(a) Loans
for personal or business reasons shall be excluded
income and disregarded when determining eligibility and the amount of
assistance for all categories of financial assistance.
(b) All
earned and unearned income received by a dependent child from the summer youth
employment and training program shall be
disregarded for the FANF program.
(c) For
individuals receiving home and community based care
services (HCBC), the aid and attendance allowance shall be applied to the
cost of care.
(d) The value
of a FANF AG's share of a governmental housing subsidy shall be excluded
income.
(e) Income set
aside under a social security administration approved plan to achieve
self support , shall be excluded for the
duration of the plan.
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #5248, eff 10-16-98; ss by #6614, eff 10-24-97; amd by #8452, eff 10-22-05; paragraphs (c) and (f) in #6614
EXPIRED: 10-24-05; ss by #10471, eff 11-26-13; ss by #13715, eff 8-8-23
He-W 654.13 Earned Income Disregard (EID) and
Employment Expense Disregard (EED) for Financial Assistance to Needy Families
(FANF).
(a)
An earned
income disregard (EID), as defined in He-W 601.03(l), shall be subtracted from
gross earned income for each applicant or recipient whose needs and income are
considered when determining eligibility for FANF financial assistance.
(b)
For
applicants who have not received FANF financial assistance in any one of the
previous 6 months, the EID shall be 20% of the individual’s monthly gross
earned income.
(c)
The
20% earned income disregard shall be:
(1) Used to determine eligibility for applicants
of FANF financial assistance in (b) above; and
(2) The first subtraction
from the monthly gross earned income.
(d)
If a financial assistance applicant is determined eligible after
applying the 20% EID as described in (c) above, then the benefit amount shall
be determined using a 50% EID as described in (e) below.
(e)
The
50% EID shall be used to determine:
(1) The eligibility and the benefit amount for
current FANF financial assistance recipients;
(2) The eligibility and the benefit amount for
applicants who have received FANF financial assistance in any one of the
previous 6 months; and
(3) The benefit amount for applicants who are
determined eligible as described in (d) above.
(f)
For
FANF deeming and lump sum calculations, the employment expense disregard (EED),
as defined in He-W 601.03(o), shall be 20% of the individual’s gross earned
income.
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #6446, eff 2-1-97; ss by #7354, eff 9-1-00; ss
by #9252, eff 9-1-08’ ss by #11186, eff 9-20-16
He-W 654.14 Child and Dependent Care Disregard for
Financial Assistance.
(a)
For purposes of this rule, an individual shall be considered a full-time
employee if the individual is earning $377.00 or more per month in gross earned
income and shall be considered a part-time employee if the individual is earning
less than $377.00 in gross earned income per month.
(b)
The maximum disregard for child and dependent
care costs for full-time employees shall be:
(1) For each child age 6 or older, $175.00 per
month;
(2) For each incapacitated parent, $175.00 per
month; and
(3) For each child under age 6, $200.00 per
month.
(c) The maximum disregard
for child and dependent care costs for part-time
employees shall be:
(1) For
each child age 6 or older, $87.50 per month;
(2) For each
incapacitated parent, $87.50 per month; and
(3) For each child under age 6, $100.00 per month.
(d) In order for
the employed person to be eligible for the child/dependent care disregard, the
child or incapacitated parent receiving the care shall:
(1) Live in the employed individual's home; and
(2) Be receiving or applying for assistance in:
a. The same
financial assistance to needy families (FANF) financial or medical assistance
case;
b. A related FANF financial or separate medical
assistance case, unless the child or incapacitated parent is in a separate
medical assistance case due to failure to meet a financial assistance
eligibility requirement;
c. An aid to the permanently and totally disabled (APTD) or
aid to the needy blind (ANB) financial or medical assistance case; or
d. An old age assistance (OAA) financial or medical
assistance case, only if the OAA parent or spouse is determined by the
disability determination unit (DDU) to meet the APTD or ANB incapacity criteria
specified in He-W 500.
(e) Because the cost for
a child or incapacitated parent cannot be prorated when there is more than one
employed person in an assistance group, all child and dependent care
costs claimed by each employed person shall be for different individuals in the
assistance group.
(f) Good cause for
terminating employment, failure to accept a job, and reduced earnings, as it
relates to suspension of the employment-related disregards, shall be determined
to exist if non-compliance was precipitated by circumstances beyond the individual's
control, including but not limited to:
(1) Illness
of the individual;
(2) Illness
of another family member requiring the presence of the parent;
(3) Family
emergency or unanticipated emergencies; or
(4) Breakdown
of transportation.
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91; amd by #6446, eff 2-1-97; amd by #6531, INTERIM, eff 6-27-97, EXPIRES: 10-25-97; amd by #6614, eff 10-24-97; amd
by #8271, eff 2-1-05; amd by #8452, eff 10-22-05; ss
by #10275, eff 2-21-13; ss by #13665, eff 6-21-23
He-W 654.15 Adult Category Earned Income Disregard.
(a) The earned income
disregard shall be the first subtraction from earned income when computing net
income for the adult categories of financial assistance.
(b) For
aid to the needy blind (ANB) financial assistance applicants and recipients and
for their applicant spouses who are also applying for ANB, the earned income
disregard for each individual shall be the first
$85.00 of each individual's monthly gross earned
income plus one half of the remaining amount.
(c) ANB financial
assistance applicants and recipients shall have additional employment-related
amounts added to the earned income disregard if:
(1) There is an individualized plan for employment for a
specified period of time which has been approved by
the New Hampshire department of education and meets the requirements cited in
29 USC 720 et. seq.; and
(2) The plan described in (1) above requires the use of
additional disregards.
(d) For ANB financial
assistance applicants and recipients with applicant spouses who are applying
for aid to the permanently and totally disabled (APTD) or old age assistance
(OAA), the computation method for determining the amount of the earned income
disregard for the spouse shall be the method to determine the APTD or OAA
earned income disregard in (f) below for financial assistance.
(e) For APTD or OAA
financial assistance applicants and recipients with applicant spouses who are
applying for ANB, the computation method for determining the amount of the
earned income disregard for the spouse shall be the method to determine the ANB
earned income disregard in (b) and (c) above.
(f) For APTD or OAA
financial assistance applicants and recipients and their spouses or a needy
essential person, as defined in He-W 601.05(t), the earned income disregard for
each individual shall be:
(1) The first $20.00 of each individual's
monthly gross earned income;
(2) Plus one half of the remaining amount up to $30;
(3) For a sum
total of (f)(1) and (f)(2) not to exceed $50;
and
(4) Less an employment expense disregard pursuant to He-W
654.18(b)-(c).
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #5750, eff 12-1-93; ss by #7135, eff 11-23-99;
ss by #7342, eff 10-1-00; ss by #9276, eff 10-1-08; ss by #10253, eff 1-19-13;
ss by #13525, eff 1-24-23
He-W 654.16 Adult
Standard Disregard.
(a) For adult category
financial assistance applicants or recipients, a standard disregard shall be
subtracted from income as
described in He-W 654.02(c)(5).
(b) The amount of the disregard shall depend on the number of individuals
whose needs are considered when determining
eligibility, as follows:
(1) The standard disregard for one individual shall be
$13.00;
(2) The standard disregard shall be $20.00 for an
individual and applicant or nonapplicant spouse, or an individual and a needy
essential person; and
(3) The standard disregard shall be $25.00 for an
individual and applicant or nonapplicant spouse and a needy essential person.
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #6531, INTERIM, eff 6-27-97, EXPIRES: 10-25-97;
ss by #6614, eff 10-24-97; ss by #7342, eff 10-1-00; ss by #9276, eff 10-1-08;
ss by #11042, eff 2-24-16; ss by #14304, eff 7-1-25, EXPIRES: 7-1-35
He-W
654.17 Post-Eligibility Computation
of Cost of Care for Nursing Facility Care. – (Moved to He-W 854.17)
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #6531, INTERIM, eff 6-27-97, EXPIRES: 10-25-97;
ss by #6614, eff 10-24-97; ss by #7118, eff 10-16-99; ss by #7342, eff 10-1-00;
amd by #8408, eff 9-1-05; amd
by #8451, eff 11-1-05; ss by #9276, eff 10-1-08; amd
by #9789, eff 10-1-10
He-W 654.18 Adult Employment Expense Disregard.
(a)
An employment expense disregard (EED) which is reasonably attributable
to the earning of income shall be subtracted from the earned income of an
applicant or recipient of OAA or APTD financial assistance when determining
eligibility and benefit amount.
(b)
The amount of the employment expense disregard shall be a minimum flat
rate of $18 per month, or actual verified expenses if higher than $18 per
month.
(c)
The following expenses, if actually incurred and verified, shall be
considered reasonably attributable to the earning of income:
(1) Social security taxes, at the rate set by
SSA;
(2) Railroad retirement taxes;
(3) Federal withholding taxes, corresponding to
the number of exemptions which the individual is legally entitled to claim;
(4) Mandatory retirement payments;
(5) Mandatory union dues;
(6) Other mandatory deductions from wages
provided that the individual can document that the payroll deduction is not
elective;
(7) Costs for transportation to and from work or
to and from child care when child
care is necessary for employment, subject to the following conditions:
a.
To qualify as an allowable employment expense, transportation shall be the
least expensive reasonable means available to the individual;
b.
The amount of allowable transportation costs shall be computed by multiplying
the average number of days per month an individual is employed, without
deducting temporary absences of short duration, by the transportation cost for
one day;
c. If the individual has been or will be
reimbursed for transportation costs in any manner, the amount of the
reimbursement shall be subtracted from the amount that would otherwise be
allowed;
d. For travel incurred by an individual using
his or her own vehicle, the allowable transportation cost shall be $0.21 per
mile multiplied by the number of miles anticipated to be traveled in a month;
e. For travel provided in another person's
privately owned vehicle, the allowable transportation cost shall be as charged
up to the amount that would be allowed if the individual used his or her own
vehicle; and
f. For travel provided by public transportation,
such as by taxi or bus, the allowable transportation cost shall be the amount charged the public for such travel;
(8) Costs for uniforms and other unique clothing
which are required for employment and are not worn outside the work
environment, subject to the following conditions:
a. Cleaning of uniforms shall not be an
allowable employment expense unless the individual can document that a standard
of cleanliness requires professional cleaning as a condition of employment;
b. The allowable expense shall be the amount
actually paid by the individual for the special clothing;
c. If the amount varies monthly, an average
shall be computed and applied until the next regularly scheduled
redetermination; and
d. If the individual has been or will be
reimbursed in any manner for a claimed special clothing expense, the reimbursed
amount shall be subtracted from the amount which would otherwise be allowed;
and
(9) Other mandatory employment related expenses
claimed and verified by the individual.
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #5750, eff 12-1-93; ss by #7135, eff 11-23-99;
ss by #7342, eff 10-1-00; ss by #9276, eff 10-1-08; ss by #12015, eff 10-25-16
(a) For
all categories of financial assistance, child care
costs incurred as the result of employment shall be an allowable
deduction only when the individual taking care of the child or children is a licensed provider or does not require
licensing under state law.
(b) Only that
part of the child care expense
which is not being reimbursed from another source, such as child
care development funds, shall be an allowable expense.
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #6531, INTERIM, eff 6-27-97, EXPIRES: 10-25-97;
ss by #6614, eff 10-24-97; ss by #8452, eff 10-22-05; ss by #10471, eff
11-26-13; ss by #13715, eff 8-8-23
He-W
654.20 Allowable Deductions.
(a) When determining eligibility and the amount
of assistance for all adult categories of financial assistance,
an allowable deduction, as defined in He-W 601.01(l), from the income
available to the assistance group shall be made in an amount which has been or
must be paid by an individual for non-employment-related types of expenses,
including the following:
(1) With the
exception of restitution, any court-ordered payments, regardless of the amount
the individual may be paying, including but not limited to:
a. Child support;
b. Alimony;
and
c. Guardianship fees;
(2) Garnishments from an individual’s
earnings to repay a legal debt;
(3) Training expenses when all the following circumstances are met:
a. The individual is enrolled in
and regularly attending a program on at least a half-time basis, as defined by
the program, which must have an organized curriculum with the specific
objective of training individuals for gainful employment;
b. The training
program is sponsored by public education, the federal government, or is offered
by private schools for a
particular trade;
c. The
individual has not received reimbursement for the training expense
from any other source, or if partial reimbursement has been made, the remaining
expense shall be an allowable deduction;
d. The training
expense is not part of an employment expense disregard, either because the individual has no earned income, or because the training is
totally unrelated to the individual's employment; and
e. The expense occurs on at
least a monthly basis; and
(4) Allocated income, as specified in He-W 606.75.
(b)
When determining eligibility and the amount of assistance for financial
assistance to needy families (FANF), an allowable deduction from the
income available to the assistance group shall be made, in an amount which has
been paid by an individual for non-employment-related types of expenses,
including the following:
(1)
The actual payment amount of court-ordered
child support payments;
(2)
The actual payment amount of court-ordered
spousal support payments;
(3) Garnishments
from an individual’s earnings to repay a legal debt;
(4) Training expenses when all the following circumstances are met:
a. The
individual is enrolled in and regularly attending a program on at least a
half-time basis, as defined by the program, which must have an organized
curriculum with the specific objective of training individuals for gainful
employment;
b. The training
program is sponsored by public education or the federal government, or is
offered by private schools for a particular trade;
c. The
individual has not received reimbursement for the training expense
from any other source, or if partial reimbursement has been made, the remaining
expense shall be an allowable deduction;
d. The training
expense is not part of an employment expense disregard, either because the
individual has no earned income, or because the training is totally unrelated
to the individual's employment; and
e. The expense
occurs on at least a monthly basis.
(c) The
deduction(s) described in (a) and (b) above shall be allowed for:
(1) Any individual whose needs are included in the assistance group; and
(2) Any individual whose income is counted even if the individual’s
needs are not included in the assistance group.
(d) The
amount of the deduction shall be the amount of:
(1)
The verified expense for adult categories of financial
assistance; and
(2)
The actual payment amount for FANF.
(e) Allowable
deductions shall be applied as follows:
(1) For FANF, and for adult category
financial assistance cases in which there is a non-applicant spouse, the
allowable deductions shall be subtracted from the amount which represents the
monthly combined earned income, less all applicable disregards to earned
income as described in He-W 654.14 and He-W 654.15, plus all unearned income;
and
(2) For adult category financial assistance cases in which there is an
applicant spouse, the allowable deductions shall be subtracted from the amounts which represent the
individual monthly net incomes of the applicant and the applicant spouse.
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #6531, INTERIM, eff 6-27-97, EXPIRES: 10-25-97;
ss by #6614, eff 10-24-97; ss by #7342, eff 10-1-00; ss by #9276, eff 10-1-08;
ss by #11042, eff 2-24-16; ss by #13540, eff 1-28-23
He-W 654.21 Allocated Income.
(a)
Income of applicants and recipients of financial or medical assistance
shall be allocated to provide for the unmet needs of a dependent, as described
below, upon request of the client.
(b) For adult categories of financial
and medical assistance other than medical assistance for institutionalized
individuals who have a community spouse, an individual shall be considered a dependent, for purposes of allocating income, when the
individual is:
(1) Financially dependent upon the individual
from whom the income shall be allocated;
(2) Ineligible for any category of financial or
medical assistance; and
(3) Either:
a. A parent;
b. A spouse who is separated due to
institutionalization;
c. A child under the age of 18; or
d. A child age 18 or older who is unable to work
due to a physical or mental disability.
(c)
An individual shall be considered a dependent
for purposes of allocation of income for the FANF category of assistance, when the individual is:
(1) Financially dependent upon the person from
whom the income shall be allocated;
(2) Someone whom the FANF client is claiming or
could claim for personal income tax purposes; or
(3) An individual whom the FANF client is legally
obligated to support.
(d)
Individuals who allocate income shall be:
(1) Age 18 or older; and
(2) The casehead, as
defined in He-W 601.02(j).
(e)
The amount of allocated income for a dependent who resides outside the
FANF household shall be the amount the FANF client actually
pays to support that dependent.
(f)
The amount of allocated income for dependents residing in the FANF
household and other dependents of a non-institutionalized individual shall be
the difference between:
(1) The FANF standard of need for a group size
equal to the number of legal dependents; and
(2) Any other gross income available to the
dependents.
(g)
When an individual in an adult category case with no spouse who lives in
the community, enters or leaves a nursing facility, a portion of his or her
income shall be allocated, at his or her request, for maintenance of the home
in order to meet expenses incurred or to be incurred outside of the institution
for that part of the month spent in the institution, as follows:
(1) If the stay of an institutionalized
individual is to be 3 months or less, as certified by a physician, a portion of
the client's income which represents the FANF shelter allowance shall be
allocated, at the client's request, to the maintenance of the home to which the
client is expected to return; or
(2) If the stay of an institutionalized
individual is to be in excess of 3 months, the amount
allowed as allocated income for maintenance of the home shall be the amount of
the verified outside expenses for the first month of institutionalization and
for the month the individual leaves the institution to return to the home.
(h)
The department shall determine if the income of the community spouse as
defined in 42 USC 1396r–5(d) is sufficient to have a maintenance needs
allowance equal to the minimum percentage of the federal poverty income
guidelines required under 42 USC 1396r–5.
(i) If the department determines that the income
of the community spouse is insufficient to meet the minimum maintenance needs
allowance in (h) above, the department shall determine an income allowance for
the community spouse, pursuant to 42 USC 1396r–5(d).
(j)
If either the institutionalized spouse or the community spouse is
dissatisfied with the community spouse income allowance determination in (i) above, he/she shall be entitled to an administrative
appeal pursuant to He-C 200 and with respect to such determination pursuant to
the requirements specified in 42 USC 1396r–5(e).
(k)
If either spouse verifies at the administrative appeal that the community
spouse needs a higher income allowance than determined in (h) or (i) above due to exceptional circumstances resulting in
significant financial duress, there shall be substituted for the minimum
percentage an amount adequate to provide for such additional need.
(l)
Exceptional circumstances resulting in significant financial duress
shall be one or more of the following:
(1) Costs of medical, remedial, or other support
services, including medical insurance, necessary for community spouses to
maintain themselves in the community;
(2) Cost of repairs necessary to maintain the
home in a livable condition;
(3) Cost of repairs to appliances within the
home;
(4) Cost of repairs or maintenance of one
vehicle, including insurance and registration;
(5) Costs associated with unforeseen
circumstances such as fire or flood which result in loss of housing, clothing,
household goods or other necessities; and
(6) Costs for items or services which have been
certified in writing by a physician as being medically necessary to maintain
the community spouse in the community.
(m)
Acceptable documentation of the costs cited in (1) shall be a currently
dated bill or written estimate from the provider which indicates the amount of
the expense.
(n)
When the administrative appeals unit determines that significant
financial duress exists as a result of the costs
described in (1) above, the community spouse's income allowance shall be
adjusted as follows:
(1) If the cost is a one time expense and the institutionalized individual
has sufficient monthly income to allocate to the community spouse to cover the
cost, the allowance shall be adjusted only in the month that the expense is
approved;
(2) If the cost is a one time expense and the institutionalized individual
has insufficient monthly income to allocate to the community spouse to cover
the cost, the cost shall be prorated and allowance
shall be adjusted for the specific number of months required to accommodate the
expense; and
(3) If the cost is an ongoing expense, the
allowance shall be adjusted for the specific number of months for which the
ongoing expense exists, if known, or until a change is reported or at the next
regularly scheduled redetermination in accordance with He-W 684.02, whichever
occurs first.
(o)
The amount of allocated income for each legal dependent of the spouse
who lives in the community or the institutionalized individual shall be one
third of the difference between the dependent's gross income and the
maintenance allowance, pursuant to 42 USC 1396r–5(d).
(p)
For purposes of allocating income, individuals applying for or receiving
home and community based care services pursuant to
He-W 658.06 shall not be considered to be
institutionalized individuals.
(q)
There shall be no allocation of income to a legal dependent who would be
categorically eligible for assistance but refuses to apply or cooperate in the
application process.
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #6531, INTERIM, eff 6-27-97, EXPIRES: 10-25-97;
ss by #6614, eff 10-24-97; amd by #7086, eff 10-1-99;
amd by #8452, eff 10-22-05; ss by #9980, eff 8-20-11;
ss by #12851, INTERIM, eff 8-20-19, EXPIRES: 2-17-20
PART He-W 655 PURCHASED SERVICES FOR EMPLOYMENT SUPPORT
SERVICES
He-W 655.01 Definitions.
(a)
“Employment support services” means services, such as transportation
assistance, child care, tuition assistance, and fees and supplies, which enable an
NHEP participant to seek or maintain employment.
(b) “Fees and
supplies” means books, mandatory fees, supplies, tools
of the trade, and required uniforms or specialized clothing when necessary for
an NHEP participant's employment or education/training preparatory to
employment.
(c) “Provider”
means any individual or public or private organization supplying employment
support services to the NHEP participant.
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #5440, eff 7-24-92; ss by #5712, eff 10-4-93; amd by #5858, eff 7-1-94; amd by
#6396, eff 12-16-96; amd by #6446, eff 2-1-97; ss by
#7243, eff 5-1-00; ss by #9137, eff 4-22-08; ss by #11092, eff 5-7-16
He-W 655.02 Availability
of Funds.
(a) New Hampshire
employment program (NHEP) activities as described in He-W 637 shall
only be required as budgeted funding and resources within the current state
fiscal year are available for a particular employment and training support
service.
(b) NHEP participants, as
defined in He-W 637.01, shall be the only individuals eligible for assistance
for fees, supplies, and tuition as described in He-W 655.06 and He-W
655.08, respectively.
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91
New. #7243, eff 5-1-00; amd
by #8268, eff 2-1-05; ss by #8740, INTERIM, eff 10-13-06, EXPIRED: 4-11-07
New. #8869, eff 4-19-07; ss by #10163, eff
7-26-12; ss by #13439, eff 8-20-22; ss by #14299, eff 7-1-25, EXPIRES: 7-1-34
He-W 655.03 Authorization
of Payments.
(a) The department shall operate an assistance
program for employment and training support (ETS) services pursuant to RSA
167:7, V and RSA 167:86 to provide payments to remove obstacles to employment.
(b) ETS services shall include, but not be limited
to:
(1) Fees and supplies that include:
a. Child care registration
fees;
b. Education and training fees;
c. Books and supplies;
d. Uniforms; and
e. Tools of the trade;
(2) Automobile repairs including inspection fees;
(3) Transportation assistance;
(4) Automobile insurance and registration fees;
(5) Driver’s license fees or replacement fees;
(6) Tuition assistance for post-secondary
education or vocational training;
(7) Work clothing expenses, not including
uniforms, needed for job interviews or to begin employment;
(8) Personal
care items or services including but not limited to haircuts, deodorant,
shampoo, toothpaste, toothbrush, and razors; and
(9) Adult
cosmetic dental care for services not covered by medicaid.
(c) Recipients of financial assistance to needy
families who are participating in the New Hampshire employment program (NHEP)
work activities pursuant to He-W 637, shall be authorized to receive payments
as funding allows for resolution of employment-related obstacles which are
essential and directly related to the NHEP participant obtaining or keeping
employment, or to resolve employment-related obstacles in direct relationship
to the NHEP participant’s ability to participate or remain in an approved NHEP
activity, as specified on the employability plan (EP), when:
(1) The
NHEP representative as defined in He-W 637.01 and
the NHEP participant have agreed upon an educational or vocational goal;
(2) The
NHEP participant has participated in an assessment interview(s) and has
developed an EP that has been approved by the NHEP representative;
(3) Removal
of the employment obstacle has been:
a. Documented
as necessary by the NHEP participant’s employer or potential employer; or
b. Determined as
necessary by the NHEP representative after assessing the NHEP participant’s
need to resolve employment-related barriers in direct relationship to the NHEP
participant’s ability to participate or remain in an approved NHEP activity as
specified on the EP, pursuant to He-W 637.12;
(4) ETS
services are necessary to remedy the existing sanction for NHEP participants
who are currently under sanction pursuant to He-W 637.08;
(5) The
NHEP participant is enrolled in an approved activity and is:
a. Complying
with the EP or making a good faith effort to participate;
b. Meeting
the requirements pursuant to He-W 637.03; and
c. Complying with NHEP program requirements
in order to remove a sanction; and
(6) ETS
services shall be restored retroactively to the pre-sanction level if the
department applies a sanction and later grants good cause to remove the
sanction for the sanctionable act.
Source. #14299, eff 7-1-25, EXPIRES: 7-1-35 (formerly
He-W 655.05)
He-W 655.04 Methods of Payment.
(a) Employment and training
support (ETS) services shall be paid either to the eligible New Hampshire
employment program (NHEP) participant or to the provider as defined in He-W
655.01, depending on the kind of services received.
(b)
When payment is made to the NHEP participant for ETS services, the
following shall apply:
(1)
The NHEP participant shall pay the provider of the service, and the department
shall incur no financial liability to the provider;
(2)
The NHEP participant shall provide a signed and dated receipt or a written
statement from the service provider, indicating that the payment received was actually spent on the authorized services; and
(3)
When the NHEP participant receives direct payment for services and does not
provide verification that the payment received was actually
spent on the authorized services as specified in (2) above, the NHEP
representative shall:
a.
Request that the department put a recoupment for the amount
of the service on the NHEP participant’s support service check for the amount of payment owed; or
b.
Make a referral to the department’s special investigations unit when fraud is
suspected.
(c) Pursuant to He-W
655.06, fees and supplies assistance payments shall be made by the department
as listed below:
(1) There
shall be no payment of fees and supplies assistance prior to a cost for the
services being incurred or a service being purchased; and
(2) Fees
and supplies assistance shall be paid directly to the service provider upon
receipt by the department, within 90 days of the date of purchase, of an
itemized bill and receipt for the service(s).
(d) Pursuant to He-W
655.07, transportation assistance payments shall be made by the department as
listed below:
(1) The
department shall pay transportation assistance either directly to providers of
transportation services that are enrolled with the department or by reimbursing
the NHEP participant pursuant to He-W 655.07(d);
(2) Before
the department issues a mileage reimbursement or a public for hire
transportation reimbursement payment to an NHEP participant, the following
conditions shall be met:
a. The NHEP participant shall have requested and
been determined eligible for transportation assistance ;
b. The
service shall have been provided;
c. The
NHEP participant shall have completed a weekly service reimbursement invoice
which shall include the following:
1. The
NHEP participant's name and address, the department recipient identification
number (RID), ETS request number, and ETS resource number;
2. The
dates, destination(s),
and number of miles traveled per day;
3. The
actual cost
of each day’s transportation;
4. The
NHEP participant's
dated signature; and
5. If
the NHEP participant is not employed, the dated signature and telephone number
of one of the following individuals:
(i) A school
official;
(ii) An
NHEP
representative;
(iii) An
activity
provider; or
(iv) A
training
site coordinator;
d. The
NHEP participant shall submit the invoice to the department’s data management
unit no later than 90 days following the last date of service on the invoice;
and
e. The
NHEP participant shall correct and resubmit any incorrect, incomplete, or
illegible invoices; and
(3) Payments
for mileage reimbursement already provided shall be made directly to the NHEP
participant listed on the service reimbursement invoice.
(e) Pursuant to He-W
655.08, tuition assistance payments shall be made by the department as listed
below:
(1) The
department shall not pay tuition assistance directly to the NHEP participant;
and
(2) Tuition
assistance shall be paid directly to the service provider upon receipt by the
department, within 90 days of the last day of the tuition coverage period, of
an itemized bill and receipt for the service(s).
(f)
Payments for auto repairs shall be paid by the department to a
provider who operates an automobile repair business as described in He-W 655.09
as listed below:
(1) A provider shall complete a reimbursement
invoice, subsequent to approved repairs being
completed, which includes the following:
a. The
NHEP participant’s name, address, and RID number;
b. The
provider’s name, address, and telephone number;
c. An
itemized receipt or bill indicating the total amount charged for automobile
repairs;
d.
A statement of road worthiness with completions of repairs;
e. The
date the service was provided;
f.
The provider’s federal identification number used for Internal Revenue Service
purposes;
g. The
dated signature of the provider who performed the repairs; and
h. To whom payment shall be made;
(2) A
legible, complete, and correct reimbursement invoice shall be submitted to the
department’s data management unit no later than 90 days from the date services
were provided; and
(3) The
department shall not pay for any balance due on automobile repairs after
payment is made on behalf of an NHEP participant.
(g) Payments for other ETS
related services shall be made either to a provider or the NHEP participant, as
described in He-W 655.10.
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #5440, eff 7-24-92; ss by #5528, eff 12-14-92;
ss by #5610, eff 5-3-93; ss by #5712, eff 10-4-93; amd
by #5858, eff 7-1-94; amd by #5967, eff 1-27-95; amd by #6014, eff 4-1-95; amd by
#6396, eff 12-16-96; amd by #6446, eff 2-1-97; amd by #6593, eff 10-1-97; amd by
#6706, eff 3-3-98; amd by #6746, eff 5-19-98; ss by
#7243, eff 5-1-00; ss by #9137, eff 4-22-08; ss by #11123, eff 6-22-16; ss by
#14299, eff 7-1-25, EXPIRES: 7-1-35
He-W 655.05 Eligibility
for Child Care. Eligibility for child care
assistance shall be determined pursuant to He-C 6910.
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #6009, eff 4-1-95; ss by #6009, eff 4-1-95; amd by #6361, eff 11-1-96; ss by #6446, eff 2-1-97; ss by
#7243, eff 5-1-00, ss by #8740, INTERIM, eff 10-13-06, EXPIRED: 4-11-07
New. #8869, eff 4-19-07; ss by #10803, eff 3-26-15;
ss by #14299, eff 7-1-25, EXPIRES: 7-1-35 (formerly He-W 655.03)
He-W 655.06 Fees and
Supplies.
(b) Fees and supplies
assistance that has been authorized for an NHEP
participant in on-the-job training shall continue for the duration of the
training contract, even if the NHEP participant becomes ineligible for
financial assistance to needy families due to increased earnings.
(c) Fees and supplies
assistance shall be authorized only after all available NHEP participant
resources have been applied against educational expenses, such as the NHEP
participant's own financial resources, veterans' educational benefits,
insurance, scholarships, grants, and work study income.
(d) To
verify participation in education or training preparatory to employment, the
NHEP participant shall provide the NHEP representative with acceptable
verification as described in He-W 637.03(g).
(e) The cost of fees and
supplies shall be authorized for payment or reimbursement as follows:
(1) Books
shall be authorized when the expense is
documented by itemized receipts from the vendor;
(2) Supplies
including but not limited to paper, notebooks, and writing instruments shall be
authorized when the supplies are
necessary to accomplish the required course objectives of the NHEP participant,
and when the expense is documented by itemized receipts from the vendor;
(3) Tools
of the trade shall be authorized only
when the tools are necessary for
participation in training or employment when the NHEP participant is engaged,
as identified and approved in the employability plan, and when the expense is
documented by itemized receipts from the vendor;
(4) Uniforms
or specialized clothing including but not limited to steel-toed shoes, hard
hats, coats for laboratory assistants, and medical technician uniforms shall be
authorized when required for participation in employment, training, or a course
of study, and when the expense is documented by itemized receipts from the
vendor;
(5) Mandatory
fees shall be authorized only when associated with applying for or attending
school, or participating in training or education programs, and when the
expense is documented by itemized receipts from the vendor; and
(6) Parents
participating in approved NHEP activities who are approved to receive child care assistance while participating in that activity,
shall be eligible for a one-time payment, per family, per provider, per state
fiscal year, for child care registration fees assessed
by the provider.
(f) The NHEP representative
shall deny fees and supplies assistance as follows:
(1) If
the NHEP participant's participation in training is harmful to the family's
stability and the emotional or physical well-being of any of its members;
(2) If
the NHEP participant fails to provide the verification of participation;
(3) If
the NHEP participant is not making satisfactory progress as defined in He-W
637.01; or
(4) When
the NHEP participant's occupational goal
is not in line with local employment opportunities based on current labor market trends.
(g) The combined total
expense for all fees and supplies assistance shall be limited to $500 per NHEP
participant in any 12-month period ending June 30 of each year.
(h) Provisions under this
section shall be subject to the restrictions described at
He-W 655.02.
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #5440, eff 7-24-92; ss by #5712, eff 10-4-93; amd by #6361, eff 11-1-96; amd by
#6593, eff 10-1-97; amd by #6818, eff 7-25-98; ss by
#7243, eff 5-1-00; paragraphs (a)-(d) amd by #8740,
INTERIM, eff 10-13-06, EXPIRED: 4-11-07; paragraphs (a)-(d) amd
by #8869, eff 4-19-07; ss by #7243, eff 5-1-00; ss by #9137, eff 4-22-08; ss by
#11092, eff 5-7-16; ss by #14299, eff 7-1-25, EXPIRES: 7-1-35 (formerly He-W
655.05)
He-W 655.07 Transportation
Assistance.
(1) Mileage
reimbursement pursuant to (d)(1)-(d)(3) below; and
(2) Public
for hire transportation, or reimbursement for public for hire transportation
pursuant to (d)(4) below.
(b) Transportation
assistance shall be authorized for payment or reimbursement for NHEP
participants who meet the conditions of He-W 655.02(b).
(c) Transportation
assistance that has been authorized for an NHEP participant in on-the-job
training (OJT) shall continue for the duration of the OJT contract, even if the
NHEP participant becomes ineligible for financial assistance to needy
families due to increased earnings.
(d) Payment for
transportation assistance shall be made by the department as listed below:
(1) Transportation
assistance shall be allowed for round trip travel starting at the NHEP
participant's home, proceeding to the location of the child
care provider if applicable, and ending at the location of the NHEP
participant's approved NHEP activity;
(2) The
department shall pay for the actual cost of travel reimbursement, or an amount
equal to $0.30 multiplied by the number of miles traveled, which shall not
exceed 520 miles per month, or $160 per month, including monthly or a multiple
ride transportation pass, as authorized by an NHEP representative;
(3) Transportation
assistance shall not be paid for travel expenses that are reimbursed from
another source; and
(4) The
department shall directly pay the following as approved vendors for
transportation services for NHEP participants who are participating in the
following approved activities:
a.
Public for hire transportation agencies under contract with the New Hampshire
department of transportation;
b.
United States Department of Transportation, registered common carriers
pursuant to RSA 376; and
c.
Transportation network companies pursuant to RSA 376-A.
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #6446, eff 2-1-97; ss by #7243, eff 5-1-00; paragraphs
(a)-(e)(2)a. amd by #8740, INTERIM, eff 10-13-06,
EXPIRED: 4-11-07; paragraphs (a)-(e)(2)a. amd by
#8869, eff 4-19-07; ss by #9137, eff 4-22-08; ss by #11123, eff 6-22-16; ss by
#14299, eff 7-1-25, EXPIRES: 7-1-35 (formerly He-W 655.06)
He-W 655.08 Tuition
Assistance.
(b) NHEP participants shall
be eligible for tuition assistance when:
(1) The
NHEP participant is engaged in approved NHEP activities; and
(2) The program requiring tuition assistance is
identified on the NHEP participant’s employability plan (EP).
(c) Tuition assistance
shall be provided to NHEP participants engaged in the following approved
activities:
(1) Educational
programs leading to a high school diploma or equivalent, or to basic literacy;
(2) Vocational
education and training programs; or
(3) A
course of study preparatory to employment.
(d) Tuition
assistance shall be provided only when there are no other sources of tuition
funding available to the NHEP participant and the NHEP participant has
exhausted all other tuition funding sources;
(e) The training program or
course of study to be pursued shall be consistent with the NHEP participant’s
EP;
(f) NHEP participants shall
be eligible for tuition assistance if the vocational educational training
program or course of study:
(1) Prepares
the NHEP participant for participation in either a certificate program, degree,
or employment;
(2) Leads to
employment advancement, a certificate, or degree in an area of specialization;
or
(3) Is a
single training course or course of study which:
a. Is
vocationally specific;
b. Is
supported by the employment goals as indicated on the approved EP; and
c. Improves
the NHEP participant’s immediate employment prospects.
(g) Tuition assistance
shall be authorized only after all available NHEP participant resources have
been applied against education expenses, such as the NHEP participant's own
financial resources, veterans' educational benefits, insurance, scholarships,
grants, and work study income.
(h) The NHEP participant
shall verify participation in education or training preparatory to employment
pursuant to He-W 637.03(e).
(i) Tuition
assistance shall not exceed $1,575 for any NHEP participant in any 12-month
period ending June 30 of each year.
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #6446, eff 2-1-97; ss by #7243, eff 5-1-00; ss
by #8740, INTERIM, eff 10-13-06, EXPIRED: 4-11-07
New. #8869, eff 4-19-07; ss by #10803, eff 3-26-15;
ss by #14299, eff 7-1-25, EXPIRES: 7-1-35 (formerly He-W 655.07)
He-W 655.09 Automobile
Repairs.
(b) The department shall pay for
the actual cost of approved automobile repairs up to
$500 per state fiscal year, per NHEP participant, and subject to the following:
(1) An
automobile for which an NHEP participant is requesting automobile repairs shall
be:
a.
Determined by an NHEP representative as
necessary for the NHEP participant to participate in an approved NHEP activity
or employment; and
b. Registered
to:
1. The
NHEP participant;
2. Either
parent in a 2-parent family, as long as the parent
indicates in writing that the parent will consistently transport the NHEP
participant to the NHEP participant’s NHEP activity; or
3.
The NHEP participant’s dependent child who resides in the same household, as long as the NHEP participant is the parent of the
dependent child, and the dependent child indicates in writing that they will
consistently transport the NHEP participant to the NHEP participant’s NHEP
activity;
(2) The
NHEP participant requesting the automobile repair
assistance shall:
a. Have
a valid operator or commercial license in effect at the time the request for
automobile repair reimbursement is made or, if the NHEP participant lacks a
valid driver’s license, the other parent in the 2-parent family, or the
dependent child who resides in the same household, has a valid driver’s license
and the other parent in the 2-parent family or the dependent child indicates in
writing that the other parent in the 2-parent family or the dependent child
will consistently transport the NHEP participant to the NHEP participant’s NHEP
activity; and
b. Obtain
one written estimate of the cost of automobile repairs from a provider who
operates an automobile repair business, which contains:
1. The
name, address, and telephone number of the provider;
2. A
description of the types of repairs in the form of an itemized list of parts,
labor, and associated costs which are auto-body and mechanical repairs
necessary to make the automobile functional;
3. A
statement indicating that in the provider’s professional judgment the
automobile repair is reasonable based on the roadworthiness and reliability of
the car; and
4. The
dated signature of the provider;
(3) The
written estimate as described in (2)b. above shall be submitted to an NHEP
representative for prior approval for the automobile repair assistance;
(4) The
NHEP representative shall review the written estimate for completeness and
ensure that it meets the requirements prior to approving the repair;
(5) Automobile
repair assistance shall be approved by an NHEP representative in advance of the
actual service(s) to be provided, except in an emergency in which the vehicle
required towing and repairs are needed to make it functional; and
(6) Repairs
shall be performed by a New Hampshire registered automotive provider of the
NHEP participant’s choice.
Source. #14299, eff 7-1-25, EXPIRES: 7-1-35
He-W 655.10 Employment
and Training Support (ETS) Services for Employment-related Obstacles.
(a) Employment and training
support (ETS) services shall be provided to New Hampshire employment program
(NHEP) participants for the purposes of enabling NHEP participants to obtain or
keep employment, or to resolve employment-related obstacles in direct
relationship to the NHEP participant’s ability to remain in an approved NHEP
activity, as specified in the employability plan.
(b)
ETS services for employment-related obstacles shall include, but not be
limited to:
(1) Auto insurance costs, up to $750 per state
fiscal year;
(2) Auto
registration fees, up to a maximum of $350 per state fiscal year;
(3) Driver’s
license fees or replacement fees up to a maximum of $90 per state fiscal year;
(4) Work
clothing expenses, not including uniforms, needed for job interviews or to
begin employment, up to a maximum of $200 per state fiscal year;
(5) Personal care items or services, including
but not limited to, haircuts, deodorant, shampoo, toothpaste, toothbrush, and
razors, up to a maximum of $25 per state fiscal year; and
(6) Adult cosmetic dental care for services not
covered by Medicaid, up to a maximum of $1500.
(c)
The department shall pay auto insurance costs to a provider, as
described in (b)(1) above, either quarterly or monthly subject to the
following:
(1) The auto insurance policy shall provide a
minimum of 12-months of coverage;
(2) Auto insurance may be billed prior to the
actual service being provided; and
(3) The NHEP participant shall provide a
statement of coverages and charges from the insurance
provider.
(d)
The auto insurance expenses referenced in (c) above shall be payable at
the usual and customary rates excluding higher rates due to accidents,
violations, or other causes.
(e)
The total of all payments for ETS services described in (b)(1) through
(b)(5) above, to aid in removing obstacles to employment shall not exceed $750
per individual, per state fiscal year.
(f)
The maximum limit for adult cosmetic dental care identified in (b)(6)
above shall be considered a separate payment limit from the limit for items
cited in (b)(1) through (b)(5) above and assistance for this service shall be
available regardless of any other payments received in (b)(1) through (b)(5).
(g)
Before approving payment, the NHEP representative shall ensure that any and all other available third-party resources have been
exhausted.
(h) If the employment-related obstacle
request exceeds the payment limits specified in He-W 655.06 through He-W
655.09, before the maximum assistance payment is authorized for other
employment supports pursuant to, He-W 655.10, the NHEP participant shall demonstrate:
(1) That
the payment authorized by the department is sufficient to remove the
employment-related obstacle; and
(2) How
the remainder of the request shall be secured or that a payment plan has been
arranged for the remainder of the bill.
(i) The
following shall apply to authorizations of other ETS related services to aid in
removing obstacles to employment:
(1) There
shall be no limit to the number of times assistance for employment-related
support services can be approved per state fiscal year so long as the
maximum payment limits specified in (b) above are not exceeded; and
(2) Authorization
and requests for ETS services to remove employment-related obstacles shall be
limited to the maximum dollar limits, described above, per state fiscal year.
(j) ETS service payments shall be denied when
funds for the programs are no longer available.
Source. #14299, eff 7-1-25, EXPIRES: 7-1-35
PART He-W 656 RESOURCES
He-W 656.01 Resources-Basic Principles. Except where otherwise specified or
specifically prohibited, resources shall be evaluated and treated in the same
manner for the adult categories of financial assistance as in the financial
assistance to needy families categories of financial
assistance.
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91; amd by #6111, eff 11-1-95;
ss by #6531, INTERIM, eff 6-27-97, EXPIRES: 10-25-97; ss by #6614, eff
10-24-97; amd by #6740, eff 4-25-98; ss by #7086, eff
10-1-99; ss by #8993, eff 10-1-07; ss by #10924, eff 10-1-15; ss by #14083, eff
9-26-24, EXPIRES: 9-26-34
He-W 656.02 Treatment of Specific Types of Resources. Funds from an individual development account
used for unqualified purposes, pursuant to 42 USC 604(h), shall be treated as:
(a)
Lump sum income in accordance with He-W 654.03, for all categories of
FANF financial assistance; or
(b)
Lump sum payment in accordance with He-W 656.04(b)(10), for the adult
categories of financial assistance.
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91, EXPIRED: 6-26-97
New. #7603, eff 12-1-01; ss by #9604, eff 12-1-09;
ss by #12481, eff 2-21-18
He-W 656.03 Jointly Owned
Resources.
(a) Personal property resources
established prior to November 1, 1995, which an individual owns together with
an individual who is not an applicant or recipient, shall be
considered to be shared equally among the owners, unless the individual
verifies ownership of more or less than an equal share. If the
individual verifies ownership of more or less than an equal share through
documentary evidence, only the amount of the share actually
owned by the individual shall count as a resource.
(b) Personal property
resources established on or after November 1, 1995, which an individual owns
together with an individual who is not an applicant
or recipient, shall be considered to belong to the individual who is
applying for or receiving assistance. If there is more than one
individual who is applying for or receiving assistance that jointly owns the
resource, it shall be assumed that each individual
owns an equal share.
(c) If an individual wishes
to rebut the ownership presumption, the individual shall submit a written
statement and verification of the statement to the department including the
following information:
(1) A
corroborating statement from each additional account holder;
(2) If
the only additional account holder is incompetent or a minor, the individual
shall submit a corroborating statement from a competent adult aware of the
circumstances surrounding establishment of the account;
(3) Account
records showing deposits, withdrawals, and interest in the months in which
ownership is an issue;
(4) If
the individual does not own any of the funds, evidence showing that the
individual can no longer withdraw funds from the account; and
(5) If
the individual owns only a portion of the funds, evidence showing removal from
the account of such funds, or removal of the funds owned by the other account
holder(s), and redesignation of the account.
(d) If the evidence
establishes that a resource is owned by the other account holder(s), as
determined by the department,
and that the individual can no longer withdraw funds from the account, then
that resource shall not be considered to belong to the
individual. However, such resources shall be deemed available to the
individual if the account holder to whom they belong is someone whose resources
would be used in determining the individual's eligibility.
(e) Jointly owned real
property resources shall be excluded if the terms of ownership of the property
prevent the individual from unilaterally liquidating the property and the other
owner or owners refuse to agree to the sale. The addition of
a joint owner shall be evaluated as an asset transfer in accordance with He-W
620.01.
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #6111, eff 11-1-95; ss by #6531, INTERIM, eff
6-27-97, EXPIRES: 10-25-97; ss by #6614, eff 10-24-97; ss by #6740, eff 4-25-98;
ss by #8596, eff 3-30-06; ss by #10563, eff 3-30-14; amd
by #10982, eff 11-24-15 (paras (a) & (b)); ss by #13888, eff 2-24-24
He-W 656.04 Personal Property Resources.
(a)
For all categories of financial assistance, personal property resources
shall be treated as follows:
(1) At application and redetermination, the
assistance group shall report and verify all resources;
(2) The value of accumulated interest, the equity
value of life insurance policies and the value of stocks and bonds, when
verified at application or redetermination, shall be considered unchanged until
the next redetermination;
(3) Changes to the value of the resources
identified in He-W 656.03(a) shall be reported between redeterminations;
(4) Individuals shall report
the acquisition of new resources and the selling of existing resources,
pursuant to RSA 167:17;
(5) The following resources shall not be counted
when determining eligibility:
a. Borrowed money, except for when the
individual transfers the proceeds or a portion of the proceeds of the loan to
another individual pursuant to He-W 620.01(a)(6);
b. All household items;
c. Inaccessible personal property resources
whose value is legally unobtainable by the individual, except as specified in
(7) below;
d. Group, term and fraternal life insurance
policies which have no equity value and are only payable upon the death of the
insured;
e. Lump sum death payments to cover funeral and
burial expenses;
f. Resources resulting from an accumulation of
types of income that are excluded by federal mandate;
g. Federal, state, and local income tax refunds;
and
h. Keogh accounts which
involve a contractual relationship with a non-assistance group member, provided
the contract prevents the individual from withdrawing money from the account
without affecting the employer or other employees;
(6) All Individual Retirement Accounts (IRA), one
person Keogh accounts, and non-contractual Keogh accounts shall be counted
towards the resource limit as follows:
a. The balance in the account minus the penalty
for early withdrawal for the entire account shall be counted; and
b. The balance amount and the amount of the
penalty for early withdrawal shall be as specified on the date on which they
are initially verified and these amounts shall remain in effect until the next
redetermination;
(7) Trusts and similar
legal devices shall be treated as follows:
a. Trusts and similar legal devices, including
annuities, established after August 10, 1993 and
trusts and legal devices that were established prior to August 11, 1993 but have been added to or otherwise augmented or
amended after August 10, 1993 shall be treated as
follows:
1. For purposes of determining an individual's
eligibility for, or amount of, benefits, the rules established in this
subparagraph shall apply to a trust established by such individual;
2. An individual shall be considered to have
established a trust if assets of the individual were
used to form all or part of the corpus of the trust and if any of the following
individuals established such trust other than by will:
(i) The individual;
(ii) The individual's spouse;
(iii) A person, including a court or administrative
body, with legal authority to act in place of or on behalf of the individual or
the individual's spouse; or
(iv) A person, including any court or
administrative body, acting at the direction or upon
the request of the individual or the individual's spouse;
3. In the case of a trust,
the corpus of which includes assets of an individual as determined under He-W
656.04(a)(7)a.2. and assets of any other person or persons,
the provisions of this subparagraph shall apply to the portion of the trust
attributable to the assets of the individual;
4. Subject to He-W 656.04(a)(7)a.7., this
subparagraph shall apply without regard to:
(i) The purposes for
which a trust is established;
(ii) Whether the trustees have or exercise any
discretion under the trust;
(iii) Any restrictions on when or whether
distributions may be made from the trust; or
(iv) Any restrictions on the use of distributions
from the trust;
5. In the case of a revocable trust:
(i) The corpus of the
trust shall be considered resources available to the individual;
(ii) Payments from the trust to or for the benefit
of the individual shall be considered income of the individual; and
(iii) Any other payments from the trust shall be
considered assets disposed of by the individual;
6. In the case of an irrevocable trust:
(i) If there are any
circumstances under which payment from the trust could be made to or for the
benefit of the individual, the portion of the corpus from which, or the income
on the corpus from which, payment to the individual could be made shall be
considered resources available to the individual, and payments from that
portion of the corpus or income:
i.
To or for the benefit of the individual, shall be considered income of
the individual; and
ii. For any other purpose, shall
be considered a transfer of assets by the individual; and
(ii) Any portion of the trust from which, or any
income on the corpus from which, no payment could under any circumstances be
made to the individual shall be considered, as of the date of establishment of
the trust or, if later, the date on which payment to the individual was
foreclosed, to be assets disposed by the individual, and the value of the trust
shall be determined by including the amount of any payments made from such
portion of the trust after such date;
7. This subparagraph shall not apply to any of
the following conforming trusts:
(i) A trust
containing the assets of an individual under age 65 who is disabled and which
is established for the benefit of such individual by the individual, a parent,
grandparent, legal guardian of the individual, or a court if the state will
receive all amounts remaining in the trust upon the death of such individual up
to an amount equal to the total medical assistance paid on behalf of the
individual under a state plan;
(ii) A trust
containing the assets of an individual who is disabled as defined in 42 USC
1382c(a)(3)that meets the following conditions:
i. The trust is established and managed by a
non-profit association;
ii. A separate account
is maintained for each beneficiary of the trust, but, for purposes of
investment and management of funds, the trust pools these accounts; and
iii. Accounts in the trust are established solely
for the benefit of individuals who are disabled as defined in 42 USC
1382c(a)(3) by the parent, grandparent, or legal guardian of such individuals,
by such individuals, or by a court;
b. No clause or requirement in the trust, no
matter how specifically it applies to
state or federal programs shall preclude a trust
from being considered in accordance with He-W 656.04(a)(7)a.1.-6.;
c. Any payments from revocable trusts, which are
not made to, or on behalf of, the individual shall be considered assets
disposed of for less than fair market value pursuant to He-W 620;
d. Payments of income or payments from the
corpus of irrevocable trusts that are not made to or for the benefit of the
individual, shall be treated as a transfer of assets for less than fair market
value pursuant to He-W 620;
e. Irrevocable trusts where payments from some
portions or all of the trust cannot under any
circumstances be made to, or for the benefit of, the individual shall be
treated as follows:
1. The portion of the corpus or income on the
corpus which cannot be paid to the individual shall be treated as a transfer of
assets and shall be treated in accordance with He-W 620;
2. In treating portions of the corpus or income
which cannot be paid to the individual as a transfer of assets, the date of the
transfer shall be the date the trust was established or, if later, the date on
which payment to the individual was restricted or eliminated;
3. In determining the value of the portion of
the trust which cannot be paid to the individual for transfer purposes, any
payments made, for whatever purpose, after the date the trust was established
or, if later, the date payment to the individual was foreclosed, shall not be
subtracted from the value of the trust;
4. If funds were added to that portion of the
trust after these dates, those funds shall be considered to
be a new transfer of assets, effective on the date the funds are added
to the trust; and
5. The value of the transferred amount shall be
no less than its value on the date of establishment or the date that access to
the principal of the trust was restricted or eliminated;
f. When some portion of the corpus or income on
the corpus of a trust is or can be paid to the individual, such portion or
income shall be treated in accordance with the standards set forth in He-W
656.04(a)(7)a.5.(i) or (ii), as applicable;
g. Payments shall be
considered to be made to the individual when any amount from the trust,
including an amount from the corpus, or income produced by the corpus, is paid
directly to the individual, or to someone acting on the individual's behalf;
and
h. Payments made for the benefit of the
individual shall be payments of any sort, including an amount from the corpus,
or income produced by the corpus, paid to another entity such that the
individual derives some benefit from the payment;
(8) An irrevocable
burial trust established by an individual for the purpose of paying, at some
point in the future, for the various expenses associated with the individual's
funeral and burial shall be an exempt trust if the individual has a signed
contract with a funeral home and the corpus of the trust does not exceed the
contracted amount;
(9) Annuities shall be excluded from the resource
computation when the expected return on the annuity is commensurate with the
life expectancy of the beneficiary in accordance with He-W 620.01(i)(2);
(10) Annuities excluded from the resource
computation pursuant to (9) above shall be treated as follows:
a. When an individual cannot access the principal of an annuity, the annuity shall be treated as an
irrevocable trust;
b. If an annuity provides for payments to be
made to the individual, those payments shall be considered unearned income to
the individual;
c. Any portion of the principal of the annuity
that is paid to or on behalf of the individual shall be considered unearned
income to the individual; and
d. Portions of the annuity that cannot be paid
to or for the benefit of the individual shall be treated as transfers of assets
and shall be evaluated in accordance with He-W 620; and
(11) Where application of the trust provisions
discussed in He-W 656.04(a)(7)a.7.(i) and (iii) would
cause an undue hardship as specified in He-W 602.08(c), those provisions shall
not apply.
(b)
For the adult categories of financial assistance, personal property
resources shall be treated as follows:
(1) The following resources shall not be counted
when determining eligibility for the adult categories of financial assistance:
a. All vehicles such as but not limited to cars,
trucks, boats, motorcycles, and snowmobiles; and
b. Farm machinery, livestock, tools, and
equipment;
(2) The equity value of the following resources
shall be counted when determining eligibility for all adult categories of
financial assistance:
a. Bank accounts, including checking accounts;
b. Stocks and bonds; and
c. Pre-paid debit cards, such as direct express
cards.
(3) Accessible burial funds shall be treated in
the following manner:
a. Up to $1500 of the burial funds shall not be
counted when determining eligibility for the adult categories of financial
assistance when the value of the burial funds, added to the individual’s other
countable resources, exceeds the resource limits as specified in He-W 656.06;
b. The amount of the burial fund exclusion shall
be reduced by:
1. The combined face value of any life insurance
policies; and
2. Any irrevocable trusts or irrevocable funds
identified as available to meet burial expenses;
c. Interest earned on excluded burial funds and
appreciation on the value of excluded burial arrangements shall be excluded as
a resource, if left to accumulate as part of the separately identified burial
fund;
d. Interest earned on any portion of the burial
fund not excluded as a resource shall be excluded only if inaccessible to the
individual; and
e. Accumulated interest which is accessible to
the individual shall be counted as a resource at each eligibility
determination;
(4) Resources set aside under a Social Security
Administration (SSA) approved plan for self-support (PASS) shall be excluded
for the duration of the plan;
(5) Life insurance policies shall be:
a. A countable resource when the combined equity
value of all an individual’s policies exceeds $1,500; or
b. An excluded resource when:
1. The total combined equity value of all the
individual’s policies is equal to or less than $1,500; or
2. The combined equity value of the individual’s
policies exceeds $1,500, but the state of New Hampshire has been made the
beneficiary to the policies pursuant to RSA 167:4, IV(c);
(6) Applicants whose life insurance policies have
a combined face value exceeding $1,500 shall be allowed to offset the excess
equity value of life insurance for 3 months if:
a. The equity value of life insurance exceeds
resource limits in He-W 656.06, but other countable resources do not exceed the
resource limits; and
b. The applicant or the applicant's legal spouse
who is living with the applicant has incurred and is liable for unpaid medical
expenses;
(7) The excess value of life insurance shall be
offset as follows:
a. Unpaid medical bills which were incurred
before the period for which eligibility is requested shall be deducted from the
equity value of the life insurance policies;
b. If there are not enough prior unpaid medical
bills to offset the equity value of life insurance, unpaid medical bills
incurred within the period of which eligibility is requested shall be deducted
from the equity value of the life insurance policies in chronological sequence,
starting with the earliest unpaid bill; and
c. No incurred unpaid medical
bill shall be offset more than once;
(8) The period of offsetting
incurred medical expenses shall begin on the date that the applicant
provides verification to the department of health and human services (DHHS) of
resources and incurred medical expenses, and shall end
3 months thereafter;
(9) At the end of the 3 month
period, the equity value of life insurance shall be counted in full without any
offset for medical expenses; and
(10) Lump sum payments, with the
exception of lump sum earned income and excludable lump sum payments
paid to cover funeral expenses and portions of third party medical and other
expenses directly associated with receipt of the lump sum, shall be counted as
a resource when determining eligibility for the adult categories of financial
assistance.
(c)
For the financial assistance for needy families (FANF) categories of
financial assistance, personal property resources shall be treated as follows:
(1) Liquid resources such as bank accounts,
stocks, bonds, and savings certificates, owned by an alien's sponsor or
sponsor's spouse, shall be deemed to be available to the alien when determining
an alien's eligibility for FANF financial assistance;
(2) Liquid resources such as vehicles which are
owned by an alien's sponsor or sponsor's spouse shall not be deemed to be
available to the alien;
(3) Junk vehicles used only to supply parts for
the individual's main vehicle, are in such dilapidated condition that they
cannot be reasonably repaired for sale or use, or which can only be sold for
scrap or parts, and vehicles which are jointly owned with a non-assistance
group member, shall be excluded as a resource when determining eligibility for
FANF financial assistance;
(4) Lump sum payments derived from converting a
non-liquid resource to cash shall be counted as a lump sum resource when
determining eligibility for FANF financial assistance;
(5) The remaining balance of the working checking
account or pre-paid debit card on the day it is reviewed, reduced by the amount
that represents the FANF payment standard for an assistance group of comparable
size with no income, shall be counted as a resource for FANF financial
assistance;
(6) The following special provisions shall apply
to FANF recipients whose countable resources exceed the allowable limit because
their sole resources consist of personal property assets which cannot be
readily converted to cash, or which consist of such assets and real property as
follows:
a. Recipients shall reduce excess resources to
within allowable limits no later than the month following the month in which
resources first exceed the limit;
b. The recipient shall verify that the recipient
is making a good faith effort to sell the personal property resource which
caused the resource limit to be exceeded; and
c. Financial assistance shall terminate if the
recipient fails to reduce resources within the above time frames;
(7) The equity value of each
individual’s life insurance policies shall be counted as a resource when
determining eligibility for FANF financial assistance, when the total combined
value of the policies is greater than $1,500;
(8) For the purposes of the FANF vehicle
exclusion specified in RSA 167:81,IV(b), the total number of vehicles excluded
as a resource, regardless of ownership or value, shall not exceed the number of parents or
caretaker relatives of the assistance group; and
(9) The equity value of all life insurance
policies shall be excluded as a resource when determining eligibility for FANF
financial assistance, when:
a. The combined value of each
individual's policies is $1,500 or less; or
b. The total
combined value of each individual's policies exceeds
$1,500, but the state of New Hampshire has been made the beneficiary to the
policies pursuant to RSA 167:4,IV(c).
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #5248, eff 10-16-91; ss by #5392, eff 5-11-92; amd by #6111, eff 11-1-95; amd by
#6446, eff 2-1-97; amd by #6740, eff 4-25-98; amd by #6754, eff 5-20-98; amd by
#6779, INTERIM, eff 6-27-98, EXPIRED: 10-25-98; amd
by #6817, eff 7-25-98; amd by #7644, eff 2-8-02; amd by #8022, eff 2-1-04; amd by
#8635, eff 5-26-06; amd by #8684, eff 7-21-06; amd by #8865, eff 4-13-07; ss by #10069, eff 2-12-12; ss by
#13395, eff 6-18-22
He-W 656.05 Real Property Resources.
(a) For the adult categories of financial
assistance, real property resources, as defined in He-W 601.07, shall be
treated as follows when determining eligibility:
(1) The
home occupied by the individual shall not be counted;
(2) An
unoccupied home shall not be counted during periods of temporary absence such
as short-term hospitalization or institutionalization;
(3) Income-producing
property shall not be counted;
(4) Any
real property not otherwise excluded shall not be counted if it is necessary as
the residence for the individual’s spouse, minor child, or disabled child;
(5) One
burial plot per assistance group (AG) member shall not be counted; and
(6) The
equity value of real property which is not specifically excluded above shall be
counted as a resource.
(b) For
adult categories of financial assistance, the AG shall take action to dispose
of the property within 6 months of being notified by the department of health
and human services (department) that the property must be liquidated, and:
(1) The
equity value of the property shall not be counted during the disposal period;
and
(2) The
disposal period shall be extended as long as:
a. The individual verifies that action has been
taken to sell the property and that there are valid reasons for inability to
sell the property; or
b. The individual’s hospitalization or
institutionalization, although long term, is not expected to be permanent and
it is likely that the individual will return to the
home.
(c) If disposal does not occur within the disposal
period, as specified in (b) above, financial assistance shall be denied or
terminated.
(d) For financial assistance to needy families
(FANF), disposal of real property shall be treated as follows:
(1) The
AG shall take action to dispose of the property within 6 months of being
notified by the department that the property must be liquidated;
(2) Individuals
shall have an additional 3 months to dispose of excess unoccupied real
property, when the individual verifies that a good faith effort has been made
to sell the property;
(3) The
equity value of the property shall not be counted during the disposal period
described in (1) and (2) above; and
(4) When
the property is sold, the net proceeds from the sale of the property shall
count as a lump sum resource, in accordance with He-W 654.03.
(e) For FANF, real property resources of a
sponsor or sponsor’s spouse shall not be deemed available to a non-citizen.
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #6531, INTERIM, eff 6-27-97; ss by #6614, eff
10-24-97; ss by #8452, eff 10-22-05; amd by #8865,
eff 4-13-07; ss by #9136, eff 4-22-08; ss by #11058, INTERIM, eff 3-24-16; ss
by #11187, eff 9-20-16; ss by #14053, eff 8-17-24, EXPIRES: 8-17-34
He-W 656.06 Resource Limits.
(a) When determining
eligibility for Financial Assistance to Needy Families (FANF):
(1) Applicant
households that have received financial assistance under FANF in any one of the
previous 6 months shall be considered a recipient household in determining the
resource limit to be used; and
(2) The resource limits shall
be:
a.
For applicant
households, $1,000; and
b.
For recipient
households, $5,000.
(b) The resource limit for
adult category financial assistance shall be $1,500.
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #6531, INTERIM, eff 6-27-97, EXPIRES: 10-25-97;
ss by #6614, eff 10-24-97; amd by #6672, eff 1-26-98;
ss by #7354, eff 9-1-00; amd by #7644, eff 2-8-02; amd by #8865, eff 4-13-07; ss by #9252, eff 9-1-08; ss by
#11186, eff 9-20-16; ss by #13647, eff 5-24-23
He-W
656.07 Resources of Disqualified
Individuals.
(a)
The resources of individuals disqualified from receiving financial assistance
to needy families (FANF), pursuant to 42 USC 608(a)(9), and of individuals
disqualified from receiving adult categories of financial assistance, pursuant
to RSA 167:6 X., shall be deemed to remaining eligible household members.
(b) The full value of countable
resources belonging to disqualified individuals shall be considered in the
determination of eligibility for FANF and adult categories of financial
assistance.
Source. #13831, eff 12-23-23
PART He-W 657 – RESERVED
PART He-W 658 STANDARD OF NEED
He-W 658.01 Financial
Assistance to Needy Families (FANF) Standard of Need.
(a) The
standard of need for FANF shall:
(1) Be
based upon the size of the assistance group (AG), as defined in He-W 601.01;
and
(2) Consist
of 2 components:
a. The
basic maintenance needs allowance (BMNA); and
b. Shelter
costs, if incurred, up to a maximum of $342 as derived
by reviewing weighted average shelter expenses for FANF recipients in
subsidized and unsubsidized housing.
(b) The
original minimum monthly BMNA amounts as effective in July 2012 shall be listed
in Table 600-9, BMNA, below as determined in 2012 using reliable market data based
on the Department of Labor’s annual update and using the living wage calculator
in 2012 from the Pennsylvania State University.
Table 600-9, BMNA
|
Assistance Group
Size |
BMNA |
|
1 |
$1,313 |
|
2 |
$2,564 |
|
3 |
$3,431 |
|
4 |
$4,194 |
|
5 |
$4,898 |
|
6 |
$5,200 |
|
7 |
$5,502 |
|
8 |
$5,804 |
|
9 |
$6,106 |
|
10 |
$6,408 |
|
11 |
$6,710 |
|
12 |
$7,012 |
(c)
Table 600-9
above shall act as the starting figures and $302 shall be added to the monthly
BMNA amount which was derived by using reliable market data described in
(b) above, to determine the average increase in cost for basic living
for a household size of 5
or larger.
(d) When
the "Consumer Price Index" (CPI) for updating the standard of need is
referred to, the "Percent Change From the Previous Year's Annual
Average" of the "Consumer Price Index for All Urban Consumers"
(CPI-U), as published by the United States Department of Labor, Bureau of Labor
Statistics found at https://www.bls.gov/cpi/, shall be used.
(e) Pursuant
to RSA 167:7, II, the BMNA shall be equal to the minimum amount in Table 600-9
and updated for July 1 of each year by:
(1) Multiplying
the prior year’s BMNA by the current CPI average percent change in accordance
with (d) above;
(2) Adding
the product derived in (e)(1) to the prior year’s BMNA; and
(3) Rounding
down the BMNA derived in (e)(2) to the nearest whole dollar.
(f) If
the CPI average percent change for the most current year is negative or zero,
there shall be no change to the BMNA.
(g) When
a FANF AG is charged less than $342 for any shelter
related costs, the standard of need for the group shall consist only of the
BMNA for the appropriate group size.
(h) Any
portion of the shelter related costs that is paid by an individual, agency,
organization, or governmental unit outside of the AG shall not be considered a
shelter charge to the FANF AG.
(i) When a FANF AG changes its shelter
arrangement, the standard of need shall be based on the new shelter expenses
regardless of arrearages owed for the previous shelter.
(j) Utility
costs, such as electricity, heat, water, or sewage that are incurred separately
from shelter costs shall not be allowable shelter expenses.
(k) For
privately owned homes, shelter expenses shall be costs attributable to owning
the home, including, but not limited to:
(1) Property
taxes;
(2) Mortgage
principal and interest;
(3) Fire
insurance premiums;
(4) If
living in a mobile home, lot rent; and
(5) If
living in a condominium, mandatory condominium fees.
(l) Shelter
expenses shall not include upkeep costs.
(m) For a boarding arrangement as defined by He-W
601.02, shelter expenses shall be the higher of the following figures:
(1) The
AG’s payment for board decreased by the supplemental nutrition assistance
program (SNAP) maximum "Thrifty Food Plan, 2021. FNS-916", as determined
and published annually in the Federal Register by the United States Department
of Agriculture in accordance with 7 CFR 273.10(e)(4) for a household size
equivalent to the total number of individuals with boarding arrangements; or
(2) The
AG’s payment for board decreased by actual expenses for food.
(n) The
shelter expense amount calculated for a boarding arrangement shall be used
until the next redetermination of eligibility, regardless of increases in the
thrifty food plan amount, unless the assistance group reports a change in
household size, boarding arrangement payments, or shelter costs.
(o) For FANF children who live with a caretaker
relative who is not included in the FANF AG, shelter expenses shall be the
verified amount, if any, the caretaker relative actually
charges the child for housing.
(p) If
a FANF casehead is prohibited from
receiving FANF financial assistance due to the receipt of SSI or adult category
financial assistance, shelter costs of the AG including the casehead shall be allowed.
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #5530, eff 12-16-92; ss by #5713, eff 10-1-93;
ss by #5773, eff 1-14-94; ss by #5857, eff 7-1-94; amd
by #6156, eff 12-29-95; amd by #6394, eff 1-1-97; amd by #6534, eff 7-1-97; amd by
#6952, eff 3-1-99; ss by #7019, eff 7-1-99; amd by
#7310, eff 7-1-00; amd by #7509, eff 7-1-01; amd by #8063, eff 3-20-04; amd by
#8106, eff 7-1-04; amd by #8380, eff 6-21-05; amd by #8668, eff 6-21-06; amd by
#8897, eff 6-7-07; amd by #8905, eff 7-1-07; ss by
#9194, eff 7-1-08; ss by #9485, eff 7-1-09; ss by #9735, eff 7-1-10; amd by #9943, eff 7-1-11; ss by #10152, eff 7-1-12; ss by
#13564, eff 2-22-23
He-W 658.02 Financial Assistance To Needy Families
Payment Standard. The payment
standard for financial assistance to needy families
financial assistance shall be based upon
the size of the assistance group (AG) and be equal to 60% of the federal
poverty guideline for the AG size.
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #5530, eff 12-16-92; ss by #5713, eff 10-1-93;
ss by #5773, eff 1-14-94; ss by #7055, eff 8-1-99; ss by #7226, eff 4-1-00; amd by #8063, eff 3-20-04; ss by #9111, INTERIM, eff
3-24-08, EXPIRES: 9-20-08; ss by #9208, eff 7-19-08; ss by #11121, eff 7-19-16;
ss by #13761, eff 9-28-23
He-W 658.03 Adult
Category Standard of Need.
(a) The
standard of need for adult categories of financial assistance for individuals
in independent living arrangements, as defined in He-W 601.05, shall
be a fixed amount based on AG size.
(b) Adult category individuals
shall be treated as an AG size of one when determining eligibility, except when
an adult category individual lives with:
(1) A
spouse or
a needy essential person, as defined in He-W 601.05, in an independent living
arrangement, eligibility shall be determined as an AG of 2; or
(2) A
spouse and a needy essential person in an independent living arrangement,
eligibility shall be determined as an AG of 3.
(c) For
each AG
size, the standard of need for adult category individuals in independent living
arrangements shall maintain the minimum payment level as specified by 42 USC
1382g.
(d) When supplemental
security income (SSI) benefits change due to an SSI flat rate increase,
the standard of need for
adult category individuals in independent living arrangements shall not
increase, as a portion of the SSI flat rate benefit increase is excluded in order to maintain the minimum payment level as described
in (c) above.
(e) When SSI benefits change
due to a cost of living increase, the following method
shall be used to determine the standard of need for each AG size for adult
category individuals in independent living arrangements:
(1) Amounts
from SSI flat rate benefit increases which are excluded shall be subtracted
from the SSI maximum benefit amount for AG sizes of one, 2, or 3 individuals;
(2) The
adult
standard disregard, as specified in He-W 654.16, shall be subtracted from the
minimum payment level;
(3) The amount determined in (e)(1) above shall be
added to the amount determined in (e)(2) above; and
(4) The
sum, by
AG size, shall be the standard of need for adult category individuals who
reside in independent living arrangements.
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #6531, INTERIM, eff 6-27-97, EXPIRES: 10-25-97;
ss by #6614, eff 10-24-97; ss by #8452, eff 10-22-05; ss by #10471, eff
11-26-13; ss by #13761, eff 9-28-23
He-W 658.04 RESERVED
Source. (See Revision Note #1 at Part heading for
He-W 858)
He-W 658.05 RESERVED
Source. (See Revision Note #2 at Part heading for
He-W 858)
He-W 658.06 RESERVED
Source. (See Revision Note #2 at Part heading for
He-W 858)
He-W
658.07 RESERVED
Source. #9499, EMERGENCY RULE, eff 6-30-09; rpld by REPEAL OF EMERGENCY RULE, #9524,
eff 7-31-09
PARTS He-W 659 -
He-W 661 - RESERVED
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91
PART He-W 662 -
RESERVED
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #6531, INTERIM, eff 6-27-97, EXPIRES: 10-25-97;
ss by #6614, eff 10-24-97, EXPIRED: 10-24-05
PART He-W 663 -
RESERVED
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91
PART He-W 664 SEPARATE MEDICAL ASSISTANCE GROUP
He-W 664.01 - RESERVED
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #6531, INTERIM, eff 6-27-97, EXPIRES: 10-25-97;
ss by #6614, eff 10-24-97; ss by #6826, eff 8-3-98; ss by #8684, eff 7-21-06; rpld by #10743, eff 12-12-14
He-W 664.02 FANF Medical Assistance Only Case.
-MOVED TO HE-W 864.02
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #5992, eff 2-25-95; amd
by #6952, eff 3-1-99; ss by #9845, eff 2-24-11; moved by #12773 (see He-W
864.02)
PARTS He-W 665 -
He-W 669 - RESERVED
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91
PART He-W 670 DETERMINATION OF FINANCIAL ELIGIBILITY AND
THE AMOUNT OF ASSISTANCE
He-W 670.01 - He-W 670.02 - RESERVED
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91
He-W 670.03 Determination of the Grant.
(a)
For adult category financial assistance, the amount of the grant shall
be determined as follows:
(1) If the net income amount is less than the
adult category standard of need amount, the difference between the 2 amounts
shall equal the grant;
(2) The grant shall be a monthly dollar amount;
(3) If the grant amount ends in:
a. $0.49 or less, it shall be rounded down to
the nearest dollar; or
b. $0.50 or more, it shall be rounded up to the
nearest dollar; and
(4) The minimum
authorized grant amount shall be $2.00 per month, after rounding.
(b) For Financial
Assistance to Needy Families (FANF), the amount of the grant shall be in
accordance with 45 CFR 233.20(a)(2)(iv),
and be determined by
the following:
(1) If the assistance group is found eligible and
the net income amount is less than the payment standard, the difference between
the 2 amounts shall equal the FANF grant amount;
(2) The grant shall be a monthly dollar amount;
(3) If the grant amount ends in:
a. $0.01-$.99, it shall be rounded down to the
nearest dollar; or
b. Ends in zero cents,
the result shall be the actual monthly grant;
(4) The minimum authorized monthly FANF grant
amount before any adjustments shall be equal to $10 or more;
(5) No payment shall be made if the amount of the
FANF grant before any adjustments is less than $10 in accordance with 45 CFR
233.20 (a)(3)(viii)(C); and
(6) If the monthly FANF grant prior to
adjustments is equal to $10 or more, and the monthly FANF grant amount after
adjustments is greater than $2.00 then the FANF grant amount shall be issued to
the recipient.
(c)
The adult category grant pursuant to (a) above shall be reduced by
one-third when the individual who is requesting, receiving, or will be
receiving the grant:
(1) Resides with others in an independent living
arrangement, as defined in He-W 601.05(d), and:
a. Does not have any food expenses;
b. Does not have any residence expenses
associated with their independent living arrangement; and
c. Does not receive Supplemental Nutritional
Assistance Program (SNAP) benefits, as described in 7 CFR 273.10; or
(2) Fails or refuses to provide the documentation
described in (d) or (e) below, pursuant to He-W 606.01.
(d)
An individual who has food expenses pursuant to (c)(1)a. above, shall
provide written documentation that includes the following:
(1) The individual’s printed name and address;
and
(2) A signed statement from the individual
certifying that the individual pays toward the food the individual eats.
(e)
Residence expenses pursuant to (c)(1)b. above shall mean any of the
following expenses incurred as a result of the
individual’s independent living arrangement:
(1) Rental costs to live in the independent
living arrangement;
(2) Utility costs to live in the independent
living arrangement;
(3) Mortgage payments to live in the independent living arrangement;
or
(4)
Property taxes or property insurance associated with living in the independent
living arrangement.
(f)
An individual who has residence expenses pursuant to (e) above, shall
provide one of the following:
(1) A lease or rent receipt for the residence in
the individual’s name;
(2) A copy of a utility bill for the residence in
the individual’s name;
(3) A copy of a mortgage payment or statement for
the residence in the individual’s name;
(4) A copy of property taxes or property
insurance for the residence in the individual’s name; or
(5) A statement signed by the individual with
whom the adult category applicant or recipient resides, certifying that the
individual pays toward rent, a utility listed in (g) below, mortgage, property
taxes, or property insurance for the residence.
(g) Only the following shall be considered a
utility residence expense, pursuant to (e)(2) above:
(1)
Electricity;
(2) Cooking fuel;
(3) Heating fuel;
(4) Water or sewage; or
(5) Trash removal.
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #6531, INTERIM, eff 6-27-97, EXPIRES: 10-25-97;
ss by #6614, eff 10-24-97; amd by #6826, eff 8-3-98; amd by #8452, eff 10-22-05; amd
by #8684, eff 7-21-06; ss by #10075, eff 1-25-12; ss by #13308, eff 12-17-21
He-W 670.04 Determination of the Assistance Payment.
(a)
The financial assistance grant amount shall be issued in the form of a
semi-monthly assistance payment.
(b)
The amount of the assistance payment shall be determined by the monthly
grant and adjustments, if any, to the grant, as
follows:
(1) If there are no adjustments, the assistance
payment shall be equal to one-half the monthly grant; and
(2) If there are adjustments to the grant, the
assistance payment shall be equal to one-half the monthly grant plus or minus
one-half of the adjustments.
(c)
The first semi-monthly payment shall be issued on the 15th of the month
for the period covering the 1st through the 15th of that month.
(d)
The second semi-monthly payment shall be issued on the 30th
of the month, or the last day of the month in February, for the period covering
the 16th through the last day of that month.
(e)
If the 15th or the 30th of the month, or the last
day of February, falls on a weekend, or falls on a Friday or a Monday holiday,
EFT payments, described in He-W 671.02, or checks shall be issued on the
preceding state business day.
(f)
An adult category grant which has been reduced by one-third pursuant to
He-W 670.03, shall have the one-third reduction removed effective the next
semi-monthly payment period following:
(1) The date the individual provides proof that
he or she:
a. No longer resides in an independent living
arrangement, as defined in He-W 601.05(d); or
b. Now lives alone in
an independent living arrangement;
(2) The date the individual provides proof of
residence expenses or food expenses, pursuant to He-W 670.03(d)-(g); or
(3) The date the individual begins to receive
food stamp benefits pursuant to 7 CFR 273.10.
(g)
An individual whose independent living arrangement has changed pursuant
to (f)(1)a. above shall provide a statement from the residential care facility,
community residence, or licensed and certified nursing facility on the
facility’s letterhead confirming the individual’s residence in the facility.
(h)
An individual whose independent living arrangement has changed pursuant
to (f)(1)b. above, shall provide a signed and dated statement from:
(1) The individual or individuals with whom the
adult category applicant or recipient formerly resided indicating that they no
longer live with the adult category applicant or recipient; and
(2)
The adult category applicant or
recipient indicating that he or she now lives alone.
(i) The semi-monthly payment, as described in (c)
and (d) above, shall not be issued unless:
(1) The assistance group was eligible for
financial assistance for the entire semi-monthly period; or
(2) The sanctioned individual was eligible for
financial assistance for the entire semi-monthly period.
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #6531, INTERIM, eff 6-27-97, EXPIRES: 10-25-97;
ss by #6614, eff 10-24-97; amd by #6825, eff 8-3-98;
ss by #6826, eff 8-3-98; ss by #6896, eff 12-1-98; ss by #8684, eff 7-21-06; ss
by #10075, eff 1-25-12; amd by #10511, eff 1-24-14;
ss by #13827, eff 12-22-23
PART He-W 671 ISSUANCE OF ASSISTANCE PAYMENTS
He-W
671.01 Electronic Benefit Transfer
(EBT).
(a) Financial assistance payments shall be issued
through the electronic benefit transfer (EBT) system when the individual or
authorized representative has elected not to receive these benefits via
electronic funds transfer (EFT) as described in He-W 671.02.
(b) An individual receiving financial assistance
payments through the EBT system shall:
(1)
Obtain an EBT card through:
a
The district office; or
b.
The mail;
(2)
Activate the EBT card by selecting a personal identification number
(PIN):
a.
At the district office; or
b. Through an automated method made
available through the department’s EBT contractor;
(3)
Access the EBT cash account with the EBT card using the PIN; and
(4) Be responsible for the
security of the EBT card and PIN.
(c) An individual or authorized representative
obtaining an EBT card at the district office shall present proof of identity
before being given the EBT card.
(d) Cash benefits which have not been accessed by
the individual for a period of 90 calendar days after the date the benefits
were issued shall be considered no longer available to the individual and
permanently removed from the EBT account.
(e) EBT cash benefits shall not be replaced by
the department.
(f) An individual shall request a replacement EBT
card through:
(1)
The department’s EBT contractor, whose phone number shall be provided by
the department; or
(2)
The district office.
(g) Fees charged by the EBT contractor for
individual use of the EBT cash account shall be automatically deducted from the
individual’s EBT cash account.
(h) The department shall provide the individual with
notification of the fees described in (g) above, upon request.
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #6825, eff 8-3-98; ss by #6897, eff 12-1-98; amd by #7977, eff 11-1-03; ss by #8071, eff 4-23-04; ss by
#9816, eff 11-19-10, EXPIRED: 11-19-18
New. #13122, INTERIM, eff 10-21-20, EXPIRED: 4-19-
New. #13190, eff 4-20-21
He-W 671.02 Electronic Funds Transfer (EFT).
(a)
Financial assistance payments shall be issued by method of direct
deposit into the individual’s bank account through the electronic
funds transfer (EFT) system when the individual or authorized representative
has elected to receive these benefits in this manner.
(b)
The portion of the assistance payment authorized as a vendor payment
made to a vendor payee, pursuant to He-W 686.01, shall be made as an EFT
deposit to the account of the vendor.
(c)
Payment
made to a provider for emergency assistance, as described in He-W 699.05, shall
be made as an EFT.
(d)
To process an EFT, the individual, authorized representative, protective
payee or vendor payee shall:
(1) Have an open checking or savings account; and
(2) Provide the department
with the bank account information necessary to make a direct deposit.
(e)
If an individual provides access or joint ownership to the account into
which the EFT deposits are made, the department shall not replace EFT benefits
used by the joint owner.
(f)
EFT deposits shall not be split between separate accounts, unless the
household has authorized an amount to be deposited into the account of a vendor
payee as described in He-W 686.01.
(g)
EFT
deposits shall be posted to the individual’s personal bank account in
accordance with He-W 670.04.
(h)
Financial assistance payments shall be issued via EBT, pursuant
to He-W 671.01, when:
(1) EFT is chosen for benefit issuance, but the
individual does not have an open checking or savings account, pursuant to (d)(1)
above;
(2) EFT is chosen for benefit issuance, but the
individual does not provide the department with bk account information
necessary to make a direct deposit, pursuant to (d)(2) above;
(3) The individual does not choose
EFT for benefit issuance, pursuant to (a) above; or
(4) The individual provides
information for EFT benefit issuance, but the information provided results in
the bank rejecting the EFT deposit, pursuant to He-W 671.01(a).
Source. (See Revision Note at Chapter Heading He-W
600); #6825, eff 8-3-98; ss by #6897, eff 12-1-98; ss by #8071, eff 4-23-04; ss
by #10178, eff 8-24-12; ss by #13190, eff 4-20-21
He-W 671.03 Adjustment to an Electronic Benefit
Transfer (EBT) Account.
(a)
An EBT transaction error shall be deemed to have occurred when a cash
assistance recipient uses an EBT card at an authorized point-of-sale or ATM
machine, and due to a systems error or malfunction:
(1) The authorized retailer is not credited with
some or all of the transfer of funds; or
(2) The cash assistance recipient does not
receive some or all of the benefits requested although
the recipient’s EBT account is debited.
(b)
The department shall adjust a cash assistance EBT account within 45
business days of being notified of an EBT transaction error described in (a)
above.
(c)
Within 5 business days of making the adjustment described in (b) above,
the department shall notify the recipient of the following:
(1)
The total amount of the adjustment
required to reconcile the account;
(2) The date the transaction occurred at the
point-of-sale or ATM machine;
(3) The name of the merchant and location where
the transaction occurred;
(4) That the recipient has 90 days to request an
administrative appeal; and
(5) That if the recipient requests an
administrative appeal within 10 calendar days from the date of notification
from the department:
a. The amount of the adjustment will be credited
to the recipient’s EBT account pending the outcome of the administrative
appeal, if the individual requests; and
b. The amount of the adjustment credited to the
recipient’s EBT cash account is subject to recoupment, in accordance with He-W
692, if the administrative appeal does not find in favor of the recipient.
(d)
For EBT transaction errors described in (a)(1) above, the department
shall additionally notify the recipient of the following:
(1) That the amount described in (c)(1) above has
been placed on hold status and is unavailable for the recipient’s use as of the
date of the notification; and
(2) If the EBT account has insufficient funds to
cover the total adjustment described in (c)(1) above, the department will place
a hold against the following month’s cash assistance benefits for the remaining
amount of the adjustment.
(e)
If the recipient does not request an administrative appeal within 10
calendar days from the date of notification from the department, the amount of
the adjustment in (d)(1) above shall be removed from hold status and credited
to the merchant, pursuant to (d)(2) above.
(f)
If the recipient requests an administrative appeal after 10 calendar
days but within 90 calendar days from notification of the adjustment from the
department, the department shall make a provisional credit to the recipient
equal to the amount described in (c)(1) above, if:
(1) The individual requests a provisional credit
due to hardship pursuant to (g) below; or
(2) The administrative appeal finds in favor of
the recipient, but:
a. The merchant refuses to credit the
recipient’s EBT account for the adjustment error; or
b. The merchant is no longer an EBT provider.
(g)
Hardship shall be deemed to exist when 80% of the benefit was not
received by the recipient and the recipient provides a written statement
indicating that the individual or household is experiencing or threatened by at
least one of the following:
(1) Homelessness or eviction;
(2) Termination of a utility or dependent care;
or
(3) Lack of medicine, food, heat, hot water, or
cooking fuel.
(h)
Provisional credits to the recipient in accordance with (f)(1) above
shall be subject to recoupment, in accordance with He-W 692, if the
administrative appeal does not find in favor of the recipient.
(i) The amount withheld from the current and
following month’s EBT accounts in accordance with (d)(2) above, shall
constitute the total adjustment amount, even if the actual amount needed to
reconcile the EBT transaction error exceeds this amount.
Source. #7977, eff 11-1-03; ss by #9987, eff 11-1-11,
EXPIRED: 11-1-19
New. #13122, INTERIM, eff 10-21-20, EXPIRED:
4-19-21
New. #13190, eff 4-20-21
He-W 671.04 Paper Checks. Financial assistance payments shall be issued
by method of paper check only when a nursing facility client chooses to receive
PNA payments in this manner.
Source. #8071, eff 4-23-04; ss by #10178, eff
8-24-12; ss by #13190, eff 4-20-21
PART He-W 672 INITIATION OF FINANCIAL ASSISTANCE
He-W 672.01 Initiation of FANF Category Financial
Assistance.
(a)
FANF financial assistance shall begin effective
with the first of the month following the month of application, or effective with the payroll period in which eligibility is
determined, whichever occurs first, provided that the family is eligible on the
date payment is made.
(b)
A FANF applicant, who is required to comply with He-W 628.01, shall
receive the first assistance payment pursuant to (a), above, or the following,
whichever is later:
(1) The day following compliance with He-W
628.01(b)(2), if EBT is the method of benefit issuance; or
(2) The second day following compliance with He-W
628.01(b)(2), if EFT is the method of benefit issuance.
(c)
A FANF applicant who is required to comply with RSA 167:79,III(b), shall
receive the first assistance payment pursuant to (a) above, or effective with
the payroll period in which the condition described in RSA 167:79,III(b) is
met, whichever is later.
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #6531, INTERIM, eff 6-27-97, EXPIRES: 10-25-97;
ss by #6614, eff 10-24-97; ss by #6825, eff 8-3-98; ss by #8684, eff 7-21-06; amd by #8869, eff 4-19-07; ss by #10163, eff 7-26-12
He-W 672.02 Initiation of Adult Category Financial
Assistance.
(a) Adult
category financial assistance shall begin effective
with the payment period in which eligibility is determined, provided that the case is eligible on the date
payment is issued.
(b) When eligibility for ANB or APTD is
denied solely due to a disability determination unit (DDU) decision and the DDU
decision is subsequently
reversed, financial assistance shall be determined beginning on the first day
of the month of that denial decision, provided:
(1) All general, technical and categorical
eligibility requirements are met; and
(2) Either of the following apply:
a. The DDU reversal is based on review of
medical information prior to an administrative appeal; or
b. The DDU decision is reversed as a result of an administrative appeal.
(c)
When an eligibility
determination is made after the 45-day or 90-day application processing
periods, pursuant to 42 CFR 435.911(a), financial assistance shall begin effective with the payment period of the month in which:
(1) The 45th day fell, for OAA and ANB
applicants; or
(2) The 90th day fell, for APTD
applicants.
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91; amd by #5749, INTERIM, eff
12-1-93, EXPIRED: 3-31-94; amd by #5806, eff 3-30-94;
amd by #6195, eff 2-24-96; ss by #6531, INTERIM, eff
6-27-97, EXPIRES: 10-25-97; ss by #6614, eff 10-24-97; ss by #8452, eff
10-22-05; ss by #10511, eff 1-24-14; amd by #10923,
eff 9-1-15
PART He-W 673 -
RESERVED
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91
PART He-W 674 TERMINATION OF FINANCIAL ASSISTANCE
He-W 674.01 Termination
of Financial Assistance.
(a) Financial assistance
shall terminate as of the end of the required advance notice period.
(b) If the individual is
potentially eligible for financial assistance under another category,
assistance shall be determined without a separate application.
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #6531, INTERIM, eff 6-27-97, EXPIRES: 10-25-97;
ss by #6614, eff 10-24-97; ss by #8452, eff 10-22-05; ss by #10471, eff
11-26-13; ss by #13648, eff 5-24-23
PART He-W 675 -
RESERVED
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91
PART He-W 676 RESERVED
Source. (See Revision Note at Part heading for He-W
876)
PART He-W 677 -
RESERVED
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91
PART He-W 678 - RESERVED
Source. (See Revision Note at Part Heading for He-W 878) #10743, eff 12-12-14
PART He-W 679 -
RESERVED
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91
PART
He-W 680 - RESERVED- Moved to He-W
880
PART He-W 681 -
RESERVED
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91
PART He-W 682 TERMINATION OF MEDICAL ASSISTANCE
He-W 682.01 Termination of Medical Assistance.
(a)
Except where otherwise specified, medical assistance shall cease as of
the last day of the advance notice period, as defined in He-W 601.01(e).
(b)
If the former medical assistance recipient is potentially eligible for
medical assistance under another category or for in and out medically needy
medical assistance under the same or another category, the individual shall
reapply for this other assistance.
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91; amd by #6195, eff 2-24-96;
ss by #6531, INTERIM, eff 6-27-97, EXPIRES: 10-25-97; ss by #6614, eff
10-24-97; amd by #6745, (HB 32), eff 5-1-98, EXPIRED:
12-31-98; ss by #6925, eff 1-1-99; ss by #8783, INTERIM, eff 12-30-06, EXPIRES:
6-28-07; ss by #8903, eff 6-28-07; ss by #10139, eff 7-1-12
He-W 682.02 - He-W 682.03 - RESERVED
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91
He-W 682.04 RESERVED
Source. (See Revision Note at Part heading for He-W
882)
He-W 682.05 RESERVED
Source. (See Revision Note at Part heading for He-W
882)
PART He-W 683 RESERVED
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91; rpld
by #5419, eff 7-1-92
PART He-W 684 REDETERMINATION OF ELIGIBILITY
He-W 684.01 Redeterminations - General.
(a) A
redetermination of eligibility shall be required under the following
conditions:
(1) At
regularly scheduled intervals as prescribed by federal regulations;
(2) When
requested by the individual;
(3) When
the department of health and human services (DHHS) discovers conflicting
information regarding eligibility factors; or
(4) When
a change in case circumstances affects other eligibility factors.
(b) Except for individuals
who meet the requirements of He-W 636.01(a) or He-W 644.01(a)(2), an individual
shall participate in a personal interview with an eligibility worker as
follows:
(1) For
all financial assistance to needy families (FANF) financial cases; and
(2) For
adult category financial cases when the individual resides in a residential
care facility, community residence, or an independent living arrangement and
receives supplemental nutritional assistance.
(c) The personal interview
for adult category individuals shall be conducted with the individual, an
authorized representative, or a nursing facility representative.
(d) For all
redeterminations requiring a personal interview, the date of the
redetermination shall be the day on which the interview is conducted.
(e) When a personal
interview is not required, the date of the redetermination shall be the return
date for the required verification.
(f) Refusal or failure,
without good cause as defined in He-W 601.04(i), to
schedule or appear for a redetermination interview and provide required
verification shall result in the termination of financial assistance for the
entire assistance group.
(g) A desk review, as
defined in He-W 601.03(g), shall be required when a reported or anticipated
change does not affect more than one eligibility factor or case circumstance.
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #6531, INTERIM, eff 6-27-97, EXPIRES: 10-25-97;
ss by #6614, eff 10-24-97; amd by #6745, (HB 32), eff
5-1-98, EXPIRED: 12-31-98; ss by #6925, eff 1-1-99; amd
by #7766, eff 10-1-02; amd by #8783, INTERIM, eff
12-30-06, EXPIRES: 6-28-07; amd by #8903, eff 6-28-07;
ss by #9277, eff 10-1-08; ss by #10139, eff 7-1-12; ss by #13524, eff 1-24-23,
EXPIRES: 1-24-33
He-W 684.02 Regularly Scheduled Redeterminations.
(a) For FANF financial assistance,
redeterminations shall be scheduled at least every 6 months from the
application month, with the month of application or redetermination always
being zero, except as described in He-W 684.02(b).
(b) Redeterminations shall
be scheduled by counting no more than 12 months from the application month,
with the application month being zero, for the following assistance groups:
(1) FANF
financial assistance groups in which no assistance group member receives
supplemental nutritional assistance and:
a. The parent is not included in the assistance
group; or
b. A caretaker relative is a member of the
assistance group; and
(2) FANF
medical assistance only groups in which no assistance group member receives
supplemental nutritional assistance.
(c) For adult category
financial assistance groups, redeterminations shall be
scheduled as follows:
(1) The
first redetermination date shall be determined by counting 12 months from the
month of application with the month of application always being zero; and
(2) Subsequent
redetermination dates shall be no more than 12 months following the most recent
redetermination.
(d) For any case containing
multiple assistance groups receiving assistance under different categories of
assistance, a redetermination shall be conducted for
all assistance groups in the case whenever the
assistance group with the most frequent redetermination schedule is required to
conduct a redetermination.
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91; amd by #5819, eff 4-29-94;
ss by #5967, eff 1-27-95; amd by #6826, eff 8-3-98; amd by #6896, eff 12-1-98; amd by
#6925, eff 1-1-99; amd by #7282, eff 6-1-00; amd by #7510, eff 7-1-01; ss by #7560, eff 10-1-01; amd by #7666, eff 4-1-02; amd by
#7835, eff 2-24-03; amd by #8325, eff 5-1-05; ss by
#9277, eff 10-1-08; ss by #10139, eff 7-1-12; ss by #13524, eff 1-24-23,
EXPIRES: 1-24-33
PART He-W 685 ADDITIONAL ELIGIBILITY REQUIREMENTS
He-W 685.01 Special Reviews of Eligibility.
(a)
Applicants for or recipients of FANF or adult category financial or
medical assistance shall cooperate with special reviews of eligibility and
provide any requested verification.
(b)
Special reviews shall be required of applicants or recipients, based
upon quality control data or the results of other formal or informal studies, in order to assist the department in the efficient
administration of its programs.
(c)
Special reviews shall consist of personal interviews including home
visits or affidavits.
(d)
The department shall not impose any new or changed condition(s)
of eligibility during these reviews.
(e)
Applicants and recipients who are subject to a special review shall be
entitled to all rights that are usually provided, including the following:
(1) Advance notice of action to deny, terminate,
or reduce benefits;
(2) The right to appeal; and
(3) The right to request continued benefits
pending the outcome of a hearing.
(f)
A client’s failure or refusal to cooperate with a quality control review
pursuant to (a) through (c) above, shall result in the the
assistance group being determined ineligible for the program under review.
(g)
If the program selected for review in (f) above is Medicaid, the
client’s failure or refusal to cooperate shall also result in the assistance
group’s ineligibility for financial assistance.
(h)
The period of ineligibility described in (f) above shall continue until
the earlier of:
(1) The client’s compliance with the quality
control review requirements; or
(2)
The end of the federal reporting period during which the quality control review
was conducted.
(i) When the period specified in (h) above has
expired, the client shall be required to reapply for assistance.
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #6531, INTERIM, eff 6-27-97, EXPIRES: 10-25-97;
ss by #6614, eff 10-24-97; amd by #6826, eff 8-3-98; amd by #6896, eff 12-1-98; amd by
#8452, eff 10-22-05; amd by #8684, eff 7-21-06; ss by
#10471, eff 11-26-13
PART He-W 686 PROTECTIVE AND VENDOR PAYMENTS
He-W 686.01 Protective
and Vendor Payments.
(a) Protective and vendor
payments shall be made under the same circumstances and in the same manner for
adult category financial assistance and for financial assistance to needy
families (FANF) financial assistance, unless otherwise specified.
(b) Pursuant to RSA 167:26,
protective payments shall be authorized when required by federal regulations
and due to mismanagement of funds as described in (d) below.
(c) The entire
assistance payment, notices of decision, and medical assistance benefit cards
shall be sent to the person designated as protective payee.
(d) Mismanagement of funds
shall include, but not be limited to:
(1) Recurring
inability to plan for and meet the monthly living expenses of the individual;
(2) Recurring
failure to meet obligations for rent and groceries;
(3) Repeated evictions or incurrence of debts with
attachments against current non-assistance income; or
(4) Recurring
incidents of children not being properly fed or clothed, and their health and
safety being threatened as a result.
(e) Physical or mental
incapacities by themselves shall not be valid reasons for assigning a
protective payee.
(f) The protective payee
shall be selected from the following:
(1) A
relative, friend, neighbor, or clergyperson;
(2) An
individual who works with voluntary social agencies, or is on the staff of a
public agency which provides homemaker and housekeeping aid services, practical
nursing, rehabilitation, or housing; or
(3) For
adult category cases, the superintendent, or a designated representative of a
public institution for the mentally ill or intellectually disabled, provided that there are staff available to assist the
superintendent in carrying out the protective payee function.
(g) The protective payee
shall not be a staff member of the department.
(h) The responsibilities of
the protective payee shall be as follows:
(1) To
receive the individual's entire assistance payment, and pay the bills according
to a budget planned with the individual;
(2) Encourage
the individual to actively participate in the management of the individual’s
income, resources, and expenses;
(3) Cooperate
with the social worker and the department staff member in helping the individual learn how to manage
household budgeting;
(4) Maintain
an accurate accounting of the individual's assistance payments; and
(5)
Comply with applicable federal laws and regulations and state statutes
regarding confidentiality.
(i) For
adult category cases, protective payments for mismanagement shall be continued
indefinitely if the mismanagement situation is not resolved.
(j) When voluntarily
requested in writing by the individual, pursuant to (k)-(l) below, a portion or
all of the assistance payment shall be made payable to
a vendor payee, as defined in He-W 601.08.
(k) To initiate vendor
payments, the individual shall:
(1) Specify
the vendor's name, address, and the amount of the payment; and
(2) Notify
the department in writing when a vendor payment is to be changed or when a
vendor payment is to be terminated.
(l) Vendor payments shall
not be made if:
(1) A
creditor is coercing the individual; or
(2) The
department has knowledge that a creditor will not provide the individual with
the same quality and quantity of goods that would be provided to the general public.
(m) Voluntary vendor payments
shall not be authorized for individuals who have a:
(1) Protective
payee due to mismanagement of funds or non-compliance with Title IV-D
requirements, as defined in He-W 601.08, even if the assistance payment is
directed to the casehead; or
(2) Foster
parent, guardian, or conservator.
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #6531, INTERIM, eff 6-27-97, EXPIRES: 10-25-97;
ss by #6614, eff 10-24-97; amd by #6825, eff 8-3-98; amd by #6826, eff 8-3-98; amd by
#6896, eff 12-1-98; amd by #8452, eff 10-22-05; amd by #8684, eff 7-21-06; ss by #10471, eff 11-26-13; ss
by #13662, eff 6-21-23
PART He-W 687 -
RESERVED
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91
PART He-W 688 CORRECTIVE PAYMENTS
He-W 688.01 Corrective
Payments.
(a) For adult category
financial assistance, corrective payments, as described in He-W 601.02, shall
be made under the same circumstances and in the same manner as in the financial
assistance to needy families (FANF) category of assistance.
(b) The individual shall
not receive a corrective payment for the following:
(1) Differences
between independent living and community residence standards of need, when the
department is not notified of the community residence living arrangement; or
(2) Differences
in benefit amounts or eligibility that result from using current information
for a prior period.
(c) Pursuant to 45 CFR
233.20(u)(12)(ii)(c), corrective payments shall only be made for underpayments
totaling $5.00 or more.
(d) The underpayment period
shall begin with the first payroll period that was affected, using the actual
or maximum time frames for client reporting, department action, and the advance
notice period, when applicable.
(e) The underpayment period
shall end:
(1) When
a correct payment has been issued, if information is still current; or
(2) With
the first payroll period after applying the actual or maximum time frames for
client reporting, department action, and advance notice period, if information
is no longer current.
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #6531, INTERIM, eff 6-27-97, EXPIRES: 10-25-97;
ss by #6614, eff 10-24-97; ss by #8452, eff 10-22-05; ss by #10471, eff
11-26-13; ss by #13646, eff 5-24-23
PART He-W 689 -
RESERVED
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91
PART He-W 690 REIMBURSEMENT
He-W 690.01 Reimbursement.
(a) Pursuant
to RSA 167:28, each applicant for old age assistance (OAA), aid to the needy
blind (ANB), or aid to the permanently and totally disabled (APTD) financial
assistance, as well as the spouse of the applicant if residing with the
applicant, shall complete an agreement to reimburse the federal government, the
state, and the county for all assistance granted.
(b) The
agreement required in (a) above shall include:
(1) The
printed name of the applicant;
(2) The
printed name of the applicant’s spouse, if applicable;
(3) The
applicant’s street address;
(4) The
county where the applicant resides;
(5) The
physical location where the agreement is being signed;
(6) The
dated signature of the applicant, and spouse if applicable;
(7) The
dated signature of a notary public or justice of the peace;
(8) The
date the commission of the notary public or justice of the peace expires;
(9) The
raised seal if witnessed by a notary public; and
(10) Acknowledgement
that the department has advised the applicant of the requirements of RSA
167:16-a, if applicable.
(c) If an applicant or
spouse fails to complete and sign the agreement, eligibility for OAA, ANB, or
APTD financial assistance shall be denied.
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #6531, INTERIM, eff 6-27-97, EXPIRES: 10-25-97;
ss by #6614, eff 10-24-97; ss by #8452, eff 10-22-05; ss by #10471, eff
11-26-13; ss by #13759, eff 9-28-23
PART He-W 691 RESERVED
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91
PART He-W 692 RECOUPMENT
He-W 692.01 RESERVED
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91
He-W 692.02 Erroneously
Paid Financial Assistance.
(a) For
adult category and financial assistance to needy families (FANF)
financial assistance, the rate and method of recoupment of
overpayments, as defined in He-W 601.06, shall be the same, except where
otherwise specified.
(b) Differences
in benefit amounts or eligibility that result from using current information
for a prior period shall not
be considered an overpayment.
(c) For
overpaid residential care facility or community residence cases, the method and
amount of recoupment shall be determined in consultation with the
department’s division of long term supports and services.
(d) When
a FANF financial assistance recipient receives direct child support or spousal
support, no overpayment shall occur as long as the
support income is used in the calculation of eligibility.
(e) The
overpayment
period shall begin with the first payroll period that was affected, using the
actual or maximum time frames for individual reporting, department action, and
advance notice period, when applicable.
(f) When
both an overpayment and an underpayment
exist for the same case, one shall be offset by the other to arrive at a
reduced recoupment or corrective payment amount.
(g) All
overpayments
shall be recovered at the same rate, except where otherwise noted.
(h) The
rate of recovery
shall be computed in the following manner:
(1) Pursuant
to (n) below, determine a rate of:
a. Ten percent of the assistance group's payment
standard; or
b. The nearest whole dollar to 10% of the
assistance group’s payment standard to equalize issuance of semi-monthly
payments, pursuant to He-W 670.04, when 10% does not allow equal semi-monthly
payments;
(2) The
result of (1) above shall be the maximum monthly amount recouped from the
assistance group;
(3) The
amount shall be rounded as described in He-W 670.03(a)(3) in
order to equalize payments for the period; and
(4) Changes
in the payment standard shall require:
a. A recalculation of the recoupment rate and the
repayment period; and
b. Notice to the recipient.
(i) The recoupment amount shall
not reduce the amount of the assistance payment to
less than $0.00.
(j) A
written
repayment agreement shall be completed by the individual whenever the
individual chooses to repay an overpayment by direct
payment in lieu of, or in addition to, a grant reduction.
(k) The
repayment
agreement shall be considered complete when the following is provided:
(1) The
individual’s name;
(2) The
period of overpayment;
(3) The
amount of the overpayment;
(4) An
indication of full or partial repayment;
(5) The
amount and frequency of payments;
(6) The
individual’s signature; and
(7) The
date the individual signed the agreement.
(l) The
terms
of a direct repayment shall be renegotiated at any time by completion of a new
repayment agreement.
(m) Changes
to an existing recoupment agreement shall require an advance notice period when
the change results in a new overpayment added to the original overpayment.
(n) If
the FANF casehead, as defined in He-W 601.02, has
been disqualified due to an intentional program violation
pursuant to He-W 693.02, the rate described in (h)(1) above shall be $10
per month until the disqualification ends.
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #6531, INTERIM, eff 6-27-97, EXPIRES: 10-25-97;
ss by #6614, eff 10-24-97; amd by #6826, eff 8-3-98; amd by #6896, eff 12-1-98; amd by
#8452, eff 10-22-05; amd by #8684, eff 7-21-06; ss by
#10471, eff 11-26-13; ss by #13756, eff 9-27-23
He-W 692.03 Erroneously Paid Medical Assistance. Medical assistance
which is erroneously paid on behalf of a client shall
be subject to recovery if the erroneous payment is due to client error,
withholding of information, or failure to comply with eligibility requirements.
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #6531, INTERIM, eff 6-27-97, EXPIRES: 10-25-97;
ss by #6614, eff 10-24-97; ss by #8417, eff 9-1-05; ss by #10384, eff 9-1-13;
ss by #13756, eff 9-27-23
PART
He-W 693 FANF INTENTIONAL PROGRAM
VIOLATIONS
He-W 693.01 Applicability. These rules shall apply to any individual who
obtains, attempts to obtain, or aids or abets any individual in obtaining
financial assistance to needy families (FANF) benefits to which the individual
is not entitled.
Source. (See Revision Note #1 at Chapter Heading He-W
600) #6008, eff 3-24-95; ss by #7834, eff 2-24-03, ss by #9871, INTERIM, eff
2-24-11, EXPIRES: 8-23-11; ss by #9983, eff 8-23-11; ss by #12901, eff 10-22-19
He-W 693.02 Intentional Program Violation.
(a)
“Intentional program violation (IPV)” means a fraudulent act for which
an individual intentionally provides false or misleading statements or
information to the department. This term includes an individual’s intentional
failure to disclose changes in resources or circumstances that would affect the
receipt of or eligibility for receipt of financial assistance to needy families
(FANF) benefits.
(b)
An individual shall be found to have committed an IPV if the individual
has:
(1) Pled guilty or nolo contendere to, or
otherwise been found guilty of, an IPV in state or federal court;
(2) Been determined to have committed an IPV by a
hearing officer following an administrative disqualification hearing on the
alleged violation pursuant to He-W 693.03;
(3) Executed a waiver of his or her right to an
administrative disqualification hearing pursuant to He-W 693.04; or
(4) Signed a consent agreement pursuant to He-W
693.05.
Source. (See Revision Note #1 at Chapter Heading He-W
600) #6008, eff 3-24-95; ss by #7834, eff 2-24-03, ss by #9871, INTERIM, eff
2-24-11, EXPIRES: 8-23-11; ss by #9983, eff 8-23-11; ss by #12901, eff 10-22-19
He-W 693.03 Administrative Disqualification Hearing
Procedures.
(a) The department’s administrative
appeals unit (AAU) shall conduct an administrative disqualification hearing
(ADH) for an individual accused of an IPV in accordance with He-C 200 and these
rules unless an individual executes a waiver of the ADH in accordance with He-W
693.04.
(b)
The AAU shall consolidate an individual’s ADH with a pending administrative
appeal hearing to be conducted in accordance with He-C 200 when they are based
on the same or related circumstances provided that the individual receives
prior notice of the consolidation.
(c)
The department shall send written notice of the ADH to the accused
individual at least 30 days in advance of the date of the scheduled ADH.
(d)
The hearing officer shall postpone a scheduled hearing at the
individual’s or the department’s request in accordance with He-C 205.09.
(e)
If the individual requests a review of the eligibility file, the review
shall be scheduled at least 10 days following the request for the review,
unless the department can accommodate an earlier review.
(f) The hearing officer shall
determine an individual committed an IPV if the evidence demonstrates by clear
and convincing evidence, as defined in He-C 203.14(a)(3), that the individual
intentionally obtained, attempted to obtain, aided, or abetted in the receipt
of benefits to which the individual was not otherwise entitled.
(g)
The AAU shall issue decisions in accordance with He-C 203.22 and RSA
541-A:35.
Source. (See Revision Note #1 at Chapter Heading He-W
600) #6008, eff 3-24-95; ss by #7834, eff 2-24-03; ss by #9871, INTERIM, eff
2-24-11, EXPIRES: 8-23-11; ss by #9983, eff 8-23-11; ss by #12901, eff 10-22-19
He-W 693.04 Waiver of the Administrative
Disqualification Hearing.
(a)
An individual accused of an IPV may waive his or her right to the ADH.
(b)
An individual who chooses to waive his or her right to an ADH shall do
so in writing by submitting the waiver form provided by the department entitled
“Administrative FANF Disqualification Hearing Waiver” Form 402 (May 1996).
(c)
If an individual waives his or her right to an ADH, the department shall
impose the disqualification penalty and provide notice of the disqualification
penalty pursuant to He-W 693.06.
Source. (See Revision Note #1 at Chapter Heading He-W
600) #6008, eff 3-24-95; ss by #7834, eff 2-24-03; ss by #9871, INTERIM, eff
2-24-11, EXPIRES: 8-23-11; ss by #9983, eff 8-23-11 (from He-W 693.05); ss by
#12901, eff 10-22-19
He-W 693.05 Court Actions on Consent Agreements.
(a)
An individual accused of an IPV may sign an agreement, otherwise known
as a consent agreement, pursuant to the approval by the prosecuting authority
in which he or she admits to committing an IPV or at least agreeing to the
finding and the resulting disqualification penalties.
(b)
The consent agreement shall include the following information:
(1) A statement for the accused individual to
sign which demonstrates that he or she understands the consequences of signing
the agreement; and
(2)
A statement that informs the individual that signing the agreement will result
in disqualification and might result in a reduction in payments to the
household for the designated period of time as
described in He-W 693.06.
Source. (See Revision Note #1 at Chapter Heading He-W
600) #6008, eff 3-24-95; ss by #7834, eff 2-24-03; ss by #9871, INTERIM, eff
2-24-11, EXPIRES: 8-23-11; ss by #9983, eff 8-23-11 (from He-W 693.06); ss by
#12901, eff 10-22-19
He-W 693.06 Disqualification Penalties.
(a)
A disqualification penalty shall not be imposed until the individual has
been found to have committed an IPV in accordance with He-W 693.02(b).
(b)
An individual found to have committed an IPV shall be disqualified from
receiving FANF benefits for the following period of time:
(1) Six months for the first violation;
(2) Twelve months for the second violation; or
(3) Permanently for the third violation.
(c)
FANF benefits for households with individuals who have been disqualified
shall be determined as follows:
(1) Count the income and resources for those
individuals in the household found to have committed an IPV as 100% available
deemed resources and deemed income to the FANF household; and
(2) Calculate the disqualified individual’s
earned income without applying the earned income disregard.
(d)
A disqualification penalty imposed on an individual by the FANF state
agency in another state shall be used in determining the disqualification
penalty for that same individual in New Hampshire by adding the total number of
IPVs committed by that individual in the other state and in New Hampshire.
(e)
Recoupment of the FANF overpayment shall be conducted by the department
in accordance with He-W 692.02, except that the department shall limit the
recoupment amount during the time the individual is disqualified to the lesser
of the percentage specified in He-W 692.02(h) or $10 per month from the FANF
payments made to the household of the disqualified individual.
Source. (See Revision Note #1 at Chapter Heading He-W
600) #6008, eff 3-24-95; ss by #7834, eff 2-24-03; ss by #9871, INTERIM, eff
2-24-11, EXPIRES: 8-23-11; ss by #9983, eff 8-23-11 (from He-W 693.02); ss by
#12901, eff 10-22-19
PART He-W 694 FUNERAL AND BURIAL EXPENSES
He-W 694.01 Funeral and Burial Expenses.
(a)
The department shall pay up to $750 toward the funeral and burial
expenses when a recipient of financial assistance dies, provided that:
(1) The recipient does not have a prepaid burial
contract;
(2) The total cost of the funeral and burial does
not exceed $1500;
(3) The cost of the funeral and burial is not
covered by:
a. An insurance policy in which the presiding
funeral director is the beneficiary; or
b. Other burial funds as defined in 20 CFR
416.1231; and
(4) The funeral director does not receive a death
benefit or payments from friends or relatives which cover the entire cost of
the deceased recipient's funeral and burial.
(b)
If at the time of death the recipient owned any personal property resources
as defined in He-W 601.06(n), these resources shall be applied toward the cost
of the funeral and burial before the department shall consider making any
payment up to the $750 limit described in (a) above.
(c)
If an insurance policy or burial funds, as described in (a)(3) above, or
other death benefits or payments from friends or relatives, as described in
(a)(4) above, do not cover the entire cost of the funeral, then the department
shall pay the difference between the total of all payments and the cost of the
funeral, subject to the $750 and $1500 limits noted in (a) above.
(d) To request reimbursement for funeral
and burial expenses of a deceased financial assistance recipient, the funeral
director shall submit an itemized bill to the department and list:
(1) The incurred expenses;
and
(2) Payments made, if any,
with the name and address of the source providing the payment.
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #6531, INTERIM, eff 6-27-97, EXPIRES: 10-25-97;
ss by #6614, eff 10-24-97; ss by #8452, eff 10-22-05
PART He-W 695 RESERVED
Source. (See Revision Note at Part heading for He-W
895)
PART
He-W 696 NUTRITIONAL SUPPLEMENT FOR
WORKING FAMILIES (NSWF)
He-W 696.01 Purpose. The purpose of Nutritional Supplement for
Working Families (NSWF) is to offer working recipients of Supplemental
Nutrition Assistance Program (SNAP) benefits a supplemental
monthly assistance pursuant to 45 CFR 260.31(a)(1) to be used only to
augment their families’ nutritional needs and help offset their other financial
obligations. Recipients of NSWF shall be
counted in the department’s work participation rate pursuant to RSA
167:77-a,I(e).
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #6531, INTERIM, eff 6-27-97, EXPIRES: 10-25-97;
ss by #6614, eff 10-24-97, EXPIRED: 10-24-05
New. #10052, eff 12-20-11; ss by #13294, eff
11-24-21
He-W 696.02 Nutritional Supplement for Working
Families (NSWF).
(a)
Nutritional Supplement for Working Families (NSWF) shall be provided, as
funding and resources allow, to single parents
residing with at least one dependent child, as defined by RSA 161-B:2, IV, who:
(1) Are employed for at least 35 hours per week;
(2) Are receiving SNAP benefits pursuant to 7 CFR
273.10; and
(3) Do not receive:
a. Any category of financial assistance offered
by the department;
b. Extended SNAP benefits pursuant to He-W
756.06; or
c. SNAP benefits described in 7 CFR
273.10(e)(3).
(b)
The child who resides with the parent pursuant to (a) above, shall:
(1) Be under age 18; and
(2) Not have another
biological or adopted parent living in the home.
(c)
The self-employed SNAP recipient shall be considered to have met the
NSWF employment eligibility requirements in (a)(1) above when:
(1) His or her net monthly self-employment profit
is divided by the federal minimum wage;
(2) The result of the calculation in (c)(1) above
is divided by 4.33 to obtain average hours worked per week; and
(3) The result of the calculation in (c)(2) above
shall meet or exceed the figure described in (a)(1) above.
(d)
NSWF shall:
(1) Begin the next payroll period in which the
criteria in He-W 696.02 are met, provided that the NSWF assistance group (AG)
meets the criteria on the date payment is made;
(2) Be issued pursuant to He-W 671.01 and He-W
670.04(a) and (c)-(e);
(3) Be calculated by dividing the total amount of
NSWF funding within the current fiscal year by the total number of currently
eligible NSWF households and rounding the resulting figure down to the nearest
dollar; and
(4) Be used only to purchase SNAP-eligible items
pursuant to 7 CFR 271.2.
(e)
If the number of eligible NSWF households has increased to such a number
that it would cause the depletion of NSWF funds before the end of the respective
fiscal year, the standard monthly NSWF amount calculated pursuant to (d)(3)
above shall be reduced to an amount that prevents the depletion of the NSWF
funds before the end of that fiscal year.
(f)
NSWF shall terminate:
(1) For the entire AG when any of the eligibility
requirements described in He-W 696.02 are not met;
(2) For the entire AG when a
NSWF recipient applies for any category of financial assistance pursuant
to He-W 601.01(p); or
(3) For all recipients when
funding and resources within the current state fiscal year are no longer
available to offer NSWF.
(g)
If the NSWF recipient requests an administrative appeal pursuant to He-C
203.03 to review the department’s decision to terminate NSWF, the NSWF
recipient:
(1) Shall not continue to receive NSWF during the
appeal process; and
(2) Shall be denied an
administrative appeal if the termination was due to reasons described in
(f)(3) above, pursuant to He-C 203.03(g).
(h)
The following provisions shall not apply to AGs receiving NSWF:
(1) Receipt of payments under the emergency
assistance program described in He-W 699.05(a)(2);
(2) Exemption from the child
care waitlist pursuant to He-C 6910.10(c);
(3) The time limits on receipt of financial
assistance described in He-W 602.05(a);
(4) Receipt of employment support services
pursuant to He-W 655;
(5) The title IV-D requirements as defined in
He-W 601.08(e); or
(6) Receipt of NSWF for retroactive periods of
time, as described in He-W 601.07(h).
(i) The department shall consider recipients of
NSWF to have met all the requirements of He-W 637.03 by being employed for at
least the minimum hours per week described in (a)(1) above.
(j)
NSWF shall not be provided:
(1) When an individual has applied for any
category of financial assistance; or
(2) While eligibility for any category of
financial assistance is being determined.
(k)
NSWF shall be deducted from the SNAP recipient’s EBT account and will no
longer be available for use, if the benefit:
(1) Was issued by the department in error;
(2) Was issued by the department while the
individual was ineligible for NSWF; or
(3) Is not used for a period of 90 days pursuant
to He-W 671.01(d).
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #6531, INTERIM, eff 6-27-97, EXPIRES: 10-25-97;
ss by #6614, eff 10-24-97, EXPIRED: 10-24-05
New. #10052, eff 12-20-11; ss by #13294, eff
11-24-21
PART He-W 697 RESERVED
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91
PART He-W 698 BUY IN OF MEDICARE PART B
He-W 698.01 RESERVED
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #6531, INTERIM, eff 6-27-97, EXPIRES: 10-25-97;
ss by #6614, eff 10-24-97; ss by #8452, eff 10-22-05; ss by #10471, eff
11-26-13; rpld by #13906, eff 3-19-24
PART He-W 699 SPECIAL PAYMENT SITUATIONS
He-W 699.01 RESERVED
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91
He-W 699.02 RESERVED
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #6531, INTERIM, eff 6-27-97, EXPIRES: 10-25-97;
ss by #6614, eff 10-24-97; ss by #6825, eff 8-3-98; ss by #8684, eff 7-21-06;
ss by #10743, eff 12-12-14
He-W 699.03 RESERVED
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #6531, INTERIM, eff 6-27-97, EXPIRES: 10-25-97;
ss by #6614, eff 10-24-97; ss by #6825, eff 8-3-98, EXPIRED: 8-3-06
He-W 699.04 Deceased
Recipients.
(a) Assistance payments
shall be returned to the department by any person having possession of such
payments when the payments:
(1)
Are received after the death of the recipient;
(2) Are
uncashed at the time of the recipient's death;
(3) Cannot
be delivered; or
(4) Are
the unused portion of previous benefits remaining in
the electronic benefit transfer account.
(b) Amounts deposited
through electronic funds transfer into the account of a deceased recipient
which have not yet been spent to cover the deceased recipient’s expenses
described in (c), below, shall be returned to the department by:
(1) The
administrator of the deceased recipient’s estate;
(2) The
joint owner of the account; or
(3) Any
person with access to the deceased recipient’s account.
(c) When a deceased
recipient’s payment is returned, vendors who meet the criteria of He-W 686.01
shall be reimbursed:
(1) For
expenses included in the recipient’s grant that:
a. Were incurred prior to the death of the
recipient; and
b. Would have been covered by the returned
payment; and
(2) Only for expenses which were incurred
during the month of the recipient’s death.
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #6531, INTERIM, eff 6-27-97, EXPIRES: 10-25-97;
ss by #6614, eff 10-24-97; ss by #6825, eff 8-3-98; ss by #8684, eff 7-21-06;
ss by #10743, eff 12-12-14, EXPIRED: 12-12-24
New. #13950, eff 4-30-24
He-W 699.05 Emergency
Assistance.
(a) The department shall
operate an emergency assistance program pursuant to RSA 167:7, V to assist
families to secure or retain permanent housing.
(b) To be financially
eligible to receive emergency assistance to secure or retain permanent housing,
the family shall meet one of the following:
(1) Be eligible for and receiving financial
assistance to needy families (FANF);
(2) Be categorically and financially eligible for
FANF according to the requirements described throughout He-W 600 but not be receiving it; or
(3) Meet all the categorical and financial
requirements to receive FANF, as described throughout He-W 600 except that the
caretaker relative shall not be required to meet the definition of a specified
relative, as defined in He-W 601.07, provided that the children did live with a
specified relative, as so defined, within 6 months prior to the month in which
the emergency assistance is requested.
(c) When determining
financial eligibility for emergency assistance to secure or retain permanent
housing, the income and resources of all eligible children, and a specified
relative as defined in He-W 601.07 and the
specified relative’s spouse, shall be combined and compared to the FANF
payment standard for the appropriate assistance group (AG) size as described in
He-W 658.02, and FANF resource limits, as described in He-W 656.06, whether the
family is receiving FANF or not.
(d) Non-financial
eligibility requirements for emergency assistance to secure or retain permanent
housing shall be as follows:
(1) The
applicant shall submit a written request for assistance to the department as
indicated in (e) below;
(2) The
applicant shall verify that the AG is experiencing or is threatened with
homelessness or unsafe or unhealthy living conditions pursuant to He-W
606.104(b);
(3) The
applicant:
a. Has complied with
all verification requirements of He-W 606.104; and
b. Is
not under sanction pursuant to RSA 167:79, VI(b)-(d) or RSA 167:82, III(c)-(g)
at the time of application or at any time during the eligibility
determination process for emergency assistance, or if an individual in sanction
has a plan to cure and is actively engaging in curing the sanction with the New
Hampshire employment program (NHEP), then the individual shall be eligible to
apply for emergency assistance;
(4) The
applicant's residence shall be currently occupied and:
a. Owned
or rented by any of the individuals whose needs, income, and resources are used
to determine eligibility for emergency assistance;
b. Jointly owned with:
1. An
individual whose needs, income, and resources are used to determine eligibility
for emergency assistance; or
2. The
individual's spouse or adult child who resides on the property; or
c. Be owned on a future date by any of the
individuals cited in (4)a and (4)b above, pursuant to
a court order which awards the property to the individuals(s) and specifies
that the property will be transferred; and
(5) The
applicant’s need for emergency assistance is not due to:
a. Voluntarily
quitting a job of at least 20 hours a week within 60 days of applying for
emergency assistance unless the reason for voluntarily quitting meets the good
cause criteria pursuant to RSA 167:82, III(c)-(d); or
b. Any
of the reasons described in RSA 167:79, VI(b)-(d), and RSA 167:82, III(c)-(g).
(e) The applicant shall
submit a signed and dated written request for emergency assistance to secure or
retain permanent housing to the department which contains the following
information:
(1) The
type of emergency situation, including time periods,
if the request is for a rental, mortgage principal or interest, or utility or
fuel delivery arrearages;
(2) The
specific type of assistance required; and
(3) The amount of assistance requested.
(1) Rental security
deposits or first month’s rent, or both, required to obtain housing, provided
that the monthly rental expense does not exceed 100% of the AG’s total monthly
income;
(2) The
minimum amount of back rent required to retain current housing, provided that:
a. The
period the back rent is intended to cover has expired; and
b. If
the monthly rent obligation exceeds 100% of the AG’s total monthly income, the
AG provides a signed and dated statement from any person or entity indicating
the intent to assist in maintaining the AG’s monthly rent obligation;
(3) The
minimum amount of back mortgage principal and interest required to retain
current housing, provided that:
a. The
period the back mortgage principal and interest is intended to cover has
expired; and
b. If
the monthly mortgage obligation exceeds the AG’s total monthly income, the AG
provides a signed and dated statement from any person or entity indicating the
intent to assist in maintaining the AG’s monthly mortgage obligation;
(4) Utility
deposits required to obtain heat, electricity, water, sewer, and gas service;
(5) Utility
arrearages to prevent termination of heat, electricity, water, sewer, and gas
service; and
(6) Deliveries
of home heating fuel, including:
a. A current fuel delivery; or
b. Payment
of the cost of the most recent fuel delivery arrearage which will allow for a current fuel delivery.
(g) The AG shall meet the
following conditions for the permanent housing expense requested:
(1) The
applicant shall provide verification of the emergency
situation specified in (e) and (f) above pursuant to He-W 606.104;
(2) If
the rental or utility security deposit request exceeds the maximum allowed by
the department, the AG shall verify one of the following pursuant
to He-W 606.104(b):
a. That
the remainder of the deposit will be secured;
b. A
payment plan has been arranged for the balance of the deposit; or
c. The
payment authorized by the department will secure the housing;
(3) If
the amount of the back rent, mortgage principal and interest, or utility
arrearage exceeds a 2-month period, the AG shall verify the following pursuant
to He-W 606.104(b):
a. The
remainder of the back rent, mortgage principal and interest, or the utility
arrearage will be secured;
b.
Payment of a 2-month portion will prevent eviction, foreclosure, or termination
of utilities; or
c. A
payment plan has been arranged for the remainder of the bill;
(4) For
utility deposits, utility arrearages, and deliveries of home heating fuel
requests, the applicant shall verify the following pursuant to He-W 606.104(b):
a. That
all sources of energy assistance have been exhausted;
b. That
the AG is ineligible for energy assistance; or
c. That
energy assistance cannot be provided in time to meet the emergency need; and
(5)
If the amount requested for home heating fuel exceeds the maximum allowed by
the department, the AG shall verify one of the following pursuant to He-W
606.104(b):
a. That
the remainder of the cost will be secured;
b.
A payment plan has been arranged with the home heating fuel company for the
remainder of the cost; or
c.
The payment authorized by the department will secure a current home heating
fuel delivery.
(h) The maximum amount of
emergency assistance to secure or retain permanent housing shall be authorized
as follows:
(1) For
rental security deposits or first month’s rent, $650;
(2)
For rental security deposits and first month’s rent, $650 combined;
(3) For
utility deposits, the amount charged by the utility provider;
(4) For deliveries of home heating fuel, $700; and
(5) For
rent, mortgage principal and interest, or utility arrearages, the amount
charged for a 2-month period.
(i) The
following shall apply to authorizations of emergency assistance to secure or
retain permanent housing:
(1) An
emergency assistance request for the same item shall only be approved by the
department more than once in a 12-month consecutive period in the following
circumstances:
a. Until
the maximum amount specified in (h)(3) above is reached, home heating fuel can
be authorized up to 6 times in the 12 consecutive months; and
b. A
rental security deposit that would enable the applicant
to change residences can be authorized more than once in a 12-month consecutive
period, provided the landlord has returned or will return the previously
authorized deposit to the department;
(2) The
department shall authorize payment for either a rental security deposit or a
back rent or mortgage principal and interest arrearage, but not both, in the
same 30-day period;
(3) The
AG shall be:
a. Allowed
to retain a total of $250 of the following cash resources, or resources readily
converted to cash, which belong to the applicant and the applicant’s spouse if
residing with the applicant:
1. Personal
property resources, as defined in He-W 601.06;
2. Resources
resulting from accumulation of types of income excluded by federal mandate; and
3. Accumulation
of federal, state, and local income tax refunds; and
b. Required
to apply any remaining amounts of these resources toward the emergency
situation before emergency assistance for permanent housing services can
be authorized;
(4) The
department shall send a written notice of decision (NOD) to the applicant
within 15 working days of the date the application for emergency assistance is
received by the department;
(5) The
NOD described in (4) above shall include the following:
a. The
eligibility decision;
b. The
reason for the decision, if the emergency assistance request is denied; and
c. The
resource computation, if the full amount of the request was reduced by the
applicant's personal property resources; and
(6) Emergency
assistance payments to secure or retain permanent housing shall be paid to the
provider of the service and shall not be paid to the applicant.
(j) Emergency assistance
payments shall be denied when funds for the programs are no longer available.
Source. (See Revision Note #1 at Chapter Heading He-W
600) #5171, eff 6-26-91; ss by #5370, eff 4-13-92; amd
by #6672, eff 1-26-98; ss by #6754, eff 5-20-98; amd
by #7206, eff 3-1-00; amd by #7415, EMERGENCY, eff
12-15-00, EXPIRED: 6-13-01; ss by #7497, eff 6-14-01; amd
by #7714, eff 7-1-02; paragraphs (j)-(k) amd by #8740,
INTERIM, eff 10-13-06, EXPIRED: 4-11-07; paragraphs (j)-(k) amd
by #8869, eff 4-19-07; paragraph (h) amd by #9300,
EMERGENCY RULE, eff 10-21-08, EXPIRES: 4-19-09; ss by #9434, eff 4-1-09; amd by #9642, eff 2-1-10; ss by #10860, eff 6-30-15; amd by #12697, eff 12-31-18; ss by #14299, eff 7-1-25,
EXPIRES: 7-1-35
He-W 699.06 RESERVED.
Source. #7455, EMERGENCY, eff 2-23-01, EXPIRED:
8-22-01
APPENDIX
|
Rule |
Specific State or
Federal Statute or Regulations the Rule Implements |
|
He-W 601.01 |
RSA
161:2,I; RSA 161-B:2, XIII & XIV; RSA 161-C:22; RSA 167:3-c,I & XII; RSA 167:4,I,IV(b) & (e), RSA
167:6,I,IV,V,VI,VIII & IX; RSA 167:7,IV; RSA 167:8,I; RSA 167:14-a; RSA 170-B:2,I &
XII; RSA 167:78,II; RSA 167:79,II & III(g); RSA 167:80; RSA 167:81; RSA 167:83,II(b) &
III(b);8 CFR 215.1(a); 38 CFR 3.352; 42 CFR 435.4; 42 CFR 435.908; 45 CFR
206.10(a)(1)(iii), (a)(4),(b)(1)-(2) & (b)(5); 45 CFR 234.11; 45 CFR
233.20(a); 45 CFR 260.31; Section 407 of PRWORA (PL 104-193); Section 419 of
PRWORA (PL 104-193); 8 USC 1158; 42 U.S.C 619(1); 42 USC 608(b); 42 USC 601;
42 USC 608(a)(3); 42 USC 659(i)(3); 42 USC 1206; 42
USC 1320b-7(d); 42 USC 1355; 42 USC
1382b(c); 42 USC 1382c(b); 42
USC 1396p(c) |
|
He-W 601.02 |
RSA 126-A:19;
RSA 126-A:20; RSA 161:2,I; RSA 161-B:2, I & XIII; RSA 167:3-c,I
& II; RSA 167:4,I; RSA 167:7,II-III; RSA 167:82,VII; RSA 167:78,III
& VI; RSA 167:79,II; RSA 167:82,VII;42 CFR 435.406; 42 CFR 435.407; 45
CFR 260.30; 45 CFR 206.10(a)(1)(vii),(a)(8) & (b)(5); 45 CFR 233.20(a)(2)-(3)(i),(a)(12); 42 USC 619(2); 42 USC 1320b-7; 42 USC
1382a(a)(2)(g); 42 USC 1382b;42 USC 1396u |
|
He-W 601.03 |
RSA 161-B:2,II
& IV; RSA 161:2,I; RSA 167:3-c,I & & IX; RSA 167:4,I; RSA
167:6,V; RSA 167:7,IV; RSA 167:13; RSA 167:14-14-a; RSA 167:28; RSA
167:78,VI-VIII XV, & XXIII; RSA 167:79,I & III(a); RSA 167:80; RSA
167:81; RSA 167:82; RSA 167:83,II(c),(l)& (o); RSA 167:84,I; 24 CFR
5.100; 45 CFR 206.10(a)(9)(iii)-(iv) & (b)(3); 45 CFR
233.20(a)(2)-(a)(3)& (a)(6)-(a)(11); 45 CFR 233.39; 45 CFR 260.30; 45 CFR
261.10; 45 CFR 263.2(b)(2); 42 USC 619(2); 42 USC 1437f; Section 404(g) of
PRWORA (P.L. 104-193); 42 USC 1382b |
|
He-W 601.04 |
RSA
161-B:2,XIII; RSA 167:4,I(b); RSA 161:4-a,V & IX; RSA 167:77-a,I; RSA
167:77-e; RSA 167:78,VI & X; RSA 167:83,II(l); RSA 167:84; 24 CFR 5.100;
42 CFR 435.4; 42 USC 608(a)(1); 45 CFR 233.20(a)(2)-(3), (a)(6) &
(a)(15)(i); 45 CFR 260.30; 45 CFR 263.2(b)(2); 42
USC 608(a)(1); 42 USC 602;42 USC 1382b; 42 USC 1396p(d)(2)(A); 42 USC 1396t |
|
He-W 601.05 |
RSA 151; RSA
161-B:1- B:2,XI & XIII-XIV; RSA 167:3; RSA 167:3-a; RSA 167:3-b; RSA
167:3-c,I; RSA 161:4-a,IX; RSA 167:6,V & VII; RSA 167:7,I-a(a); RSA
167:8,I; RSA 167:68; RSA 167:77-a,I(a); RSA 167:78, II,VI, XI, XVI &
XVII; RSA 167:79; RSA 167:80; RSA 167:82; RSA 167:83,II(b),(l)&(o): RSA
167:85; 8 CFR 1.2; 8 CFR 101.1; 8 CFR 215.1(a), 42 CFR 435.121(e)(4); 42 CFR
435.301(a)(1)(ii); 42 CFR 435.602; 42 CFR 435.1009; 45 CFR 206.10(a)(4);45
CFR 233.20(a)(2)-(3); 45 CFR 233.107;42 USC 604(f); 42 USC 608(a)(1); 42 USC
608; 42 USC 1382(e)42 USC 1382b; 42 USC 1320b-7; 42 USC 1396a(a)(10); 42 USC
1396d(a); 42 USC 1396p(d)-(e); 42 USC 1396r(a); 42 USC 1396u(d); 42 USC
1397d(a)(5); 42 USC 1397jj |
|
He-W 601.06 |
RSA
161-B:2,XIII-XIV; RSA 161:2,I; RSA 167:3; RSA 167:3-c,I-II; RSA
167:4,I(b),III-a & IV; RSA 167:6,V & VI; RSA 167:7,II & III; RSA
167:8,I; RSA 167:26; RSA 167:28; RSA 167:77-e; RSA 167:79,III(e)-(f) &
III(j) & IV(b); RSA 167:81; RSA 167:82,VI; RSA
167:83,II(c),(e)-(f),(h)& (i); RSA 170-B:2,XII;
20 CFR 416.1180-.1182; 45 CFR 206.10; 45 CFR 233.20(a)(3) & (a)(12)(i); 45 CFR 234.60(a)(7)(i); 42
USC 1385; 42 USC 1382(e); 42 USC 1382a(a)(2)(G); 42 USC 1382b; 42 USC
1382c(a)(3); 42 USC 1396a; 42 USC 1396p(d); 42 USC 1396u-1 |
|
He-W 601.07 |
RSA 21:6;RSA
161-B:2,XIV; RSA 167:3; RSA 167:3-c,I; RSA 167:4,I; RSA 167:6,V; RSA
167:7,I-III; RSA 167:14-a; RSA 167:78,XXIII; RSA 167:79,II-IV(a),VI; RSA
167:81; RSA 167:82,III-V, VII; RSA 167:83,II(i);
RSA 170-B:2,XII; 42 CFR 435.403(d); 42 USC 607(e); 45 CFR
206.10(a)(1)(vii)(A); 45 CFR 233.10(b)(2); 45 CFR 233.20(a); 42 USC
409(a)(4); 42 USC 1396a(a)(34);42 USC 1382b; 42 USC 1396p |
|
He-W 601.08 |
RSA 161-B:1, RSA
161-C:22; RSA 161:2,XVI; RSA 167:3-c,I; RSA 167:7,IV; RSA 167:14-a,V; RSA
167-77-e; RSA 167:78; RSA 167:79,III(c); RSA 167:80; RSA 167:81; RSA
167:83,II; 45 CFR 303.0 et. Seq; 42 USC 422; 42 USC 404(a)(1);42 USC
607(d)(8); 42 USC 608(a)(2)-(3); 42 USC 1382a(a)(2);
42 USC 1396p(c)-(d); 42 USC 1397 |
|
He-W 602 |
Section
408(a)(7) of the SSA Act as amended by the Personal Responsibility and Work
Opportunity Reconciliation Act (PRWORA) of 1996 |
|
He-W 602.01 |
Section
1902(a)(10)(A) of the Social Security Act (SSA); [42 USC 1396a] Section 1931
of the SSA [42 USC 1396u-1]; 42 CFR 435.21042 CFR 435.601(b); RSA 167:3-c, I |
|
He-W 602.02 |
42 USC 607; 45
CFR 205-206; 45 CFR 232-235; 45 CFR 250; RSA 167:3-c, I RSA 167:77 |
|
He-W 602.03 |
RSA 161:4-a, IX;
RSA 167:3-c, I; RSA 167:4; RSA 167:8; 45CFR 206.10(a)(1); 45 CFR 206.10(b)(2) |
He-W 602.04 Reserved
|
|
|
He-W
602.04(b)(8)-(10) |
Section
1902(a)(10)(A)(ii)(XIV) of the Social Security Act [42 U.S.C 1396a] Section
1905(u)(2) of the Social Security Act [42 U.S.C. 1396d] RSA 167:3-c,
VIII; RSA 167:3-e; RSA 167:3-f; RSA 167:6, VII RSA 167:68, I;
42CFR 435.210; 42 CFR 435.222; 42 CFR 435:225 |
|
He-W 602.05 |
Section 408(a)(7) of the SSA [42 USC 608(a)(7)]; RSA 167:3-c, I; RSA
167:77 |
|
He-W 602.05(a) |
Section 408(a)(7) of the Social Security Act (SSA) [42 USC 608(a)(7)] |
|
He-W 602.06 |
RSA 167:3-c, I;
RSA 167:82; RSA 167:85; 42 USC 602(a)(1)(A)(iii) |
|
He-W 602.08 |
RSA
167:3-c, I; RSA 167:7, III; RSA 167:82; 42 USC 608(a)(7)(C) |
|
He-W 602.09 |
RSA 167:3-c, I;
RSA 167:7, III; 42 USC 608(a)(7) |
|
He-W 602.10 |
RSA
167:3-c, I; RSA 167:7, III; RSA 167:17-b, II; RSA 167:17-c; RSA 167:82; 42
USC 608(a)(7)(C); 45 CFR 260.55 |
|
He-W 602.14 |
RSA 167:3-c, l;
RSA 167:7, III; 42 USC 608(a)(7) |
|
He-W 602.15 |
RSA
167:3-c, I; RSA 167:7, III; 42 USC 608(a)(7)(C); 45 CFR 205.10 |
|
He-W 602.16 |
RSA
167:3-c, I; RSA 167:7, III; 42 USC 608(a)(7)(C) |
|
He-W 602.17 |
RSA
167:3-c, I; RSA 167:7, III; 42 USC 608(a)(7)(C); 45 CFR 233.100-101 |
|
He-W 603.01 |
RSA 167:83,
III(b); 45 CFR 206.10(a)(1)(iii); 42 CFR 435.923(c) |
|
He-W 603.02 |
RSA 167:17-b;
RSA 167:83, II(c); RSA 641:3; 45 CFR 206.10(a)(2)(ii) |
|
He-W 603.03 |
RSA 167:17; 45
CFR 206.10(a)(2)(ii) |
|
He-W 604.01 |
RSA 167:3-c, I;
RSA 167:4, I; RSA 167:10 |
|
He-W 604.02 |
RSA 167:10; RSA
167:83, II(b) & (f), & III(c); 45 CFR 206.10(a)(4) |
|
He-W 604.03 |
RSA 167:83,
II(b) & III(c); 45 CFR 205.10(a)(4); 45 CFR 206.10(a)(7) |
|
He-W 604.04 |
RSA 167:3-c,
I; RSA 167:83, II(b); 45 CFR 206.10(a)(4)
|
|
He-W 604.05 |
RSA 167:3-c,
I; RSA 167:31; RSA 167:32; RSA 167:83, II(b); 45 CFR
206.10(a)(4); 45 CFR 206.10(a)(1)(iii); 45 CFR 205.36; 45 CFR 205.50
|
|
He-W 606.01 |
RSA 167:4-a; RSA
167:4-c; 42 CFR 435.913; 42 CFR 435.916; 45 CFR 205.55; 45 CFR 206.10(a)(8);
Section 1935 of the SSA [42 USC 1396u-5] |
|
He-W 606.02 |
RSA 167:3-c; RSA 167:4; RSA 167:4-c; RSA 167:79,
IV(c); RSA 167:79, V(a)(1); RSA 167:82; RSA 167:83, II(c); RSA 167:84; RSA
167:84, II; 42 CFR 435.406; 42 CFR:435.407; 42 CFR 435.956(b)(2); 45 CFR
233.50; 8 USC 1157; 8 USC 1158; 8 USC 1253; 8 USC 1255; 43 USC 1320b-7; 42
USC 1396.a(ee); 42 USC 1396b. |
|
He-W 606.02(b) |
P.L. 109-171
section 6036 amends Section 1903 of the Social Security Act [42 USC 1396b];
42 CFR 435.407 |
|
He-W 606.10 |
RSA 167:6, I,
IV, & VI; 42 CFR 435.403; 42 CFR 435.913 |
|
He-W 606.11 |
RSA 167:78,
XXIV; RSA 167:79, II & IV |
|
He-W
606.11(d) |
RSA
167:78, XXIV; RSA 167:79, II & IV(a); 45 CFR 206.10(a)(9)(ii) |
|
He-W 606.18 |
RSA
167:79, IV(b) |
|
He-W 606.19 |
RSA 167:6, V;
RSA 167:79; RSA 167:83, I(a) & II(c); 45 CFR 206.10(a)(1)(vii); 45 CFR
233.90(c)(1) |
|
He-W 606.20 |
RSA 167:6, V;
RSA 167:79, I(a); RSA 167:83, II(c); RSA 167:84, I(a); 45 CFR 233.90(a)(1)
& (c)(1)(i)-(ii) |
|
He-W 606.21 |
RSA 167:6, V;
RSA 167:79, I(a); RSA 167:83, II(c); RSA 167:84, I(a); 45 CFR
233.90(a)(1) & (c)(1)(i) & (iii) |
|
He-W 606.22 |
45 CFR
233.100-101; RSA 167:6, V; RSA 167:83, II(c) |
|
He-W 606.23 |
RSA 167:6, V;
RSA 167:78, III & XXIII; RSA 167:79, I(a) & III(i);
RSA 167:83,
II(c); RSA 167:84, I(b); 45 CFR 206.10(a)(1)(vii); 45 CFR
233.90(c)(1)(v) |
|
He-W 606.24 |
RSA 167:6, V;
RSA 167:78, VI & XV; RSA 167:83, II(c); 45 CFR 233.39 |
|
He-W 606.26 |
RSA 167:79,
III(l); RSA 167:83, II(c); 45 CFR 233.106 |
|
He-W 606.28 |
RSA 167:3-c;
167:4-c; 167:79, III(i); RSA 167:79, IV(c); RSA
167:83, II(c); RSA 167:84; 42 CFR 435.407(c); 42 CFR 435.407(d)(I). 42 CFR
435.956(b)(2); USC 1396a(ee) |
|
He-W 606.30 |
RSA 167:4, I(c); RSA 167:78, I; RSA 167:82, II;
RSA 167:83, II(c) |
|
He-W 606.31 |
RSA 167:79,
III(c); RSA 167:82, III(b); 45 CFR 232.40, & .42-.43; 45 CFR 260,
Subpart B; 42 USC 602(a)(7) |
|
He-W 606.32 |
RSA 167:82,II |
|
He-W 606.36 |
RSA 167:79,
III(h); RSA 167:4-c; 45 CFR 205.52; 42 USC 1320b-7 |
|
He-W 606.37 |
RSA 167:3-c, l; 45
CFR 233.20(a)(3)(ix); Title II of the SSA [42 USC 401 et seq]; Title XVI of
the SSA [42 USC 1381 et seq.] |
|
He-W 606.41 |
Reserved |
|
He-W 606.42 |
RSA 167:6, I; 42
CFR 435.913; 45 CFR 233.39; 42 USC 306(a) |
|
He-W 606.55 |
RSA
167:3-b; RSA 167:3-c,I; RSA 167:79,V(b); RSA 167:80; RSA
167:83,II(m); 20 CFR 416.1165; 20 CFR 416.1202; 20 CFR 416.1205 Section 1902(a)(17)(d) of the Social Security Act
[42 USC 1396a(a)(17)(d)] |
|
He-W 606.58 |
RSA 167:80, V |
|
He-W 606.59 |
RSA 167:79,
III(e); RSA 167:80, I & III; RSA 167:83, II(c); 42 CFR 435.913; 45 CFR
233.20 |
|
He-W 606.60 |
RSA 161:4-a, II; RSA 167:3-c,I; RSA 167:7,IV; RSA 167:17,III;
RSA167:17-b,I(a); RSA 167:17-b,I(d) |
|
He-W 606.65 |
RSA 167:6, VI;
RSA 167:80, IV(i); RSA 167:81, IV(g); RSA 167:83,
II(c); 20 CFR 416.1180-.1182; 42 CFR 435.913 |
|
He-W 606.68 |
RSA 167:4, I(a) |
|
He-W 606.69 |
RSA 167:6, VI;
20 CFR 416.905; 20 CFR 416.976; 20 CFR 416.1112(c)(6); 42 USC 1382c |
|
He-W 606.73 |
RSA 167:80, I;
RSA 167:82, VII(a)(4) & (b); RSA 167:83, II(c); 42 CFR 435.913 |
|
He-W 606.74 |
|
|
He-W 606.75 |
RSA 167:80, I;
RSA 167:83, II(c); 42 CFR 435.913; 45 CFR 233.20 |
|
He-W 606.76 |
RSA 167:4, I(a);
RSA 167:79, III(f); RSA 167:81; RSA 167:83, II(c); |
|
He-W 606.78 |
RSA
167:4; RSA 167:7, IV; RSA 167:81, I; 45 CFR 233.20(a)(1)(v) & (a)(3) |
|
He-W
606.78(a)(6) |
RSA 167:4; RSA
167:7, IV; RSA 167:81, I; 42 CFR 435.845 45 CFR
233.20(a)(1)(v) & (a)(3) |
|
He-W 606.83 |
RSA 167:79, IV;
RSA 167:83, II(c) & (e); 42 CFR 435.913 |
|
He-W 606.84 |
42 CFR 435.913 |
|
He-W 606.89 |
42 CFR 435.4; 42
CFR 435.831; RSA 161:4-a,IX |
|
He-W 606.90 |
Reserved |
|
He-W 606.92 |
RSA 161:4-a, IX;
RSA 167:3-c, I; RSA 167:4; 45 CFR 206.10(a)(2)(iii); 45 CFR 206.10(a)(9); 45
CFR 206.10(b)(4) |
|
He-W 606.98 |
Reserved |
|
He-W 606.100 |
42 CFR 435.913;
42 CFR 435.916 |
|
He-W 606.104 |
RSA 167:3-c,
II-a; RSA 167:7, V; RSA 167:83, I(c) & II(c) |
|
He-W 608.01 |
RSA 161:2, I;
RSA 167:3-c, I
|
|
He-W 608.02 |
RSA 161:2,I;
RSA 167:3-c,I; RSA 167:7-b;
42 USC
602(a)(1)(A)(vii);
42 USC
608(a)(12); 42 USC 609(a)(16)
|
|
He-W 616.01 |
RSA 167:3-c, I;
45 CFR 233.51 |
|
He-W 616.02 |
RSA 167:3-c, I;
8 USC 1641(b); 42 USC 602(a)(1)(B)(ii); 45 CFR 233.50 |
|
He-W 618.01 |
RSA 167:79, IV
& V; Section 408(a)(7)(c)(iii) of the Social Security Act |
|
He-W 618.02 |
42 CFR 435.403 |
|
|
|
|
He-W 619.01 |
RSA 151-E:18,
IV, VII |
|
He-W 619.02 |
RSA 151-E:18 |
|
He-W 619.03 |
RSA 151-E:18, II |
|
He-W 619.04 |
RSA 151-E:18,
VII |
|
He-W 619.05 |
RSA 151-E:18 |
|
He-W 620.01 |
RSA 161:4-a, II;
RSA 167:3-c, I; RSA 167:4, I(b) |
|
He-W 621
Reserved |
|
|
He-W 622.01 |
RSA
167:2; RSA 167:3; RSA 167:3-c, I; RSA 167:78, XV; 42 USC 9902(2) |
|
He-W 624.01 |
RSA
167:79, IV(b) |
|
He-W 625.01 |
RSA 167:4-c; RSA
167:79,III(h); 45 CFR 205.52; 42 USC 1320b-7 |
|
He-W 625.01(a)
and (b) |
RSA
167:79,III(e); 45 CFR 205.52; 42 CFR 435.910; Section 1137 of the Social
Security Act; [42 USC 1320b-7] |
|
He-W
625.01(c)-(e) |
RSA 167:79 45;
CFR 205.52; Section 1137(a)(1) of the Social Security Act [42 USC 1320b-7] |
|
He-W 626.01 –
626.03 |
Section
1902(a)(10)(A)(ii) of the Social Security Act [42 U.S.C.
1396a(a)(10)(A)(ii)]; 42 USC 1396r-1c; 42 U.S.C. 1396a(ii)(3), RSA 126-A:4-c |
He-W 627
|
45 CFR 260.31;
RSA 167:77-a,I(a); RSA 167:77-a,I(b); RSA 167:78, VI |
|
He-W 627.01 |
RSA 167:77-a; RSA 167:77-e; RSA
167:79; 45 CFR 260.31
|
|
He-W 627.03 |
45 CFR 260.31; RSA 167:77-a, I(a); RSA 167:78, VI
|
|
He-W 627.04 |
RSA 167:77-a,
I(a); RSA 167:77-e, II |
|
He-W 627.05 Reserved |
|
|
He-W 628.01 |
RSA 167:6, V;
RSA 167:79, I(a); RSA 167:84, I; 45 CFR 233.90(a)(1) & (c)(1)(i)-(iv) |
|
He-W 628.02 |
RSA 167:3-c,I;
RSA 167:6,V; RSA 167:79,I(a); RSA 167:83,II(c) RSA 167:84,I; 45
CFR 233:90(b)(6) & (c)(1)(iv) |
|
He-W 628.03 Reserved |
|
|
He-W 630.01 |
Section
408(a)(7) of the SSA Act as amended by PRWORA; RSA 167:6; RSA 1690C:3,XIV;
RSA 167:6; RSA 167:78; RSA 167:79,II and V(b); RSA 167:83,II |
|
He-W 632.01 |
RSA 167:6,V; RSA
167:78,VI & XV; RSA 167:79,I; RSA 167:83,II(c); 42 CFR 435.522(c); 45 CFR
233.39; 45 CFR 260.30; 42 USC 619(2) |
|
He-W 632.01(a) |
RSA 167:78,VI;
45 CFR 233.39; 45 CFR 260.30; 42 USC 619(2) |
|
He-W
632.01(b)-(c) |
RSA 167:79 45,
CFR 233.39 |
|
He-W 634.01 |
RSA
167:79,III(l); 45 CFR 233.106 |
|
He-W 636.01 |
RSA 161:4-a, IX;
RSA 167:8; RSA 167:79, III(j); RSA 167:83, II(d) and (c);45 CFR 206.10(a) |
|
He-W 636.01 |
RSA 161:4-a, IX; RSA 167:8;
RSA 167:79, III(j); RSA 167:83, II(d) and (c); 45 CFR 206.10(a)
|
|
He-W 636.02 |
RSA 167:79,III(i); 42 CFR 435.407; 42 CFR 435.913 |
|
He-W 636.03 |
RSA 167:6,V; RSA
167:78,XIV; RSA 167:80,IV(b); RSA 167:82,II(b) |
|
He-W 636.08 |
RSA 167:79,III (c), RSA
167:82, III (b) |
|
He-W 636.09 |
RSA 161:4-a,V;
RSA 167:79,III(c) & VI(a); RSA 167:82,III(b) & V; RSA 167:83,II(c)
& (l) |
|
He-W
636.09(c)-(e) |
RSA 167:82,
III(b); RSA 167:82, V |
|
He-W 636.10 |
RSA
167:79,VI(a); RSA 167:82 III(b); 42 USC 608(a)(2) |
|
He-W 637.01 |
45 CFR 261.2;
RSA 167:77, IV; RSA 167:78. |
|
He-W 637.02 |
RSA 167:77; RSA
167:78; RSA 167:79, III(a). |
|
He-W 637.03 |
P.L. 104-193,
section 407(d) of the SSA [42 USC 607(d)]; 45 CFR 261.2(i)-(k)
|
|
He-W 637.04 |
RSA 167:3-c, I;
RSA 167:78, I; RSA 167:82, II; RSA 167:83, II(o) RSA 167:85, V; 42 USC
608(a)(4) |
|
He-W
637.04(e)(4) |
Section
408(a)(7) of the SSA Act as amended by the Personal Responsibility and Work
Opportunity Reconciliation Act (PRWORA) of 1996 |
|
He-W 637.05 |
RSA 167:79,
III(a) & VI(c)-(e); RSA 167:82; RSA 167:85; RSA 167:88; RSA 167:90-92 |
|
He-W 637.06 |
RSA 167:82,III –
V; RSA 167:83,II(o) & III(h); RSA 167:85; 42 USC 607(e) |
|
He-W 637.07 |
RSA 167:82,
III(c)-IV; 45 CFR 260, Subpart B; 42 USC 602(a)(7) |
|
He-W 637.08 |
P.L.
104-193, section 407(e) [42 USC 607(e)]; RSA 167:79, III(b); RSA 167:82,
III-V; RSA 167:84, II. |
|
He-W 637.09 |
RSA 167:77,
IV-V; RSA 167:79, III(a); RSA 167:85; RSA 167:88;45 CFR 261.11; 45 CFR 261.13 |
|
He-W 637.10 |
RSA 167:78,XIII |
|
He-W 637.12 |
RSA 167:77,
IV-V; RSA 167:84, II; RSA 167:85, IV(e); RSA 167:88; 45
CFR 261.12; 45 CFR 261.11 |
|
He-W 637.13(a)
& (b) |
RSA 161:4-a, IX |
|
He-W 637.14 |
RSA 167:88 |
|
He-W 637.15 |
RSA 167:85; RSA
167:88; RSA 167:91, III-a |
|
He-W 637.16 |
RSA 167:85 |
|
He-W 637.17 |
45 CFR 261.2(k)-(l); 45 CFR 261.33; RSA 167:85;
RSA 167:91
|
|
He-W 637.18 |
RSA 167:78,
XII-a; RSA 167:82, V; RSA 167:85, IV(n); RSA 167:88, IV(a)-(e); RSA 167:91;
42 USC 608(a)(7)(C)(iii); 45 CFR 260.55; 45 CFR 261.30 |
|
He-W 637.19 |
RSA 167:78,XIII |
|
He-W 637.20 |
RSA
167:78, XVIII; RSA 167:83, II(o); RSA 167:85, IV(e); 45 CFR 261.2(f) |
|
He-W 637.21 |
42 USC 607(b)
and (i); RSA 167:82, III; RSA 167:85; RSA 167:91 |
|
He-W 637.22 |
|
|
He-W 637.23 |
RSA 167:85, IV(i); RSA 167:88; RSA 167:91, III-a; 45 CFR 260.20(b); 45
CFR 261.2(i); 45 CFR 261.30 |
|
He-W 637.24 |
P.L. 109-171,
Section 7102 |
|
He-W 637.25 |
RSA 167:3-c,I;
RSA 167:85,IV |
|
He-W 637.26 |
RSA 167:77-e; RSA 167:79
|
|
He-W 637.27 |
RSA 167:77-e; RSA 167:79
|
|
He-W 637.28 |
P.L. 109-171,
Section 7102; RSA 161:4-a, IX; RSA 167:85, I(k) |
|
He-W 638 |
RSA 161:4-a, IX;
Section 408(a)(7) of the SSA as amended by PRWORA |
|
He-W 638.01 |
Reserved |
|
He-W 638.02 |
Reserved |
|
He-W 639.01 |
RSA 126-AA; 2018
NH Chapter Law 342:2-9 |
|
He-W 639.02 |
RSA 126-AA; 2018
NH Chapter Law 342:2-9 |
|
He-W 639.03 |
RSA 126-AA; 2018
NH Chapter Law 342:2-9 |
|
He-W 639.04 |
RSA 126-AA; 2018
NH Chapter Law 342:2-9 |
|
He-W 639.05 |
RSA 126-AA; 2018
NH Chapter Law 342:2-9 |
|
He-W 639.06 |
RSA 126-AA; 2018
NH Chapter Law 342:2-9 |
|
He-W 639.07 |
RSA 126-AA |
|
He-W 639.08 |
RSA 126-AA; 2018
NH Chapter Law 342:2-9 |
|
He-W 639.09 |
RSA 126-AA; 2018
NH Chapter Law 342:2-9 |
|
He-W 641.01 |
|
|
He-W 641.02 |
Sections 1902(a)
and 1905(n) of the SSA [42 U.S.C 1396a(a)] and [42
U.S.C1396d(n)]; RSA 167:3-I; RSA 167:6,IX |
|
He-W
641.02(b)(4) |
SSA Act Section
1902(a)(17)(D) |
|
He-W 641.03 |
RSA 167:3-I; RSA
167:3-c,XII;RSA 167:6,IX; 42 USC 1396a(a)(10)(A)(ii)(XV) [Section
1902(a)(10)(A)(ii)(XV) of the Social Security Act] |
|
He-W 641.04 Reserved |
|
|
He-W 641.05 |
42 USC 1396r-1;
42 USC 1396r-1a; RSA 167:68 |
|
He-W 641.06 |
42 USC 1396a
(l)(1)(2)(A)(i); RSA 167:68 |
|
He-W 641.07 |
Section 1902(l)
of the SSA [42 U.S.C. 1396a]; Section 2101 of the SSA [42 U.S.C.
1397aa]; 42 USC 9902(2); 42 CFR 435.902; RSA 126-A:3,VIII as amended by
Chapter 224:43, Laws of NH 2011; RSA 167:68,I; RSA 167:83,I(c) |
|
He-W 641.09 |
42 USC
1396a(a)(10)(A)(ii)(XVIII) [Section 1902(a)(10)(A)(ii)(XVIII) of the Social
Security Act]; 42 USC 1396a(aa) [Section 1902(aa)of the Social Security
Act] |
|
He-W 642.02 |
RSA 167:6; 42
CFR 435.4; 45 CFR 233.10(b)(2); 45 CFR 233.39 |
|
He-W 642.03 |
RSA 167:6; 42
CFR 435.4; 45 CFR 233.10(b)(2); 45 CFR 233.39 |
|
He-W 642.04 |
RSA 167:6; RSA
161:4-a,II; 42 CFR 435.4; 45 CFR 233.10(b)(2); 45 CFR 233.39 |
|
He-W 644.01 |
45 CFR
206.10(a)(9); RSA 161:4-a, IX; RSA 167:3-c, I |
|
He-W 644.02 |
RSA 167:79,II |
|
He-W 648.02 |
RSA 167:3-c, II-b; RSA 167:7, I-a; RSA 167:27-c; 42 USC 1382g |
|
He-W 648.03 |
RSA 167:3-c, II-b; RSA 167:7, I-a; RSA 167:27-c; 42 USC 1382g |
|
He-W 648.04 |
RSA
151:2, I(e); RSA 167:3-c,II-b; RSA 167:27-c Section 1618 of
the Social Security Act [42 U.S.C. 1382g]; 20 CFR 416.2098 |
|
He-W 652.02 |
RSA 167:3-c,I;
RSA 167:7,IV; 42 CFR 435.913 |
|
He-W 652.04 |
RSA 167:6 X.;
RSA 167:83, II.(m); 42 USC 608(a)(9) |
|
He-W 654.01 |
RSA 167:3-c,I;
RSA 167:4,I(a) |
|
He-W 654.02 |
RSA 167:3-c, I
& IX; RSA 167:4, I(a); RSA 167:78, XVII; RSA 167:80, I & IV(i); RSA 167:82, VII; RSA 167:83, II(e); 45 CFR
233.20(a)(2)(iv), (a)(3)(ii)(B), and (a)(6) |
|
He-W 654.03 |
RSA 167:80,V;
RSA 167:81,V; RSA 167:82,VII(b); RSA 167:83,II(c) & (e); 45 CFR
233.20(a)(3)(ii)(F) |
|
He-W 654.04 |
RSA 167:3-c, I,
RSA 167:4, I(a); RSA 167:79, II; RSA 167:80, IV; 7 CFR
273.10(e)(4); 45 CFR 233.20(a)(3); Section 1612(a) of the Social Security Act
(SSA) [42 USC 1382a(a)]; Section 1902(f) & (r)(2) of the SSA [42 USC 1396a(f)
& (r)(2)]; Section 1917(d) of the SSA [42 USC 1396p(d)] |
|
He-W 654.05 |
RSA 167:3-c,I;
RSA 167:4,I(a); RSA 167:7,IV; RSA 167:17,III; 42 CFR 435.601(b); |
|
He-W
654.06 |
RSA
167:3-c,I; RSA 167:4,I(a); RSA 167:7,IV; RSA 167:17,III; 42 CFR 435.601(b); |
|
He-W
654.07 |
RSA 167:4,I(a);
42 USC 1382a(a)(2)(A) |
|
He-W 654.01 |
RSA 167:3-c,I;
RSA 167:4,I(a) |
|
He-W
654.02 |
RSA
167:3-c, I & IX; RSA 167:4, I(a); RSA 167:78, XVII; RSA 167:80, I &
IV(i); RSA 167:82, VII; RSA 167:83, II(e); 45 CFR
233.20(a)(2)(iv), (a)(3)(ii)(B), and (a)(6) |
|
He-W 654.03 |
RSA 167:80,V;
RSA 167:81,V; RSA 167:82,VII(b); RSA 167:83,II(c) & (e); 45 CFR
233.20(a)(3)(ii)(F) |
|
He-W 654.04 |
RSA
167:3-c, I; RSA 167:4, I(a); RSA 167:79, II; RSA 167:80, IV; 7 CFR
273.10(e)(4); 45 CFR 233.20(a)(3); 42 USC 1382a(a) |
|
He-W 654.04 (a)
intro., (a)(7), (b) intro., (b)(11) |
RSA 167:3-c, I;
RSA 167:4, I(a); 7 USC 2014(d)(19); 7 CFR 273.9(c)(20) |
|
He-W
654.04(a)(1), (3)-(6), (b)(1)-(2), (4)-(9) |
RSA 167:4, I(a);
45 CFR 233.20 Section 1902(f) & (r)(2) of the Social Security Act; [42
USC 1396a]; 7 CFR 273.10(e)(4) |
|
He-W 654.04 (b)
(10) |
RSA 167:3-c, I;
RSA 167:4, I (a); RSA 167:80; 45 CFR 233.20(a)(3) Section 1612
(a)(2)(G) of the Social Security Act [42 USC 1382a] Section 1917 (d)
of the Social Security Act [42 USC 1396p] |
|
He-W
654.04(d) |
RSA
167:3-c, I, RSA 167:4, I(a); RSA 167:79, II; RSA 167:80, IV(h) |
|
He-W 654.05 |
RSA 167:3-c,I;
RSA 167:4,I(a); RSA 167:7,IV; RSA 167:17,III; 42 CFR 435.601(b); Section
1902(r)(2) of the SSA [42 USC 1396a] |
|
He-W 654.06 |
RSA 167:3-c,I;
RSA 167:4,I(a); RSA 167:7,IV; RSA 167:17,III; 42 CFR 435.601(b); Section
1902(r)(2) of the SSA [42 USC 1396a] |
|
He-W 654.07 |
RSA 167:3-c, I;
RSA 167:4,I(a); 42 USC 1382a(a)(2)(A) |
|
He-W
652.07(j)-(x) |
RSA 167:3-c,I;
RSA 167:4;RSA 167:6,VI;42 CFR 435.608; 45 CFR
233.20(a)(3)(ix) |
|
He-W 654.08 |
RSA 167:3-c,I;
RSA 167:4,I(a); RSA 167:7,IV; RSA 167:80,IV(i) |
|
He-W 654.09 |
RSA 161-C:22;
RSA 167:3-c, I; 42 USC 608(a)(3); 45 CFR 233.20(a)(3)(v) |
|
He-W
654.09(a)-(b) |
RSA 161:4-a, IX;
RSA 167:3-c, I, 45; CFR 233.20 Section 1902(f) of the Social Security Act [42
USC 1396a] |
|
He-W 654.10 |
RSA 167:83,
II(l) & (m); 45 CFR 233.51; 45 CFR 233.52; 8 USC 1631; 42 USC 608(f)(1) |
|
He-W 654.11 |
RSA 167:3-c,I;
RSA 167:4,I(a); RSA 167:80 |
|
He-W 654.12 |
RSA 161:4-a; RSA
167:3-c,I; RSA 167:80,IV(i); 20 CFR 416.1180-1182;
; 45 CFR 233.20; |
|
He-W
654.12(a)-(b), (d)-(e), (g) |
RSA 161:4-a, RSA
167:3-c, I; 45 CFR 233.20, 42 CFR 435.735, 20 CFR 628.700 |
|
He-W 654.13 |
RSA 167:4, I(a);
RSA 167:80, IV(i) and V; RSA 167:82, VII(b); |
|
He-W 654.14 |
RSA 167:3-c, I;
RSA 167:82, VII(a)(4); RSA 167:82, VII(b) 45 CFR
233.20(a)(2)(v)(B) |
|
He-W 654.15 |
RSA 167:3-c, IX;
RSA 167:4, I(a) Section
1902(a)(17) of the Social Security Act [42 USC 1396a(a)(17)] 20 CFR 416.1112;
20 CFR 416.1166; 29 USC 720 |
|
He-W 654.16 |
RSA 167:4, I(a) |
|
He-W 654.17 |
RSA 167:3-c,I;
RSA 167:27-a; 167:27-b; 42 CFR 435.733(c) 42 CFR
435.832(c)(4)(ii); 38 USC 5503 Section 1611(e)(1)(E) & (G) of the SSA [42
USC 1382(e)(1)(E) & (G)] |
|
He-W 654.17(b) |
RSA 167:3-c,I;
RSA 167:27-a; RSA 167:27-b; 42 CFR 435.733(c)(1)(iii) 42 CFR
435.832(c)(4)(ii); 38 USC 5503 Section 1611(e)(1)(E) & (G) of the SSA [42
USC 1382(e)(1)(E) & (G)] |
|
He-W 654.17(c) |
RSA 167:27-a;
167:27-b; 42 CFR 435.733(c)(1)(iii) |
|
He-W
654.18 |
RSA
167:3-c, I & IX, RSA 167:4, I(a) |
|
He-W 654.19 |
RSA
167:82,VII(a)(4) & (b) |
|
He-W 654.20 |
RSA
167:4, I(a) |
|
He-W 654.21 |
RSA 161:4-a, III
& X(a); RSA 167:3-c, I; 42 USC 1396r-5 |
|
He-W 655.01 |
RSA 167:83, II(o); RSA 167:86 |
|
He-W 655.02 |
RSA 167:79; RSA 167:85; RSA 167:86; RSA 167:88
|
|
He-W 655.03 |
RSA 167:3-c; RSA
167:7, V; RSA 167:83; RSA 167:86 |
|
He-W 655.04 |
RSA 167:3-c; RSA
167:7, V; RSA 167:83; RSA 167:86 |
|
He-W 655.05 |
RSA 167:3-c; RSA
167:7, V; RSA 167:83; RSA 167:86 |
|
He-W
655.05(a)-(d) |
P.L. 109-171, section 7102; 45 CFR
261.2(f); RSA 167:78,XVIII RSA 167:79,III;
RSA 167:86; RSA 167:91,IV |
|
He-W 655.06 |
RSA 167:3-c; RSA
167:7, V; RSA 167:78; RSA 167:79, III; RSA 167:83; RSA 167:86; RSA 167:91,
IV; 45 CFR 261.2; P.L. 109-171, section 7102 |
|
He-W
655.06(a)-(e)(2)a. |
P.L. 109-171,
section 7102; 45 CFR 261.2(f); RSA 167:78,XVIII RSA 167:79,III;
RSA 167:86; RSA 167:91,IV |
|
He-W
655.07 |
RSA 167:3-c; RSA
167:7, V; RSA 167:78, XVIII; RSA 167:79, III; RSA 167:83; RSA 167:86; RSA
167:88; RSA 167:91, IV; RSA 376; RSA 376-A; 45 CFR 261.2(f); 42 USC 607(d);
P.L. 109-171, section 7102 |
|
He-W 655.08 |
RSA 167:3-c; RSA
167:7, V; RSA 167:85, IV; RSA 167:86; RSA 167:91, IV; 45 CFR 261.2(i) & (k); 42 USC 607(d) |
|
He-W 655.09 |
RSA 167:3-c; RSA
167:7, V; RSA 167:83; RSA 167:86 |
|
He-W 655.10 |
RSA 167:3-c; RSA
167:7, V; RSA 167:83; RSA 167:86 |
|
He-W 656.01 |
RSA 167:4, RSA 167:81 |
|
He-W 656.02 |
RSA 161:4-a, III; 42 USC 604(h); 45 CFR 263.20-23; 45 CFR 260.31(b)(5) |
|
He-W 656.03 |
RSA 167:3-c, I;
RSA 167:4-a; RSA 167:7, IV; 42 USC 1382b(c)(1)(D); 20 CFR 416.1208; 42 USC
1396p(c)(3) |
|
He-W 656.03(a)-(b) |
RSA 167:3-c,I;
RSA 167:4-a; RSA 167:7,IV; 42 USC 1382b(c)(1)(D); 20 CFR 416.1208 |
|
He-W 656.04 |
RSA 167:3-c,I; RSA 167:4; RSA 167:17; RSA 167:81
45 CFR 233.20(a)(3); Section 1612(a)(2)(G) of the Social
Security Act (SSA)[42 USC 1382a(a)(2)(G)]; Section
1613(a) of the SSA [42 USC
1382b(a)]
|
|
He-W 656.04(a) |
Section 1917(d)
of the Social Security Act; HB 758, which amends RSA 167:4 and RSA 167:3-c, I |
|
He-W 656.04(b) |
Social Security
Act Section 1902(a)(10)(A)(ii)(XV); RSA 167:6, IX |
|
He-W 656.04(b)(1)
– (b)(4) and (b)(6) – (b)(10) |
Section 1613(a)
of the Social Security Act [42 USC 1382b]; RSA 67:4,I(a) |
|
He-W
656.04(b)(5) |
RSA 167:4,I(a);
RSA 167:3-c,I; RSA 167:4,IV(c) as amended by HB691 |
|
He-W 656.04 (b)(6) – (b)(10) |
Section 1613(a) of the Social Security Act [42 USC 1382b];RSA
167:4,I(a) |
|
He-W
656.04(b)(10) |
RSA 167:3-c, I;
RSA 167:4, I(a); RSA 167:80; 45 CFR 233.20(a)(3) Section
1612(a)(2)(G) of the Social Security Act (42 USC 1382a) Section 1917(d)
of the Social Security Act (42 USC 1396p) |
|
He-W
656.04(b)(11) |
P.L 109-171
section 6015 amends section 1917(c)(1)(H)-(I) of the Social Security Act [42
USC 1396p(c)(1)(H)-(I)] |
|
He-W 656.04(c) |
RSA 167:4,I(a);
RSA 167:3-c,I; RSA 167:4,IV(c) as amended by HB691 RSA 167:81 |
|
He-W 656.05 |
RSA 161:4-a, II;
RSA 167:3-c, I; RSA 167:81; 45 CFR 233.20(a)(3)(i)(B)(5) |
|
He-W 656.07 |
RSA 167:6 X.;
RSA 167:83, II.(m); 42 USC 608(a)(9) |
|
He-W 656.06 |
RSA 167:81,
II |
|
He-W 658.01 |
RSA 167:3-c, II;
RSA 167:7, II-III; 45 CFR 233.20(a)(2); 7 CFR 273.10 |
|
He-W 658.02 |
RSA 167:3-c, II;
RSA 167:7, II and III; 45 CFR 233.20(a)(2)(i); RSA
167:77-g |
|
He-W 658.03 |
RSA 167:7,I
& I-a; 42 USC 1382g |
|
He-W 658.04 Reserved |
|
|
He-W 658.05 Reserved |
|
|
He-W 658.06 Reserved |
|
|
He-W 664.01 Reserved |
|
|
He-W 664.02 |
RSA 167:79, II |
|
He-W 670.03 |
RSA 167:3-c,I;
RSA 167:7; RSA 167:83,I(a); 20 CFR 416.1131; 45 CFR 233.20(a)(2)(iv);45 CFR
233.20(a)(3)(viii)(C); 45 CFR 233.31 |
|
He-W 670.04 |
RSA 161:2,l; RSA 167:83,II(f); 45 CFR 233.23 |
|
He-W 671.01 |
RSA 161:2, I |
|
He-W 671.02 |
RSA 167:3-c,I;
RSA 161:2, I |
|
He-W 671.03 |
RSA 161:4-a,IX;
15 USC 1693b |
|
He-W 670.04 |
RSA 161:2,l ;
RSA 167:83,II(f); 45 CFR 233.23 |
|
He-W 672.01 |
45 CFR 206.10(a)(6)(i);
RSA 167:79,III(b); RSA 167:83,II(f)
|
|
He-W 672.01(c) |
45 CFR
206.10(a)(6)(i); RSA 167:83, II |
|
He-W 672.02 |
RSA 167:3-c,I;
RSA 167:10; 42 CFR 435.911(a); 45 CFR 206.10(a)(3)(i) |
|
He-W 672.02(a) |
RSA 167:3-c,I;
RSA 167:10 |
|
He-W 674.01 |
RSA 161:2,I; RSA
167:3-c,I; 45 CFR 206.10 |
|
He-W 676.01 - Reserved |
|
|
He-W 680.01 |
Section 2102 of
the SSA [42 USC 1397bb] ; 42 CFR 435.914 RSA 126-A:3,VIII
as amended by Chapter 224:43, Laws of
NH 2011 RSA 167:3-c,
VIII |
|
He-W 680.01(a)–
(c) |
RSA 167:3-c,
VIII; Section 2102 of the Social Security Act [42 U.S.C. 1397bb] 42 CFR
435.914 |
|
He-W 680.01(d) |
RSA 167:3-c,
VIII; Section 2102 of the Social Security Act [42 USC 1397bb] |
|
He-W 680.01 (e)
- (l) |
42 CFR 435.914 |
|
He-W 680.02 |
42 CFR
435.914(a); RSA 126-A:3,VIII as amended by Chapter 224:43, Laws of NH 2011;
RSA 167:3-c,I; RSA 167:10 |
|
He-W 682.01 |
Section 2102 of
the SSA [42 U.S.C. 1397bb]; 42 CFR 435.919; RSA 126-A:3,VIII
as amended by Chapter 224:43, Laws of NH 2011 RSA 167:3-c,VIII |
|
He-W 682.04 Reserved |
|
|
He-W 682.05 Reserved |
|
|
He-W 684.01 |
45 CFR 206.10(a)(9) |
|
He-W 684.02 |
45 CFR
206.10(a)(9); RSA 161:4-a, IX; RSA
167:83,II(d) |
|
He-W
684.02(b)(1) |
RSA 167:83,
II(d); 161:4-a, IX; 45 CFR 206.10(a)(9) |
|
He-W 685.01 |
RSA 167:3-c,I;
RSA 167:79,IV(d); RSA 167:83,II(c) & (j); 42 CFR 431.800; 42 CFR 435.916;
45 CFR 206.10(a)(9); 45 CFR 233.10(a)(1) |
|
He-W
686.01(a)-(b), (d)-(g), (h)(2)-(i), (k)-(m) |
RSA 167:26, RSA
167:3-c, I |
|
He-W 686.01(c),
(h)(1), & (j) |
RSA 167:5,II;
RSA 167:26; RSA 167:83,II(h); 45 CFR 234.60(a)(7)(i)
45 CFR 234.70 |
|
He-W 686.01 |
RSA 167:3-c,I;
RSA 167:5; RSA 167:26; RSA 167:83,II(g) & (h); RSA 170-B:2,IX; RSA
463:2,IV; RSA 463-A:1,IV; RSA
464-A:2,III; RSA 464-A:2,VIII, IX, & XIV-b; 45 CFR 234.60; 45 CFR 234.70 |
|
He-W 688.01 |
RSA 167:3-c,I;
RSA 167:10; RSA 167:83,II(i); 45 CFR
233.20(u)(12)-(13) |
|
He-W 690.01 |
RSA 167:13; RSA
167:14; RSA 167:14-a; RSA 167:16; RSA 167:16-a; |
|
He-W 692.02 |
RSA 167:17-a;
RSA 167:83,II(i); 45 CFR 233.20(a)(12)-(13); 42 CFR
433.36(i) |
|
He-W 692.02(i) |
RSA 167:17-a;
RSA 167:83,ll(i) |
|
He-W 692.03 |
RSA
161:4-a,X(l); RSA 167:3-c,I; RSA 167:14-a; RSA 167:17-a; RSA 167:17-b;
RSA 167:59; RSA 167:61-a; RSA 167:83,II(i); Section 208 of
the Social Security Act (SSA) [42 USC 408]; Section 1632 of
the SSA [42 USC 1383a] |
|
He-W
693.01 |
RSA
161:2, XV; RSA 167:83, II (k); 45 CFR 235.110 |
|
He-W
693.02 |
RSA
161:2, XV; RSA 167:83, II (k); 45 CFR 235.110 |
|
He-W
693.03 |
RSA
161:2, XV; RSA 167:83, II (k); 45 CFR 235.110 |
|
He-W
693.04 |
RSA
161:2, XV; RSA 167:83, II (k); 45 CFR 235.110 |
|
He-W
693.05 |
RSA 161:2, XV; RSA 167:83, II (k); 45
CFR 235.110 |
|
He-W
693.06 |
RSA
161:2, XV; RSA 167:83, II (k); 45 CFR 235.110 |
|
He-W 694.01 |
RSA 167:11 |
|
He-W 695 - Reserved |
|
|
He-W 696.01 |
RSA 167:3-c,I; RSA 167:77-a,I(e); 42 USC 607(a)(1); 45 CFR
260.31(a)(1); 45 CFR 261.21 |
|
He-W 696.02 |
RSA 161-B:2,IV;
7 CFR 271.2; 7 CFR 273.10; 7 CFR 273.10(e)(3) 45 CFR 261.21 |
|
He-W 698 -
Reserved |
|
|
He-W 699.02 -
Reserved |
|
|
He-W 699.04 |
RSA 167:3-c, I |
|
He-W 699.05 |
RSA 167:3-c, II-a; RSA 167:7, V; RSA
167:79, VI; RSA 167:82, III; RSA 167:83, I(c); RSA
167:86; RSA 167:88 |
|
He-W 699.06 |
RSA 161:4-a, IX |