Section He-E 802.03 - Eligibility(a) An individual shall be eligible to receive NF services if he or she: (1) Submits a signed and dated application, as defined in He-W 601.01(p), to the department;(2) Has been determined financially eligible as either categorically needy or medically needy;(3) Meets the clinical eligibility requirements for nursing facility care in RSA 151-E:3, I(a), namely, the person requires 24-hour care for one or more of the following purposes, as determined by a skilled professional medical personnel appropriately trained to use an assessment instrument and employed by the department, or a designee acting on behalf of the department: a. Medical monitoring and nursing care when the skills of a licensed medical professional are needed to provide safe and effective services;b. Restorative nursing or rehabilitative care with patient-specific goals;c. Medication administration by oral, topical, intravenous, intramuscular, or subcutaneous injection, or intravenous feeding for treatment of recent or unstable conditions requiring medical or nursing intervention; ord. Assistance with 2 or more ADLs involving eating, toileting, transferring into or out of a bed or chair, bathing, dressing, and continence; and(4) Has chosen, or whose representative has chosen, by signing the application in (1) above, NF services.(b) An individual who requires review in accordance with He-M 1302 shall be reviewed in accordance with He-M 1302 prior to an eligibility determination being made pursuant to this rule.N.H. Code Admin. R. He-E 802.03
(See Revision Note at part heading for He-E 802) #9888-A, eff 3-19-11
Amended by Volume XXXIX Number 16, Filed April 18, 2019, Proposed by #12741, Effective 3/20/2019, Expires 9/16/2019.Amended by Volume XL Number 46, Filed November 12, 2020, Proposed by #13130, Effective 10/30/2020, Expires 10/29/2030.