Section He-W 507.03 - Continued Eligibility(a) The MRT shall conduct periodic redeterminations of medical eligibility for Title XIX benefits based on current evidence of the child's disability.(b) At the time of redetermination, the MRT shall first determine whether the recipient meets the eligibility criteria in accordance with He-W 507.02.(c) The department shall issue a written notice to the recipient when a medical eligibility determination is made.(d) If an adverse eligibility determination is made, the written notice to the recipient shall include the following information: (1) The recipient's identifying information;(2) A listing of the medical and non-medical reports considered during the disability determination process;(3) A statement of the department's action;(4) The reasons for the department's action;(5) Citations from federal and state statutes and regulations supporting the department's actions; and(6) An explanation of the individual's rights to appeal the department's disability determination and to reapply for medical assistance.(e) The department shall continue the recipient's medical eligibility after an adverse medical eligibility determination is made when the recipient: (1) Submits a hearing request to the local district office within 30 days from the date on the written notice of adverse decision; and(2) Submits a request to the local district office for a continuation of benefits during the appeal process within 10 days of the date on the written notice of adverse decision.N.H. Admin. Code § He-W 507.03
(See Revision Note at chapter heading He-W 500); ss by #5941, eff 12-22-94, EXPIRED: 12-22-02
New. #7867, eff 4-10-03; ss by #9866, eff 2-11-11