201 PROGRAM REQUIREMENTS SR 99-03, 02/99 (FAM-A)

When an individual requests financial or medical assistance, determine whether the individual meets the requirements of any of the programs administered by the Department of Health and Human Services.

Financial and medical assistance is available to eligible individuals and families under Temporary Assistance to Needy Families (TANF) Financial Assistance, TANF Medical Assistance, Healthy Kids, and TANF-Related Medical Coverage programs.

TANF Financial Assistance

TANF offers financial assistance through 2 separate, yet related programs:

• the New Hampshire Employment Program (NHEP) and

• the Family Assistance Program (FAP).

Income and resource requirements are the same for both programs, but the FAP program has no work requirements. Both programs have a 60 month time limit for receipt of assistance.

TANF Medical Assistance

• Medical assistance (Medicaid) is available to eligible individuals aged 19 or older who meet TANF categorical requirements. Those who qualify for TANF financial assistance automatically also qualify for TANF medical assistance.

• TANF-related medical coverage is available to certain groups of individuals who do not have to meet the TANF categorical program requirements.

Healthy Kids Medical Coverage

Healthy Kids is the name of all medical coverage available to eligible children under age 19, regardless of the category under which the child qualifies for medical coverage.

Under the umbrella of Healthy Kids, medical coverage is available to children under the age of 19 either through Healthy Kids-Gold (HKG) or Healthy Kids-Silver (HKS).

• Children eligible for HKG coverage can receive retroactive medical assistance, and those with eligibility based on a percentage of the poverty level (HKG185 and HKG300) can be determined presumptively eligible by a qualified entity (i.e., a community outreach agency trained by DFA staff). See Section 205.01 , Children Up To Age 19.

• Children aged 1 to 19 not eligible for HKG medical coverage due solely to income may be eligible for Healthy Kids-Silver Medical Insurance. Healthy Kids-Silver (HKS) provides subsidized medical insurance coverage, in cooperation with New Hampshire Healthy Kids Corporation (NHHKC), for children age 1 to 19 whose net family income is higher than 185%, but less than or equal to 300%, of the federal poverty income guidelines. See Part 220 , Healthy Kids-Silver Medical Insurance.

Exception: Healthy Kids-Silver is also the name used for unsubsidized medical insurance through NHHKC, for children in families with net income higher than 300% of the federal poverty income guidelines. Children ineligible for the Department’s Healthy Kids medical coverage programs due solely to income are referred to NHHKC for potential eligibility for unsubsidized HKS.