241.01 Verification: HCBC-IHS (MAM)

SR 13-35 Dated 10/13

Previous Policy

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Verify categorical eligibility and medical need for HCBC-IHS at the initial eligibility determination and at subsequent redeterminations.

Acceptable verification documents all of the following:

. that the individual is under 21 years of age;

. that the individual meets categorical requirements for the program of assistance being requested or received;

. that the individual is appropriate for HCBC-IHS services as determined by the DDS area agency; and

. that DDS has determined that in the absence of HCBC-IHS services, the individual would require placement in an intermediate care facility for the mentally retarded (ICF-MR).

References: He-M 503, He-W 601.04(q), He-W 658.06, RSA 151-E:3, 42 CFR 435.622, 42 CFR 435.914, Section 1929 of the SSA [42 USC 1396t]