243.01 Verification: HCBC-DD (MAM)

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

Acceptable verification documents all of the following:

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

• individual is appropriate for HCBC services as determined by the DDS area agency; and

• medical necessity for ICF-MR level of care as determined by DDS.

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]