245.01 Verification: HCBC-ABD (MAM)

_____________________________________________________________

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

Acceptable verification documents all of the following:

. individual is 22 years of age or older;

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

. individual is appropriate for ABD services as determined by the DDS area agency; and

. medical necessity for a skilled nursing or rehabilitative 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]