305 INSTITUTIONS (MAM)

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An institution is an establishment furnishing food, shelter, and some treatment or services to two or more persons unrelated to the proprietor. Residential care facilities, community residences, shelters for the homeless and battered women, and drug or alcohol treatment centers are not institutions.

Individuals who are inmates of public institutions or patients in institutions for tuberculosis or mental diseases, are not eligible for medical assistance.

Exceptions: All of the following institutionalized individuals may be eligible for Medicaid*, if all other eligibility requirements are met:

·         individuals at public institutions who physically reside outside the institution, even if under the general supervision of the institution. This includes residents of the three NH Department of Corrections (DOC) Transitional Housing Units (THU) [Calumet THU, North End THU, and Shea Farm THU], and individuals who are on work release or home confinement;

·         individuals who are admitted to the New Hampshire Hospital, including the Anna Philbrook Center, for purposes of evaluation only, for a period not to exceed 3 months;

·         inmates of NH Correctional Facilities who become inpatients of a medical facility while they are still incarcerated;

·         adults in residential care facilities and community residences;

·         individuals under age 22 or age 65 or older, and hospitalized at a Designated Receiving Facility. Eligibility is determined differently depending on the actual or anticipated length of stay. See Section 305.01, Individuals in Designated Receiving Facilities;

·         patients at the psychiatric unit of the Dartmouth - Hitchcock Medical Center;

·         children in licensed foster homes, group homes, nonprofit private child care institutions, or public child care institutions with less than 25 children; and

·         children participating in the special education program at the Sununu Youth Services Center (DCYF/DJJS).

Residents of the Glencliff Home for the Elderly may be eligible for medical assistance as clients residing in a nursing facility.

References: He-W 624.01; 42 CFR 435.1009 - 435.1010