N.H. Code Admin. R. He-E 801 - Choices for Independence Program (He-E 801.04 Initial Clinical Eligibility Determination; He-E 801.05 Development of the Comprehensive Care Plan; He-E 801.07 Redetermination of Eligibility)

What this rule requires your agency to do

• 1The agency (skilled professional medical personnel) must conduct an on-site, face-to-face visit with the applicant, perform a clinical assessment, and develop the identified needs list as part of the initial clinical eligibility determination. (He-E 801.04(a)(1))(N.H. Code Admin. R. He-E 801 - Choices for Independence Program (He-E 801.04 Initial Clinical Eligibility Determination; He-E 801.05 Development of the Comprehensive Care Plan; He-E 801.07 Redetermination of Eligibility))
• 2The agency must redetermine the eligibility of each participant at least annually, following the same procedures used for the initial eligibility determination (including reassessment). (He-E 801.07(a))(N.H. Code Admin. R. He-E 801 - Choices for Independence Program (He-E 801.04 Initial Clinical Eligibility Determination; He-E 801.05 Development of the Comprehensive Care Plan; He-E 801.07 Redetermination of Eligibility))
• 3The provider must have the participant review the identified needs section of the comprehensive assessment and indicate agreement or disagreement with the identified needs. (He-E 801.05(b))(N.H. Code Admin. R. He-E 801 - Choices for Independence Program (He-E 801.04 Initial Clinical Eligibility Determination; He-E 801.05 Development of the Comprehensive Care Plan; He-E 801.07 Redetermination of Eligibility))
• 4The case manager must request authorization from the department for coverage of the CFI waiver services contained in the comprehensive care plan, including the specific service providers selected by the participant. (He-E 801.05(c))(N.H. Code Admin. R. He-E 801 - Choices for Independence Program (He-E 801.04 Initial Clinical Eligibility Determination; He-E 801.05 Development of the Comprehensive Care Plan; He-E 801.07 Redetermination of Eligibility))
• 5The agency must develop and maintain, through the assigned case manager, a comprehensive care plan for each participant using a person-centered planning process in accordance with He-E 805. (He-E 801.05(a))(N.H. Code Admin. R. He-E 801 - Choices for Independence Program (He-E 801.04 Initial Clinical Eligibility Determination; He-E 801.05 Development of the Comprehensive Care Plan; He-E 801.07 Redetermination of Eligibility))
• 6The agency (department) must, where clinical eligibility cannot initially be determined, request additional medical information within 30 calendar days and notify the applicant that failure to submit the requested information will impede processing of the application. (He-E 801.04(a)(3))(N.H. Code Admin. R. He-E 801 - Choices for Independence Program (He-E 801.04 Initial Clinical Eligibility Determination; He-E 801.05 Development of the Comprehensive Care Plan; He-E 801.07 Redetermination of Eligibility))