Title XII, Public Safety and Welfare

I. In this section, "health carrier" means a health carrier as defined in RSA 420-G:2 and any health insurer; administrator of self-insured plans, group health plans, as defined in section 607(1) of the Employee Retirement Income Security Act of 1974 (ERISA), 29 U.S.C. section 11…

I. The department shall enter into a contract with a vendor to identify, investigate, and resolve potential cases of fraud, misrepresentation, or inadequate documentation prior to determining an applicant's eligibility for assistance under this chapter and RSA 161. The procedures…

I. It is the intent of this section to recognize the application of telehealth for covered services provided within the scope of practice of a physician or other health care provider as a method of delivery of medical care by which an individual at an originating site shall recei…

For the purposes of off-setting the Medicaid spend-down requirements, mental health expenses shall be included as medical expenses.

I. Financial eligibility for Medicaid adult home and community-based waiver programs shall include the following resource limits: (a) For married individuals, revert to the standard in place prior to the passage of the federal Affordable Care Act, so that only the resources in th…

I. The department shall administer the Medicare savings program as described in 42 U.S.C. section 1396a(a)(10)(E) in accordance with federal law and this section. II. Financial eligibility for the Medicare savings program shall, subject to CMS approval, make the low income subsid…

I. Assistance granted to needy aged persons shall be designated as old age assistance; assistance granted to needy blind shall be designated as aid to the needy blind; assistance granted to needy dependent children and to the otherwise eligible parents or needy caretaker relative…

It shall be the duty of any person, public official, society, or institution, placing any dependent or neglected child in any family home or institution, to give notice in writing to the commissioner within 10 days after such placing, stating the name of such child and the name, …

In this subdivision: I. "Abuse" means provider practices that are inconsistent with sound fiscal, business, or medical practices, and result in an unnecessary cost to the medicaid program, or in reimbursement for services that are above those actually rendered, that are not medic…

The commissioner shall: I. Provide medical assistance to all individuals who are eligible for the medicaid program, pursuant to RSA 161 and RSA 167. II. Cooperate with the attorney general in the investigation of all identified instances of possible fraud or abuse in the medicaid…

I. For the purposes hereof, a person shall be eligible for old age assistance who is 65 years of age and a resident of this state. No person shall be eligible to receive such aid while receiving aid to the needy blind, aid to the permanently and totally disabled, or aid to famili…

The commissioner shall suspend or terminate any provider from the medicaid program: I. Who has been found guilty of violating RSA 167:17-b or 167:61-a; or II. Who, after notice of overpayment and identification of claims resulting in the overpayment, does not reimburse the depart…

I. No person shall: (a) Knowingly make, present or cause to be made or presented, with intent to defraud, any false or fraudulent claim for payment for any good, service, or accommodation for which payment may be made in whole or in part under RSA 161 or RSA 167; (b) Knowingly ma…

I. Any person shall be liable to the state for a civil penalty of not less than $5,000 and not more than $10,000, plus 3 times the amount of damages that the state sustains because of the act of that person, who: (a) Knowingly presents, or causes to be presented, to an officer or…

I. The attorney general shall investigate violations under RSA 167:61-b. If the attorney general finds that a person has violated or is violating RSA 167:61-b, the attorney general may bring a civil action in superior court against the person. II. (a) An individual, hereafter ref…

I. If the state proceeds with an action under RSA 167:61-c, the state shall have the primary responsibility for prosecuting the action and shall not be bound by an act of the relator bringing the action. The relator shall have the right to continue as a party to the action, subje…

I. If the state proceeds with an action brought by a relator under RSA 167:61-c, the relator shall, except as otherwise provided in this paragraph, receive at least 15 percent but not more than 25 percent of the proceeds of the action or settlement of the claim, depending upon th…

As used in this subdivision: I. "Commissioner" means the commissioner of health and human services. II. "Department" means New Hampshire department of health and human services. III. [Repealed.] IV. "Hospitals" mean general acute care hospitals licensed under RSA 151 that provide…

I. There is hereby established in the state treasury an uncompensated care and Medicaid fund, which shall consist of the moneys collected pursuant to RSA 84-A. Moneys paid into the fund shall be exempt from any state budget reductions, and the commissioner of the department of he…

The commissioner shall: I. Develop the uncompensated care payment system in a manner that is consistent with the requirements of RSA 167:64 and Title XIX of the Social Security Act as amended and describe the system in an amendment to the state Medicaid plan. II. [Repealed.] III.…

This subdivision may be referred to as "The Children's Health Plan."

I. The general court finds that at least 30,000 New Hampshire children lack health insurance. The lack of available, comprehensive maternity and child health services imposes a great cost, in both human and financial terms, on the citizens of this state. Both government and indus…

The commissioner of the department of health and human services shall adopt rules under RSA 541-A which: I. Establish by July 1, 1999, categorically needy coverage groups under RSA 167:6, VII and Title XIX of the Social Security Act, sections 1902(a)(10)(A)(i)(IV), 1902(a)(10)(A)…

Home visiting programs for children and their families established pursuant to this subdivision shall be made available to all Medicaid eligible pregnant women, infants, and families with children up to age one, without restriction. The commissioner shall adopt rules, pursuant to…

I. The commissioner of health and human services may establish consolidated standards of need for the adult programs he administers, subject to appropriated funds and federal regulations. I-a. (a) The commissioner of health and human services may establish different standards of …

I. Any person receiving public assistance is prohibited from using electronic benefit transfer (EBT) cards or cash obtained with EBT cards for the purpose of purchasing or participating in any activities in any location listed in paragraph II. Any person receiving public assistan…

I. The purpose of this subdivision is to reform welfare through the vehicle made available by the federal government. To the extent permitted by federal law, it is the intent of the general court to operate the Temporary Assistance to Needy Families (TANF) program through 2 subpr…

The department shall make strong efforts to meet the work participation rate requirements of the federal TANF program, as amended by the Deficit Reduction Act of 2005. I. Efforts may include the following actions: (a) Using state funds not claimed as maintenance of effort for the…

I. The department shall establish a performance measurement system designed to assist the department in meeting the goals of the TANF reauthorization program, including a mission statement identifying values that focus on qualitative outcomes. The measurement system shall be adop…

I. The oversight committee established by RSA 126-A:13 shall monitor changes to the state TANF program made as a result of the federal reauthorization of TANF in 2005 and shall provide informational meetings on such changes to the general court. II. The department of health and h…

The department shall perform a diversion program and study for a limited population of TANF applicants who receive an assessment and benefits prior to entry into the TANF program. The study shall assess the program's feasibility and effectiveness, as well as the impact of the div…

Subject to available public and/or private funds, the department may establish a non-TANF financial assistance program for 2-parent needy families with dependent children in which one parent is underemployed or unemployed. With the exception of parental underemployment or unemplo…

The commissioner shall work cooperatively with the Career One Stop Centers and the Workforce Investment Boards to develop career ladder initiatives for employment program clients and former employment program clients. I. Career ladder initiatives shall: (a) Promote both increased…

The maximum monthly cash benefit under this subdivision shall be equal to 60 percent of the federal poverty guidelines, based upon the applicable household size and composition, as determined annually by the United States Department of Health and Human Services.

In this subdivision: I. "Able-bodied" means a parent or specified relative who is under the age of 60 and who is not currently receiving supplemental security income, or social security disability insurance, or veteran's disability benefits of 80 percent or more, or state supplem…

I. (a) For purposes of this subdivision, a person shall be eligible for financial assistance under the employment program who is a needy child deprived of parental support or care by reason of death, continued absence from the home, physical or mental incapacity, and who lives wi…

I. Application for assistance under this chapter or RSA 161 shall be made in the first instance to the commissioner of the department of health and human services, or his duly authorized agent. The application shall be in writing and upon a form prescribed by the department of he…

I. Eligibility for assistance shall be based in part on the available countable earned and unearned income of the persons in the assistance group. II. The department shall establish income limits for applicant and participant assistance groups by rules adopted pursuant to RSA 541…

I. Eligibility for assistance shall be based in part on the equity value of all countable resources available to the assistance group. II. The department shall establish resource limits for applicant and participant assistance groups by rules adopted pursuant to RSA 541-A. III. A…

Pursuant to the Personal Responsibility and Work Opportunity Reconciliation Act of 1996, section 115(a)(1)-(2) of Public Law 104-19, all individuals domiciled in this state shall be exempt from the application of section 115(d)(1)(A) of Public Law 104-19 which makes any individua…

I. The program shall provide financial assistance to assistance groups who meet and comply with all the eligibility and employment program participation requirements under RSA 167:79, 167:80, and 167:81. II. The following persons shall be temporarily exempt from participation in …

I. The employment program shall not require individuals to participate in the employment program in any way contrary to federal law under section 407(f) of the Social Security Act. II. No participant in the employment program shall be required to work in subsidized employment for…

I. The commissioner shall provide: (a) Cash benefits to needy families with dependent children. (b) Assistance to parents and caretaker relatives of children in such families for employment searches, and other work preparation activities, work experience, and support services tha…

I. The family assistance program shall provide financial assistance for dependent children who: (a) Are deprived of parental support or care by reason of death, continued absence from the home, physical or mental incapacity of a parent; and (b) Reside with either their nonable-bo…

The primary purpose of assignment to activities is to prepare the client for work and towards the long term ability to achieve self sufficiency. All applicants and participants in the employment program shall attend and participate in required appointments, employment contract de…