N.H. Code Admin. R. He-M 513.03 - Eligibility and Application for Respite Services
(a) Any
family that has a member who is eligible for respite services provided through
an area agency in accordance with
He-M
503.03(a)-(d) or
He-M
510.06(a) shall be eligible for
respite services.
(b) A family
applying for respite services and no other service through the developmental
services system shall not be required to go through the complete application
process described in
He-M
503.04 and
He-M
503.05 or
He-M
510.06. The application process shall be as set forth
in (c) below.
(c) A family applying
for respite services shall submit:
(1)
Documentation to enable the area agency to determine whether the applicant has
a developmental disability or acquired brain disorder or is a child as defined
in
He-M
510.02(f);
(2) An explanation of the needs of the
applicant and family; and
(3) A
description of the respite services requested.
(d) Agency staff shall:
(1) Describe respite services to the
applicant;
(2) Discuss with the
applicant the needs of the individual and family;
(3) Determine with the family the respite
services required and the amount of respite services to be allocated;
and
(4) Assist the family in the
selection of area agency or family arranged respite services.
(e) Prior to providing respite
services, the area agency shall obtain the following information from families
and individuals requesting respite services:
(1) The family's name, address, and telephone
number;
(2) The name, age, gender,
and disability of the individual;
(3) A description of respite services needs
identified by the family, such as location, dates, and times;
(4) Relevant medical information regarding
the individual, as applicable, including:
a.
Prescribed medication;
b.
Allergies;
c. Limitations on
activities;
d. Special
diets;
e. Assistive technology
devices; and
f. Any other specific
health or safety needs;
(5) The name and telephone number of at least
one person to contact in an emergency; and
(6) The name and telephone number of the
individual's family physician or health care provider.
(f) If an emergency circumstance prevents a
family from being able to care for an individual, the family may request
respite services beyond the amount determined under (d) above. In such cases,
the area agency shall approve respite services based on availability of
funds.
(g) Providers who operate
residences certified under
He-M
1001.11,
He-M
1001.12, or
He-M
1001.13 shall not be eligible for respite services
under He-M 513. Such providers may make arrangements for provider time off
through the area agency.
Notes
(See Revision Note at part heading for He-M 513) #4495, eff 9-23-88; EXPIRED: 9-23-94
New. #6155, eff 12-29-95; ss by #8016, eff 12-29-03; ss by #10030, eff 12-1-11
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