311.03 Verification (MAM)

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Accept the individual's statement to determine their place of residence. Complete DFA Form 37, Verification of Legal Liability for Applicant/Recipient of Public Assistance. Submit the completed DFA Form 37 to the appropriate county administrator after the individual is accepted for HCBC-CFI or nursing facility assistance.

Failure by the county to complete and return DFA Form 37 indicates the county's refusal to accept legal liability for the case. Use the following procedures in this instance:

. Process the case as usual, indicating the liable county. This will initiate the billing process to the county.

. The Assistant Commissioner, Department of Health and Human Services, will handle the dispute.

References: RSA 167:18-a