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State of New Hampshire

TANF State Plan

23 New Hampshire State Plan Effective October 2023 • an action message which describes the effect of the decision or the change or action that is occurring which requires notification to the individual; and • the calculation which determined the benefit level and amount when the action being taken is the result of a financial eligibility determination.

Each NOD also includes: • a reason message which describes why a negative action is occurring and the policy manual reference(s) on which the action is based; or • the names of eligible individuals in the household when a case is determined to be eligible.

Section 402(a)(1)(B)(iv) of the Act: Not later than 1 year after the date of enactment of this Act, unless the chief executive officer of the State opts out of this provision by notifying the Secretary, a State shall, consistent with the exception provided in section 407(e)(2), require a parent or caretaker receiving assistance under the program who, after receiving such assistance for 2 months is not exempt from work requirements and is not engaged in work, as determined under section 407(c), to participate in community service employment, with minimum hours per week and tasks to be determined by the State.

The State opted out of the community service provision by submitting a letter dated August 7, 1997, from then Governor Jeanne Shaheen to then United States HHS Secretary Donna E. Shalala.

Section. 6701-6703 of (P.L. 111-148) Title VI, Subtitle H of the Patient Protection and Affordable Care Act of 2010: Elder Justice Act of 2009. Section 6703(a)(2) of PPACA amends section 402(a)(1)(B) of the Social Security Act (42U.S.C 602(a)(1)(B)— (v) The document shall indicate whether the State intends to assist individuals to train for, seek, and maintain employment— (I) providing direct care in a long-term care facility (as such terms are defined under section 1397j of this title); or (II) in other occupations related to elder care determined appropriate by the State for which the State identifies an unmet need for service personnel, and if so, shall include an overview of such assistance.

The state of New Hampshire also offers the Nursing Assistant Reimbursement Program. This program is a longstanding federal workforce initiative intended to encourage nursing assistants to become employed within nursing homes. The Department of Health and Human Services, Bureau of Elderly and Adult Services (BEAS) manages this program, which reimburses individuals in full who complete a nursing assistant training program, approved by the NH Board of Nursing, and gain employment in a nursing home within one year of passing the competency exam. This program is financially supported through Medicaid funds.