nh-2026-19: Housing Bridge Subsidy Program
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The agency’s own summary, as published.
The rule, in full
1,607 words as published, August 27, 2026. View the original →
STATE OF NEW HAMPSHIRE OFFICE OF LEGISLATIVE SERVICES ADMINISTRATIVE RULES STATE HOUSE ANNEX 25 CAPITOL STREET, ROOM 234 CONCORD, NH 03301 InterimRulemakingNoticeFormandCoverSheet Proposed Interim Rule Number: 2026-19 Rule Number: He-M 406
1. Agency: Department of Health and Human Services
Agency Address: Department of Health and Human Services Bureau of Mental Health Services 105 Pleasant Street, Main Bldg. Concord, NH 03301
7. Contact person for copies and questions including requests to accommodate
persons with disabilities: Name: Allyson Raadmae Title: Administrator- Administrative Rules Unit Address: Dept. of Health and Human Services Administrative Rules Unit Phone Number: (603) 271-9604 129 Pleasant Street, 2nd Floor Concord, NH 03301 FAX Number: (603) 271-5590 Email: Allyson.E.Raadmae@dhhs.nh.gov ADMINISTRATIVE RULES (603) 271-3680 Generated on 08/19/2026
8. Summary explaining the effect of the rule and, if the rules are being proposed to
implement a state statute for the first time, identification of the statute and/or relevant session law being implemented pursuant to RSA 541-A:19, I(a): He-M 406 describes the eligibility criteria, the application process, the services offered, the wait list, and the appeal procedures for the housing bridge subsidy program which provides supported housing to people who have serious mental illness. The purpose of supported housing is to reduce institutionalization by combining mental health outreach services with a subsidy to help pay rent. The rental subsidy terminates when the individual receives a Section 8 Housing Choice Voucher. Accordingly, in order for a person to be eligible for the housing bridge subsidy program, the person must apply for the Section 8 Housing Choice Voucher. He-M 406 is scheduled to expire on September 27, 2026. The Department of Health and Human Services (Department) is proposing to readopt He-M 406 as an interim rule pursuant to RSA 541-A:19, I(d) to continue the rules which would otherwise expire prior to the completion of the readoption of the rules by the agency. There are no revisions being made to this rule and this proposal does not implement a state statute for the first time.
9. Listing of people, enterprises, and government agencies affected by the rule:
He-M 406 affects individuals who are eligible for mental health services who are on a wait list or applying for the Section 8 Housing Choice Voucher Program.
10. Specific section or sections of state statute or federal statute or regulation which
the rule is intended to implement: RULE STATE OR FEDERAL STATUES THE RULE IMPLEMENTS He-M 406 RSA 135-C:5, I
11. Agency form(s) as required by RSA 541-A:19, IV-a which this rule incorporates by
reference or whose requirements are set forth in the rule pursuant to RSA 541- A:19-b. X Yes
12. Summary of the effect upon the state if the rule were not adopted:
If this rule were not adopted, the Department would be unable to continue the Housing Bridge Subsidy Program and individuals who utilize this program would be unable to have these services provided to them which could result in the loss of housing.
13. Proposed date of review by the Joint Legislative Committee on Administrative
Rules: September 17, 2026 ADMINISTRATIVE RULES (603) 271-3680 Generated on 08/19/2026
14. The fiscal impact statement prepared by the Legislative Budget Assistant, if
applicable: Not applicable. **PLEASE SIGN THE FOLLOWING: I, the adopting authority,* hereby certify that the attached is an accurate statement explaining why an interim rule is necessary. Date: 2026-08-19 Name: Lori A. Weaver Title: Commissioner *('Adopting authority' is the official empowered by statute to adopt the rule, or a member of the group of individuals empowered by statute to adopt the rule.) FilesUploadedtoServer:
4. INT Rule Text He-M 406.docx
This list shows only files that have already been uploaded. * denotes files uploaded by Rules ADMINISTRATIVE RULES (603) 271-3680 Generated on 08/19/2026 August 19, 2026 STATE OF NEW HAMPSHIRE DEPARTMENT OF HEALTH AND HUMAN SERVICES HOUSING BRIDGE SUBSIDY PROGRAM APPLICATION State Office Park South 105 Pleasant Street Concord, NH 03301 INSTRUCTIONS: • Please complete this form carefully. • Incomplete applications will not be accepted. • Please print clearly and fax completed applications to 603.271.5040 • The applicant must apply to New Hampshire Housing Finance Authority for a Section 8 Housing Choice Voucher before submitting this referral. Application Submitted by: ▯ Community Mental Health Program ▯ New Hampshire Hospital ▯ Designated Receiving Facility (DRF) ▯ Glencliff Home ▯ The Transitional Housing Services Program Contact Name:________________________________________________________________ Contact Phone Number:_________________________________________________________ Housing Bridge Subsidy Program Application Page 1 of 5 Updated August 2016 APPLICANT INFORMATION Date:________________ Name: ________________________________ DOB: __________________ Phone Number: _________________ Mailing Address:__________________________________________ Zip Code of last permanent address: __________ Last 4 Digits of SSN: _______ Gender: ______________ Are you a US citizen? Yes No If no, what is your citizenship status? _________________________ Do you need accessible housing? Yes No Housing Status: ▯ Ready for discharge from New Hampshire Hospital, Glencliff Home or a Designated Receiving Facility, but lack housing options in the community. o Proposed discharge date: ______________________________ o Will there be a conditional discharge? ____________________ ▯ Ready for discharge from the Transitional Housing Program operated on the grounds of New Hampshire Hospital, but lack housing options in the community. ▯ Currently homeless and on an Assertive Community Treatment Team (ACT). If currently homeless, what is homeless status? ▯ Shelter ▯ Street ▯ Other Which Community Mental Health Program has the applicant found eligible through: ____________________________ Is the applicant currently on an ACT team, or being referred to one? ________________________ If not connected with a CMHC, what is the scheduled intake date? _____________________ Page 2 of 5 Housing Bridge Subsidy Program Application Updated August 2016 LIVING SITUATIONS Do you currently own your own home? Yes No If yes, are you facing foreclosure? YesNo Do you have a car? Yes No Address prior to homelessness: ____________________________________________________________ Reason for homelessness: Are you living in Subsidized Housing? Yes No Have you ever applied for Section 8 or other Subsidized Housing?Yes No If yes, please list date and place application(s) were made. Have you ever held a Section 8 voucher? If yes, please describe- including reasons why voucher was lost. Have you ever been evicted from housing? If yes, please describe: Please list the name, phone number, and fax number of your current landlord: _______________________________________________________________________________________ Household Members: Name: DOB: Last 4 SSN Relationship Gender Page 3 of 5 Housing Bridge Subsidy Program Application Updated August 2016 FINANCIAL INFORMATION Household Monthly Income Cash: Household Non-Cash Benefits: Earned Income $_________ Food Stamps $_________ Unemployment Insurance $_________ MEDICAID $_________ SSI $_________ MEDICARE $_________ SSDI $_________ SCHIP $_________ Veteran’s Disability Payment $_________ Supp Nutrition for WIC $_________ Private Disability Insuran$_________ VA Medical Services $_________ Worker’s Compensation $_________ TANF Child Care $_________ TANF $_________ TANF Transportation $_________ APTD $_________ Other TANF-funded $_________ General Assistance $_________ Section 8/ Public Housing $_________ Retirement Social Security$_________ Temporary Rental Assistance $_________ Veteran’s Pension $_________ Other: ____________ $_________ Pension from Former Job $_________ Child Support $_________ Alimony/Spousal Support $_________ Other: $_________ Total Monthly Income: $_________ Monthly Household Expenses: Expense Amount Expense Amount Expense Amount Rent $_________ Heat $_________ Child Care $_________ Telephone $_________ Food $_________ Other: $_________ Electricity $_________ Transportation $_________ Total: $_________ EMERGENCY CONTACT INFORMATION Emergency Contact Name: ______________________________________________ Telephone Number: ___________________________________________________ Page 4 of 5 Housing Bridge Subsidy Program Application Updated August 2016 Relation to Applicant: ___________________________________________________ PLEASE ANSWER THE FOLLOWING QUESTIONS Are any members of your household subject to the registration requirement under RSA 651-B ”Registration of Criminal Offenders”? Yes No Within the past 7 years, have you or anyone in your household ever been convicted of the illegal manufacture, sale, or distribution of a controlled drug, or the possession of a controlled drug with the intent to manufacture, sell, or distribute, that has not been Yes No annulled ? Within the past 15 years, have you or anyone in your household ever been convicted a violent criminal offence, that has not been annulled? Violent criminal offence means any conviction that has as one of its elements the use, attempted use, or threatened use of physical force substantial enough to cause, or be reasonably likely to cause, Yes No serious bodily injury or property damage including but not limited to murder, manslaughter, assault, rape, robbery, burglary, arson, and kidnapping. This term does not include simple assault by itself. Have you or anyone in your household ever committed any fraud in a federally assisted housing program or been requested to repay money for knowingly misrepresenting Yes No information for such housing programs? Certification: I certify, under penalty of unsworn falsification, that all of the information in this application is true and complete to the best of my knowledge and belief. False information will result in denial of the application or dismissal from this program. _____________________________________________ _____________________________ Applicant Signature Date Page 5 of 5 Housing Bridge Subsidy Program Application Updated August 2016 STATE OF NEW HAMPSHIRE DEPARTMENT OF HEALTH AND HUMAN SERVICES HOUSING BRIDGE SUBSIDY INTAKE FORM State Office Park South 105 Pleasant Street Concord, NH 03301 INSTRUCTIONS: • Please complete this form carefully. • Please print clearly and fax completed intake form to 603.271.5040 or mailed to the address above. • If you have questions please call 603.271.0845 APPLICANT INFORMATION Date:________________ Name: ________________________________ DOB: __________________ Phone Number: ______________ Mailing Address:__________________________________________ Current Living Situation: _______________________________________________________________ Are you connected to a Community Mental Health Center? If yes, which one: ________________________________________ CMHC Contact Name: _______________________________ Phone Number: ______________________ Housing Bridge Subsidy Intake Form Updated August 2016
Documents
- Full text (state register) · August 27, 2026
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