Section He-E 501.02 - Definitions(a) "Activities of daily living (ADL) " means activities such as grooming, toileting, eating, dressing, getting into or out of a bed or chair, walking, and monitoring and supervision of medications.(b) "Adult" means "adult" as defined in RSA 161-F:1, I, namely "any person 18 years of age or older."(c) "Adult day services" means one or more of the following services, provided for fewer than 12 hours a day, to participants 18 years of age or older: supervision, assistance with activities of daily living, nursing care, rehabilitation, recreation, social, cognitive, and physical stimulation, and nutrition.(d) "Appeal" means a request by a person adversely affected by the NH department of health and humans service's or a provider's decision or action to review that decision or action in accordance with the provisions of RSA 126-A:5, VIII.(e) "Authorized representative" means any adult other than a department staff member or provider representative who is 18 years of age or older and who, with the individual's permission or under the authority of a guardianship order, acts on behalf of the individual during all aspects of initial or continuing eligibility determination for Title XX services. (f) "Catchment area" means the geographic area where the provider provides Title XX services, as identified in the provider's contract or other legal agreement with the department. (g) "Chronic illness or disability" means that the physical, mental, or emotional ability of a person is such that the individual is unable to manage personal, home, or financial affairs without the support of social services.(h) "Commissioner" means the commissioner of the NH department of health and human services or his or her designee. (i) "Communication access" means, when necessary and appropriate, providing communication assistance to individuals, who are: (1) Non-English speaking or have limited English proficiency; (2) Deaf, experiencing a degree of hearing loss, or have auditory processing challenges; (3) Visually impaired; or(j) "Days" means days on which the department is ordinarily open for business unless otherwise stated. (k) "Department" means the NH department of health and human services. (l) "Elderly" means "elderly" as defined in RSA 161-F:1, V, namely "a person 60 years of age or older."(m) "Essential services" means chore, emergency support, and respite services that are needed to maintain an individual's health or safety, as described in He-E 501.24. (n) "Homebound" means that an individual is unable to leave home without difficulty because of chronic illness or disability. (o) "Home-delivered meals" means meals that are prepared and provided to an individual in his or her home, in accordance with He-E 501.25. (p) "Housecleaning" means duties related to household cleanliness including but not limited to mopping floors, vacuuming, laundry, changing bed linens, dusting, and other tasks related to sanitation within an individual's living environment. (q) "Income" means the total amount of money received by the individual on a regular, recurring basis each month, based on the sources of income contained in He-E 501.05.(r) "Independent living situation" means one of the following living arrangements: (1) The individual's own home or apartment;(2) The home or apartment of a spouse or partner, relative, or friend where the individual also resides;(s) "Individual" means the adult applying for or receiving the Title XX social services described in this part.(t) "In-home care" means services provided to an individual in his or her home including the household maintenance tasks and activities of daily living described in He-E 501.26. (u) "Instrumental activities of daily living" means activities performed on a regular basis, including, but not limited to, doing laundry, cleaning, managing money, shopping, using transportation, correspondence, making telephone calls, obtaining and keeping appointments, socializing, and recreation.(v) "Licensed health practitioner" means: (2) Physician assistant (PA);(3) Advanced practice registered nurse (APRN);(4) Doctor of osteopathy;(5) Doctor of naturopathic medicine; or(6) Any other individual with diagnostic and prescriptive powers licensed by an appropriate NH licensing board. (w) "Limited English proficiency" means the inability of an individual to speak English as their primary language, and whose skills in listening, speaking, or reading English are such that the individual cannot adequately understand and participate in their care, or in the services provided to them, without language assistance, the provision of communication access services, or communication devices.(x) "Nursing facility" means a place which provides for 2 or more persons' basic domiciliary services, including board, room, and laundry, continuing health supervision under competent professional medical and nursing direction, and continuous nursing care as may be individually required. (y) "Person-centered" means that the individual or his or her authorized representative or caregiver is the center of the system of care, and the individuals' needs and preferences drive the care and services provided.(z) "Plan for achieving self- support income (PASS) " means the Supplemental Security income or Social Security income received by an individual, which has been designated by the Social Security Administration to help the individual attain employment. (aa) "Provider" means the agency under contract with the department or enrolled as a medicaid provider of specific services or a vendor providing Title XX services.(ab) "Residential care facility" means a licensed assisted living residence-residential care or assisted living-supported residential health care licensed in accordance with RSA 151.(ac) "Respite care" means care provided on an intermittent basis to the eligible person to relieve the primary caregiver from the demands of home care for a limited period of time.(ad) "Title XX" means that section of the Social Security Act which describes the services funded through the social services block grant. (ae) "Vendor" means an individual, business, or organization reimbursed by the department for the cost of providing essential services that are authorized by the department and described in He-E 501.24. (af) "Wait list" means a list of individuals who have been determined eligible, and are ready to receive, a Title XX service from a provider, but for whom the agency does not have sufficient service units or resources to serve the individuals. (ag) "Without regard to income" means an eligibility category whereby Title XX services can be provided to an individual without regard to income, and in accordance with He-E 501.05(i) .N.H. Code Admin. R. He-E 501.02
Amended by Volume XXXIX Number 06, Filed February 7, 2019, Proposed by #12720, Effective 1/29/2019, Expires 7/29/2019.Amended by Volume XL Number 2, Filed January 9, 2020, Proposed by # 12936, Effective 12/7/2019, Expires 12/7/2029.