N.H. Code Admin. R. He-E 501.13

Current through Register No. 25, June 20, 2024

Section He-E 501.13 - Provider Requirements

(a) Providers wishing to provide adult day services, home-delivered meals or in-home care shall be under contract with the department to provide such service(s) .

(b) Providers shall:

(1) Comply with all provisions included in the contract with the department;

(2) Comply with and make available upon request any licensing or certification requirements required by applicable federal, state, or local laws or rules, specifically:

a. For providers providing in-home care, be licensed as a home health provider, home care service provider, or other qualified agency in accordance with He-P 809 and He-P 822, respectively; and

b. For providers providing adult day services, be licensed as an adult day program in accordance with He-P 818;

(3) Develop person-centered plans as described in He-E 501.22;

(4) Determine eligibility for applicants and comply with notice requirements as described in these rules;

(5) Maintain the insurance coverage required by applicable state or local laws or rules, and provide written proof of such insurance coverage to the department;

(6) Identify an executive director who will oversee the services being provided;

(7) Identify staff who will complete the responsibilities contained in this rule for the service(s) being provided;

(8) Train and supervise provider staff and volunteers regarding the following:

a. The provider's policies and procedures;

b. The specific Title XX services the staff or volunteer will be providing; and

c. Any additional training requirements contained in applicable federal or state laws/rules;

(9) Comply with all contract requirements regarding the provision of communication access to individuals who are requesting or receiving services covered under this rule;

(10) Develop protocols for staff responses to emergencies;

(11) Develop protocols for reporting suspected abuse, neglect, self-neglect, or exploitation of incapacitated adults as required by RSA 161-F: 46 of the adult protection law;

(12) Comply with the provisions of RSA 161-F: 49 with regard to checking the names of prospective or current employees, volunteers or subcontractors against the state registry administered by the department's bureau of elderly and adult services;

(13) Have an established written complaint and incident process that may be accessed by individuals, family members, or authorized representative when an individual is denied services or dissatisfied with the services provided by the provider, including:

a. The name or position of the provider's staff member who coordinates the complaint and incident process;

b. The issues that may be addressed through the complaint and incident process;

c. How individuals are informed of their right to file a complaint or incident report;

d. The procedures to be followed by individuals who wish to file a complaint or incident report with the provider;

e. The procedures to be followed by the provider when reviewing complaints or incidents, and for notifying the individual of the outcome of the review; and

f. Information stating that the availability of the complaint and incident process from the provider shall not cancel the right of an individual who is denied Title XX services to request an administrative hearing in accordance with He-E 501.12 and He-C 200;

(14) When requested, provide information to the department regarding individuals receiving services;

(15) Maintain financial records;

(16) Maintain service records in accordance with He-E 501.17 for the specific Title XX service provided per eligibility period;

(17) Submit the fiscal reports required by the department pursuant to the provider contract;

(18) Submit information on the wait list in accordance with He-E 501.15;

(19) Engage in monitoring and evaluating the quality of the services being provided, which shall include:

a. Obtaining feedback from the individual, authorized representative, and family members;

b. Participating in any quality assurance measures implemented by the department; and

c. Making changes as necessary to improve the quality and effectiveness of service delivery; and

(20) When providing home-delivered meals service:

a. Be in compliance with federal, state, and local regulations for food safety, meal preparation and delivery;

b. Employ staff or subcontract with another agency to prepare and deliver meals;

c. Demonstrate on a quarterly basis that meals are in compliance with the nutritional requirements contained in He-E 501.25 by providing the department with sample menus which are signed by a registered dietitian or another professional with comparable expertise;

d. Ensure that meals are delivered only when individuals are at home to receive them;

e. Ensure that the driver who delivers meals has face-to-face contact with each individual; and

f. Keep a record of the number of meals authorized for the individual and the scheduled days of delivery.

N.H. Code Admin. R. He-E 501.13

#9849-A, eff 1-12-11

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.