Section He-E 501.22 - Person-Centered Plan(a) Providers providing adult day services, home delivered meals, and in-home care services shall develop with input from each individual or his or her authorized representative a person-centered plan to drive the provision of Title XX services.(b) The person-centered plan shall be based on the individual's needs and developed with input from the individual or his or her authorized representative so that services are designed, scheduled, and delivered to best meet the needs and preferences of the individual, and so that the individual is supported as a full participant in the service planning and decision-making process.(c) The person-centered plan shall include: (1) Identification of the anticipated needs, goals, and outcomes of service provision from the perspective of the individual;(2) Written acknowledgement that the person-centered plan was developed with input from the individual or his or her authorized representative;(3) Written acknowledgement that, as appropriate, reflects the person-centered plan is responsive to the changing needs of the individual; and(4) Information on the individual's health condition, medications, allergies, and special nutritional needs as appropriate to the service being provided to assess the individual's service needs and to coordinate service.(d) The provider shall provide service to the individual based on the person-centered plan. In addition to the requirements in (c) above, providers of adult day services shall be required to comply with all care plan requirements described in He-P 818.(e) The person-centered plan shall be updated annually and whenever there is a change in the individual's living arrangement or health status, or a change requested by the individual and agreed to by the involved parties.(f) In addition to the requirements in (c) above, for individuals receiving home-delivered meals, the person-centered plan shall include: (1) The number of meals to be delivered and when the meals are to be delivered; (2) Documentation of any other special needs or factors that could impact service provision; and(3) Consideration of the individual's nutritional needs, including to the extent possible, any special nutritional needs and preferences.N.H. Code Admin. R. He-E 501.22
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.