Section He-E 803.02 - Definitions(a) "Activities of daily living (ADL) " means basic daily routine tasks such as eating, transferring, toileting, bathing, dressing and self-management of medications.(b) "Adult medical day program" means a program of service delivery conducted at a facility that is licensed under RSA 151 and He-P 818 as an adult day program and provides adult medical day services under Medicaid in accordance with the requirements contained in this rule.(c) "Adult medical day services" means those services provided at an adult medical day program that are described in He-E 803.06 and provided to eligible participants in accordance with a care plan.(d) "Care plan" means a written guide developed by the adult medical day program as a result of the assessment described in He-P 818.16 and for the provision of services, based on the written orders from the participant's licensed practitioner, and in consultation with personnel, the participant, and the participant's guardian, agent or personal representative, if any, as a result of the assessment and for the provision of care and services.(e) "Department" means the New Hampshire department of health and human services.(f) "Illness or disability" means a long term recurring or short term physical, mental, or emotional condition that results in the inability of an individual to perform activities of daily living without the support of the adult medical day program.(g) "Independent living situation" means one of the following living arrangements where the individual resides: (2) The home or apartment of a spouse/partner, relative, or friend;(h) "Legal representative" means one of the following individuals, duly appointed or designated in the manner required by law to act on behalf of another individual, and who is acting within the scope of his/her authority:(2) A guardian or conservator;(3) An agent acting under a power of attorney;(4) An authorized representative acting on behalf of an applicant in some or all of the aspects of initial and continuing eligibility in accordance with He-W 603.01; or(5) A person designated in accordance with RSA 151:19.(i) "Licensed practitioner" means: (2) Physician's assistant;(3) Advanced practice registered nurse;(4) Doctor of osteopathy;(5) Doctor of naturopathic medicine; or(6) Any other individual with diagnostic and prescriptive powers licensed by the appropriate New Hampshire licensing board.(j) "Maintenance level therapies" means any of the following repetitive therapeutic services required to maintain maximum functional capabilities, as assessed and established by a professional therapist and rendered by trained personnel: (2) Occupational therapy;(4) Other therapeutic services.(k) "Participant" means the Medicaid-eligible individual who attends the adult medical day program as an alternative to institutionalization, and as recommended by his/her licensed practitioner and who meets the eligibility requirements described in He-E 803.04.(l) "Specialized transportation," for purposes of this rule, and described in He-E 803.06(b) , means conveying the participant from his or her residence to the adult medical day program location or from the program location back to his or her residence, but does not include ambulance or wheelchair van transport.N.H. Code Admin. R. He-E 803.02
#7865, eff 5-1-03; ss by #9914, INTERIM, eff 5-1-11, EXPIRES: 10-28-11; ss by #10010, eff 10-28-11 (from He-E 803.01 )