N.H. Admin. Code § He-M 1302.10

Current through Register No. 45, November 7, 2024

Section He-M 1302.10 - Specialized Services for People with MI

(a) Once the PASRR office finds an applicant with MI appropriate for nursing facility services, it shall determine whether specialized services are needed based on individualized evaluation.

(b) The individualized evaluation required by (a) above shall include:

(1) A comprehensive history and physical examination of the applicant that shall:

a. Include:

1. Complete medical history;

2. Review of all body systems, including neurological; and

3. In cases of abnormal findings, additional evaluations conducted by specialists; and

b. Either:

1. Be performed by a physician; or

2. Be reviewed by a physician concurring with the conclusions of the evaluation;

(2) A comprehensive drug history, including current and past use of medications that could mimic or mask symptoms of MI;

(3) A psychosocial evaluation, including evaluation of current living arrangements and social, financial, and medical support systems;

(4) A comprehensive psychiatric evaluation that includes:

a. Complete psychiatric history;

b. Evaluation of orientation and of intellectual and memory functioning;

c. Current attitudes and overt behaviors;

d. Affect and suicidal or homicidal ideation; and

e. Degree of reality testing and hallucinations; and

(5) Functional assessment of the applicant's ability to engage in activities of daily living, the level of support which would be needed to assist the applicant to perform these activities while living in the community, and whether this level of support can be provided to the applicant in an alternative community setting or whether the level of support needed is such that nursing facility placement is required, which shall address the following areas:

a. Self-monitoring of health status;

b. Self-administering or scheduling of medical treatments, including medication compliance;

c. Self-monitoring of nutritional status;

d. Managing money; and

e. Grooming and dressing appropriately.

(c) Applicants who are found, after evaluation pursuant to (a) above, to be experiencing MI and to require specialized services as defined in He-M 1302.02(n) shall have a nursing facility plan of care that:

(1) Is developed and supervised by an interdisciplinary team which includes the individual and, if applicable, his or her legal representative, a physician, qualified mental health professional and, as appropriate, other professionals;

(2) Prescribes specific therapies and activities for the treatment of persons experiencing an acute episode of MI which necessitates supervision by trained mental health professionals; and

(3) Is directed toward diagnosing and reducing the applicant's behavioral symptoms of MI and improving his or her level of independent functioning, which ideally would lead to services that are of a lesser intensity than specialized services.

N.H. Admin. Code § He-M 1302.10

#6063 eff 8-1-95; ss by #7920, INTERIM, eff 8-2-03, EXPIRED: 1-29-04

New. #8035, eff 2-7-04, EXPIRED: 2-7-12

New. #10123, INTERIM, eff 4-30-12, EXPIRES: 10-29-12; ss by #10216, eff 10-29-12 (from He-M 1302.07 )