N.H. Admin. Code § He-M 1302.11

Current through Register No. 45, November 7, 2024

Section He-M 1302.11 - Specialized Services for People with DD

(a) Once the PASRR office finds an applicant with DD 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 the individual's comprehensive history and physical examination results to identify the following information or, in the absence of data, information that permits a reviewer specifically to assess:

(1) The individual's medical problems;

(2) The level of impact these problems have on the individual's independent functioning;

(3) All current medications used by the individual and the current response of the individual to any prescribed medications in the following drug groups:

a. Hypnotics;

b. Antipsychotics;

c. Mood stabilizers and antidepressants;

d. Antianxiety-sedative agents; and

e. Anti-Parkinson agents;

(4) Self-monitoring of health status;

(5) Self-administering and scheduling of medical treatments;

(6) Self-monitoring of nutritional status;

(7) Self-help development such as toileting, dressing, grooming, and eating;

(8) Sensorimotor development, such as ambulation, positioning, transfer skills, gross motor dexterity, visual motor perception, fine motor dexterity, eye-hand coordination, and extent to which prosthetic, orthotic, corrective or mechanical supportive devices can improve the individual's functional capacity;

(9) Speech and language development, including:

a. Expressive language;

b. Receptive language;

c. The extent to which non-oral communication systems can improve the individual's function capacity; and

d. Auditory functioning and extent to which amplification devices or a program of amplification can improve the individual's functional capacity;

(10) Social development, such as interpersonal skills, recreation-leisure skills, and relationships with others;

(11) Educational development, including functional learning skills;

(12) Independent living development, including:

a. Meal preparation;

b. Budgeting, shopping, and personal finances;

c. Survival skills;

d. Mobility skills;

e. Laundry, housekeeping, and care of clothing; and

f. Orientation skills for individuals with visual impairments;

(13) Vocational development, including present vocational skills;

(14) Affective development, including expressing emotions, making judgments, and making independent decisions; and

(15) The presence of identifiable maladaptive or inappropriate behavior.

(c) Applicants who have DD and are found to require specialized services as defined in He-M 1302.02(m) shall have a nursing facility plan of care that is:

(1) Developed by an interdisciplinary team, including the individual and, if applicable, his or her legal representative, nursing facility staff, representing areas that are relevant to identifying the person's needs and to designing services that meet his or her needs;

(2) Directed toward helping the applicant continue to experience community-based opportunities and maintain social ties with family and friends;

(3) Designed to assist the applicant to acquire behaviors necessary to function with as much self-determination and independence as possible; and

(4) Intended to prevent or decelerate the regression or loss of current functional status.

(d) An applicant with DD who requires nursing facility services shall be determined not to require specialized services if he or she has a confirmed primary diagnosis of dementia.

N.H. Admin. Code § He-M 1302.11

#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