Section He-W 544.01 - Definitions(a) "Agent" means an adult to whom authority to make health care decisions is delegated under an activated durable power of attorney for health care executed in accordance with RSA 137-J.(b) "Attending physician" means the doctor of medicine or osteopathy or the advance practice registered nurse who is identified by the recipient at the time of election of hospice care as having the most significant role in the determination and delivery of medical care to the recipient.(c) "Bereavement counseling" means emotional, psychosocial, and spiritual support and services provided before and after death of the recipient to assist with issues related to grief, loss, and adjustment.(d) "Continuous home care" means hospice care consisting of primarily nursing care provided by hospice personnel on a continuous basis at home.(e) "Day" means the 24-hour period starting at 12:00AM and ending at 11:59PM of the same day.(f) "Department" means the New Hampshire department of health and human services.(g) "Dietary counseling" means education and interventions provided to the recipient and family regarding appropriate nutritional intake as the recipient's condition progresses and provided by qualified individuals including a registered nurse, dietician, or nutritionist, when identified in the recipient's plan of care.(h) "Election period" means one or more periods for which a recipient may elect to receive medicaid coverage for hospice care, as follows: (1) Two 90-day periods; and(2) An unlimited number of subsequent 60-day periods.(i) "Employee" means: (1) An employee of the hospice;(2) If the hospice is a subdivision of an agency or organization, an employee of the agency or organization who is appropriately trained and assigned to the hospice unit; or(3) A volunteer under the jurisdiction of the hospice.(j) "General inpatient care" means hospice care received in an inpatient facility for pain control or symptom management, which cannot be managed in other settings.(k) "Hospice" means a comprehensive set of services described in section 1861(dd) (1) of the Social Security Act, identified and coordinated by an interdisciplinary group to provide for the physical, psychosocial, spiritual, and emotional needs of a terminally ill recipient and/or family members, as delineated in a specific recipient plan of care.(l) "Medicaid" means the Title XIX and Title XXI programs administered by the department which makes medical assistance available to eligible individuals.(m) "Palliative care" means recipient and family-centered care that optimizes quality of life by anticipating, preventing, and treating suffering. Palliative care throughout the continuum of illness involves addressing physical, intellection, emotional, social, and spiritual needs and to facilitate recipient autonomy, access to information, and choice.(n) "Physician" means "physician" as defined in 42 CFR 410.20.(o) "Quarter" means one of 4 calendar periods ending March 31, June 30, September 30, and December 31.(p) "Recipient" means any individual who is eligible for and receiving medical assistance under the medicaid program.(q) "Respite care" means short-term inpatient care provided to the recipient only when necessary to relieve the family members or other persons caring for the recipient.(r) "Room and board services" includes performance of personal care services, including assistance in the activities of daily living, in socializing activities, administration of medication, maintaining the cleanliness of a resident's room, and supervision and assistance in the use of durable medical equipment and prescribed therapies.(s) "Routine home care" means hospice care received at the place of residence and which is not continuous home care as defined in (d) above.(t) "Terminally ill" means a condition for which the recipient has a medical prognosis of a life expectancy of 6 months or less if the illness runs its normal course.(u) "Title XIX" means the joint federal-state program described in Title XIX of the Social Security Act and administered in New Hampshire by the department under the medicaid program.(v) "Title XXI" means the joint federal-state program described in Title XXI of the Social Security Act and administered in New Hampshire by the department under the medicaid program.N.H. Admin. Code § He-W 544.01
#9726-A, eff 7-1-10; amd by #10139, eff 7-1-12