Section He-W 544.06 - Certification of Terminal IllnessThe hospice provider shall obtain certification of terminal illness as follows:
(a) For the first 90-day election period, the hospice provider shall obtain, within 2 calendar days after hospice care is initiated, written certification of terminal illness signed and dated by:(1) The medical director of the hospice provider or the physician member of the hospice interdisciplinary group; and(2) The recipient's Title XIX attending physician, if the recipient has an attending physician, except that an advance practice registered nurse shall not be allowed to sign;(b) For subsequent election periods of coverage specified in He-W 544.05(a) (2) and (3) above, the hospice provider shall obtain, within 2 calendar days after the beginning of each election period, a written certification of terminal illness signed and dated by the medical director of the hospice provider or the physician member of the hospice interdisciplinary group;(c) If the written certification in (a) or (b) above cannot be obtained within 2 days, a verbal certification shall be: (1) Obtained within 2 days;(2) Documented in the recipient's medical records; and(3) Followed by a written certification pursuant to (a) or (b) above within 30 calendar days; and(d) No Title XIX payment shall be made for days prior to certification in accordance with (a) - (c) above.N.H. Admin. Code § He-W 544.06