Section He-W 544.09 - Covered Hospice Services(a) The designated hospice provider shall create a plan of care for the recipient in accordance with 42 CFR 418.56 a.2(b) that specifies the services to be provided to the recipient, which are reasonable and necessary for the palliation or management of the symptoms of the terminal illness and conditions or complications related to the terminal illness.(b) Services covered as part of the hospice benefit shall include: (1) Nursing care provided by or under the supervision of a registered nurse;(2) Medical social services provided by a social worker who has at least a bachelor's degree from a school accredited or approved by the Council on Social Work Education, and who is working under the direction of a physician;(3) The following services performed by hospice physicians: a. General supervisory services of the medical director;b. Participation in the establishment of plans of care, supervision of care and services, periodic review and updating of plans of care, and establishment of governing policies by the physician member of the interdisciplinary group; andc. Physician services described in He-W 544.16(b) (2) a.;(4) Counseling services, including dietary counseling, provided to the recipient, family members, and others caring for the recipient for the purpose of training the recipient's family or caregivers to provide care;(5) General inpatient care as follows: a. Such care shall be provided in a Title XIX enrolled hospice house, licensed in accordance with RSA 151 and He-P 824, hospital, or nursing facility that meets that meets the requirements in 42 CFR 418.110 regarding staffing and patient areas; andb. Care shall be for pain control or symptom management which cannot be provided in an outpatient setting;(6) Inpatient respite care provided to the recipient as follows: a. Only for recipients who are not residing in a nursing facility;b. Only when necessary to relieve the family members or other caregivers of caring for the recipient;c. Not for more than one period of 5 consecutive days at a time per election period, except that the sixth and any subsequent consecutive days shall be covered and paid at the routine home care rate; andd. Only in those intermediate care facilities that meet the requirements of 42 CFR 418.100(a) and (e) regarding 24-hour nursing and patient areas;(7) Durable medical equipment and supplies for self help and personal comfort related to the palliation or management of the recipient's terminal illness or conditions related to the terminal illness while the recipient is under hospice care;(8) Drugs for the palliation and management of the recipient's terminal illness or conditions related to the terminal illness;(9) Home health aide and homemaker services;(10) Physical therapy, occupational therapy, and speech language pathology services for the purpose of symptom control or to enable the recipient to maintain activities of daily living and basic functional skills;(11) Ambulance and wheelchair van transportation;(12) Any other service that is specified in the recipient's plan of care as reasonable and necessary for the palliation and management of the recipient's terminal illness and related conditions; and(13) Continuous home care, which shall be:a. Provided only during a period of crisis, which is a period in which a recipient requires continuous care which is primarily nursing care to achieve palliation or management of acute medical symptoms;b. Provided by a registered nurse or licensed practical nurse, who shall provide care for more than half the period of care; andc. A minimum of 8 hours of care during a 24-hour day, which shall not be required to be consecutive hours.(c) The recipient's plan of care shall include bereavement counseling for the recipient's family after the recipient's death.(d) Bereavement counseling in (c) above shall not be billable to Title XIX nor to the recipient's family.N.H. Admin. Code § He-W 544.09