Section He-W 552.05 - Covered Services(a) PCA services shall be covered when they are:(1) PCA services as defined by He-W 552.02 and as further described in (b) below;(2) Documented by the recipient's physician who certifies to the necessity of the PCA services in accordance with He-W 552.03(c);(3) Outlined in a plan of care developed by a registered nurse (RN) as provided for in He-W 552.09;(4) Provided in the recipient's home or in locations other than the recipient's home, such as school and work, if the PCA services would have otherwise been provided in the recipient's home;(5) Of a type, frequency, and duration that is consistent with the recipient's demonstrated needs for PCA services as documented in the plan of care; and(6) Provided in accordance with the requirements of He-W 552.(b) PCA services, provided in accordance with the plan of care, shall include, as applicable: (1) Personal hygiene, such as providing or assisting the recipient with bathing, washing hair, grooming, shaving, nail care, foot care, skin care, mouth care, and oral hygiene, including special mouth care;(2) Assistance with toileting or a bowel and bladder care program, such as assisting the recipient with getting to and from the bathroom, getting on and off the toilet, using an assistive device for toileting, changing incontinence supplies, following a toileting schedule, cleansing an individual or adjusting clothing related to toileting, emptying a catheter drainage bag or assistive device, ostomy care, and bowel care;(3) Assisting the recipient with movement and mobility, transfers and repositioning, such as transferring the recipient from a bed to a wheelchair, turning the recipient, adjusting padding for physical comfort or pressure relief, and assisting with range-of-motion exercises;(4) Under the direction of the recipient or legally responsible adult, assistance with medications to the extent allowable under RSA 326-B;(5) Assistance with dressing;(6) Meal preparation and clean-up when such activities are not otherwise being provided, and may include preparing meals for modified diets, assisting with eating, and monitoring to prevent choking or aspiration; and(7) The performance of light household tasks related to the recipient's needs, such as but not limited to, changing and washing the recipient's bed linens, doing the recipient's laundry, cleaning of recipient occupied space, or moving furniture to remove obstacles and hazards to enable the recipient to move easily in the home.(c) The recipient shall be responsible for informing the PCA about their preferences regarding the PCA services and how they are to be performed.N.H. Admin. Code § He-W 552.05
(See Revision Note at chapter heading He-W 500); ss by #4993, eff 11-30-90, EXPIRED: 11-30-96
New. #6742, eff 4-30-98; ss by #8597, eff 3-30-06; ss by #10562, INTERIM, eff 3-30-14, EXPIRES: 9-26-14; ss by #10676, eff 9-26-14 (from He-W 552.04)
Amended byVolume XXXIV Number 41, Filed October 9, 2014, Proposed by #10676, Effective 9/26/2014, Expires 9/26/2024.Amended by Number 2, Filed January 9, 2025, Proposed by #14154, Effective 12/21/2024, Expires 12/21/2034.