Section He-E 502.17 - Person-Centered Plan(a) Contract agencies providing the Title III services described in this rule shall develop a person-centered plan for individuals receiving one or more of the following services: (1) Adult day program services;(2) Adult in-home care services;(3) Home health aide services;(5) Nursing services; and(6) Nutrition services: home-delivered meals.(b) The person-centered plan shall be based on the individual's needs and developed with input from the individual or his or her authorized representative so that services are designed, scheduled, and delivered to best meet the needs and preferences of the individual, and the individual is supported as a full participant in the service planning and decision-making process.(c) The person-centered plan shall include: (1) Identification of the anticipated needs, goals, and outcomes of service provision from the perspective of the individual;(2) Documentation that the person-centered plan was developed with input from the individual or his or her authorized representative;(3) Documentation, as appropriate, to reflect the person-centered plan is responsive to the changing needs of the individual; and(4) Information on the individual's health condition, medications, allergies, and special dietary needs as appropriate to the service being provided in order to assess the individual's service needs and to coordinate service.(d) The contract agency shall provide service to individuals based on the person-centered plan.(e) The person-centered plan shall be updated annually or whenever there is a change in the individual's living arrangement or health status, or a change requested by the individual and agreed to by the parties.(f) In addition to the requirements in (c) above, contract agencies providing adult day program services shall be required to comply with all care plan requirements described in He-P 818.(g) In addition to the requirements in (c) above, for individuals receiving home-delivered meals, the person-centered plan shall include:(1) The number of meals to be delivered and when the meals are to be delivered;(2) Documentation of any other special needs or factors that could impact service provision; and(3) Consideration of the individual's nutritional needs, including to the extent possible, any special dietary needs and preferences.N.H. Admin. Code § He-E 502.17
(See Revision Note at part heading for He-E 502) #10530, eff 2-28-14
Amended by Volume XLII Number 14, Filed April 7, 2022, Proposed by #13354, Effective 3/19/2022, Expires 3/19/2032