Section He-E 802.18 - Specialized Rate Requests(a) General NF rate setting shall be calculated in accordance with He-E 806, and requests for specialized rate setting shall be conducted pursuant to this section.(b) Each NF presenting a case for consideration, whether for in state or for out of state placement, for a specialized rate, shall complete and submit a "Specialized Service Rate Request Form- Nursing Facility" (September 2020) to the department along with: (1) The individual's: c. Transitional plan; and(2) Documentation showing the cost of the individual's care.(c) The specialized rate request shall be reviewed by a specialized medical professional employed or contracted by the department for clinical appropriateness pursuant to He-E 802.05 above.(d) The approved specialized rate shall be subject to a periodic utilization review, as requested on the "Specialized Service Rate Request Form-Nursing Facility Services", in 30 days, 6 months, or annual increments.(e) Approved rates shall be communicated to the receiving facility by the department.N.H. Admin. Code § He-E 802.18
(See Revision Note at part heading for He-E 802) #9888-B, eff 3-19-11
Amended by Volume XXXIX Number 16, Filed April 18, 2019, Proposed by #12741, Effective 3/20/2019, Expires 9/16/2019.Amended by Volume XL Number 46, Filed November 12, 2020, Proposed by #13130, Effective 10/30/2020, Expires 10/29/2030.