N.H. Admin. Code § He-M 1002.02

Current through Register No. 45, November 7, 2024
Section He-M 1002.02 - Definitions
(a) "Agency residence" means a residence providing services as outlined in He-M 1002.05 and operated by staff of a community mental health program (CMHP) .
(b) "Bureau" means the bureau of mental health services.
(c) "Bureau administrator" means the director of the bureau of mental health services.
(d) "Case manager" means a person employed by a community mental health program, community mental health provider, or transitional housing services program who provides services in accordance with He-M 426.
(e) "Certificate holder" means the person or agency in whose name a community residence's certification is issued.
(f) "Certification" means the written approval by the department for the operation of a community residence in accordance with He-M 1002.
(g) "Commissioner" means the commissioner of the department of health and human services or his or her designee.
(h) "Community mental health program (CMHP) means a medicaid provider that has been approved by the bureau administrator pursuant to He-M 403 and which plans, provides, contracts for, and monitors mental health services to the residents of a designated mental health service region.
(i) "Community mental health provider" means a medicaid provider of community mental health services that has been previously approved by the commissioner to provide specific mental health services pursuant to He-M 426.
(j) "Community residence" means an agency residence, a family residence, or a transitional housing services program, exclusive of any independent living arrangement, that:
(1) Provides residential services in accordance with He-M 426 for at least one individual with a mental illness;
(2) Provides services based on the needs identified in an individual's individual service plan (ISP);
(3) Serves individuals whose services are funded by the department; and
(4) Is certified pursuant to He-M 1002.
(k) "Denial of certification" means a refusal to grant an initial certification or refusal to grant a renewal certification.
(l) "Department" means the New Hampshire department of health and human services.
(m) "Emergency" means an unexpected occurrence or set of circumstances in an individual's life which consists of, culminates in, or has resulted from serious physical or psychological injury or both and requires immediate remedial attention.
(n) "Family residence" means a community residence operated:
(1) By a person or family residing therein; and
(2) Under contract with a CMHP or provider agency.
(o) "Independent living arrangement" means a situation where an individual does not receive supervision 24 hours a day, 7 days a week but receives services in his or her home, as needed, to maintain or develop skills to live independently and prevent circumstances that could necessitate more intrusive and costly intervention.
(p) "Individual" means any person eligible pursuant to RSA 135-C:13 and He-M 401 to receive state-funded services in the state mental health services system and whose place of residence is a community residence under these rules.
(q) "Individual service plan" (ISP) means a written document prepared pursuant to He-M 401.12 and He-M 408.08.
(r) "License" means the written approval from the department issued in accordance with either RSA 151 or RSA 170-E.
(s) "Licensed practitioner" means a medical doctor, physician's assistant, advanced practice registered nurse, doctor of osteopathy, or doctor of naturopathic medicine.
(t) "Mental illness" means a condition of an individual who is determined severely mentally disabled in accordance with He-M 401.05 through He-M 401.07, and who has at least one of the following psychiatric disorders classified in the Diagnostic and Statistical Manual of Mental Disorders, Fifth edition (DMS-5), available as noted in Appendix A:
(1) Schizophrenia spectrum and other psychotic disorders except for the following:
a. Schizotypal personality disorder;
b. Substance or medication induced psychotic disorder; and
c. Psychotic disorder due to another medical condition;
(2) Bipolar and related disorders except for the following:
a. Substance or medication induced bipolar and related disorder; and
b. Bipolar disorder and related disorder due to another medical condition;
(3) Depressive disorders except for the following:
a. Disruptive mood dysregulation disorder;
b. Premenstrual dysphoric disorder;
c. Substance or medication induced depressive disorder; and
d. Depressive disorder due to another medical condition;
(4) Borderline personality disorder;
(5) Panic disorder;
(6) Obsessive compulsive disorder;
(7) Post traumatic stress disorder;
(8) Bulimia nervosa;
(9) Anorexia nervosa;
(10) Other specific feeding or eating disorders;
(11) Unspecified feeding or eating disorders; and
(12) Major neurocognitive disorders where psychiatric symptom clusters cause significant functional impairment and one or more of the following symptom categories are the focus of psychiatric treatment:
a. Anxiety;
b. Depression;
c. Delusions;
d. Hallucinations; or
e. Paranoia.
(u) "Nurse-trainer" means a registered nurse who has been designated as a trainer.
(v) "Plan of correction" means a written representation of a revised policy or practice that reflects how a community residence will come into compliance with a violation of He-M 1002 as found by the department.
(w) "Provider" means a person who volunteers or is employed by, has a contract with, or receives any form of remuneration from a CMHP, provider agency, the department, or individual to deliver residential services to an individual.
(x) "Provider agency" means a CMHP or an entity under contract with a CMHP or the department that is responsible for the operation or supervision of a community residence.
(y) "Region" means a geographic area defined and designated in He-M 425 by the bureau administrator for the purpose of assigning primary responsibility for providing mental health services to the residents of certain communities.
(z) "Residence administrator" means a person designated by a provider agency who has the authority to oversee the operation of a community residence.
(aa) "Residential service plan" means the document that describes the residential goals and objectives identified in an individual's ISP and specifies ways in which the community residence will implement those goals and objectives pursuant to He-M 408.08 e.
(ab) "Staff" means an employee of a community residence who provides direct services to an individual.
(ac) "Supervision" means that a provider, or his or her designee approved in writing by the case manager and guardian, if applicable, is physically present and able to assist an individual in achieving the goals identified in his or her ISP.
(ad) "Team" means a case manager, individual, guardian if applicable, and others invited by the individual to participate in the service planning and review meetings.
(ae) "Transitional housing services program (THSP) " means a residential program that has been approved by the bureau administrator and is intended to provide supportive housing for individuals with severe mental illness or severe and persistent mental illness until the individual is ready to move into an independent living situation.

N.H. Admin. Code § He-M 1002.02

#1914, eff 2-1-82; ss by #3071, eff 7-25-85, EXPIRED: 7-25-91

New. #7762, eff 9-26-02; amd by #8210, eff 11-23-04; amd by #9795, INTERIM, eff 9-26-10, EXPIRES: 3-25-11; ss by #9894-A, eff 3-25-11; amd by #9960, eff 7-26-11

Amended by Volume XXXIX Number 16, Filed April 18, 2019, Proposed by #12742, Effective 3/20/2019, Expires 9/16/2019.
Amended by Volume XXXIX Number 50, Filed December 12, 2019, Proposed by #12916, Effective 11/16/2019, Expires 11/16/2029.